Provider Details - Divine Kwizera
4773 FLINTLOCK COURT NE
Salem, OR 97305
- Administrator name
- Divine Kwizera
- ID
- 5615350677
- Status
- Open
- Type
- Adult Foster Home
- Classification
- 2
- Licensed beds
- 5
- Accepts Medicaid
- Yes
- Memory Care
- No
- Owner
-
Divine Kwizera
4773 FLINTLOCK COURT NE
Salem, OR 97305
- Owner since
- 4/21/2023
If you have questions about this provider or its inspection and compliance history, please contact the provider at the phone number listed above.
This tab displays five years of inspection history.
For inspection information older than five years, please visit
ODHS Records Request
.
To learn more about inspections see:
Provider Information
Records that are highlighted and show the icon, occurred under the current provider owner.
| Date | Event ID | Inspection type(s) Inspection type(s) | Deficiencies cited | Actions | |
|---|---|---|---|---|---|
| 6/3/2026 | CPLT012341 | Complaint | 2 | ||
| 1/21/2026 | MON009020 | Monitoring | 6 | ||
| 2/21/2025 | RL002956 | Re-Licensure | 3 | ||
| 2/7/2024 | 470G | Re-Licensure | 1 | ||
| 10/19/2023 | XR29 | Other | 15 | ||
| 3/15/2023 | M2CX | Initial Licensure | 0 |
| Date | Report number Report number | Allegation | Level | Type | Actions | |
|---|---|---|---|---|---|---|
| No Results Found | ||||||
Records that are highlighted and show the icon, occurred under the current provider owner.
| Date | Report number Report number | Allegation | Level | Type | Actions | |
|---|---|---|---|---|---|---|
| 2/21/2025 | CALMS - 00073111 | Failed to properly plan care | 3 | Licensing Violation | ||
| 10/19/2023 | CALMS - 00049454 | Failed to provide safe environment | 3 | Licensing Violation |
| Sanction Sanction | Allegation | Type | Effective date | End date | Actions | |
|---|---|---|---|---|---|---|
| No Results Found | ||||||