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Ohio Department of Aging — Provider Certification

Plan of Correction

Submitted in accordance with OAC 173-39-04(H)(3)

Structural Compliance Review · Chapter 173-39 of the Ohio Administrative Code

OAC 173-39-04(H)(3): Within ten business days after the date ODA's designee issues the summary letter to the provider, the provider shall provide a plan of correction or evidence of compliance with the laws, rules, or regulations determined to have been violated during the review which were not subject to disciplinary action under rule 173-39-05 of the Administrative Code.

Provider Information

Review Details

Findings & Corrective Actions

Finding #1

Finding #2

Finding #4

Finding #5

Finding #6

Finding #7

Finding #8

Finding #9

Finding #10

Finding #11

Summary & Preventive Measures

Provider Attestation

I attest that the information provided in this Plan of Correction is accurate and complete. I further attest that the corrective actions described herein have been or will be implemented within the timeframe(s) specified, and that Dulla Care Home Healthcare will maintain ongoing compliance with all applicable requirements of Chapter 173-39 of the Ohio Administrative Code. I understand that failure to implement the corrective actions as described may result in disciplinary action under OAC 173-39-05.

Dulla Care Home Healthcare · Plan of Correction · Submitted per OAC 173-39-04(H)(3) · Confidential

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