Inspection Reports for Pharaoh‘s Rest Haven, L.L.C
1044 Martin Luther King Jr Dr, Jackson, MI 49203, United States, MI, 49203
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Renewal
Capacity: 4
Deficiencies: 0
Jan 24, 2024
Visit Reason
The visit was conducted as a renewal inspection to determine compliance with applicable licensing statutes and rules for Pharaoh's Rest Haven.
Findings
The facility was found to be in substantial compliance with all applicable rules and statutes. Renewal of the license and special certification is recommended.
Report Facts
Number of staff interviewed and/or observed: 3
Number of residents interviewed and/or observed: 0
Capacity: 4
Number of excluded employees followed-up: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jzsa-Jaza Gibson | Administrator | Named as Licensee/Licensee Designee and Administrator |
| Mahtina Rubritius | Licensing Consultant | Author of the report and licensing consultant |
Inspection Report
Original Licensing
Capacity: 4
Deficiencies: 0
Sep 9, 2021
Visit Reason
The purpose of the visit was to conduct an on-site inspection to measure Bedroom #2 and assess the modification request to increase the total licensed capacity of the facility from three to four residents.
Findings
The applicant completed construction and physical changes to Bedroom #2, expanding its size to 12’ x 12’, which increased the bedroom's capacity from one bed to two beds. The modification request to increase total licensed capacity from three to four residents is recommended for approval.
Report Facts
Licensed capacity increase: 1
Bedroom #2 size: 144
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mahtina Rubritius | Licensing Consultant | Conducted the inspection and signed the report |
| Jzsa-Jaza Gibson | Administrator/Licensee Designee | Facility designee mentioned in the report |
Inspection Report
Original Licensing
Capacity: 3
Deficiencies: 0
Jul 8, 2021
Visit Reason
The inspection was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Pharaoh's Rest Haven, a new adult foster care facility.
Findings
The facility was found to be in substantial compliance with physical plant requirements and licensing rules. The home is suitable for 3 residents with adequate living space and safety features. The applicant demonstrated qualifications, financial capability, and understanding of administrative rules. No rule or statutory violations were found related to the physical plant.
Report Facts
Licensed capacity: 3
Resident bedrooms: 2
Room dimensions Bedroom 1: 156
Room dimensions Bedroom 2: 117
Indoor living area: 463
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jzsa-Jaza Gibson | Administrator and Licensee Designee | Applicant, property owner, and administrator responsible for the facility operation and compliance. |
| Mahtina Rubritius | Licensing Consultant | Conducted the licensing study and recommended issuance of the temporary license. |
| Ardra Hunter | Area Manager | Approved the licensing report. |
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