Minimum Qualifications Employees and Caregivers - Affidavit (Form 2912)
MinorA staff employeed in 2024 was lacking of pre-employment affidavit in her file. It was corrected at the inspection time when the staff completed the pre-employment form.
State records correction during the inspection; no separate verification date is shown.
Standard 746.1105(4) · Minimum Qualifications Employees and Caregivers - Affidavit (Form 2912)
- State severity
- Low
- Corrected at visit
- Yes
- Correction reported
- Aug 12, 2026
- Technical assistance
- Recorded
- Finding source ID
- 1025975984
- Visit source ID
- 905571071