OAC 173-39-02.12(F) · Supervisory Visit Documentation
Dulla Care Home Healthcare
Maintained by the Operations Manager · Records audited every 60 days to ensure compliance
0
Total Visits Logged
0
Open Findings
0
Resolved Findings
0
Overdue Audits
Operations Manager
Audit Cycle
Log Date
Next 60-Day Audit Due
| # | Consumer Name | Caregiver Name | Service Type | Visit Date | Visit Type | Supervisor Name | Findings (Observations) | Corrective Action Taken | Follow-Up Date | 60-Day Audit Status | Resolved? | Notes | |
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📋 60-Day Audit Protocol (Operations Manager)
Operations Manager Signature
Signature & Date
Administrator Approval
Signature & Date
Dulla Care Home Healthcare · Supervisory Visit Tracking Log · OAC 173-39-02.12(F) · 60-Day Audit Cycle · Confidential