Adult Care Facility/Assisted Living "Dear Administrator Letters"
2023
- 23-18: Special Needs Assisted Living Voucher Demonstration Program Monthly Roster Submission (PDF)
- 23-12: Notification of Member/Owner Death (PDF)
- 23-14: NYSDOH Guidance for use of Face Masks and Face Coverings in Healthcare Facilities (PDF)
- 23-02: Revised Electronic Incident Report System (PDF)
- 23-01: 2022 Adult Care Facility 4th Quarter Statistical Information Report (PDF)
2022
- DAL 22-08 2021 Annual Financial Report (PDF)
- DAL DACF-22-28-A1 Model Residency Agreement Checklist (PDF)
- DAL 22-41 Transitional Adult Home Regulations (PDF)
- DAL 22-40 Programmatic Requirements for Special Needs Assisted Living Voucher Demonstration Program (PDF)
- DAL 22-39 Transitional Adult Home Regulations (PDF)
- DAL 22-36 Plan of Correction Checklist (PDF)
- DOH-5785 (PDF)
- DAL 22-35 ModifiedChronological Admission and Discharge Register (DOH-5177) (PDF)
- DOH-5177 (PDF)
- DAL 22-10 2022 Adult Care Facility 3rd Quarter Statistical Information Report (PDF)
- Companion Guide (PDF)
- Slide Deck (PDF)
- DAL 22-09 Cold Weather Advisory (PDF)
- DAL 22-38 COVID-19 Vaccination and Booster Doses (PDF)
- DAL 22-37 COVID-19 Vaccination and Booster Doses (PDF)
- DAL 22-34 Medical Equipment Waiver Process Automation (PDF)
- DAL 22-33 Contracts in Adult Care Facilities - Forthcoming Regulatory Updates (PDF)
- DAL 22-32 Mental Health Assessment Review (PDF)
- DAL 22-31 Affidavit (DOH-5773) (PDF)
- DAL 22-28 Model Residency Agreement and Addenda (PDF)
- DAL 22-25 Assisted Living Residence Regulation Changes (PDF)
- DAL 22-22 Medical Equipment Waiver Process (PDF)
- DAL 22-21 Changes to the Preadmission Process for Transitional Adult (PDF)
- Prefilled DOH Authorization Form for TAH Preadmission (PDF)
- Prefilled OMH PSYCKES Consent Form for TAH Preadmission (PDF)
- Changes to the PreAdmission Process for Transitional AH Training (PDF)
- DAL 22-20 Schedule 6 Acknowledgement Policy (PDF)
- DAL 22-19 Adult Home Quality Improvement Committee Requirements (PDF)
- DAL 22-17 Home and Community Based Settings Regulatory Updates (PDF)
- DAL 22-15 Veteran Status (PDF)
- DAL 22-14 ALP Provider Responsibilities Reminder (PDF)
- DAL 22-13 Medical Orders for Life-Sustaining Treatment (MOLST) – Clarification for Adult Care Facilities (PDF)
- DAL 22-12 Supplemental Security Income (SSI) Cost of Living Adjustment (PDF)
- DAL 22-07 2nd Quarter 2022 Statistical Information Report (PDF)
- DAL 22-06 Enriched Housing Operating Assistance Program for State Fiscal Year 2022-2023 (PDF)
- DAL 22-06 Enclosure I - Conditions for Participation: Enriched Housing Operating Assistance Program State Fiscal Year 2022-23 (PDF)
- DAL 22-06 Enclosure II - Roster: Enriched Housing Operating Assistance Program for State Fiscal Year 2022-23 (PDF)
- DAL 22-05 Enhancing the Quality of Adult Living (EQUAL) Program 2022-23 (PDF)
- Frequently Asked Questions (PDF)
- Instructions (PDF)
- Training Link
- DAL 22-04 Adult Care Facility Legal Services Agencies and Community Resources Providing Resident Advocacy Services Guide (PDF)
- Consumer Resource Guide (PDF)
- DAL 22-03 Warm Weather Advisory (PDF)
- DAL 22-02 Adult Care Facility - 1st Quarter Statistical Information Report (PDF)
- DAL 22-01 Adult Care Facility – 4th Quarter Statistical Information Report (PDF)
- Data Entry Instructions (PDF)
- Definition of Terms (PDF)
2021
- DAL 21-33: COLA Adjustment (PDF)
- DAL 21-33 Benefit Chart (PDF)
- DAL 21-32: Religious Exemption Update (PDF)
- DAL 21-29: Compliance with the Americans with Disabilities Act (PDF)
- DAL 21-28: Adult Care Facility Ongoing Vaccination Program (PDF)
- DAL 21-25: Class 3a Controlled Substance License Requirements (PDF)
- DAL 21-24: Adult Care Facility 3rd Quarter Quarterly Statistical Information Report (PDF)
- DAL 21-23: Fire Protection System Maintenance Reminder (PDF)
- DAL 21-22: Resident Safety Plan Reminder (PDF)
- DAL 21-21 2020 ACF Annual Financial Report (PDF)
- Instructions (PDF)
- Companion Guide (PDF)
- Template (PDF)
- Certification of Operation (PDF)
- Independent Certified Public Accountants – Single Facility (PDF)
- Independent Certified Public Accountants – Consolidated Financial Statements (PDF)
- Independent Certified Public Accountants – Period Ending on/after 12/15/2021 (Single Facility) (PDF)
- Independent Certified Public Accountants – Period Ending on/after 12/15/2021 (Consolidated Financial Statements (PDF)
- DAL 21-20: Evacuation Preparedness Planning (PDF)
- DAL 21-19: Enriched Housing Operating Assistance Program for SFY 2021-22 (PDF)
- Conditions for Participation (PDF)
- Instructions for Submission of Roster of Eligible Residents (PDF)
- Roster of Eligible Residents (PDF)
- DAL 21-18 Enhancing the Quality of Adult Living (EQUAL) Program for SFY 2021-22 (PDF)
- DAL 21-18 Instructions (PDF)
- DAL 21-18 Frequently Asked Questions (PDF)
- DAL 21-18 101 Webinar (PDF)
- DAL 21-17: Adult Care Facility Legal Services Agencies and Community Resources Providing Resident Advocacy Services Guide (PDF)
- Consumer Resource Guide (PDF)
- DAL 21-16: Updated COVID-19 Testing Requirements (PDF)
- Dal 21-15: Cold Weather Advisory (PDF)
- DAL 21-14: Submitting False or Inaccurate Information or Omitting Material Information (PDF)
- DAL 21-12: Home and Community Based Settings (HCBS) Final Rule Guidance (PDF)
- DAL 21-11: Electronic Incident Reporting System (PDF)
- DAL 21-09: Transitional Adult Home Space Requirements (PDF)
- DAL 21-06: Adult Care Facility - 2nd Quarter 2021 Statistical Information Report (PDF)
- Definition of Terms (PDF)
- Data Entry Instrucions (PDF)
- DAL 21-05: Warm Weather Advisory (PDF)
- DAL 21-01: Changes to Staff Tuberculosis Testing Requirements (PDF)
- Nursing Home And Adult Care Facilities Volunteers (PDF)
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 20-24: Enriched Housing Operating
Assistance Program for SFY 2020-21 (PDF)
- Attachment 1 – Conditions for Participation in the 2020-21 Enriched Housing Operating Assistance Program (PDF)
- Attachment 2 – How to Access and Use the Health Commerce System Secure File Transfer (PDF)
- Attachment 3 – Roster of Eligible Residents for the Enriched Housing Operating Assistance Subsidy (PDF)
- Attachment 4 – Secure File Transfer Quick Reference Guide (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
