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JJ1) (:; I California Department of Health Services STATEMENT OF DEJf1CIENCIES AND PLAN OF CORRECTION y We, L INTER: 10/1612008 Mr (TT/. FORM APPROVED /I COMPLETED (X1) PROVIDERlSUPPLIERICLIA IDENTIFICATION

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What is jj1 - cdph ca?

jj1 - cdph ca is a form required by the California Department of Public Health (CDPH). It is used to report certain information related to health and safety in various facilities.

Who is required to file jj1 - cdph ca?

The parties or individuals responsible for operating the facilities mentioned in the form are typically required to file jj1 - cdph ca with the CDPH.

How to fill out jj1 - cdph ca?

To fill out jj1 - cdph ca, you need to provide the requested information accurately and completely. The specific instructions and requirements for filling out the form can be found in the official guidelines provided by the CDPH.

What is the purpose of jj1 - cdph ca?

The purpose of jj1 - cdph ca is to collect and track data regarding health and safety in facilities regulated by the CDPH. This information helps the department monitor compliance, identify areas for improvement, and ensure the well-being of facility residents or clients.

What information must be reported on jj1 - cdph ca?

The specific information required to be reported on jj1 - cdph ca may vary depending on the type of facility. Generally, it includes details about the facility, the services provided, staffing, health and safety incidents, and other relevant data.

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