Substantial Compliance Consulting Group in proud partnership with ESAAL is excited to announce a new tool for your bed equipment waiver toolkit!  Kathy Sindoni RN, BSN, CLNC & Jayne Perry, RN have created a step-by-step tutorial video on completing the electronic submission for bed equipment waivers.

Medical Equipment Waivers Electronic Submission Tutorial Video

This 40-minute tutorial video will provide a full demonstration of the DOH electronic submission process for medical equipment in accordance with the March 3, 2021, DAL #22-22 Medical Equipment Waiver Process.  

Required submissions will include all enabling devices and hospital beds with or without ½ side rails or trapeze.  

 This tutorial will cover:

  • Key differences between Equivalencies and Full Waivers
  • Which beds require an Equivalency versus a Full Waiver
  • Which Previous Submissions need to be Resubmitted
  • Conditions for the use of medical equipment
  • Completion of the DOH prescribed documents:
    • ACF Waiver Request/Equivalency Notification (DOH-4235)
    • Medical Equipment Waiver Checklist (DOH-4235a)
    • Medical Equipment Waiver Addendum (DOH-4235b)
  • Supporting documentation:
    • Use of Medical Equipment Evaluation
    • Policies and Procedures
  • Electronic submission via the HCS Secure File Transfer Tool

 Cost:  $30 ESAAL Members, $60 Non-Members

Upon completion of the registration form and payment in full, you will receive an email with the link to the recorded video and the supporting materials within 1 business day of purchase.

If you do not receive your email, please be sure to double check your spam/junk folder.

Please be sure to mark ESAAL as a "safe sender" and have us whitelisted.  You may need to contact your IT department.

Click Here to Register

Meet the presenters:

Headshot photo of Kathy Sindoni

Kathy A. Sindoni, RN, BSN, CLNC has been a registered nurse for 20+ years and has been professionally engaged in the assisted living network since 2001. She is the owner and chief consultant of Substantial Compliance Consulting Group, which provides professional assisted living service consultation and serves residences in various regions throughout New York State. As a consultant, Kathy provides assistance with regulatory compliance, DOH surveillance, quality assurance, team building, and many other such services. She is also a Certified Legal Nurse Consultant providing assistance to operators and/or attorneys on the medical or operational aspects of their cases. Kathy previously served as the Administrator and Case Manager of Bridges Cornell Heights, in Ithaca, New York from 2005-2013. Bridges became the first licensed EALR in NYS in April 2008. Additionally, Kathy serves on ESAAL’s Assisted Living Services Committee which acts as an advisory panel to the organization's Board of Directors. She has also served on the Department of Health EALR workgroup.


Jayne Perry, RN has been a registered nurse for 30+ years and has served in a professional leadership and management role for several years.  Jayne previously served as the Administrator in a 120-bed residence licensed as an Adult Home/Assisted Living Facility with an Assisted Living Program (ALP) and Enhanced Assisted Living Residence (EALR) program.  Jayne was also responsible for oversight of the Licensed Home Care Service Agency (LHCSA) that served the ALP population. While in this role, Jayne worked closely with RFR Consulting Group and Substantial Compliance Consulting Group to provide staff education and guidance regarding the NYSDOH rules and regulations for the Adult Home/Assisted Living Facility.   This included the creation of policies, forms, and systems specific to the various resident populations within the residence. Additionally, Jayne has experience in completing UAS-NY assessments and is NYS certified to perform PRI/Screen Assessments in the community and for Assisted Living residents.

Click Here to Register


Please contact Cara Groff, CMP, Event Coordinator with questions: [email protected]