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APPRAISAL/NEEDS AND SERVICES PLAN - …

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EMOTIONAL Difficulty in adjusting emotionallySTATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCYCALIFORNIA DEPARTMENT OF SOCIAL SERVICESCOMMUNITY CARE LICENSINGAPPRAISAL/ needs AND SERVICES PLANCLIENT S/RESIDENT S NAMEDATE OF BIRTHADDRESSAGEFACILITY LICENSE NUMBERSEXMALEADMISSIONUPDATEFEMALEDATECH ECK TYPE OF needs AND SERVICES plan :TELEPHONE NUMBER()FACILITY NAMEPERSON(S) OR AGENCY(IES) REFERRING CLIENT/RESIDENT FOR PLACEMENTLicensing regulations require that an appraisal of needs be completed for specific clients/residents to identify individual needs and develop a service plan formeeting those needs .

EMOTIONAL — Difficulty in adjusting emotionally STATE OF CALIFORNIA—HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL …

  Services, Plan, Appraisal, Needs, Appraisal needs and services plan

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