Statewide Detail for Adult Foster Care / Homes for the Aged Facilities

Facility Information
Facility Name:
1 OAK
Address:
2160 M-33
CHEBOYGAN , MI 49721
County:
CHEBOYGAN
Phone:
(906) 630-0407
License Number:
AS160378155
Facility Status:
ACTIVE
License Status:
REGULAR
License Effective Date:
2/7/2020
License Expiration Date:
2/6/2022
License Facility Type:
ADULT SMALL GROUP HOME (CAPACITY 1-6)
Capacity:
6
Services Provided
Serves:
Aged, Developmentally Disabled, Mentally Ill
Special Certification:
Developmentally Disabled, Mentally Ill
Certification for Community Living:
Licensee Information
Licensee Information:
FORMAN AFC, INC
6585 BERRYWINE ROAD
VANDERBILT , MI 49795
Licensee Phone:
(989) 255-6364
Reports Available
AS160378155_RNWL_20191104.pdf
2/25/2020
AS160378155_SIR_2019A0360025.pdf
6/14/2019
AS160378155_RNWL_20171106.pdf
5/8/2018
AS160378155_ORIG.pdf
8/27/2015

The reports on this site are available for downloading or viewing using the Adobe Acrobat Reader. When rule violations have been cited in a report, the licensee is required to submit a corrective action plan. Written corrective action plans that are submitted by the licensee in response to the Department reports are available through the Freedom of Information Act

  • Original and Renewal Licensing Study Report
    Completed in response to the initial or renewal application for license on all facilities.
  • Inspection Report
    Interim Inspections are conducted at or near the mid point of the effective dates of the license.
  • Special Investigation Report
    Special Investigation Reports are conducted in response to rule related complaints received regarding a facility. The presence of a special investigation report on this site does mean there were substantiated rule violations. Please read any report in its entirety.