Dhsr 2025

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  1. Click ‘Get Form’ to open the dhsr in the editor.
  2. Begin by entering the facility name in the designated field. This is crucial as it will be printed on your license.
  3. Fill in the facility site address accurately, ensuring no P.O. boxes are used. Include street, city, zip code, and county.
  4. Provide a valid email address for correspondence and ensure that all contact numbers are operational before submission.
  5. Complete the sections regarding management company details if applicable, including contact information and legal identity of the licensee.
  6. Review all service categories you plan to offer at your facility and check the appropriate boxes based on your services.
  7. Attach any required documents such as zoning approvals, inspection reports, and photographs of your facility as specified in the guidelines.
  8. Finally, ensure that all fields are filled out completely before submitting your application through our platform for processing.

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The Department of Health and Human Services manages the delivery of health- and human-related services for all North Carolinians, especially our most vulnerable people children, elderly, disabled and low-income families.
Residential Care Facilities for the Elderly (RCFE) and Adult Residential Care Facilities (ARF) are responsible for providing Assisted Living Waiver (ALW) services to participants, allowing them to maintain independence and continue to receive nursing level of care as needed.
Certainly if OSHA is conducting an inspection, the compliance safety and health officer (CSHO) can review the employers roster of employees to determine if a particular person is an employee without revealing the name of the employee on whose behalf the complaint is filed.
*Please note: If you have a complaint about services provided at a health care facility, please call the DHSR Complaint Intake Unit toll-free at 1-800-624-3004.
Mark Payne - Director, Division of Health Service Regulation - North Carolina Department of Health and Human Services | LinkedIn.
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DHSR. Division of Health Service Regulation.

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