FY 2010-2013 Contract Assessments, Instructions and Forms
Assessment forms to be completed by successful social and nutrition services applicants.
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FY13 Assessment Instructions (Revised 2-10-2013)
107.01 KB, application/msword
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Programmatic Self-Assessment Guide for Social and Nutrition Services
309.25 KB, application/msword
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FY 2013 Nutrition Site Guest Assessment Policy
75.78 KB, application/msword - Nutrition Site Checklist for selected congregate programmatic assessment review . Information pertinent to site management is recorded by contractors and will be reviewed by the Nutrition Services Program Manager with changes communicated as appropriate.
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Self-Assessment Guide for Adult Day Health Services
327.17 KB, application/msword
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Service Specific Compliance Section - Adult Day Health Service Contract & DSP
814.08 KB, application/msword
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General Compliance Tool
418.30 KB, application/msword
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Service Specific Compliance Section-Congregate Meals
337.92 KB, application/msword
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Service Specific Compliance Section-Home Delivered Meals
327.17 KB, application/msword
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Service Specific Compliance Section-Chore
280.06 KB, application/msword
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Service Specific Compliance Section-Home Injury Control
326.14 KB, application/msword
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Service Specific Compliance Section- Legal Assistance
297.47 KB, application/msword
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Service Specific Compliance Section-Long Term Care Ombudsman Advocacy
297.98 KB, application/msword
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Service Specific Compliance Section-Resource Advocacy
260.10 KB, application/msword
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Service Specific Compliance Section-Prevention of Elder Abuse, Neglect and Exploitation
249.86 KB, application/msword
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Service Specific Compliance Section-Assistance to the Hearing Impaired and Deaf
247.30 KB, application/msword
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Service Specific-Vision Services
278.53 KB, application/msword
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Service Specific Compliance Section-Grandparents Raising Grandchildren
250.88 KB, application/msword
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Service Specific Compliance Secton-Nutrition Program General Requirements
361.98 KB, application/msword - In addition to the service specific standards for Home Delivered Meals (HDM) and Congregate Meals, Nutrition Programs must comply with the General Nutrition Requirements as well as the In-Home Service Requirements cited for HDM and Adult Day Service Provision of Title III-C meals under the Nutrition Services: Congregate Meal program.
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Service Specific Compliance Section-Volunteer Caregiver
286.72 KB, application/msword
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Service Specific Compliance Section-Disease Prevention Health Promotion
273.92 KB, application/msword