Inspection Reports for Family Support Center dba Lifestart Village Program North

542 W Wolfe Grove Cir, Midvale, UT, 84047

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 1.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

84% better than Utah average
Utah average: 7.9 deficiencies/year

Deficiencies per year

4 3 2 1 0
2023
2024
2025

Census

Latest occupancy rate 36% occupied

Based on a February 2025 inspection.

This facility has shown a decline in demand based on occupancy rates.

Census over time

10 20 30 40 50 Apr 2023 Feb 2025

Inspection Report

Annual Inspection
Census: 15 Capacity: 42 Deficiencies: 3 Date: Feb 4, 2025

Visit Reason
The inspection was an announced annual inspection conducted to assess compliance with licensing and regulatory requirements for the Family Support Center's Lifestart Village Program North.

Findings
The inspection identified three non-compliant items related to documentation and record-keeping, including missing individualized assessments for client safety, missing suicide risk screening in client files, and failure to hold quarterly fire drills. Other areas were found compliant or not applicable.

Deficiencies (3)
The client file was missing individualized assessment for restriction of access to on-site items that could be used as weapons, for self-directed violence or as an intoxicant.
The client file was missing a suicide risk screening.
The program has not been holding quarterly fire drills as required.
Report Facts
Number of Non Compliant Items: 3 Census: 15 Total Capacity: 42

Employees mentioned
NameTitleContext
Heather HolbrookLicensorConducted the inspection and explained noncompliance items.
Lori CoxIndividual informed of the inspection and signed the checklist.

Inspection Report

Annual Inspection
Capacity: 42 Deficiencies: 0 Date: Feb 8, 2024

Visit Reason
The inspection was an announced annual inspection conducted to ensure compliance with licensing and regulatory requirements for the Family Support Center at Lifestart Village Program North.

Findings
The inspection found no non-compliant items. The facility was compliant with all applicable rules and regulations, with no deficiencies noted during the inspection.

Report Facts
Approved Capacity: 42 Number of Non Compliant Items: 0

Employees mentioned
NameTitleContext
Heather HolbrookLicensorLicensor conducting the inspection
Dawn AndersonIndividual informed of the inspection

Inspection Report

Annual Inspection
Census: 32 Capacity: 42 Deficiencies: 1 Date: Apr 27, 2023

Visit Reason
The inspection was an announced annual inspection conducted to assess compliance with licensing requirements for the residential support program.

Findings
The facility was generally compliant with most licensing requirements, but one non-compliant item was noted related to the availability of soap in a bathroom, which was corrected during the inspection.

Deficiencies (1)
The bathroom did not have soap available at the time of inspection.
Report Facts
Number of Non Compliant Items: 1 Approved Capacity: 42 Census: 32

Employees mentioned
NameTitleContext
Mary BokinskieLicensorLicensor conducting the inspection.
Jocelyn De La RosaIndividual informed of the inspection.

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