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PRINTED: 11/15/2022 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROV HER/SUPPLIER/CIA IDENTIFICATION NUMBER:MARACAS COTTAGE. BUILDING: ___11/01/2022STREET

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Identify the specific deficiency that needs to be addressed.

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What is each deficiency must?

Each deficiency must is a report that outlines any issues or shortcomings in a particular area.

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Any individual or organization responsible for the area in question is required to file the deficiency must.

How to fill out each deficiency must?

Each deficiency must can be filled out by providing a detailed explanation of the deficiency, its impact, and proposed corrective actions.

What is the purpose of each deficiency must?

The purpose of each deficiency must is to identify and address any gaps or weaknesses in a specific area.

What information must be reported on each deficiency must?

Each deficiency must report must include details of the deficiency, its root cause, potential impact, and proposed corrective actions.

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