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STATe ZIP CODE EACH OI1 FICIENCY MUST B5 PRECEEOED BY I ULL IlEGULATORY OR LSC IDENTIFYINCO INFORMATION PRS.IX PROVIOSIl S PlAN OF CORRECTION. E CONSTl UC110N A. BUILDING 050140 NAME 01 pROVIDER 01 SUPpLIER STREET ADDRESS CITY STAn liP CODe KAISER FOUNDATION HOSPITAL FONTANA X4 10 9961 SIERRA AVENUE FONTANA CA 92335 SAN BERNARDINO COUNTY SUMMMY STATEMENT OF OEFICIENCIES EACH DEFICIENCY MUS r BEPRECe OED BY FULL GU rORY OR LSC IDENTIFYING INFORMATION PREFIX TAG 02/04/2009 B. B. All items must...
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To fill out California Health and Human forms, follow these steps:
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Obtain the necessary forms from the California Health and Human Services Department website or your local office.
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California Health and Human Services Agency is a state agency responsible for administration and oversight of health and human service programs.
Entities providing health and human services in California are required to file California Health and Human reports.
California Health and Human reports can be filled out online or by submitting physical forms to the agency.
The purpose of California Health and Human reports is to track and monitor the provision of health and human services in the state.
Information such as the services provided, number of beneficiaries served, and funding sources must be reported on California Health and Human reports.
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