5 Reports
Inspection Report — Mar 4, 2026
Renewal
Date: Mar 4, 2026
Visit Reason
Renewal inspection of the adult foster care family home license.
Findings
The home was found in non-compliance with 7 rules; a written corrective action plan was required before the license is renewed.
Deficiencies (7)
R 325.1922 Admission and retention of residents: one resident’s tuberculosis screening was completed the same day as admission instead of within 12 months prior to admission.
R 325.1923 Employee's health: one employee’s tuberculosis screening was completed outside of the required 10 days of hire.
R 325.1954 Meal and food records: meal census and food records from the preceding three months were missing and/or not completed.
R 325.1976 Kitchen and dietary (12): refrigerator door surface, prep table surfaces, and countertops were not clean or maintained in a sanitary condition.
R 325.1976 Kitchen and dietary (13): no dishwasher sanitization logs were completed for the preceding three months, so cleanliness and sanitization of dishware and utensils could not be verified.
R 325.1976 Kitchen and dietary (6): multiple food items were found unlabeled without open dates and scoops were stored in food containers, posing a risk for cross-contamination.
R 325.1979 General maintenance and storage (3): hazardous and toxic chemicals were found easily accessible in the main dining room and conference room, and the activities room was unlocked and accessible, posing a risk to residents.
Report Facts
Corrective action plan due: 15
Inspection Report — Sep 25, 2023
Renewal
Date: Sep 25, 2023
Visit Reason
Renewal inspection of the adult foster care family home license.
Findings
The home was found in non-compliance with 9 rules; a written corrective action plan was required before the license is renewed.
Deficiencies (8)
R 325.1923 Employee's health: Employee A did not have a tuberculosis screening on file or within 10 days of hire and before occupational exposure.
R 325.1932 Resident medications: Missing documentation and/or blank medication administration records for Resident A and Resident B, with no documentation explaining missed doses or discrepancies in narcotic records.
R 325.1944 Employee records and work schedules: Employee A did not have a State of Michigan criminal background check consistent with MCL 333.20173.
R 325.1954 Meal and food records: No record of the preceding 3-month period of the amount of food used for the meal census.
R 325.1970 Water supply systems: Hot water temperatures ranged from 99 to 120 degrees Fahrenheit, outside the regulated range of 105 to 120 degrees Fahrenheit, and records were undated.
R 325.1972 Solid wastes: Garbage containers in kitchen, housekeeping, laundry, and common areas did not have lids to prevent cross contamination.
R 325.1976 Kitchen and dietary: Missing and/or incomplete dish sanitization records from June to September 2023, making it unclear if dishwasher was properly sanitized after each use.
R 325.1976 Kitchen and dietary: Multiple food items and Dayquil medication found in kitchen and employee lounge without appropriate open dates, making it unclear if food was safe for consumption.
Report Facts
Corrective action plan due: 15
Inspection Report — Aug 28, 2023
Date: Aug 28, 2023
Visit Reason
Addendum purpose: The facility is requesting a name change from Sojourner Place to LakeHouse Kalamazoo.
Findings
Interview with authorized representative Christina Cotton revealed there was a change in the management company and the new company is requesting the facility name to be changed.
Inspection Report — Jul 19, 2023
Complaint Investigation
Date: Jul 19, 2023
Visit Reason
Investigation of a complaint received on 2023-07-19 about staff sleeping on shift and residents not receiving prescribed medications.
Complaint Details
A second shift staff person was sleeping during her shift: not established. Residents are not receiving their prescribed medications: established.
Findings
Two allegations were investigated. The allegation that a second shift staff person was sleeping during her shift was not established. The allegation that residents were not receiving their prescribed medications was established.
Deficiencies (1)
R 325.1932 Resident medications: Resident A was administered discontinued medications for five days after the discontinue order was received, and Resident B went several days without prescribed medications because they were not available.
Report Facts
Corrective action plan due: 15
Inspection Report — Feb 28, 2017
Original Licensing
Date: Feb 28, 2017
Visit Reason
Original license application.
Findings
The facility is in substantial compliance with the home for the aged public health code and administrative rules.
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