Adult Care Facility/Assisted Living "Dear Administrator Letters"
2021
2020
- DAL 20-31: Adult Care Facility Inspection Review Process (PDF)
- DAL 20-28: Extension for Spending- Enhancing the Quality of Adult Living (EQUAL) Program for State Fiscal Year 2019-2020 (PDF)
- DAL 20-27: Reasonable Accommodations (PDF)
- DAL 20-26: Social Security Income Cost of Living Adjustment (PDF)
- DAL 20-22: Cold Weather Advisory (PDF)
- DAL 20-20: 2019 ACF Annual Financial Report (PDF)
- Instructions for Entering Data in the ACF Annual Financial Report Using HCS (PDF)
- ACF Annual Financial Report Companion Guide (PDF)
- ACF Annual Financial Report Template (PDF)
- ACF Annual Financial Report Certification of Operation (PDF)
- Report of Independent Certified Public Accountants Single Financial Statements (PDF)
- Report of Independent Certified Public Accountants Consolidated Financial Statements (PDF)
- DAL 20-19: Community Service Guide (PDF)
- DAL 20-17: Enhancing the Quality of Adult Living (EQUAL) Program (PDF)
- Instructions (PDF)
- Addendum (PDF)
- COVID-19 Economic Impact Payments (PDF)
- DAL 20-15: Warm Weather Advisory (PDF)
- DAL 20-14: Required COVID-19 Testing for all Nursing Home and Adult Care Facility Personnel (PDF)
- DAL 20-10: COVID-19 Guidance for Adult Care Facilities (PDF)
- DAL 20-09: Mental Health Evaluation Form (PDF)
- DAL 20-08: Dear Adult Care Facility Operator (PDF)
- DAL 20-07: Transitional Adult Home Emergency Regulations (PDF)
- Overview (PDF)
- DAL 20-05: Medication Administration in Adult Care Facilities (ACFs) for Residents Receiving Hospice Services Who Can No Longer Participate or Receive Assistance with the Self-Administration of Medication from ACF Staff (PDF)
- DAL 20-04 DHCBS 20-01 NH 20-01 - CHRC Requirements and Best Practices (PDF)
- DAL 20-01: 2019 Adult Care Facility 4th Quarter Statistical Information Report (PDF)
2019
- DAL 19-29: SSI Cost of Living Adjustment (PDF)
- DAL 19-29: Benefit Chart (PDF)
- DAL 19-28: Transitional Adult Home Emergency Regulations (PDF)
- DAL 19-27: Cold Weather Advisory (PDF)
- DAL 19-26: Administration of Influenza and Pneumococcal Immunization by Adult Care Facility Nurses (PDF)
- DAL 19-24: 2018 ACF Annual Financial Report (PDF)
- Instructions for Entering Data in the ACF Annual Financial Report Using HCS (PDF)
- ACF Annual Financial Report Companion Guide (PDF)
- ACF Annual Financial Report Template (PDF)
- ACF Annual Financial Report Certification of Operation (PDF)
- Report of Independent Certified Public Accountants Single Financial Statements (PDF)
- Report of Independent Certified Public Accountants Consolidated Financial Statements (PDF)
- DAL 19-23: 2019 Adult Care Facility 3rd Quarter Statistical Information Report (PDF)
- DAL 19-22: Reporting Requirements (PDF)
- DAL 19-21: Home Care Worker Registry Requirement for Enhanced Assisted Living Residence Operators (PDF)
- DAL 19-19: Uniform Assessment System for New York (UAS-NY) Assessments (PDF)
- DAL 19-18: 2019 Adult Care Facility 2nd Quarter Statistical Information Report (PDF)
- DAL 19-16: NYSE-CON Transition (PDF)
- DAL 19-14: Enhancing the Quality of Adult Living (EQUAL) Program for SFY 2019-2020 (PDF)
- DAL 19-13: Warm Weather Advisory (PDF)
- DAL 19-09: 2019 Adult Care Facility 1st Quarter Statistical Information Report (PDF)
- DAL 19-08: Revised ACF Equivalency List (PDF)
- DAL 19-06: Tiered Fee Arrangements (PDF)
- DAL 19-05: Revised Adult Care Facility Inspection Review Process (IRP) (PDF)
- DAL 19-04: Private Pay Home Care Services in Assisted Living Residences (PDF)
- DAL 19-03: Transitional Adult Home Regulations (PDF)
- DAL 19-02: Release of the Home and Community Based Settings (HCBS) 2019 Self-Assessment (PDF)
- DAL 19-01: 2018 Adult Care Facility 4th Quarter Statistical Information Report (PDF)
2018
- DAL 18-26: SSI Cost of Living Adjustment (COLA) (PDF)
- DAL 18-26: Benefit Chart (PDF)
- DAL 18-25: Cold Weater Advisory (PDF)
- DAL 18-24: Personal Needs Allowance Guidance (PDF)
- DAL 18-22: Adult Care Facility 3rd Quarter Statistical Information Report (PDF)
