[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-262021-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-262021-en":127},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","burgis-licensing-study-report","Burgis - Licensing Study Report","","Licensing Study Report for the adult foster care facility “Burgis,” issued by the Michigan Department of Licensing and Regulatory Affairs, Bureau of Community and Health Systems. The study documents identifying information for the applicant Josephine Mujeni, license capacity determinations, and a detailed timeline of enrollment, document submissions, phone contacts, and on-site inspections. Findings describe the facility’s physical layout, room measurements, safety-related systems, and conclusions that the facility substantially complies with applicable licensing statutes and administrative rules, resulting in a temporary license.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/burgis-licensing-study-report/262021/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/burgis-licensing-study-report/262021.png","ImageObject",442,249,{"name":42,"@type":43},"supergirl","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-30","2026-09-14",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",9,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What facility and license are covered in the report?","Question",{"text":63,"@type":64},"The report covers the facility “Burgis” under License # AS410379919, with applicant Josephine Mujeni listed as the licensee designee.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What methodology steps are documented before the conclusions?",{"text":68,"@type":64},"The report records a timeline of enrollment, document review and requests, phone calls to the applicant, receipt of program and policy documents, and scheduling and completion of on-site inspections.",{"name":70,"@type":61,"acceptedAnswer":71},"What conclusion and license capacity does the study support?",{"text":72,"@type":64},"The study determines substantial compliance with applicable licensing statutes and administrative rules, and issues a temporary license with a maximum capacity of 6; the report’s description concludes the facility can accommodate three residents based on measurements and layout.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},262021,1790196539,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":111,"slug":112},17,40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":110,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":136,"language":137,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":12,"update_tm":141,"read_time":30},962088121634,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","August 3 , 2016  \nJosephine Mujeni 4895 Burgis SE Kentwood, MI 49508  \nRE: Application \\#: AS410379919  \nBurgis  \n4895 Burgis Ave SE  \nKentwood, MI 49508  \nDear Ms. Mujeni:  \nAttached is the Original Licensing Study Report for the above referenced facility. The study has determined substantial compliance with applicable licensing statutes and administrative rules. Therefore, a temporary license with a maximum capacity of 6 is issued.  \nPlease review the enclosed documentation for accuracy and contact me with any questions. In the event that I am not available and you need to speak to someone immediately, please contact the local office at (616) 356-0100.  \nSincerely,  \nDaShawnda Lindsey, Licensing Consultant Bureau of Community and Health Systems Unit 13, 7th Floor  \n350 Ottawa, N.W.  \nGrand Rapids, MI 49503  \n(616) 295-3777  \nenclosure  \nMICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BUREAU OF COMMUNITY AND HEALTH SYSTEMS  \nLICENSING STUDY REPORT  \nI. IDENTIFYING INFORMATION  \nLicense \\#: AS410379919  \nApplicant Name: Josephine Mujeni  \nApplicant Address: 4895 Burgis SE  \nKentwood, MI 49508  \nApplicant Telephone \\#: (616) 805-4696  \nAdministrator/Licensee Designee: Josephine Mujeni Name of Facility: Burgis  \nFacility Address: 4895 Burgis Ave SE  \nKentwood, MI 49508  \nFacility Telephone \\#: (616) 805-4696  \nApplication Date: 10/05/2015  \nCapacity: 3  \nProgram Type: AGED  \nDEVELOPMENTALLY DISABLED MENTALLY ILL  \nII. METHODOLOGY  \n\n| 10/05/2015 | Enrollment |\n| --- | --- |\n| 10/21/2015 | Comment\u003Cbr>File rcvd in GR |\n| 10/29/2015 | Application Incomplete Letter Sent |\n| 02/01/2016 | Contact-Telephone call made\u003Cbr>Telephone call made to Licensee Designee Josephine Mujeni to follow up on the Incomplete Application Letter mailed to her. There was no answer. Left a message. |\n| 02/03/2016 | Contact-Telephone call received\u003Cbr>Received a phone call from Licensee Designee Josephine Mujeni. She verified she received the incomplete application letter. She stated she is still completing the required paperwork. She stated she will forward all documents once completed. |\n| 03/21/2016 | Contact-Telephone call made\u003Cbr>Telephone phone call made to Applicant Josephine Mujeni. She stated she is still interested in pursuing the adult foster care license and is completing the required documents to submit. |\n| 04/07/2016 | Contact-Document Received\u003Cbr>Received a copy of the program statement, admission policy, discharge policy, trainings, personnel policies, standard procedures, staffing pattern, organization chart, floor plan, budget, and direct care worker job description. |\n| 04/07/2016 | Application Complete/On-site Needed |\n| 04/12/2016 | Contact-Telephone call made\u003Cbr>Telephone call made to Applicant Josephine Mujeni to request a copy of her medical and TB testing as well as schedule an inspection. There was no answer. Left a message. |\n| 04/27/2016 | Contact-Telephone call made\u003Cbr>Telephone call made to Applicant Josephine Mujeni. An inspection is scheduled on 05/11/2016 at 2:30pm. Ms. Mujeni stated she hasan appointment with her doctor. She stated she will submit her TBand medical after her appointment. |\n| 04/27/2016 | Contact-Document Sent\u003Cbr>Per Applicant Josephine Mujeni's request, a medical clearance request form was emailed to her. |\n\n\n| 05/09/2016 | Contact-Telephone call made\u003Cbr>Telephone call made to Applicant Josephine Mujeni. The inspection time on 05/11/2016 was changed to 1:30pm. |\n| --- | --- |\n| 05/11/2016 | Inspection Completed On-site\u003Cbr>Received a copy of Licensee Designee Josephine Mujeni's medical clearance and proof of TB testing |\n| 05/11/2016 | Inspection Completed-BCAL Sub. Compliance |\n| 05/19/2016 | Application Incomplete Letter Sent\u003Cbr>A confirming letter was mailed. |\n| 06/24/2016 | Contact-Telephone call made\u003Cbr>Telephone call made to Applicant Josephine Mujeni. She stated she is still interested in pursuing an adult foster care license. She stated is still in the process of completing the repairs. She s","cbCaidbgRGm1X0f8","https://ap.wps.com/l/cbCaidbgRGm1X0f8","pdf",156735,8,"English","# I. IDENTIFYING INFORMATION\n## License information and facility details\n# II. METHODOLOGY\n## Enrollment and contact timeline\n# III. DESCRIPTION OF FINDINGS & CONCLUSIONS\n## A. Physical Description of Facility\n## B. Program Description","[{\"question\":\"What facility and license are covered in the report?\",\"answer\":\"The report covers the facility “Burgis” under License # AS410379919, with applicant Josephine Mujeni listed as the licensee designee.\"},{\"question\":\"What methodology steps are documented before the conclusions?\",\"answer\":\"The report records a timeline of enrollment, document review and requests, phone calls to the applicant, receipt of program and policy documents, and scheduling and completion of on-site inspections.\"},{\"question\":\"What conclusion and license capacity does the study support?\",\"answer\":\"The study determines substantial compliance with applicable licensing statutes and administrative rules, and issues a temporary license with a maximum capacity of 6; the report’s description concludes the facility can accommodate three residents based on measurements and layout.\"}]","Burgis - Licensing Study Report | PDF",1789358461]