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STATEMENT DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CUA IDENTIFICATIONNUMBER:(X2) MULTIPLE CONSTRUCT)aJVX3) DATE Suit:YA. BUILDINGFacilill t Dtifie1f Name: '050568B. Wing TDI Ail.
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Gather all the necessary information and documents related to the penalty.
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Start by correctly identifying the party or parties responsible for the violation.
04
Write a detailed description of the violation, including the relevant dates and locations.
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Who needs cdph issues penalties to?

01
CDPH issues penalties to individuals, businesses, or organizations that have violated public health and safety regulations.
02
This can include healthcare facilities, restaurants, food manufacturers, child care centers, and other establishments.
03
Anyone who fails to comply with CDPH regulations and puts public health at risk may be subject to penalties.
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CDPH issues penalties to healthcare facilities that violate regulations or fail to comply with state laws.
Healthcare facilities such as hospitals, nursing homes, and clinics are required to file cdph issues penalties to when necessary.
CDPH issues penalties can be filled out online through the CDPH website or by submitting a paper form via mail or fax.
The purpose of CDPH issuing penalties is to ensure healthcare facilities maintain compliance with regulations and provide quality care to patients.
CDPH issues penalties require information such as the violation or non-compliance, actions taken to correct the issue, and any relevant documentation.
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