Form P-12A Bed Configuration Module

Bed Configuration Module
Introduction Tab

This page
navigates users
to other forms. It
is itself display
only and system
populated.

Layer Categories Tab

This page
navigates users
to other forms. It
is itself display
only and system
populated.

5

Create New Layer Category

Rename Layer Category

Delete Layer Category

Digital Twin Tab

This page
navigates users
to other forms. It
is itself display
only and system
populated.

Create Layers

Create Beds

Single
Crib
Cot
Bottom Bunk
Top Bunk

Available
Occupied
*Unavailable - Medical Restriction/Reasonable Accommodations
Unavailable - COVID-Restricted
*Unavailable - Isolation
Unavailable - Quarantine
*Unavailable - Behavioral Concerns/1:1 Supervision Required
Unavailable - Room Rules Broken
*Unavailable - Foster Family Limitation
*Unavailable - Expectant Mother Bed Assignment
*Unavailable - Mom/Baby Bed Assignment
*Unavailable - Transgender Bed Assignment
Unavailable - Facility or Maintenance Issues
Unavailable - Stop Placement Order
*Unavailable - Staffing Issue
*Unavailable - Licensing Issue
*Unavailable - Power Outage
*Unavailable - Protest
*Unavailable - Repairs Needed
*Unavailable - Weather or Natural Disaster
*Unavailable - Other Reasons
Unfunded

Rename Layer

Rename Bed

Delete Layers

Delete Beds

Duplicate Layers

Duplicate Beds

Duplicate Layers
 DUPLICATE

Duplicate Beds
 DUPLICATE

Rules Tab

Each layer or bed can have
unique rules that can be
organized in a table. Rules
can restrict layers or beds
based on criteria like:

This page
navigates users
to other forms. It
is itself display
only and system
populated.

Gender
Age
Parenting
Pregnancy

Apply Rule

Delete Rule

Age - 0-17
Age - Tender
Max Age Difference
Gender - Female
Gender - Male
Gender - Transgender
Parent - Infant
Parent - Toddler
Preferred Isolation
Pregnant - Months 1-9, Weeks 1-40
Pregnant - Any Gestation
Pregnant - Up to 20 weeks
Pregnant - Other Gestational Limit 
Medical - Acute Mental Health
Medical - Complex
Medical - Varicella Positive
Medical - COVID Positive
Medical - Flu Positive
Medical - Other

Additional Config Tab

This page
navigates users
to other forms. It
is itself display
only and system
populated.

Create New Tag Category
Create New Tag Category
Tag Category Name

Rename Layer Category
Rename Tag Category
Tag Category

New Tag Category Name

Delete Layer Category
Delete Tag Category
Tag Category to Delete

OMB 0970-0554 [valid through MM/DD/YYYY]
THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The
purpose of this information collection is to allow ORR care providers to create a digital representation of their
facility, set rules for beds, and specify the status of beds. Public reporting burden for this collection of information
is estimated to average 0.17 hours per response, including the time for reviewing instructions, gathering and
maintaining the data needed, and reviewing the collection of information. This is a mandatory collection of
information (Homeland Security Act, 6 U.S.C. 279). An agency may not conduct or sponsor, and a person is not
required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of
1995, unless it displays a currently valid OMB control number. If you have any comments on this collection of
information please contact UCPolicy@acf.hhs.gov.
P-12A [Revised MM/DD/YYYY]