Inspection Reports for
2nd Home East Orange

115 Evergreen Place, East Orange, NJ, 07018

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Deficiencies (last 2 years)

Deficiencies (over 2 years) 1 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

81% better than New Jersey average
New Jersey average: 5.2 deficiencies/year

Deficiencies per year

4 3 2 1 0
2023
2025

Notice

Deficiencies: 0 Date: Nov 19, 2025

Visit Reason
This document serves to inform individuals about the privacy practices of the New Jersey Department of Health and Senior Services, including how personal health information may be used and disclosed, and the rights individuals have regarding their health information.

Findings
The notice details the types of information covered, reasons for use and disclosure of health information, individuals' rights to access and control their information, legal duties of the department, and contact information for privacy concerns.

Report Facts
Effective date: 2011

Employees mentioned
NameTitleContext
Devon L. GrafDirectorNJDHSS Privacy Officer named as contact for privacy practices

Inspection Report

Complaint Investigation
Census: 129 Deficiencies: 2 Date: May 9, 2023

Visit Reason
The inspection was conducted as a complaint investigation (Complaint # NJ00163814) due to concerns about the facility's compliance with policies related to participant safety during transportation.

Complaint Details
Complaint # NJ00163814 involved an incident where Participant #2 was left unescorted off the bus by facility staff and was escorted by another participant instead. The bus driver failed to ensure the participant was safely handed off to a caregiver, violating the facility's transportation policy. The facility did not document the incident or create an incident report. The complaint was substantiated based on interviews and record review.
Findings
The facility was found not in substantial compliance with New Jersey Administrative Code standards, specifically failing to ensure safe transportation and proper escorting of participants off the bus. Participant #2 was not safely escorted off the bus by facility staff, contrary to facility policy, resulting in a safety risk.

Deficiencies (2)
Failure to follow the policy titled 'Security and Accountability During Transportation' by not ensuring all participants were safely escorted off the bus by facility staff, specifically Participant #2.
Failure to provide safe transportation services accommodating the special transportation needs of participants, including assistive devices, during transport from the facility to the participant's home.
Report Facts
Census: 129 Sample Size: 3

Employees mentioned
NameTitleContext
Dionne R. ClarkAdministratorNamed in the Plan of Correction as the responsible party for corrective actions.
Chief of Operations (COO)Director of TransportationInterviewed regarding transportation policies and the incident involving Participant #2.
Bus Driver (BD)Involved in the incident where Participant #2 was not safely escorted off the bus.
Activity Aide (AA)Received notification from Participant #2's home and was involved in communication about the incident.

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