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1401 DIXIE WAY
SANFORD, FL 32771
Phone: (407) 878-5298
County: Seminole

Mailing Address

1401 DIXIE WAY
SANFORD, FL 32771
County: Seminole

Emergency Actions:

None
Facility/Provider Type: Assisted Living Facility
Administrator: PETER M. ETOH
Financial Officer: PETER M. ETOH
Owner/Licensee: HOPE ASSISTED LIVING FACILITY INC.
Owner/Licensee Since: 3/13/2017
NamePositionOwnership
EVELYN O. ETOH 50%
PETER M. ETOH 50%
Profit Status: For-Profit
Licensed Beds: 14
Bed Types:
Extended Congregate Care : 0
Private : 14
Optional State Supplement : 0
AHCA Number (File Number): 11967933
AHCA Field Office: 07
License Number: 13040
Current License Effective: 8/8/2017
Expires: 8/7/2019
License Status: LICENSED

Services/Characteristics:

Medicaid Services :  Assistive Care Services
Bed Hold Policy :  Facility does not hold beds during a temporary absence
Occupancy/Occupancy Rate :  14 / 100.00 %
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Activities :  Dancing, Exercise Classes, Games/Cards, Gardening, Music Programs, Shopping, Social Events/Outings
Languages Spoken :  English, Spanish
Nurse Availability :  3rd Party Part-Time
Payment Forms Accepted :  Medicaid
Religious Affiliations :  Christian (non-denominational)
Special Programs and Services :  Occupational Therapy, Physical Therapy, Speech Therapy
Community Residential Home
Please be advised that local zoning authorities may have additional restrictions or requirements not under the jurisdiction of the Agency for Health Care Administration. Contact your local zoning authorities for any specific requirements. See also 419.001 F.S.

Emergency Power Plan Summary:

Plan Approval :  Nov 03, 2017
Implementation Extended Until :  Jan 01, 2019

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
01/08/2018 2018005286 FineReporting $250.00 08/20/2018
08/27/2014 2014008593 FineSurvey $1,000.00 02/11/2015
06/20/2013 2013013456 FineSurvey $3,000.00 08/11/2014
02/15/2013 2013001931 FineSurvey $250.00 07/31/2013
01/30/2013 2013001203 FineSurvey $500.00 07/31/2013
Please note the legal actions above may have been issued to a prior owner. The Final Order displays the name of the licensee responsible for the legal action that was taken.

Consumer Guides:



Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.
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