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:
- Certification (7.20.11 NMAC) [PDF; 438k]
- Licensing (7.20.12 NMAC) [PDF; 281k]
- Shelter Care/Community Home Licensing (7.8.3 NMAC)
- Criminal Records Checks (8.8.3 NMAC) [PDF; 42k]
- Children's Behavioral Health Services Bureau License Application [PDF; 67k]
| 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] |
