Inspection Report
Original Licensing
Capacity: 6
Deficiencies: 0
Aug 26, 2024
Visit Reason
The purpose of the visit was to add traumatically brain injured (TBI), developmentally disabled, mentally ill, Alzheimer’s, and physically handicapped to the program type and population served by the facility.
Findings
The facility is approved to admit residents aged 18 and over with the added populations including TBI, developmentally disabled, mentally ill, Alzheimer’s, and physically handicapped. The licensee designee has verified over one year of relevant experience and the program statement and admission policy have been updated accordingly.
Report Facts
Capacity: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sidney Atemnkeng | Licensee Designee/Administrator | Provided verification of experience working with the populations served |
| Kristen Donnay | Licensing Consultant | Author of the report and recommendation |
| Denise Y. Nunn | Area Manager | Approved the report |
Inspection Report
Renewal
Census: 1
Capacity: 6
Deficiencies: 0
Jan 30, 2024
Visit Reason
The inspection was conducted as a renewal inspection to determine compliance with applicable licensing statutes and rules for the renewal of the facility's license.
Findings
The facility was determined to be in substantial compliance with rules and requirements, and issuance of a 2-year regular adult foster care license was recommended.
Report Facts
Capacity: 6
Census: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sidney Atemnkeng | Licensee Designee | Interviewed and/or observed during inspection |
| Kristen Donnay | Licensing Consultant | Author of the inspection report and recommendation |
Inspection Report
Original Licensing
Capacity: 6
Deficiencies: 0
Jul 10, 2023
Visit Reason
The inspection was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Graceland Residential LLC, a small group adult foster care facility.
Findings
The facility was found to be in substantial compliance with all applicable administrative rules and licensing statutes. The home is suitable for six residents, with adequate physical space, safety features, and staffing plans. No rule or statutory violations were identified during the onsite inspection.
Report Facts
Facility capacity: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sidney Atemnkeng | Licensee Designee and Administrator | Named as licensee designee and administrator with qualifications and responsibilities detailed in the report |
| Kristen Donnay | Licensing Consultant | Conducted and signed the licensing study report |
| Denise Y. Nunn | Area Manager | Approved the licensing study report |
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