Inspection Reports for
Family Support Center dba Lifestart Village Program North
542 W Wolfe Grove Cir, Midvale, UT, 84047
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
4.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
46% better than Utah average
Utah average: 7.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
36% occupied
Based on a February 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 15
Capacity: 42
Deficiencies: 4
Date: Feb 4, 2025
Visit Reason
The inspection was an announced annual inspection to assess compliance with licensing rules and regulations for the Family Support Center's Lifestart Village Program North.
Findings
The inspection identified three noncompliant items related to medication management, client record documentation, and fire drill frequency. Several specific rule violations were noted, including missing individualized assessments in client files and failure to conduct quarterly fire drills.
Deficiencies (4)
R501-1-5(1) The licensee failed to ensure compliance with medication management safe practices, as clients manage their own medications without adequate oversight.
R501-1-11(1)(i) The client file was missing an individualized assessment for restriction of access to on-site items that could be used as weapons, for self-directed violence, or as an intoxicant.
R501-1-12(1)(d) The client file was missing a suicide risk screening as part of the intake screening process.
R501-1-8(1)(c) The program has not been holding quarterly fire drills as required.
Report Facts
Number of Non Compliant Items: 3
Inspection Report
Annual Inspection
Capacity: 42
Deficiencies: 8
Date: Feb 8, 2024
Visit Reason
The inspection was an announced annual inspection to assess compliance with licensing rules and regulations for the Family Support Center's Lifestart Village Program North.
Findings
The inspection found no noncompliant items. The facility demonstrated compliance with most licensing rules, with a few minor noncompliances noted in medication management and program policies that require correction.
Deficiencies (8)
R380-600-3(1) The provider accepted fees or provided client services without an approved license or certificate.
R380-600-3(2) The provider did not fully comply with applicable administrative rules, statutes, zoning, fire, safety, sanitation, building, and licensing laws.
R380-600-3(3) The provider did not permit immediate, unrestricted access to all sites, programs, client records, and staff.
R380-600-3(14) The licensee did not adhere to individualized parameters on the program or facility license to promote client health, safety, and welfare.
R501-1-4(3) The licensee did not submit changes to office-approved policies or curriculum for approval before implementation.
R501-1-5(1) The licensee did not fully comply with medication management safe practices including staff training and medication administration procedures.
R501-1-6(1) The licensee did not clearly identify all required services, complaint processes, and program expectations to the public and clients.
R501-1-9(2) The licensee housed more than two clients in a bedroom serving individuals with disabilities.
Report Facts
Number of Non Compliant Items: 0
Inspection Report
Annual Inspection
Census: 32
Capacity: 42
Deficiencies: 1
Date: Apr 27, 2023
Visit Reason
The inspection was an announced annual inspection of the residential support program to assess compliance with licensing rules and regulations.
Findings
The facility was generally compliant with most licensing requirements, with one noncompliance item noted related to the availability of soap in a bathroom, which was corrected during the inspection.
Deficiencies (1)
R501-1-15(7). A bathroom did not have soap available at the time of inspection. The provider stocked the bathroom with soap during the inspection.
Report Facts
Number of Non Compliant Items: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Bokinskie | Licensor | Conducted the inspection and explained noncompliance items |
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