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

Facility Information
Facility Name:
Moonlit Manor AFC
Address:
12955 68th St SE
Alto , MI 49302
County:
KENT
Phone:
(616) 868-0001
License Number:
AM410416004
Facility Status:
ACTIVE
License Status:
REGULAR
License Effective Date:
1/18/2024
License Expiration Date:
1/17/2026
License Facility Type:
ADULT MEDIUM GROUP HOME (CAPACITY 7-12)
Capacity:
12
Services Provided
Serves:
Developmentally Disabled, Mentally Ill
Special Certification:
Developmentally Disabled, Mentally Ill
Certification for Community Living:
Licensee Information
Licensee Information:
Marcia Lucille Koza
12955 68th St SE
Alto , MI 49302
Licensee Phone:
(616) 308-4938
Reports Available
AM410416004_RNWL_20231005.pdf
1/7/2024
AM410416004_ORIG_20230327.pdf
8/6/2023

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.