Adolescent Mental Health Licensing and Certification


The Licensing and Certification Unit survey sheets provided below are tools that aid LCA staff in surveys of provider facilities and/or services. They do not include all standards that are assessed at surveys. Providers are accountable for compliance with all applicable Standards and/or Regulations regarding Licensing, Certification and Criminal records Check.

The full Standards and Regulations are available at the following links:

SURVEY FORMS POLICIES AND PROCEDURES

BMS Personnel Record Review [PDF 167k]

Treatment Foster Care [PDF 171k]

BMS Client [PDF 319k]

Behavior Management Services [PDF 101k]

DTS Client [PDF 301k]

Comprehensive Community Support Services [PDF 108k]

DTS Personnel [PDF 155k]

Day Treatment Services [PDF 96k]

RTS-GHS Client Review [PDF 421k]

General Provisions [PDF 168k]

RTS-GHS Personnel Record [PDF 177k]

Group Home Services [PDF 111k]

TFC Client Record Review [PDF 513k]

Residential Treatment Services [PDF 111k]

TFC Personnel [PDF 178k]

 

CCSS Client [PDF 229k]

 

CCSS Personnel [PDF 169k]

 

TFP Record Review [PDF 162k]