Kozlenko Tatiana

Mountlake Terrace, WA 98043, USA

Inspection Long Risk Level

Inspection Details

Observation

0210 (1) (2) Three child's files had immunizations not on CIS form. Licensor requested that the provider receives CIS form or WA IIS immunization record.

Risk Level

Long

Code

110-300-0210(1)(2)

Inspection Date

Dec 27, 2024

Inspection Type

Physical

Correction Date

Correction Verified Date

Disputed

Date Disputed

Official Document

View Inspection Report

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