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Sc 1613  Form

Sc 1613 Form

Use a sc monitoring template to make your document workflow more streamlined.

Weeks of program operations. At least two of the three visits must be unannounced. At least one unannounced review must include observation of a meal service. Proposed Monitoring Dates (Month/Year) (Identify which visits will be unannounced) Name of Center DSS Form 1613-4 (JUN 10) Date of Last Monitoring Visit Scheduled for Current Program Year Visit 1 Visit 2 Visit...
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