36C24218Q9616-008.pdf
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- 36C24218Q9616
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36C24218Q9616 QUALITY ASSURANCE.pdf
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ATTACHMENT: QUALITY ASSURANCE
MONITORING FORM
INTENDED INITIAL SURVEY PERIOD: Base Year - 10/01/2018 to 09/30/2019
Plus Four (4) 12 months Option
SURVEILLANCE METHOD (Check):
X Random Sampling X Validated Customer Complaint
LEVEL OF SURVEILLANCE (Check):
Monthly X Quarterly X As needed
PERCENTAGE OF ITEMS SAMPLED DURING SURVEY PERIOD: _100_____ %
ANALYSIS OF RESULTS:
Expected Service Provider Performance Measurement Rate: 100%
Service Provider’s Performance (Check): Meets Standards
Does Not Meet Standards
PREPARED BY: __Alan Jamros________________DATE: 06/15/2018
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