MI Form BCAL-3266 2013-2025 free printable template

The basic fees do not include any transportation services. Transportation fees are charged as follows BCAL-3266 Rev. 10-13 Previous editions obsolete. If a resident s designated representative signs this agreement a copy of the signer s written authority is to be maintained in the resident s file at the AFC home. I have provided the resident with a copy of the AFC Resident Rights and agree to respect and safeguard these rights. AFC RESIDENT CARE AGREEMENT Michigan Department of Human...

How to fill out afc care agreement form

How to fill out MI Form BCAL-3266

1. Start by downloading the MI Form BCAL-3266 from the Michigan Department of Licensing and Regulatory Affairs website.
2. Carefully read the instructions provided with the form to understand each section.
3. Fill out the applicant's information, including name, address, and contact details in the designated fields.
4. Provide details about the program or service you are applying for in the appropriate section.
5. Include any required supporting documentation as specified in the instructions.
6. Review the completed form for accuracy and completeness to ensure all required fields are filled out.
7. Sign and date the form at the bottom.
8. Submit the form through the designated submission method, either by mailing it or submitting it online if applicable.

Who needs MI Form BCAL-3266?

1. MI Form BCAL-3266 is required by individuals or organizations seeking to apply for a child care license in Michigan.
2. It is specifically needed by new applicants or existing providers who wish to renew their licenses or update their information.

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People Also Ask about care agreement adult template

How much does it cost to live in an AFC home in Michigan?

The average cost of $3,000 per month covers a private studio or a one to two-bedroom living space, a personalized plan of care, and housekeeping and laundry services, maintenance, meals, and local transportation. This cost is in line with the average of $3,050 per month for assisted living servic

What is an AFC in Michigan?

Adult Foster Care (AFC) homes are licensed residential settings that provide 24-hour personal care, protection, and supervision for individuals who are developmentally disabled, mentally ill, physically handicapped or aged who cannot live alone but who do not need continuous nursing care.

What are the rights of a AFC resident in Michigan?

(1) A licensee or an applicant shall have the right to be treated with courtesy, dignity, and fairness by the adult foster care licensing division staff of the department and shall not be discriminated against on the basis of race, religion, color, national origin, sex, age, handicap, height, weight, or marital status.

What is AFC housing?

AFC housing program is a block grant based program that assists members in moving toward an independent lifestyle. Our housing specialists and Peer Support Specialists assist the member in maintaining their residence by providing a structured setting and modeling recovery for the member to follow.

What is an AFC in healthcare?

What is Adult Foster Care (AFC)? Adult Foster Care (AFC), is a program to help caregivers who care for frail elderly adults and adults with disabilities who cannot live alone safely. AFC adults live with trained paid caregivers who provide daily care. Caregivers may be family members or non-family members. •

What does AFC mean in a home?

The Department of Human Services licenses and regulates homes for the aged and adult foster care (AFC). In general, a home for the aged provides care to persons who are over the age of 60, while an AFC home can provide care to any adult in need of AFC service.

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What is MI Form BCAL-3266?

MI Form BCAL-3266 is a document used by the State of Michigan to report compliance with various state regulations related to child care licensing.

Who is required to file MI Form BCAL-3266?

Child care providers and facilities that are required to maintain licensing in Michigan must file MI Form BCAL-3266.

How to fill out MI Form BCAL-3266?

To fill out MI Form BCAL-3266, gather the necessary information about the child care facility, include required details as per the instructions, and submit the form to the appropriate state department.

What is the purpose of MI Form BCAL-3266?

The purpose of MI Form BCAL-3266 is to ensure compliance with state regulations for child care facilities and to provide necessary information for licensing assessments.

What information must be reported on MI Form BCAL-3266?

Information that must be reported on MI Form BCAL-3266 includes the facility's name, address, license number, operational details, and compliance with safety and health regulations.