STATE OF MICHIGAN DEPARTMENT OF HUMAN SERVICES



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STATE OF MICHIGAN DEPARTMENT OF HUMAN SERVICES BUREAU OF CHILDREN AND ADULT LICENSING JENNIFER M. GRANHOLM GOVERNOR ISMAEL AHMED DIRECTOR February 26, 2009 Deshra Vines 7266 W. Dodge Montrose, MI 48457 RE: License #: Investigation #: AS250263327 2009A0571019 Lakeside Park Dear Ms. Vines: Attached is the Special Investigation Report for the above referenced facility. Due to the violations identified in the report, a written corrective action plan was required. On 1/27/09, you submitted an acceptable written corrective action plan. It is expected that the corrective action plan be implemented within the specified time frames as outlined in the approved plan. Please review the enclosed documentation for accuracy and feel free to contact me with any questions. In the event that I am not available and you need to speak to someone immediately, please feel free to contact the local office at (810) 787-7031. Sincerely, Lisa Gundry, Licensing Consultant Bureau of Children and Adult Licensing 2320 W. Pierson Rd. Flint, MI 48504 (810) 787-7033 enclosure P.O. BOX 30650 LANSING, MICHIGAN 48909-8150 www.michigan.gov (517) 335-6124

MICHIGAN DEPARTMENT OF HUMAN SERVICES BUREAU OF CHILDREN AND ADULT LICENSING SPECIAL INVESTIGATION REPORT I. IDENTIFYING INFORMATION License #: Investigation #: AS250263327 2009A0571019 Complaint Receipt Date: 01/21/2009 Investigation Initiation Date: 01/21/2009 Report Due Date: 03/22/2009 Licensee Name: Licensee Address: Deshra Vines 7266 W Dodge Montrose, MI 48457 Licensee Telephone #: (810) 875-9961 Administrator: N/A Licensee Designee: Name of Facility: Facility Address: Lakeside Park 714 Lippincott Boulevard Flint, MI 48503 Facility Telephone #: (810) 233-6696 Original Issuance Date: 05/01/2004 License Status: REGULAR Effective Date: 11/05/2008 Expiration Date: 11/04/2010 Capacity: 6 Program Type: MENTALLY ILL DEVELOPMENTALLY DISABLED 1

II. ALLEGATION(S) Delinquent property taxes on the home. The facility has standing water in the basement and other physical issues that impact the safety of the residents in the home. III. METHODOLOGY 01/21/2009 Special Investigation Intake 2009A0571019 01/21/2009 Special Investigation Initiated - Telephone 01/23/2009 Inspection Completed On-site 01/23/2009 Inspection Completed-BFS Sub. Compliance 2/11/09 Inspection Completed On-Site 2/12/09 Corrective Action Plan received 2/20/09 Exit Conference ALLEGATION: Delinquent property taxes on the home. INVESTIGATION: According to the City of Flint tax information website, the facility property of 714 Lippincott Blvd. in Flint, Michigan has delinquent property taxes dating from 2006 and 2007. The amounts total $398.57 for 2006 and $798.88 for 2007. Also, this property was listed in a recent local newspaper listing the home as delinquent in unpaid property taxes, with the listed owner as Deshra Vines. On 1/23/09 an onsite inspection was completed with Consultant 2. The licensee, Deshra Vines, was present and interviewed. Ms. Vines stated that she was unaware that the facility property had delinquent property taxes. Ms. Vines stated that she pays into an escrow account that pays her property taxes. She stated that she is current on her escrow payments and there should not be a problem. Ms. Vines stated that she would immediately look into this and ensure that the arrearages were paid for. On 1/24/09 Ms. Vines contacted this consultant and stated that she was in fact in arrears on her property taxes and this issue was being resolved between her escrow company and the City of Flint. Ms. Vines stated that this was an issue with her escrow account not paying the taxes and not because she was behind on payments. She stated that she would be sending information about her escrow account, as well as the statement showing the taxes are paid in full now. These documents were received on 1/26/09. 2

