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This document outlines the deficiencies identified during the annual inspection of Aumoa Care Home LLC, along with the required plan of correction. It addresses licensing requirements, personnel qualifications, medical records, fire safety, and case management standards essential for operating a Type I Adult Residential Care Home (ARCH) in Hawaii. The facility is required to submit a response within ten days, and the document serves as a formal record of compliance issues and remediation plans.
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How to fill out statement of deficiencies and

01
Gather all necessary documentation and information related to the deficiencies.
02
Review the template for the statement of deficiencies to understand the required format.
03
Clearly identify each deficiency that needs to be addressed.
04
Provide specific details for each deficiency, including the regulation or standard violated.
05
Document the date and circumstances of each deficiency observed.
06
Include the steps taken to correct or mitigate each deficiency.
07
Proofread the statement to ensure clarity and accuracy before submission.
08
Submit the completed statement to the appropriate authority or regulatory body.

Who needs statement of deficiencies and?

01
Regulatory agencies that oversee compliance and quality standards.
02
Health care facilities and providers who must adhere to state and federal regulations.
03
Accrediting organizations that evaluate the quality of care and services provided.
04
Legal entities involved in compliance investigations or lawsuits.
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A statement of deficiencies is a formal document that outlines issues or non-compliance with regulations identified during an inspection or audit.
Organizations or facilities that are found to be non-compliant with applicable regulations are required to file a statement of deficiencies.
To fill out a statement of deficiencies, one must provide detailed information about the deficiencies identified, corrective actions taken, and a plan for ongoing compliance.
The purpose of a statement of deficiencies is to document areas needing improvement and to facilitate corrective actions to ensure compliance with regulations.
Information that must be reported includes specific deficiencies, relevant dates, corrective actions taken, and evidence of compliance efforts.
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