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PRINTED: 02/18/2022 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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Chatham County Group Home is a residential facility providing care for individuals who need assistance with daily living activities.
Any organization or individual operating a group home in Chatham County is required to file.
To fill out the Chatham County Group Home form, you must provide information about the facility, the individuals living there, and the services offered.
The purpose of Chatham County Group Home is to provide a safe and supportive environment for individuals who need assistance with daily living.
Information such as the name and address of the facility, the number of residents, the services provided, and any incidents or violations must be reported on the Chatham County Group Home form.
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