Does the facility serve special populations such as veterans, sex offenders, individuals with Traumatic Brain Injuries or individuals with substance abuse disorders? An Ohio.gov website belongs to an official government organization in the State of Ohio. A lock or https:// means you've safely connected to the .gov website. Section 3721.04 - Adoption And Publication Of Uniform Rules Governing Operation Of Homes. Based on the outcome of their compliance review, the facility will be issued a term-license for a period of either one or three years. Facility type. The agreement also serves as a contract between the resident and the home. Section 3721.18 - Attorney General Duties. Share sensitive information only on official, secure websites. Close your door and knock before entering except in case of emergency. If you have specific questions about the rules, please forward your question(s) to the OhioMHAS Bureau of Licensure and Certification at 614-752-8880 or LicCert@mha.ohio.gov. There are more than 750 group homes in Ohio. Ohio limits the number of people that live in licensed residential facilities and is currently at capacity. h2632U0Pw/+Q04L)6670)@I#e9L)DDT$ R| A lock or https:// means you've safely connected to the .gov website. Art VII - Ratification. (c) "Home" does not mean any of the following: (i) Except as provided in division (A)(1)(b) of this section, a public hospital or hospital as defined in section 3701.01 or 5122.01 of the Revised Code; (ii) A residential facility as defined in section 5119.34 of the Revised Code; (iii) A residential facility as defined in section 5123.19 of the Revised Code; (iv) A community addiction services provider as defined in section 5119.01 of the Revised Code; (v) A facility licensed under section 5119.37 of the Revised Code to operate an opioid treatment program; (vi) A facility providing services under contract with the department of developmental disabilities under section 5123.18 of the Revised Code; (vii) A facility operated by a hospice care program licensed under section 3712.04 of the Revised Code that is used exclusively for care of hospice patients; (viii) A facility operated by a pediatric respite care program licensed under section 3712.041 of the Revised Code that is used exclusively for care of pediatric respite care patients; (ix) A facility, infirmary, or other entity that is operated by a religious order, provides care exclusively to members of religious orders who take vows of celibacy and live by virtue of their vows within the orders as if related, and does not participate in the medicare program or the medicaid program if on January 1, 1994, the facility, infirmary, or entity was providing care exclusively to members of the religious order; (x) A county home or district home that has never been licensed as a residential care facility. You're all set! is`A\L- v%brOIJ:bD{C[!Vj]S|s@`)vV2_Uj5o b4 Facilities with 1 to 15 beds = $100 licensure fee, Facilities with 16 or more beds = $500 licensure fee. General Supportive Services such as moving in and getting settled; helping me make plans and meet goals; getting involved with other tenants and activities; finding a place of worship, etc. Health/Medical Services including making doctor appointments, eating healthy, etc. This training will help prepare you for what lies ahead. You already receive all suggested Justia Opinion Summary Newsletters. Assist you in rising and retiring in accordance with your requests. 2018 0 obj <>/Filter/FlateDecode/ID[<8A55E8FC2A534246BD2D40CF18F571AF><92C17C2B5ABC4240B2911FE12AC8C849>]/Index[2002 26]/Info 2001 0 R/Length 91/Prev 592421/Root 2003 0 R/Size 2028/Type/XRef/W[1 3 1]>>stream Section 3721.02 - Procedures For Inspecting And Licensing Homes - Fees. If you're asked to log in with an OHID - the state's best-of-breed digital identity - your privacy, data, and personal information are protected by all federal and state digital security guidelines. Section 3721.012 - Risk agreement. Indiana "|m >iYoo$Q6q,2pRKe>pE!oFD5/5jjx'8-g@d6 8 Y'yWGC%a/cjC}B%WO"$0fhQ Ba_4DgL`mpLsT|yqk)T:QDLv'.8X,Mb K?OZ>J5 #sM-dgNyqk?5.kQ_5o56WI X Section 3721.15 - Authorization To Handle Residents' Financial Affairs. Independent Living Skills such as begetting, shopping, cooking, housekeeping, finding transportation, etc. Near parks, shopping, church, etc.? Nursing homes are subject to federal law as well; Residential Care Facilities are not. Based on the outcome of their compliance review, the facility will be issued a term-license for a period of either one or three years. (ii) A residential facility as defined in section 5119.34 of the Revised Code; (iii) A residential facility as defined in section 5123.19 of the Revised Code; (iv) A community addiction services provider as defined in section 5119.01 of the Revised Code; (v) A facility licensed under section 5119.37 of the Revised Code to operate an opioid . 