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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15302501/04/2017FORM
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This visit is for conducting a routine inspection of the workplace.
The designated safety officer or supervisor is required to file this visit.
The visit report must be filled out with details of observations and corrective actions taken.
The purpose of this visit is to ensure compliance with workplace safety regulations.
The report must include findings, recommendations, and any violations observed during the visit.
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