TX HHS Form 3764. Survey Staffing Review for ICF-IID Facilities

The TX HHS Form 3764, Survey Staffing Review for ICF-IID Facilities, is a crucial tool for ensuring the proper staffing of Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID). This form helps facilities review their staffing levels to ensure they meet the needs of residents and comply with regulations. Typically, facility administrators or designated staff members fill out this form.

The form requires information on current staffing, including professional names, degrees, and license numbers. It also asks about the number of staff members, their roles, and responsibilities. Additionally, the form inquires about follow-up actions taken to address any staffing deficiencies or concerns. By completing this form, facilities can identify areas for improvement and take corrective action to ensure the well-being and safety of their residents.

Key features of the TX HHS Form 3764 include:

• Required information on current staffing levels
• Assessment of staff roles, responsibilities, and follow-up actions
• Review of facility's ability to meet resident needs