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

Facility Information
Facility Name:
BLUE MOON HOUSE
Address:
4355 105TH AVENUE
ALLEGAN , MI 49010
County:
ALLEGAN
Phone:
(269) 521-6665
License Number:
AS030265913
Facility Status:
ACTIVE
License Status:
REGULAR
License Effective Date:
10/11/2018
License Expiration Date:
10/10/2020
License Facility Type:
ADULT SMALL GROUP HOME (CAPACITY 1-6)
Capacity:
5
Services Provided
Serves:
Developmentally Disabled, Mentally Ill, Physically Handicapped
Special Certification:
Developmentally Disabled, Mentally Ill
Certification for Community Living:
Licensee Information
Licensee Information:
REBECCA FORBES
130 45TH STREET
BLOOMINGDALE , MI 49026
Licensee Phone:
(269) 521-4500
Reports Available
AS030265913_RNWL_20180703.pdf
12/12/2018
AS030265913_ORIG.pdf
1/15/2005

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.