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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:10/22/2012FORM
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What is this visit was for?
This visit was for a routine inspection by the health department.
Who is required to file this visit was for?
The manager of the establishment being inspected is required to file this visit report.
How to fill out this visit was for?
The visit report must be filled out online through the health department's portal.
What is the purpose of this visit was for?
The purpose of this visit is to ensure compliance with health and safety regulations.
What information must be reported on this visit was for?
Information such as cleanliness of the facility, food storage practices, and employee hygiene must be reported.
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