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Agency Schedule Detail

Authorization Number :  50740084
Agency Series No. :  DDDLAO-14
Status :  Active
Agency Web Link : 
Agency :  DDD
Confidential Description :  May contain the names of individuals served by the Department.
Division :  DDDLAO
Vital Description : 
Section :  DDDLAOSSS
Record Title :  Provider Compliance Review Files
Revision :  0
Record Description :  All records created or maintained by Department employees while conducting regular or special compliance reviews including: Special review referral forms, Staff lists and rosters, individual lists, sample keys, communications, immediate citation forms, pictures, scanned documents, service documents, on-site itinerary exit conference record, provider acknowledgment, exit conference recording, citation reports, Plan of Correction and Plan of Correction Verification forms, County Board citation documentation, and files for non-responsive providers including documentation of 777 process.
Retention Period Retention Justification Media Code Method of Disposal
Maintain until scanned and saved electronically, then destroy. Paper Shred
Maintain for 6 years after the completion of the review. Electronic Delete

Approvals

Status Name Title Date
Approved Stephanie Deters Records Officer 11/23/2022 12:06:00 PM
Approved Terri Dittmar Record Administrator 11/29/2022 8:29:36 AM
Approved Fred Previts State Archivist 11/29/2022 2:12:07 PM
Approved Martin Meeks State Auditor 11/30/2022 10:57:35 AM

Notes

Date Reason User

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© 2025 - RIMS, State of Ohio