Quality Check List - Save
{Error}
Check for Specific Interior Environment - Medical
Yes/No
Comments
45 Day Reviews
Select Value
{chk70_Options}
Ensure New Meds are in Place (if Applicable)
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{chk71_Options}
Are New / Existing PMOFs Filled? Psych & Non-Psych
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{chk72_Options}
Are All MARs Filled Out Completely? Documentation on Reverse
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{chk73_Options}
Check PMOFs to ensure they are filled out
Select Value
{chk74_Options}
Individual Personal Items
Log Maintained
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{chk75_Options}
Present in the Home
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{chk76_Options}
Good Condition
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{chk77_Options}
Activity Logs
Activity noted being done at visit
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{chk78_Options}
Vehicle
Mileage Log Completed up to date
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{chk79_Options}
Clean
Select Value
{chk80_Options}
Damage Present (is it old or new; Location of Damage
Select Value
{chk81_Options}