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PRINTED: 05/05/2022 FORM Approved Jersey Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A. BUILDING:
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How to fill out this plan of correction

01
Review the areas that need correction as outlined in the plan
02
Prioritize the corrections based on severity or importance
03
Document the actions taken to address each correction point
04
Ensure all relevant stakeholders are informed of the plan and allocated tasks
05
Monitor progress regularly and update the plan as needed
06
Complete all necessary documentation to show compliance with the plan

Who needs this plan of correction?

01
Any organization or individual who has been identified as not meeting certain standards or regulations, and has been provided with a plan of correction to address these deficiencies
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This plan of correction is a document that outlines the steps to be taken to address and fix issues identified during an inspection or audit.
The entity or individual that was found to be non-compliant and received the citation must file this plan of correction.
The plan of correction should be filled out completely, detailing the specific issues identified, the actions to be taken to correct them, and the timeline for implementation.
The purpose of this plan of correction is to ensure that non-compliant entities take the necessary steps to address and fix the issues identified during an inspection or audit.
The plan of correction must include detailed information about the specific issues identified, the actions to be taken to correct them, and the timeline for implementation.
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