This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 16-202A for the current year.
This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 16-202A?
A: DSHS Form 16-202A is a Plan of Correction for a 5-day investigation conducted by the Washington State Department of Social and Health Services (DSHS).
Q: Why is a Plan of Correction required?
A: A Plan of Correction is required to address any deficiencies or violations found during the 5-day investigation.
Q: Who needs to complete DSHS Form 16-202A?
A: The entity or facility being investigated must complete the DSHS Form 16-202A.
Q: What information is included in DSHS Form 16-202A?
A: DSHS Form 16-202A includes details about the deficiencies found, proposed corrective actions, and a timeline for implementation.
Q: How long does the entity have to submit the Plan of Correction?
A: The entity must submit the completed DSHS Form 16-202A within 10 calendar days of receiving it.
Q: What happens after the Plan of Correction is submitted?
A: After receiving the Plan of Correction, DSHS will review it and determine whether it is acceptable or additional action is needed.
Q: What are the consequences of not submitting a Plan of Correction?
A: Failure to submit a Plan of Correction may result in further enforcement action by DSHS.
Q: Can the Plan of Correction be revised?
A: Yes, if DSHS finds the initial Plan of Correction unacceptable, they may require revisions.
Q: Is the Plan of Correction a public document?
A: Yes, the Plan of Correction is considered a public document and can be accessed upon request.
Q: Is legal advice required to complete DSHS Form 16-202A?
A: Legal advice is not required to complete DSHS Form 16-202A, but it may be helpful to consult with legal counsel if needed.
Form Details:
Download a printable version of DSHS Form 16-202A by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.