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PRINTED: 02/01/2023 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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Review the necessary documentation and data required for the recertification survey.
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Who needs an unannounced recertification survey?

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Any organization or entity that is required to maintain a certification or accreditation from a governing body may need to undergo an unannounced recertification survey.
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An unannounced recertification survey is a survey conducted without prior notice to assess compliance with certification requirements.
Any organization or individual holding a certification that requires periodic recertification is required to file an unannounced recertification survey.
An unannounced recertification survey must be completed according to the guidelines provided by the certifying body.
The purpose of an unannounced recertification survey is to ensure ongoing compliance with certification requirements.
The unannounced recertification survey must include information on activities, processes, and documentation related to the certified organization or individual.
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