- DAL 18-19: Amended: Reporting of Deaths, Attempted Suicide, and Felony Crimes (PDF)
- DAL 18-18: Adult Care Facility 2nd Quarter Statistical Information Report (PDF)
- Data Entry Instructions (PDF)
- Definition of Terms (PDF)
- DAL 18-15: Guidance for Adult Care Facilities to Comply with the Home and Community Based Settings (HCBS) Final Rule (PDF)
- DAL 18-17: Warm Weather Advisory (PDF)
- DAL 18-16: Amended 18 NYCRR Regulations (PDF)
- DAL 18-13: Adult Care Facility Resident Safety Plan Checklist
- DAL 18-11: Enhancing the Quality of Adult Living (EQUAL) Program for SFY 2018-2019
Deadline for submission extended until July 13th - DAL 18-10: Expanding Access to ALP Services
- DAL 18-06: Guidance related to the submission of Part II licensure documents
- DAL 18-04: Q&A Regarding the Provision of Nursing Services in an ALP
- DAL 18-03: Statement of Administrator Qualifications for Adult Care Facilities
- DAL 18-02: Special Needs Assisted Living Residence Waiver Form DOH-5257
- DAL 17-24: 2017 Adult Care Facility 4th Quarter Statistical Information Report
2017
- DAL 17-25: Adult Care Facility/Assisted Living 30-Day Notice of Termination Update
- DOH-5237 (PDF)
- PASRR Process Changes (Effective December 1, 2017)
- DAL 17-23: SSI Cost of Living Adjustment (COLA)
- DAL 17-05: Adult Care Facility/Assisted Living Resident's Guide to Department of Health Inspections
- DAL 17-20: Cold Weather Advisory
- DAL 17-19: 2017 Renovations
- DAL 17-17: 2017 Adult Care Facility 3rd Quarter Statistical Information Report
- Data Entry Instructions (PDF)
- Definition of Terms (PDF)
- DAL 17-16: Adult Care Facility, Assisted Living Program Onsite Evaluation of HCBS Compliance
- DAL 17-14: 30-Day Notice of Termination
- DAL: 17-13 - 2017 Adult Care Facility 2nd Quarter Statistical Information Report
- Data Entry Instructions (PDF)
- Definition of Terms (PDF)
- DAL 17-12: Letter: New Administrator/Enriched Housing Program Coordinator and/or Operator Checklist and Informational Guide
- Attachment (PDF)
- DAL 17-11: Warm Weather Advisory
- DAL 17-10: Enhancing the Quality of Adult Living (EQUAL) Program for SFY 2017-2018
- Instructions (PDF)
- EQUAL Program Certification Page (PDF)
- DAL 17-08: 2017 Revised ACF Closure Guidelines
- DAL 17-07: 2017 Adult Care Facility 1st Quarter Statistical Information Report
- Data Entry Instructions (PDF)
- Definition of Terms (PDF)
- DAL 17-06: Notification to Operate a Temporary Residential Services/ Respite Program
- DAL 17-04: Revised Inspection Review Process
- IRP Request Form (DOCX)
- DAL 17-01: 2016 Adult Care Facility Annual Statistical Information Report
- Data Entry Instructions (PDF)
- Definition of Terms (PDF)
2016
- DAL 16-28: Cold Weather Advisory
- DAL 16-26: SSI COLA Adjustment
- DAL 16-24: Adult Care Facility/Assisted Living Plan of Correction (POC) Checklist
- DAL 16-21: Protecting Resident Privacy Related to Photographs and Audio/Video Recording by Adult Care Facility Staff
- DAL 16-19: Architectural Waiver Form DOH-5226
- DAL 16-17: 2016 Adult Care Facility 3rd Quarter Statistical Information Report
- DAL 16-16: Warm Weather Advisory
- DAL 16-13: 2016 Adult Care Facility 2nd Quarter Statistical Information Report
- DAL 16-12: Guide for Quality Assurance (QA) in Adult Care Facilities
- DAL 16-10: Enhancing the Quality of Adult Living (EQUAL) Program for SFY 2016-2017
- DAL 16-09: Justice Center Revised Code of Conduct
- Revised Code of Conduct (PDF)
- DAL 16-08: 2016 Adult Care Facility 1st Quarter Statistical Information Report
- DAL 16-07 - First Aid Training/Updated Posters
- DAL 16-04:
Revised ACF DSS Forms with Assignment of DOH Form Numbers
- Adult Care Facility Daily Resident Census Report (PDF)
- Adult Care Facility Chronological Admission and Discharge Register (PDF)
- Adult Care Facility Personal Allowance Ledger (PDF)
- Adult Care Facility Inventory of Resident Property (PDF)
- Adult Care Facility Statement Offering Personal Allowance Account (PDF)
- Adult Care Facility Personal Allowance Summary (PDF)
- DAL 16-03: Revised Incident Report
- DAL 16-01: 2015 Adult Care Facility Annual Statistical Information Report
