Violations
Substantiated violations listed are either a substantiated instance of abuse or a licensing violation. Open investigations and complaints that are being appealed by the provider are not listed. This section of the website displays substantiated licensing violation history back to 2010.
| Date | Provider ID Provider ID | Name Name | Provider type | Report number Report number | Allegation | Type | Actions |
|---|---|---|---|---|---|---|---|
| 9/8/2014 | 514258 | Roy Goenawan And Jani Wahjoeningsih | AFH | CO14173 | Failed to assure resident was safe | Abuse: Neglect | |
| 9/15/2014 | 514258 | Roy Goenawan And Jani Wahjoeningsih | AFH | MF148552 | Failed to assure timely medical treatment | Licensing Violation | |
| 12/30/2014 | 514258 | Roy Goenawan And Jani Wahjoeningsih | AFH | CO14255 | Failed to assure resident was safe | Abuse: Neglect | |
| 6/10/2013 | 514258 | Roy Goenawan And Jani Wahjoeningsih | AFH | MS134315A | Failed to intervene when resident's condition changed | Abuse: Neglect | |
| 6/10/2013 | 514258 | Roy Goenawan And Jani Wahjoeningsih | AFH | MS134315B | Failed to protect resident from verbal abuse | Licensing Violation | |
| 7/11/2013 | 514258 | Roy Goenawan And Jani Wahjoeningsih | AFH | MS133794 | Failed to keep medication record current or accurate | Abuse: Neglect | |
| 9/11/2013 | 514258 | Roy Goenawan And Jani Wahjoeningsih | AFH | MS134388 | Failed to provide appropriate staffing | Abuse: Neglect | |
| 11/7/2013 | 514258 | Roy Goenawan And Jani Wahjoeningsih | AFH | MF134982 | Failed to provide service | Licensing Violation | |
| 12/17/2013 | 514258 | Roy Goenawan And Jani Wahjoeningsih | AFH | MF135414 | Failed to protect resident from verbal abuse | Licensing Violation | |
| 5/24/2021 | 514258 | Roy Goenawan And Jani Wahjoeningsih | AFH | CALMS - 00015524 | Failed to make facility or resident records accessible | Licensing Violation |
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