Bruce W. McCollum

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Zoning, Licensing, and Maintenance in Michigan’s Adult Foster Care System…

In the Michigan Adult Foster Care (AFC) system, homes typically do not need to be re-zoned unless they plan to serve more than six residents. However, local municipalities may require additional permits, such as a business license or an occupancy permit, to operate legally. The state does not interfere with these local requirements, so it […]

The Necessity of a One-to-One Staffing Ratio with Attendant Care for Highly Vulnerable Foster Care Residents – Michigan Version with a Focus on Auto No-Fault

To accomplish the goal of minimizing staffing, multiple provider agencies have heard from case managers and insurance adjusters who refer to this aspect of State of Michigan Licensing Rules: R 400.14206 Staffing requirements. Rule 206. (1) The ratio of direct care staff to residents shall be adequate as determined by the department, to carry out […]

Note Priorities You Must Use When Filing a Formal Complaint Against a Nurse Who Advocates for Substandard Care and What Penalties They Might Face From a Board of Nursing…

Introduction: A nurse should never allow themselves to be manipulated by a care reimbursing agency into advocating for substandard care.  However, it can and does happen.  When it does and the nurse does not seek to reverse this tragedy, an ethics complaint to the State Board of Nursing may be warranted.  How should you proceed? […]

The Value of Sheltered Workshop Activities for Traumatic Brain Injury Behavioral Management…

Traumatic Brain Injury (TBI) can lead to a range of cognitive, emotional, and behavioral challenges that significantly impact an individual’s daily life. One of the most effective tools for managing these challenges is the structured environment provided by sheltered workshops. These programs offer a unique blend of therapeutic activity, social interaction, and skill development, making […]