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Description of hs200
Proposed facility bed capacity 9. Age range of clients 10. Days and hours of operation 11. Is construction required No If yes submit copy of OSHPD form see instructions on page 6 If yes date construction to begin HS 200 02/08 B. State of California Health and Human Services Agency California Department of Public Health Licensing and Certification LICENSURE CERTIFICATION APPLICATION FOR DEPARTMENTAL USE ONLY ELMS...
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