ContractShort Term Assessment Contracted Child Caring Institution Compliance Record • October 4th, 2016
09/29/2016 Michigan Department of Health & Human Services – Division of Child Welfare Licensing Short Term Assessment Contracted Child Caring Institution - Final Compliance RecordYellow- Contracts Green : Modified Settlement Agreement /// Gray : PA116 MH Facilities Blue – Rule Interpretations Institution Name: License # V – ViolationT – Tech Assist C - Consultation ❑ Original❑ Renewal❑ Interim❑ Follow-up❑ Complaint❑ Other City / County Inspection Dates Licensed Capacity ❑ Shelter❑ Open Treatment❑ Secure Treatment Consultant : 1. Number of Current Residents 2. Number of Residents Discharged Since Last Inspection 3. Number of Restraints Since Last Inspection 4. Number of Seclusions Since Last Inspection 5. Is MISACWIS Reporting complete and up to date RFCSTAC 2.10.d.4.f Restraint and Seclusion Reporting 6. If staff transport, is there a system for determining who may drive their own car and is there verification of insurance _yes monthly 7. If the facility is located in t
