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PRINTED: 02/10/2023 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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Carolina's Home Care Agency provides in-home care services for individuals in need of assistance with daily activities.

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Owners or administrators of Carolina's Home Care Agency are required to file paperwork and reports related to the operation of the agency.

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To fill out Carolina's Home Care Agency paperwork, owners or administrators need to provide information about the agency's activities, clients, and financial transactions.

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The purpose of Carolina's Home Care Agency is to provide quality in-home care services to individuals who require assistance with daily tasks.

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Information such as client demographics, types of services provided, and financial records must be reported on Carolina's Home Care Agency paperwork.

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