Form Na 1271 - Notice Of Action - Denial Of Home - Assessment/approval Page 2
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3STATE OF CALIFORNIA
HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
Standard
I
Telephones pursuant to section 89373
I
Nonminor Dependent - Telephones pursuant to section 893173
I
Transportation pursuant to section 89374
I
Nonminor Dependent - Transportation pursuant to section 893174
I
Food Service pursuant to section 89376
I
Nonminor Dependent - Food Service pursuant to section 893176
I
Reasonable and Prudent Parent Standard pursuant to section 89377
I
Responsibility for Providing Care and Supervision pursuant to section 89378
I
Nonminor Dependent - Responsibility for Providing Care and Supervision pursuant to section 893178
I
Activities pursuant to section 89379
I
Nonminor Dependent - Activities pursuant to section 893179
I
Buildings and Grounds pursuant to section 89387
I
Nonminor Dependent - Building and Grounds pursuant to section 893187
I
Storage Space pursuant to section 89387.2
I
Cooperation and Compliance pursuant to section 89388
ADDITIONAL DETAILS REGARDING DENIAL:
NA 1271 (5/14) REQUIRED FORM - NO SUBSTITUTE PERMITTED
PAGE 2 OF 3
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