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FOR OF USELL1 2003STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONGER CARE FACILITIES (FISCAL YEAR 2003)I.DPH Facility ID Number: Facility Name:0026385II.CERTIFICATION
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Kilker-Pine Acres Group Home is a residential facility for individuals who require support and assistance with daily living activities.
The owner or operator of Kilker-Pine Acres Group Home is required to file the necessary documentation.
To fill out Kilker-Pine Acres Group Home, one must provide detailed information about the residents, staff, services provided, and any incidents that may have occurred.
The purpose of Kilker-Pine Acres Group Home is to provide a safe and supportive environment for individuals in need of care and assistance.
Information such as resident demographics, staff qualifications, service plans, incident reports, and facility maintenance records must be reported on Kilker-Pine Acres Group Home.
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