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PRINTED: 12/03/2018 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.
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Cambian Place Group Home is a residential facility providing care for individuals who require support with daily living activities.
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The management or administration of the Cambian Place Group Home facility is responsible for filing.
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The Cambian Place Group Home report can be filled out online or through paper forms provided by the relevant authorities.
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Information such as number of residents, staff-to-resident ratio, services provided, and any incidents or accidents must be reported.
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