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NunuTid: nf Fm" NW 
Elmo?rm

  
     
   
 
 

     
 

Section 2. Rtaidcn: Information;
Data of this report menu-n: gf serious (truncate: 15 1015's: l5 AM

?mm""mm- 

Rea-?an: gendcr. Malt Fen-talc 0

 
   
     
    

I 

Resident 

5mm? 

beam: ?it an annual. wrbally physical harm toward sna?'tnd Half harm.
H: rt sad redirect: staff. For hta he War. in a I-man physical minim- Ht 
rant-11nd for a total of HF: mlnum. Upon mm umpllincd pf HI: arm pun. Na visibl:

injury W.Phyalc1an noti?ed an x-rap was -ra}rmau1ta indicated a fractal-I: HI:
I: for Th: 

hu mcrua. was amt to a local 
phpaitian placed his inf: any raturncd to th: facility the same ??'lillg. He' ta ta haw a
[allow up In an: wank an urnhupedlc.

     
 
 

  
   

 

   

   
   

    
    

 
  

     
 
  

      
  

 



in 4. a a dc Anna a Rani

cf mcidcnu
tn ESEEIHEB ar accluaipn at rim: Df Illicit]: Itt?mpt? YES 1 MD in 1
macaw: watt 1 Sam? .. -

 

 

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