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Residential Care Services Investigation Summary Report
Provider/Facility: Lorraines Garden Adult Family Home(930682)
Intake ID(s): 3610715
License/Cert. #: AF753002Investigator: Hook, Marjean Region/Unit: RCS Region 2/Unit A Investigation
Date(s):02/19/201902/19/2019
through
Complainant Contact Date(s):Allegations:AFH is overdue on their licensing fees. Oldest due date: 12/15/2018 amount: $1350.00
Investigation Methods:Sample: no sample Observations: Ample food supply and
resident supplies.Residents were clean.
Interviews: Residents said they likedthe food and got enoughto eat.
Record Reviews: Record review showedannual fee was not paid
Allegation Summary:Statement of deficiencies was written as annual fee had not been paid.
Unalleged Violation(s):Statement of deficiencies was written a annual fee had not been paid.
Yes No
Conclusion /Action:
Failed Provider Practice Identified /Citation(s) Written
Failed Provider Practice Not Identified /No Citation Written
Statement of deficiencies was written as annual fee had not been paid.
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