This government document is issued by Aging Commission for use in Idaho
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https://www.google.com/url?client=internal-element-cse&cx=017559489489848514908:2e9mcctl8qw&q=https://aging.idaho.gov/wp-content/uploads/2019/07/Ombudsman-Statewide-Facility-Visit-Checklist.pdf&sa=U&ved=2ahUKEwjpiavV4NqIAxX2hP0HHdhnOyA4FBAWegQIBxAC&usg=AOvVaw1zqBgFbK6ulSysZONqsML-&arm=e