Designated renewal documents (community-based specific facility resident life care)

Last Updated August 25, 2021

Documents related to designated renewal
Items	Name of the document	File	Date of renewal
１	List of documents to be submitted for designated renewal	(Word: 67KB)	H26.8.1
２	Designated update application (second style)	(Word: 48KB)	H26.8.1
３	Appendix 5 (for renewal)	(Word: 89KB)	H26.8.1
４	List of Work Styles of Employees (Reference Form 1)	(Excel: 27KB)	H26.8.1
５	Career resume (Reference Form 2)	(Word: 36KB)	H26.8.1
６	Resume of the person in charge of planning (Reference Form 2)	(Word: 27KB)	H26.8.1
７	Floor plan of business establishments (Reference Form 3)	(Excel: 17KB)	H26.8.1
８	List of Room Areas (Reference Form 4)	(Excel: 21KB)	H26.8.1
９	List of facilities, equipment, etc. (Reference Form 5)	(Word: 36KB)	H26.8.1
10	Overview of measures to be taken to handle complaints from users (Reference Form 7)	(Word: 38KB)	H26.8.1
11	Income and Expenditure Results Table (Reference Form 9-1)	(Excel: 40KB)	H26.8.1
12	Business Results Table (Reference Form 10-1)	(Excel: 33KB)	H26.8.1
13	List of Pledges and Names of Officers (Reference Form 11-1)	(Word: 41KB)	H26.8.1
14	List of care manager (Reference Form 12)	(Word: 45KB)	H26.8.1
15	Status list of systems related to nursing care benefit calculation	(Excel: 209KB)	H26.8.1
16	Addition System Check Table	(Excel: 22KB)	H26.8.1
17	certificate stamp affixed paper	(Word: 69KB)	H26.8.1