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PRINTED: 01/24/2023 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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Wolfe Jackson Group Home is a residential facility that provides housing and support services for individuals in need of assistance.
The administrators or managers of the Wolfe Jackson Group Home are required to file the necessary paperwork.
To fill out Wolfe Jackson Group Home paperwork, you will need to provide detailed information about the residents, staff, services offered, and any incidents that occur.
The purpose of the Wolfe Jackson Group Home is to create a safe and supportive environment for individuals who require assistance with daily living activities.
Information that must be reported on the Wolfe Jackson Group Home includes resident demographics, staff qualifications, services offered, and any incidents that occur within the facility.
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