2017 OBC Classification flowchart_Residential occupancies (11 x 17) 5. Section 3721.32 - State Nurse Aide Registry. If you need further help in selecting a supportive living facility or are not sure a supportive living facility is the right home for you, contact: Get assistance - The Long-Term Care Ombudsman Program can help ensure residents complaints are investigated and resolved. What is expected of the caregiver/family members? Share sensitive information only on official, secure websites. 0 Section 3721.071 - Home Must Be Equipped With Both Automatic Fire Extinguishing And Fire Alarm Systems. Section 3721.42 - Supervision Of Area Training Centers. A review that results in significant areas of non-compliance may result in the revocation of the facility license. A residential care facility is licensed to provide either of the following: Accommodations for seventeen or more unrelated individuals and supervision and personal care services for three or more of those individuals who are dependent on the services of others by reason of age or physical or mental impairment; Accommodations for three or more unrelated individuals, supervision and personal care services for at least three of those individuals who are dependent on the services of others by reason of age or physical or mental impairment, and provide to at least one of those individuals, any of the skilled nursing care authorized by law. You may also wish to complete and submit a complaint form directly to the Ohio Department of Mental Health and Addiction Services: Complaint Form DMH-LIC-0982 (PDF), Ohio Department of Mental Health and Addiction Services, National Alliance on Mental Illness - NAMI Ohio. Facilities with 1-15 beds = $100 licensure fee, Facilities with 1 to 15 beds = $300 licensure fee, Facilities with 16 or more beds = $1,500 licensure fee. Residents of Residential Facilities Class 2, also known as Adult Care Facilities or group homes, have rights guaranteed by the Ohio Revised Code including the right to express grievances and speak with a long-term care ombudsman or representative from the Ohio Department of Mental Health and Addiction Services in private. Intermediate care facilities are also required to have their facility licensed. Residential - Assisted Living Facility Publications Publications ODH publishes various documents relating to the operation of Residential Care Facilities (RCFs) in Ohio annual reports and a listing of resident right's advocates. Section 3721.24 - Whistleblower Protection. Art. Please be advised that OhioMHAS does not endorse trainings that are not hosted by our agency or by your local ADAMHS or MHRB Boards. Chapter 3701-16 | Residential Care Facility Ohio Administrative Code / 3701 Expand All Close All Rule Rule 3701-16-01 | Definitions. Services are included and delivered as defined . Speak with current residents and their families about their experiences. Section 3721.021 - Review of documents by prospective residents and associated persons. Section 3721.022 - Establishing And Maintaining Health Standards And Serving As State Survey Agency. Share sensitive information only on official, secure websites. Section 3721.07 of the Ohio Revised Code . 2002 0 obj <> endobj A lock or https:// means you've safely connected to the .gov website. Provide sufficient staff to meet your needs on all days and all shifts. Do you need to have easy access to any specific place such as your job, treatment facility, etc.? Bureau of Regulatory Operations, Residential Care Facilities/Assisted Living 308.2 Use and Occupancy Classification, Group I-1. Facilities that serve residents with serious mental illness are required to have their staff trained annually in the care and supervision of the needs of these residents. %PDF-1.6 % However, such a facility, infirmary, or entity that applies for licensure or certification must meet the requirements of those sections or titles and the rules adopted under them and obtain a certificate of need from the director of health under section 3702.52 of the Revised Code. (A) As used in sections 3721.01 to 3721.09 and 3721.99 of the Revised Code: (1)(a) "Home" means an institution, residence, or facility that provides, for a period of more than twenty-four hours, whether for a consideration or not, accommodations to three or more unrelated individuals who are dependent upon the services of others, including a nursing home, residential care facility, home for the aging, and a veterans' home operated under Chapter 5907. of the Revised Code. It licenses agencies to provide foster care, adoption and/or residential services for children, to make sure they are fit to provide care and fit to authorize others to provide care. Agencies may also obtain ownership of a currently unused license from another entity. Section 3721.16 - Residents' Rights Concerning Transfer Or Discharge. Initial and annual training requirements for administrators include specific areas, including fiscal management and billing, internal compliance programs, the rights of people with disabilities and person-centered planning, community integration, self-determination and advocacy. Be sure any services and costs discussed at admission are included in the agreement. Section 3721.042 - Excluded Grounds For Denial Of License. 