Frequently Asked Questions for New & Existing Adult Day Centers (PDF)
AGL-02 Application for License (PDF) AGL-07 Provider Self Certification and Civil Rights Compliance Form (PDF) AGL-08 Center Operations and Demographics Form (PDF)
Pre-Application Checklist (PDF) Initial Application Checklist for Licensure (PDF) Interim Policy and Procedure Checklist (PDF)
Change of Ownership Checklist (PDF) Center Relocation Checklist (PDF) Inspection Checklist (PDF)
Unusual Incident Report Form (PDF) Unusual Incident Report Form Instructions (PDF)
Sample Care Plan Form (PDF) Sample Fire Drill Log & Instructions (PDF) Sample Intake Screening Form (PDF) Sample Intake Screening Instructions (PDF)
Standard Waiver of Regulation Request Form (PDF)
Policy: Aging Program Directive 14-20-01 (PDF) Attachment 1 – OADLC Request for Waiver Form Template (PDF) Attachment 2 – ATF Waiver Attestation Letter Template (PDF) Attachment 3 – Unique Chapter 11 Regulations Template (PDF) Attachment 4 – Sample QA Review Checklist of Unique Chapter 11 Regulations (PDF)
Adult Day Services Online Director Training Course
Appeals by Adult Day Service Centers
Licensing Inspection Guide (LIG) (PDF)