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State Approval 2026

Non-Skilled Exempt Certified Home Health Agency – Policies and Procedures – Florida State Licensure

Non-Skilled Exempt Certified Home Health Agency – Policies and Procedures – Florida State Licensure

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Introducing our comprehensive Non-Skilled Exempt Certified Home Health Agency Policies and Procedures package designed specifically for Florida State Licensure. We understand the critical importance of adhering to state regulations and maintaining the highest standards of care in the home health industry. Our meticulously crafted set of policies and procedures is your key to achieving and sustaining compliance while delivering exceptional healthcare services.

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Table of Contents

Introduction
Vision
Mission
Core Value
Document Control
Statement of Policy
Compliance with Inspections and Deficiency Management Policy
Assistance with Self-Administration of Medication Policy
Client Recordkeeping and Documentation Policy
Provision of Services During an Emergency Policy
Confidentiality of Client Information Policy
Notice of Abuse, Neglect, or Exploitation Hotline Policy
Compliance with Minimum Operational Standards Policy
Personnel Screening and Criminal Background Checks Policy
Prohibition of Improper Referrals Policy
Client Rights and Responsibilities Policy
Admission and Intake Policy
Service Plan Development and Review Policy
Client Consent and Authorization Policy
Client Discharge and Termination Policy
Grievance and Complaint Resolution Policy
Staff Conduct and Code of Ethics Policy
Orientation and Training for Non-Skilled Staff Policy
Incident Reporting and Response Policy
Infection Control and Basic Hygiene Practices Policy
Workplace Safety and Hazard Prevention Policy
Use of Personal Protective Equipment (PPE) Policy
Emergency Preparedness Policy
Transportation Policy
Medication Reminder Policy
Housekeeping Safety Policy

Forms

Client Admission/Intake Form
Consent for Non-Skilled Home Care Services
Client Rights and Responsibilities Acknowledgment Form
Service Plan / Non-Skilled Care Plan Form
Emergency Preparedness Client Plan Form
Transportation Authorization Form
Medication Reminder Consent Form
Client Satisfaction Survey
Client Discharge/Service Termination Form
Grievance/Complaint Form
Employee Application/Employment Form
Orientation Checklist Form
Timekeeping and Visit Verification Log
Task Checklist / Daily Care Log
Incident/Accident Report Form
PPE Usage and Safety Acknowledgment Form
Annual Performance Evaluation Form
Acknowledgment of Staff Code of Conduct and Ethics
Training Record Form
Affidavit of Compliance with Background Screening
Quality Assurance and Performance Improvement (QAPI) Tracking Form
Internal Audit/Compliance Checklist
Home Environment Safety Checklist

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