APPLICABLE RULE R 400.14201 Qualifications of administrator, direct care staff, licensee, and members of the household; provision of names of employee, volunteer, or member of the household on parole or probation or convicted of felony; food service staff. ANALYSIS: CONCLUSION: (2) A licensee shall have the financial and administrative capability to operate a home to provide the level of care and program stipulated in the application. According to the City of Flint website and local newspaper article, the facility property was in arrears on 2006 and 2007 property taxes. The licensee stated that the escrow company did not pay the taxes, although she is current on her escrow payments and was not behind. The licensee immediately ensured the delinquent taxes were paid and verified in writing on 1/26/09 that the property was in good standing with its taxes. VIOLATION NOT ESTABLISHED ALLEGATION: The facility has physical plant issues that impact the safety of the residents in the home. INVESTIGATION: In October 2008 a licensing renewal inspection was completed by this consultant. At that time, there were several physical plant citations. A corrective action plan was received on 11/5/2008 and approved. The licensee had indicated that the physical plant corrections were completed. According to the Genesee County Community Mental Health s (CMH) records, a 1/16/2009 inspection of the facility revealed that several of the citations from the last licensing renewal report were not corrected at the time of their inspection. On 1/23/09 this consultant, along with Consultant 2 completed an onsite inspection at the facility. This consultant went through the corrective action plan that Ms. Vines had submitted on 11/5/08 and then inspected the home to determine if the previously cited violation were corrected. These violations included: peeling kitchen wallpaper, upstairs bathroom peeling paint, and a broken closet door. This consultant observed that these violations were corrected. Licensee Vines stated that she had fixed these problems within the corrective action plan s timeframes, which was 12/23/08. She was not sure why the CMH report indicated otherwise during their 1/16/09 inspection. She stated that she has continuously worked on some of the issues after the initial repairs, but that they were done by the timeframes she listed in the corrective action plan. She stated that CMH found additional citations that were part of their rules, not necessarily Adult Foster Care rules. She stated that she has complied fully with the AFC corrective action plan and did not falsify her plan by not doing the repairs. 3

APPLICABLE RULE R 400.14403 Maintenance of premises. ANALYSIS: CONCLUSION: (1) A home shall be constructed, arranged, and maintained to provide adequately for the health, safety, and well-being of occupants. At the time of the inspection on 1/23/09 the physical plant violations listed in the previous corrective action plan from 11/5/08 had been corrected. VIOLATION NOT ESTABLISHED ALLEGATION: The facility has standing water in the basement. INVESTIGATION: This issue was addressed during the renewal inspection on 10/23/08 when the basement had standing water in the basement then too. A corrective action plan was received on 11/5/08 stating that the water was removed and that fill dirt was placed along the foundation to absorb water. The gutters were cleaned and the downspouts were in place. These repairs took place by the corrective action timeframe of 11/28/008. Community Mental Health Worker 1 indicated that during their inspection on 1/16/2009 there was standing water in the basement. On 1/23/09 an onsite inspection was completed by this consultant and Consultant 2. At that time, there was standing water in the basement. Licensee Vines stated that she had just learned that the hot water heater was the source of the water leakage, and it was not the issue she thought it was before. She had previously thought the problem was the downspouts being misplaced and the outside depression near the foundation. She further stated that she was installing a new hot water heater by a certified company on Monday and would send the documentation to this consultant. On 2/11/09 a follow-up unannounced inspection was completed at the facility by Consultant 2. Consultant 2 observed that there was standing water in the basement. Licensee Vines spoke with Consultant 2 and reported that the leaking water heater diagnosis was wrong. Although she had replaced the water heater, another inspector had informed her that the foundation walls are where the water is coming in. Ms. Vines reported that she now has two estimates on basement waterproofing. This also includes placing sand outside the foundation, which absorbs better than the fill dirt which was previously placed there. She stated that she will need an extension on this repair, due to the inspectors telling her that the repairs cannot be competed until the weather breaks. In addition, the repair costs a large sum of money. She estimates the timeframe for this repair to extend into early Spring 2009. 4

As a corrective action plan for the standing water, staff is to check the basement daily for water leaks and to wet vacuum it up as needed. Ms. Vines stated that the water only appears to be coming into the basement with excessively wet weather. APPLICABLE RULE R 400.14403 Maintenance of premises. (4) A roof, exterior walls, doors, skylights, and windows shall be weathertight and watertight and shall be kept in sound condition and good repair. ANALYSIS: At the time of the inspections on 10/23/08, 1/23/09 and 2/11/09 the basement had standing water in it. Community Mental Health Worker 1 also reported that there was standing water in the facility on 1/16/09. The licensee had previously submitted a corrective action plan on 11/5/08 stating that the standing water problem would be corrected. Instead, the water has continued to come into the basement and left large puddles of water. CONCLUSION: Licensee Vines has submitted a corrective action plan on repairing the leak, due to new information on what the source of the problem is. She also submitted documentation of the estimates by a professional company and diagnosis of the problem. An extension request of six months on this repair has also been requested, due to weather permitting issues. VIOLATION ESTABLISHED IV. RECOMMENDATION An acceptable corrective action plan was received from the licensee; therefore I recommend the status of the license remain unchanged. 2/25/09 Lisa Gundry Date Licensing Consultant Approved By: 2/26/09 Gregory Rice Date Area Manager 5

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