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You must attach a current DHSR license for your facility. The licensing file of the group home must contain documentation that verifies that safety considerations with respect to the staff and caretakers of the facility were addressed. DSS-5272 September 2010 Page 1 of 2 The Executive Director of the Facility or his/her designee must answer the following question Has this facility been in continuous compliance with 10A NCAC 27G. NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION...
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What is dss 5272?
DSS 5272 is a form used for reporting specific information to the designated authority.
Who is required to file dss 5272?
Individuals or organizations meeting certain criteria are required to file DSS 5272.
How to fill out dss 5272?
DSS 5272 can be filled out by providing the requested information in the designated fields on the form.
What is the purpose of dss 5272?
The purpose of DSS 5272 is to collect and record specific information for regulatory or compliance purposes.
What information must be reported on dss 5272?
Specific information required to be reported on DSS 5272 depends on the requirements set by the designated authority.
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