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Protecting, Maintaining and Improving the Health of All MinnesotansState Rapid Response Investigative Public Report Office of Health Facility Complaints Maltreatment Report #: HL337724444M Compliance #: HL337727485CDate Concluded: July 24, 2023Name, Address, and County of Licensee Investigated: The Sanctuary at Brooklyn Center 6121 Brooklyn Boulevard Brooklyn Center, MN 55429 Facility Type: Assisted Living Facility with Dementia Care (ALFDC)Evaluators Name: Maerin Renee, RN, Special...
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Begin by carefully reading the instructions provided with the maltreatment report form hl337724444m.
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Fill in the date and your full name at the top of the report.
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Provide your contact information including phone number and address.
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Detail the information about the victim, including their name, age, and relationship to the reporter.
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Clearly describe the alleged maltreatment, including dates, locations, and the nature of the incident.
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Include any evidence or witnesses that can support the claim.
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The maltreatment report hl337724444m is needed by individuals or agencies that are required to report suspected instances of abuse or neglect, including social workers, healthcare professionals, teachers, and concerned citizens.
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Maltreatment report hl337724444m is a specific form used to document incidents of maltreatment or abuse, typically pertaining to children or vulnerable individuals, ensuring that appropriate action is taken.
Individuals who suspect maltreatment, such as teachers, healthcare professionals, social workers, or anyone who works with vulnerable populations, are generally required to file the maltreatment report hl337724444m.
To fill out the maltreatment report hl337724444m, gather all relevant information regarding the incident, including details about the victim, the alleged perpetrator, the nature of the maltreatment, and any witnesses. Follow the guidelines provided by the reporting agency to complete the form accurately.
The purpose of maltreatment report hl337724444m is to formally report and document instances of maltreatment in order to initiate an investigation and provide necessary protections for the affected individuals.
The maltreatment report hl337724444m must include information such as the names and contact information of the victim and suspected perpetrator, details of the incident, the date and location of the maltreatment, and any other pertinent circumstances surrounding the case.
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