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VDSS MODEL FORM - ALF RECORD OF ON-SITE HEALTH CARE OVERSIGHT FOR ASSISTED LIVING CARE RESIDENTS QUARTER FROM Month/Year TO NAME OF ASSISTED LIVING FACILITY A licensed health care professional s signature attests to the fact that he/she completed the specified responsibility/function on the date so noted. At least quarterly on-site visits are required except that for auxiliary grant recipients who are intensive assisted living residents on-site visits must be at least monthly. A separate form...
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