2027 0 obj <>stream If you're asked to log in with an OHID - the state's best-of-breed digital identity - your privacy, data, and personal information are protected by all federal and state digital security guidelines. ; Ohio Administrative Code Chapter 3701-20-01 et seq. Email the State Ombudsman: OhioOmbudsman@age.ohio.gov, Find your regional long-term care ombudsman program. Section 3721.34 - Cooperation With Other Agencies. Texas Section 3721.02 - Procedures for inspecting and licensing homes - fees. Agencies that already have a licensed facility may apply for a new license if they are moving to a new location. Client choices and responsibilities for PASSPORT are also outlined in the Ohio Administrative Code. Facilities with 1-15 beds = $100 licensure fee. 2022 A lock or https:// means you've safely connected to the .gov website. Section 3721.261 To 3721.271 - Amended And Renumbered Rc 3721.42, 3721.21, 3721.35. Each RCF in Ohio receives at least one unannounced inspection/survey during a 9 to 15 month inspection/survey cycle. Facilities receive a two-year license to operate and must undergo a comprehensive onsite inspection of the home. Residents of Residential Facilities Class 2, also known as Adult Care Facilities or group homes, have rights guaranteed by the Ohio Revised Code including the right to express grievances and speak with a long-term care ombudsman or representative from the Ohio department of mental health and addiction services in private. Section 3721.12 - Duties Of Nursing Home Administrator Concerning Residents' Rights. Art. Ohio Department of Health Department of Mental Health and Addiction Services. An Ohio.gov website belongs to an official government organization in the State of Ohio. Ohio Administrative Code 5122-30 Licensure and Certification of Residential Facilities; How to Become Certified "Skilled nursing care" includes, but is not limited to, the following: (a) Irrigations, catheterizations, application of dressings, and supervision of special diets; (b) Objective observation of changes in the patient's condition as a means of analyzing and determining the nursing care required and the need for further medical diagnosis and treatment; (c) Special procedures contributing to rehabilitation; (d) Administration of medication by any method ordered by a physician, such as hypodermically, rectally, or orally, including observation of the patient after receipt of the medication; (e) Carrying out other treatments prescribed by the physician that involve a similar level of complexity and skill in administration. (6) "Nursing home" means a home used for the reception and care of individuals who by reason of illness or physical or mental impairment require skilled nursing care and of individuals who require personal care services but not skilled nursing care. As used in sections 3721.21 to 3721.34 of the Revised Code: (A) "Long-term care facility" means either of the following: (1) A nursing home. The Ohio Revised Code requires both nursing homes and residential care facilities to: Provide sufficient staff to meet your needs on all days and all shifts. Fax:(614) 752-2450. Vocational Services such as finding a job, learning new skills, enrolling in computer classes, etc. ktE?hsv)hUPEIHJ-UQyA*,X(aAYr}z77!R|6% U[$zF|L?uZ@IIlg+Jr%VS$VAu9}>Ickdwk Section 3721.01 - Nursing home and residential care facility definitions and classifications (A) As used in sections 3721.01 to 3721.09 and 3721.99 of the Revised Code: (1) (a) "Home" means an institution, residence, or facility that provides, for a period of more than twenty-four hours, whether for a consideration or not, accommodations to three or more unrelated individuals who are dependent . Will you have a pet or service animal with you? What is a Class Two Residential Facility? Statewide Resident's Rights Advocacy Agencies, Statewide Resident's Rights Advocacy Listing, Residents Rights Advocacy Registration Form, Residential Care Facilities - Assisted Living, Required Patients' Rights Materials for Posting in Residential Care Facilities, Residential Care Facility 2020 Annual Report, Residential Care Facility 2019 Annual Report, Residential Care Facility 2018 Annual Report, Residential Care Facility 2017 Annual Report, Residential Care Facility 2014 Annual Report, Residential Care Facility 2013 Annual Report. Licensure Development Applications Status, Careers With DODD | Anequalopportunityemployerandproviderofservices | 1-800-617-6733, Ohio Department of Developmental Disabilities, Licensed ResidentialFacility Orientation, Anequalopportunityemployerandproviderofservices. Share sensitive information only on official, secure websites. Each licensed residential facility will be required to undergo a compliance review with DODD at least once every three