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HEALTH SCREENING REPORT – FACILITY PERSONNEL

Webtitle: state of california – health and welfare agency california department of social services

Actived: 7 days ago

URL: http://www.cnbarcf.com/downloadForms/Personnel_Health_Screening.pdf

Residential Services, Rehabilitative Training and Therapy in San …

WebVila Victoria Inc (adults ages 18-59 years old ) 64/68 South 10th street San Jose Ca. 95112 ( 32 beds) All Males Tel: 408-293-8166 FAX: (408) 947-1923 licensed #435202471 393 …

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Residential Services, Rehabilitative Training and Therapy …

WebVilla Victoria and Luxury Vila Resident with behavioral challenges, unsafe conditions, inappropriate behavior and any other behavior that is against the facility policies, will be …

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CONSENT FOR MEDICAL TREATMENT- Adult and Elderly …

Webstate of california – health and human services agency department of social services community care licensing consent for medical treatment-

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STATE OF CALIFORNIA – HEALTH AND WELFARE AGENCY …

WebCOMMUNITY CARE LICENSING. HEALTH SCREENING REPORT – FACILITY PERSONNEL. All personnel, including applicant, licensee, or employed staff of …

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COMMUNITY CARE LICENSING APPRAISAL/NEEDS AND …

WebNEEDS OBJECTIVE/PLAN TIME FRAME PERSON(S) RESPONSIBLE FOR IMPLEMENTATION METHOD OF EVALUATING PROGRESS MENTAL – Difficulty with …

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PHYSICIAN’S REPORT FOR COMMUNITY CARE FACILITIES

Webstate of california – health and human services agency california department of social services community care licensing

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STATE OF CALIFORNIA – HEALTH AND WELFARE AGENCY

Webstate of california – health and human services agency department of social services personnel record date (form to be completed by employee) name of facility facility address

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RESIDENT APPRAISAL Residential Care Facilities For The Elderly

WebAMBULATORY STATUS (this person is ambulatory nonambulatory Ambulatory means able to demonstrate the mental and physical ability to leave a building without the assistance …

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STATE OF CALIFORNIA – HEALTH AND HUMAN SERVCICES …

Web(9) Respite care facilities. (10) Foster homes (11) Regional centers for persons with developmental disabilities (12) State Department of Social Services and State …

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IDENTIFICATION AND EMERGENCY INFORMATION

Web3. 2.NAME AND ADDRESS OF PERSON TO CONTACT, IF AUTHORIZED REPRESENTATIVE IS NOT AVAILABLE. SPECIFY RELATIONSHIP. TELEPHONE …

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CONSENT TO A MEDICAL EXAMINATION

Webstate of california – health and human services agency department of social services consent to a medical examination i do hereby consent

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COMMUNITY CARE LICENSING FUNCTIONAL CAPABILITY …

Webstate of california – health and human services agency department of social services

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Residential Services, Rehabilitative Training and Therapy in San …

WebThe administrator shall work a minimum of 40 hour per week at the facility for which that administrator is hired. The administrator shall be at least 21years of age, have a valid …

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CLIENT/RESIDENT PERSONAL PROPERTY AND VALUABLES

Webstate of california – health and human services agency california department of social services community care licensing

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STAE OF CALIFORNIA – HEALTH AND WELFARE AGENCY

WebTitle: STAE OF CALIFORNIA – HEALTH AND WELFARE AGENCY Author: Glen Coulter Last modified by: Glen Coulter Created Date: 5/19/2000 4:39:00 PM Company

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