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PRINTED: 08/05/2020 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:CHANCES GROUP HOME (X4) ID PREFIX TAG.

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How to fill out chances group home

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Contact the Chances Group Home to begin the intake process

02

Fill out the required intake forms honestly and thoroughly

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Provide all necessary documentation such as proof of income, identification, and medical records

04

Participate in an interview with the staff to assess if Chances Group Home is the right fit for you

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Follow any additional steps or requirements as outlined by the Chances Group Home

Who needs chances group home?

01

Individuals who require a supportive and structured living environment

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People who are struggling with mental health issues or substance abuse

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Those who may be homeless or at risk of homelessness

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Individuals who could benefit from counseling and therapy services

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People who need assistance with daily living skills and independent living

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What is chances group home?

Chances group home provides housing and support services for individuals with disabilities or mental health conditions.

Who is required to file chances group home?

The operators or owners of the group home are required to file chances group home.

How to fill out chances group home?

Chances group home form must be filled out with information about the residents, services provided, and any incidents that have occurred.

What is the purpose of chances group home?

The purpose of chances group home is to ensure the well-being and safety of individuals with disabilities or mental health conditions.

What information must be reported on chances group home?

Information such as resident demographics, staff qualifications, incident reports, and services provided must be reported on chances group home.

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