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

Facility Information
Facility Name:
Hazel Home
Address:
37841 Hazel Street
Harrison Charter Tow , MI 48045
County:
MACOMB
Phone:
(586) 690-8868
License Number:
AF500405462
Facility Status:
ACTIVE
License Status:
REGULAR
License Effective Date:
7/20/2023
License Expiration Date:
7/19/2025
License Facility Type:
ADULT FAMILY HOME (CAPACITY 1-6)
Capacity:
6
Services Provided
Serves:
Aged
Special Certification:
Certification for Community Living:
Licensee Information
Licensee Information:
Damaris Derecichei
37841 Hazel Street
Harrison Charter Twp , MI 48045
Licensee Phone:
(586) 260-5121
Reports Available
AF500405462_RNWL_20230406.pdf
8/4/2023
AF500405462_RNWL_20210402.pdf
9/12/2021
AF500405462_ORIG_20200817.pdf
2/19/2021

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.