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This document w
as prepared by Residential Care Services for the Locator website.
Residential Care Services Investigation Summary Report
Provider/Facility: Faith Family Home (1121365) Intake ID(s): 3660405
License/Cert. #: AF753548Investigator: Hajek, Susan Region/Unit: RCS Region 2/Unit J Investigation
Date(s):07/24/201908/07/2019
through
Complainant Contact Date(s): 07/23/2019Allegations:#1. The adult family home failed to respond to requests for records.
Investigation Methods:Sample: Closed records Observations: Residents, internal and
external environmentInterviews: Entity Rep, Collateral
contactsRecord Reviews: Closed records
Allegation Summary:#1.Record review for two former residents showed the facility had not retained complete records for these former residents.
Unalleged Violation(s): Yes No
Conclusion /Action:
Failed Provider Practice Identified /Citation(s) Written
Failed Provider Practice Not Identified /No Citation Written
Citation written. See Statement of Deficiency dated 08/07/2019.
Page 1 of 1
This document was prepared by Residential Care Services for the Locator website.
This document w
as prepared by Residential Care Services for the Locator website.
This document w
as prepared by Residential Care Services for the Locator website.
This document w
as prepared by Residential Care Services for the Locator website.
This document w
as prepared by Residential Care Services for the Locator website.
This document w
as prepared by Residential Care Services for the Locator website.