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Deficiency Form (22) yr. y° DBR-DFI026 " AI,ABAMA DEPARTMENT OF'HVMAN RESOURCES CHILD CARE MpgMM STANDARDS-DEFICIENCY REPORT "ON A-IDENTIFYING INFORNiATTON R�c1[i,Y"Nane: p�oTFadlfty: Hofie Fmonffi " . �y Group �_ ✓ 34 Night O Center / I S A.P. ❑ y/ year Fticitity Address: Iicensee: Hc1 (r) x. - Ages: Direc#or fapPlicable) dA- diy day ight SECTION B-DEFICIENCY"INFORMATION Minimum'Sfa"ndard dolaw 2 coha D1 i Date.Correded Deficiency Licensee u' M1 : 1 INSTRUCTIONS TO LICE NSch EEi .Column 2 brtle Corrected by Ucensl�Psa lab � � facility r Zr�This form must be deficienlaidars in cy is correcled -rllefacdtly representative must put the dale of co. returned to the Departmen/of Human Resources orl or-before ��" 1. as veri cation that deficiencies have been corrected -Maza ds"must be corrected lnrmedtately ,NOTfC&Any.m sleading or any false.statements or reports made to the Departmentand/or failure to correct the Mted.defic-16cies can be the basis fbr adverse action: None of these requirements rare to beInterpreted to allow anyone to operate"in violation of Minimum: Standards. A faility":licensed by'tlie,Department must meet Minimum Standards applicable to that facility of a'll times. It is the responsibilityof the licensee to operate i-^ "ompliance with`Miniinum Standards., Signaturevf FaeilityReprese>tative Dater S gnalure:of DNR G censi#••,•Representative Date- COPIES TO, Page A_of