Form Bcal 3267 PDF Details

Ensuring the health and wellness of residents in adult foster care (AFC) homes involves meticulous attention to their medication regimens. In Michigan, the BCAL 3267 form, a critical document facilitated by the Department of Licensing and Regulatory Affairs (LARA), is at the heart of this process. Officially titled the "A.F.C. Resident Medication Record," this form plays a pivotal role in maintaining a structured and reliable record of medication administered to residents within adult foster care settings. Detailed on the form are sections for documenting the medication name, dosage instructions, administration times, and specific days of the month, with space allocated for the signatures and initials of individuals administering the medication. This comprehensive structure ensures that medication management adheres to the stringent rules and regulations set forth by LARA, aiming to provide a clear, accountable, and standardized approach to the handling of medications. The BCAL 3267, mandatory under authority of the 1979 PA 218 and tied to Family Home and Group Home Rule Requirements, underscores the state's commitment to protecting its most vulnerable citizens, with a warning that violations could lead to penalties under specific family and group home rules.

QuestionAnswer
Form NameForm Bcal 3267
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesmichigan afc medication, bcal record template, bcal record, bcal3267

Form Preview Example

A.F.C. RESIDENT MEDICATION RECORD

Michian Deartment of Licensin and Reulator Affairs

Bureau of Communit and Health Sstems

Medication Name And Instructions For Use

Time Of Day

Resident Name:

 

 

 

 

 

 

 

 

 

 

 

 

Month:

 

 

 

 

 

 

 

 

Year:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DAY OF THE MONTH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Medication Name (Single Dose Only)

Time of Day

DAY OF THE MONTH

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Signature and Initials of Each Person Signing Initials Above

LARA is an equal opportunity employer/program.

AUTHORITY: 1979 PA 218

COMPLETION: Mandatory. Family Home and Group Home Rule Requirements

PENALTY: Violation of Rule R 400.1418 (4) (a) Family Rules, R 400.14312 (4) or R 400.15312 (4) Group Home Rules

BCAL-3267 (Rev. 1-16) Previous editions maybe used. MS Word

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How you can fill in afc resident medication record printable part 1

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BCAL Rev  Previous editions maybe, AUTHORITY  PA  COMPLETION, and Group Home Rules in afc resident medication record printable

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