Inspection Report
Renewal
Census: 3
Capacity: 6
Deficiencies: 0
Apr 22, 2024
Visit Reason
The visit was conducted as a renewal inspection to evaluate compliance with licensing statutes and rules for Memory Lane Assisted Living.
Findings
The facility was determined to be in substantial compliance with applicable licensing statutes and rules, resulting in the recommendation for issuance of a 2-year regular adult foster care license.
Report Facts
Number of staff interviewed and/or observed: 2
Number of residents interviewed and/or observed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Vanita C. Bouldin | Licensing Consultant | Author of the licensing study report and recommendation |
| Daniela Cleminte | Administrator | Facility administrator named in the report |
Inspection Report
Original Licensing
Capacity: 6
Deficiencies: 0
Nov 2, 2023
Visit Reason
The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Memory Lane Assisted Living facility.
Findings
The facility was found to be in full compliance with licensing and fire safety rules, with no rule or statutory violations noted. A six-month temporary license with a maximum capacity of 6 residents was recommended and issued.
Report Facts
Facility capacity: 6
Inspection completion date: Nov 2, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Vanita C. Bouldin | Licensing Consultant | Author of the licensing study report and recommendation |
| Daniela Cleminte | Licensee Designee and Administrator | Appointed administrator and licensee designee for the facility |
| Ardra Hunter | Area Manager | Approved the licensing recommendation |
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