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LARA is an equal opportunity employer/program.
CORRECTIVE ACTION PLANMichigan Department of Licensing and Regulatory Affairs
Bureau of Community and Health Systems
Licensee/Designee/Program Director Name Licensee/Designee/Program Director Signature Date
BCAL-1894 (Rev. 4-19) Previous edition may be used. MS Word 1 Distribution: copy for: Licensee/Designee/Program Directorcopy for: Licensing Consultant
Registration Number: Facility Name: Date of Violations
Violated Rule How Compliance Will Be Achieved, Monitored and Maintained Timeframe
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