years. Residential Care Facilities - Assisted Living, Chapter 3701-16 of the Ohio Administrative Code. h[k0rw^ What features are important to youair conditioning, laundry, cable TV, etc.? It has recently come to our attention that various entities are offering New Provider Trainings for Residential Facility Class 2 Operators, Owners and staff that are being marketed as endorsed by OhioMHAS. In the 2019 Contract, these rights are outlined starting on page 249. hmo8 Schedule a tour of the homes. Foster Care Agency Certification and Licensing The Ohio Department of Job and Family Services (ODJFS) oversees Ohio's foster care and adoption providers and agencies. Increase Capacity Development Application, Downsizing Development Application with Relocation Info, Change of Ownership - CHOW Development Application, Change of Operator - CHOP Development Application. Section 3721.01 - Nursing Home And Residential Care Facility Definitions And Classifications. 246 N. High St. Updates may be slower during some times of the year, depending on the volume of enacted legislation. This type of housing is licensed and is not subject to tenant landlord law but does require a resident agreement. In the 2019 Contract, these rights are outlined starting on page 249 (see the attachment). Section 3721.024 - Nursing Facility Recognition Program. Residential Facilities (Non SUD) A congregate or shared living setting that includes room, board and personal care as part of resident fees. A facility need not provide more than one of the services listed in division (A)(5)(a) of this section to be considered to be providing personal care services. endstream endobj 3722 0 obj <>stream This agreement spells out the home's policies, service provision, and costs. Nursing homes are subject to federal law as well; Residential Care Facilities are not. ODH is responsible for the licensing and inspection of residential care facilities (RCF) in Ohio pursuant to Chapter 3721. of the Ohio Revised Code and the rules in Chapter 3701-16 of the Ohio Administrative Code . Alabama Each RCF in Ohio receives at least one unannounced inspection/survey during a 9 to 15 month inspection/survey cycle. Section 3721.14 - Implementation Of Residents' Rights. Email LicCert@mha.ohio.gov to request a copy of a facility's license form. Florida Also, your local Mental Health Board may have information on the quality of homes and facilities in your area. Provider agencies may obtain a license for a building intended to become a licensed residential facility. Section 3721.30 - Competency Evaluation Program Contents. If you're asked to log in with an OHID - the state's best-of-breed digital identity - your privacy, data, and personal information are protected by all federal and state digital security guidelines. The complainant may choose to be anonymous. Each consumer has the right to be treated in a considerate and respectful manner and be fully informed regarding your care plan and all policies and procedures that impact care and treatment, including the charges for services. What services does the facility provide? Art. Owning and operating a Residential Facility Class 2 takes time, lots of preparation, and a commitment to serving the unique needs of your residents. Is a community that supports sobriety important to you? h[dmGH)~XlFGU^vx6^*|bv.s;?EbvnZ7;nV9RFUFNH&R4 54tB}BEoZM2FF]kkF[ZuZ-ZtXkX[36yhkchkmkf1YX1k4&oHEtAF5cNh>(Y&W]4eZ#/Z((K}Qu[k5L'ik>KjsSZeZ7sxsZdr51&4|\]Vrk,5 5Z4! The RCF rule section includes the new revised RCF rules; along with a helpful color coded copy of the previous RCF rules with the changes clearly marked. Depending on residents' level of functioning and personal care needs, this setting may have 24/7 staffing, and assistance with activities of daily living. Section 3721.021 - Review Of Documents By Prospective Residents And Associated Persons. DODD licenses buildings where agency providers intend to offer residential services to people with developmental disabilities. Section 3721.011 - Skilled nursing care. Section 3721.07 - Requirement For Issuance Of License - Revocation. The part or unit of a home for the aging that provides services only as a residential care facility is licensed as a residential care facility. Click through each tab belowto learn more. Section 3721.21 - Long-term Care Facility Definitions. II - Executive Would you prefer your own bedroom, or would you like to share a room? this Section, Chapter 3721 | Nursing Homes; Residential Care Facilities. If you're asked to log in with an OHID - the state's best-of-breed digital identity - your privacy, data, and personal information are protected by all federal and state digital security guidelines. Section 3721.031 - Investigation Of Complaint Concerning Home - Disclosure Of Information. Section 3721.162 - Determining Whether Transfer Or Discharge Complies. ODH publishes various documents relating to the operation of Residential Care Facilities(RCFs) in Ohio annual reports and a listing of resident