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PRINTED: 03/15/2023 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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Magnolia Group Home is a residential facility that provides care and support for individuals in need, typically those with disabilities or mental health issues.

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Owners or operators of Magnolia Group Homes are required to file the necessary paperwork with the appropriate government agencies.

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Information that must be reported on Magnolia Group Home forms includes demographic details of residents, staff qualifications, services provided, facility safety measures, and compliance with regulations.

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