PLAN FOR IMPROVEMENT DATE
Performance Deficiency #1:
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Ways to Correct Deficiency #1:
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Performance Deficiency #2:
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Ways to Correct Deficiency #2:
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Performance Deficiency #3:
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Ways to Correct Deficiency #3:
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Performance Deficiency #4:
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Ways to Correct Deficiency #4:
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Performance Deficiency #5:
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Ways to Correct Deficiency #5:
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Date of Conference: ________________________
Manager Comments:______________________________________________________________________
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SLA Staff Comments:______________________________________________________________________
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I have read the above "Plan for Improvement". My signature does not necessarily represent agreement nor disagreement with the above plan.
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Licensed Manager
DURING THE REVIEW A MEMBER OF THE COMMITTEE OF LICENSED MANAGERS MAY BE PRESENT.
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N.M. Admin. Code § 9.4.7.25