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PRINTED: 01/27/2022 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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What is unsubstantiated intake nc00185337?

The unsubstantiated intake nc00185337 is a report filed when there is a suspicion of abuse or neglect, but no definitive evidence.

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Anyone who suspects abuse or neglect is required to file an unsubstantiated intake report.

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To fill out the unsubstantiated intake report, you will need to provide details of the suspected abuse or neglect, any evidence you have, and contact information.

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The purpose of the unsubstantiated intake report is to document suspicions of abuse or neglect and initiate an investigation into the matter.

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Information such as the suspected victim's name, age, address, details of the abuse or neglect, and any evidence or witnesses must be reported on the unsubstantiated intake form.

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