ExtentandUniverseExhibit355 ofAppendixJ.SpecificDeficientPracticeM000GoverningBodyAppendixJClientBehaviorand FacilityPracticesDieteticServicesEmergencyPreparednessScope&SeverityHealthCareServicesFacilityStaffingClientProtectionsActiveTreatmentServicesConditionalLevelS000W000EvidenceQACitationTemplateRegulatoryLanguageOutcomeorPotentialOutcomePhysicalEnvironmentImmediateJeopardy orImmediateThreatStandardLevelExtentandUniverseExhibit355 ofAppendixJ.SpecificDeficientPracticeM000GoverningBodyAppendixJClientBehaviorand FacilityPracticesDieteticServicesEmergencyPreparednessScope&SeverityHealthCareServicesFacilityStaffingClientProtectionsActiveTreatmentServicesConditionalLevelS000W000EvidenceQACitationTemplateRegulatoryLanguageOutcomeorPotentialOutcomePhysicalEnvironmentImmediateJeopardy orImmediateThreatStandardLevel

WSC/ICF - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


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  1. Extent and Universe
  2. Exhibit 355 of Appendix J.
  3. Specific Deficient Practice
  4. M000
  5. Governing Body
  6. Appendix J
  7. Client Behavior and Facility Practices
  8. Dietetic Services
  9. Emergency Preparedness
  10. Scope & Severity
  11. Health Care Services
  12. Facility Staffing
  13. Client Protections
  14. Active Treatment Services
  15. Conditional Level
  16. S000
  17. W000
  18. Evidence
  19. QA Citation Template
  20. Regulatory Language
  21. Outcome or Potential Outcome
  22. Physical Environment
  23. Immediate Jeopardy or Immediate Threat
  24. Standard Level