Authorization Number : 440-0290
Agency Series No. : 11-05
Status : Active
Agency Web Link :
Agency : DOH
Confidential Description :
Division : DOH3013
Vital Description :
Section :
Record Title : Residential Care Complaint Form & Index
Revision : 1
Record Description : Contains non-confidential complaint information about residential care facilities on a form and an index card format. Used to track all of the complaints made against a facility/provider.