rights advocates. Is it OK to have your own bedroom and share the kitchen and bathrooms with one or two other tenants? Share sensitive information only on official, secure websites. Learn how to apply using the online licensing and certification application process. h| Here is a list of questions you might want to consider as you research your options or take with you as you tour the homes you consider: The Ohio Department of Mental Health and Addiction Services licenses these homes and conducts on-site inspections for compliance with state rules. However. Client choices and responsibilities for PASSPORT are also outlined in the Ohio Administrative Code. (F) Nothing in this chapter, or rules adopted pursuant to it, shall be construed as authorizing the supervision, regulation, or control of the spiritual care or treatment of residents or patients in any home who rely upon treatment by prayer or spiritual means in accordance with the creed or tenets of any recognized church or religious denomination. (B) The director of health may further classify homes. endstream endobj 3720 0 obj <>stream Section 3721.10 - Residents' Rights Definitions. (A) As used in sections 3721.01 to 3721.09 and 3721.99 of the Revised Code: (1) (a) "Home" means an institution, residence, or facility that provides, for a period of more than twenty-four hours, whether for a consideration or not, accommodations to three or more unrelated individuals who are dependent upon the services of others, including a nursing home, residential care facility, home for . Section 3721.05 - Operating Home Requires License - Prohibited Activities. Provide you with reasonable notice before changing your room or your roommate. The Ohio Revised Code requires both nursing homes and residential care facilities to: Provide sufficient staff to meet your needs on all days and all shifts Provide you with reasonable notice before changing your room or your roommate Close your door and knock before entering except in case of emergency Section 3721.19 - Nonparticipation In State Assistance Program. Provided by CHAPTER 3721: NURSING HOMES: RESIDENTIAL CARE FACILITIES. All licensed facilities are required to maintain compliance with licensure rules as well as rules applicable to the facilitys funding source. Residential Facilities (Group Homes) Residential Facilities serve those with disabilities, including physical, mental, cognitive, or behavioral health needs. Section 3721.31 - Approving Or Rejecting Programs. A lock or https:// means you've safely connected to the .gov website. Georgia (you are here), This site is protected by reCAPTCHA and the Google, Go to previous versions Make an appointment and bring a list of questions you have (see above for some suggested questions). Residents of nursing homes and residential care facilities may request that an advocate assist them in assuring that their rights as residents are met. Share sensitive information only on official, secure websites. 3. What sort of neighborhood do you want to live in? 301, as amended, and for which a certificate of need, other than a certificate to recategorize hospital beds as described in section 3702.521 of the Revised Code or division (R)(7)(d) of the version of section 3702.51 of the Revised Code in effect immediately prior to April 20, 1995, has been granted to the person under sections 3702.51 to 3702.62 of the Revised Code after August 5, 1989; (ii) A county home or district home that is or has been licensed as a residential care facility. Adult care facilities, Ohio Revised Code Annotated 3722 et seq. Ohio A Residents' Rights Advocate is: 1) an employee or representative of any state or local government entity that has a responsibility regarding residents or patients of a home; 2) an employee or representative of any non-profit corporation or association that qualifies for tax-exempt status and whose purposes include educating and counseling residents, assisting residents in resolving problems and complaints concerning their care and treatment, and assisting them in securing adequate services to meet their needs. Massachusetts ; Ohio administrative code 3701-17-50 et seq. What would you want a roommate to be like? Section 3721.11 - Director To Adopt Rules. ODH licenses and certifies approximately 720 RCFs in Ohio. Listed below are key personnel and telephone numbers for the three statewide agencies which actively engage in residents rights advocacy and a listing of other advocates by county. Ask to see a sample of menus over a period of several weeks? Nursing home Residential care facility . III - Judicial Oregon Art. Mental Health Services such as scheduling therapist appointments, medication assistance, learning about mental illnesses, etc. Make an appointment to review admission criteria and housing agreement. If you have any questions about a training that you are taking or paying for outside of OhioMHAS or your ADAMHS or MHRB Board, please contact Sue Tafrate at 614.466.9955 or