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Page 1: Access Washington Home...DATA TAG NUMBER 17323 12. REPEAT DEFICIENCY FROM SURVEY DATED 13. NEW CITATION ON POST SURVEY DATE DATE DATE 14. LICENSEE'S PLANNED DATE OF CORRECTION 06115/16

Page 2: Access Washington Home...DATA TAG NUMBER 17323 12. REPEAT DEFICIENCY FROM SURVEY DATED 13. NEW CITATION ON POST SURVEY DATE DATE DATE 14. LICENSEE'S PLANNED DATE OF CORRECTION 06115/16

Page 3: Access Washington Home...DATA TAG NUMBER 17323 12. REPEAT DEFICIENCY FROM SURVEY DATED 13. NEW CITATION ON POST SURVEY DATE DATE DATE 14. LICENSEE'S PLANNED DATE OF CORRECTION 06115/16

Page 4: Access Washington Home...DATA TAG NUMBER 17323 12. REPEAT DEFICIENCY FROM SURVEY DATED 13. NEW CITATION ON POST SURVEY DATE DATE DATE 14. LICENSEE'S PLANNED DATE OF CORRECTION 06115/16

Page 5: Access Washington Home...DATA TAG NUMBER 17323 12. REPEAT DEFICIENCY FROM SURVEY DATED 13. NEW CITATION ON POST SURVEY DATE DATE DATE 14. LICENSEE'S PLANNED DATE OF CORRECTION 06115/16

Page 6: Access Washington Home...DATA TAG NUMBER 17323 12. REPEAT DEFICIENCY FROM SURVEY DATED 13. NEW CITATION ON POST SURVEY DATE DATE DATE 14. LICENSEE'S PLANNED DATE OF CORRECTION 06115/16

Page 7: Access Washington Home...DATA TAG NUMBER 17323 12. REPEAT DEFICIENCY FROM SURVEY DATED 13. NEW CITATION ON POST SURVEY DATE DATE DATE 14. LICENSEE'S PLANNED DATE OF CORRECTION 06115/16

Page 8: Access Washington Home...DATA TAG NUMBER 17323 12. REPEAT DEFICIENCY FROM SURVEY DATED 13. NEW CITATION ON POST SURVEY DATE DATE DATE 14. LICENSEE'S PLANNED DATE OF CORRECTION 06115/16

Page 9: Access Washington Home...DATA TAG NUMBER 17323 12. REPEAT DEFICIENCY FROM SURVEY DATED 13. NEW CITATION ON POST SURVEY DATE DATE DATE 14. LICENSEE'S PLANNED DATE OF CORRECTION 06115/16

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