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PRINTED: 06/23/2014 FORM APPROVED Illinois Department of Public Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.
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What is statement of deficiencies x1?
The statement of deficiencies x1 is a document that identifies areas of non-compliance with regulations or standards in a specific entity.
Who is required to file statement of deficiencies x1?
The entity or organization that is being inspected or audited is required to file the statement of deficiencies x1.
How to fill out statement of deficiencies x1?
The statement of deficiencies x1 should be filled out by detailing the specific deficiencies found, including the regulations or standards that were not met.
What is the purpose of statement of deficiencies x1?
The purpose of the statement of deficiencies x1 is to document areas of non-compliance and create a plan for corrective action.
What information must be reported on statement of deficiencies x1?
The statement of deficiencies x1 must report specific details of non-compliance, including the nature of the deficiency, the regulatory standard violated, and any corrective actions taken or planned.
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