susan.tafrate@mha.ohio.gov, Ohio Department of Mental Health and Addiction Services | 30 East Broad Street, 36th Floor Columbus, Ohio 43215-3430 | 1-614-466-2596, An Equal Opportunity Employer And Provider Of Services. Required Patients' Rights Materials for Posting in Residential Care Facilities July 2019 ODJFS licensing staff conduct announced and . Section 3721.28 - Nurses Aides Training And Competency Evaluation Programs. For the purposes of this chapter, any residence, institution, hotel, congregate housing project, or similar facility that meets the definition of a home under this section is such a home regardless of how the facility holds itself out to the public. Virginia The toll-free number for registering complaints is 1-800-342-0553. Visiting the facilities you are considering is very important. Section 3721.032 - Fire Marshal To Enforce And Adopt Fire Safety Rules. Do you expect to have visitors and overnight guests? Get free summaries of new opinions delivered to your inbox! The Ohio Revised Code requires both nursing homes and residential care facilities to: Provide sufficient staff to meet your needs on all days and all shifts. An Ohio.gov website belongs to an official government organization in the State of Ohio. RESIDENTS' Bill of Rights Ohio Revised Code Sections 3721.10 3721.17. You can explore additional available newsletters here. One or two unrelated persons with mental illness; One or two unrelated persons who are receiving residential state supplement payments; or. Licensure fees are based on the number of beds within a facility. One Year License. Generally, a residential care facility may elect to provide its resident with limited skilled nursing care services, including the: Administration of medication (if the residents physician has determined the resident is capable of self-administration or the medication is administered by a qualified individual), Routine skilled nursing care (as determined by the residents physician). %%EOF A Long-Term Care Ombudsman can help if you feel your rights to quality care and respect have been violated. Residential Care Facilities (Assisted Living) provide accommodation and personal care services primarily to older adults. The part or unit that may provide skilled nursing care beyond the extent authorized by section 3721.011 of the Revised Code is licensed as a nursing home. Some of the common home- and community-based Medicaid waiver programs, including the Ohio Home Care Waiver, PASSPORT, and the Ohio Assisted Living Waiver program, are subject to the person-centered planning rule. Review the How To Pay resource in this guide to learn more about available housing subsidies and payment options for individuals with mental illness. hb```,,{@( Columbus, Ohio 43215, Telephone:(614) 466-7857 They provide room, board, and personal care for individuals who need assistance with daily living. Section 3721.121 - Criminal Records Check. Read the resident agreement carefully. I - Legislative Provide you with reasonable notice before changing your room or your roommate. If any changes are needed to the listing, (e.g. Residents may have a variety of disabilities, including mental illness. Section 3721.122 - Screening And Accommodations For Sex Offenders. Do you need any accommodations for a disability, such as ramps, etc.? There are more than 750 group homes in Ohio. (E) Division (A)(1)(c)(ix) of this section does not prohibit a facility, infirmary, or other entity described in that division from seeking licensure under sections 3721.01 to 3721.09 of the Revised Code or certification under Title XVIII or XIX of the "Social Security Act." endstream endobj startxref (b) "Personal care services" does not include "skilled nursing care" as defined in division (A)(4) of this section. Illinois of MyCare Ohio beneficiaries rights are outlined in the three-party contract between the state, the U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, and the consumers MyCare Plan. Call the Office of the State Long-Term Care Ombudsman at 1-800-282-1206, or find a regional ombudsman program in your community. Residential Facility Class 2's are residential facilities licensed by OhioMHAS for the purpose of providing accommodations, supervision and personal care services to unrelated adults. Facilities with 16 or more beds = $500 licensure fee. California ODH is responsible for the licensing and inspection of residential care facilities (RCF) in Ohio pursuant to Chapter 3721. of the Ohio Revised Code and the rules in Chapter 3701-16 of the Ohio Administrative Code . Section 3721.35 - Unauthorized Practice Of Nursing. Latest Legislation: House Bill 111 - 132nd General Assembly. Pennsylvania (4) "Skilled nursing care" means procedures that require technical skills and knowledge beyond those the untrained person possesses and that are commonly employed in providing for the physical, mental, and emotional needs of the ill or otherwise incapacitated.

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