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

Facility Information
Facility Name:
Mama T's AFC
Address:
4024 S Dickerson Rd
Lake City , MI 49651
County:
MISSAUKEE
Phone:
(231) 253-6889
License Number:
AS570417969
Facility Status:
ACTIVE
License Status:
REGULAR
License Effective Date:
8/16/2024
License Expiration Date:
8/15/2026
License Facility Type:
ADULT SMALL GROUP HOME (CAPACITY 1-6)
Capacity:
6
Services Provided
Serves:
Aged, Developmentally Disabled, Mentally Ill, Physically Handicapped
Special Certification:
Developmentally Disabled, Mentally Ill
Certification for Community Living:
Licensee Information
Licensee Information:
Forquer-Friar, Katlyne
4028 S Dickerson Rd
LAKE CITY , MI 49651
Licensee Phone:
(984) 202-1150
Reports Available
AS570417969_RNWL_20240507.pdf
3/1/2025
AS570417969_ADD_20250127.pdf
2/9/2025
AS570417969_SIR_2025A0870013.pdf
1/25/2025
AS570417969_SIR_2024A0870035.pdf
9/10/2024
AS570417969_ORIG_20231015.pdf
3/2/2024

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.