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Ann Marie T. Sullivan, M.D., Acting Commissioner
Governor Andrew M. Cuomo

Home and Community Based Services Waiver
Guidance Document
Division of Children and Families

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Plan of Corrective Action

Organization Conducting Survey:  
Site Visit Date:  
Agency Name and Address:  
   
   
Today’s Date:  
Areas Requiring Corrective Action   Plan of Corrective Action   Person(s) Responsible   Timeline  
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       

Comments or questions about the information on this page can be directed to the Home and Community Based Waiver Program.