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PRINTED: 02/25/2019 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:WAVER LY GROUP HOME (X4) ID

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How to fill out waverly group home

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To fill out the Waverly Group Home form, follow these steps:

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1. Begin by downloading the Waverly Group Home form from the official website.

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2. Read the instructions provided with the form carefully to understand the requirements.

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3. Provide all the necessary personal information, such as name, address, phone number, and date of birth.

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4. Fill out the sections related to your medical history, including any known allergies, existing conditions, medications, and treatments.

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5. If applicable, provide information about your previous residential history, including any previous group home experiences or current living arrangements.

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Waverly Group Home is designed for individuals who require residential care and support due to various reasons, including:

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- Physical disabilities

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- Mental health conditions

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- Cognitive impairments

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- Chronic illnesses

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- Behavioral challenges

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The group home caters to individuals who may have difficulty living independently or need assistance with daily activities, such as personal care, meal preparation, medication management, and accessing community resources. It provides a supportive and structured environment where residents can receive the necessary support and services to enhance their quality of life.

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What is waverly group home?

Waverly group home is a residential facility for individuals who require assistance with daily activities and personal care.

Who is required to file waverly group home?

The administrator or owner of the waverly group home is required to file the necessary paperwork.

How to fill out waverly group home?

To fill out waverly group home paperwork, the administrator or owner must provide information about the residents, staff, and services offered.

What is the purpose of waverly group home?

The purpose of waverly group home is to provide a safe and supportive living environment for individuals who need assistance with daily tasks.

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Information such as resident demographics, staff credentials, and services provided must be reported on the waverly group home paperwork.

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