Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00269772 Renewal 06/30/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)The bottom and top kitchen cabinets were dirty and grimy. The top of the refrigerator was dirty. The shelves opposite of the sink in the bathroom were dirty and grimy.Clean and sanitary conditions shall be maintained in the home. Immediately following the site walk throughs, the Facilities Manager and other maintenance personnel cleaned all of the kitchen cabinets and the refrigerator. Pictures were sent to the Lead Inspector on 6/30/25. 06/30/2025 Implemented
6400.66The outside light over the bedroom door of individual #2 that leads to the outside was inoperable during the inspection..Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. The outside light over the bedroom door of individual #2 is a solar light. The inspection was conducted during the day; therefore, the light didn't come on. After the inspection walk throughs, the facilities manager covered the sensor, and the light came on. A picture was sent to the inspector on 6/30/25. 06/30/2025 Implemented
6400.80(b)There was trash and dead leaves on the outside of individual #2's bedroom door that leads directly to the outside of the home The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions.Immediately following the site walk throughs, the Facilities Manager and other maintenance personnel cleaned the debris from the outside of the home. Pictures were sent to the Lead Inspector on 6/30/25. 06/30/2025 Implemented
6400.105There was an excessive amount of lint in the lint trap of the dryer, which was cleaned during the inspection.Flammable and combustible supplies and equipment shall be utilized safely and stored away from heat sources. Immediately following the site walk throughs, the Facilities Manager and other maintenance personnel cleaned the lint from the dryer trap. Pictures were sent to the Lead Inspector on 6/30/25. 06/30/2025 Implemented
6400.24The Room and Board Residency Agreement for Individual #2 was not completed. The amount of the rental payment is not indicated on agreement.The home shall comply with applicable Federal and State statutes and regulations and local ordinances.The Room and Board Agreement for Individual #2 was updated to include the dollar amount being paid monthly. The terms of the agreement were not changed. 07/15/2025 Implemented
SIN-00172472 Renewal 03/09/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)There were cobwebs hanging in the kitchen skylights and hanging from ceiling to light fixture above dining area table. There was dust buildup on the ceiling fan in bedroom.Clean and sanitary conditions shall be maintained in the home. Cleaning the skylights and ceiling fans will be added to the shift chore sheet. The House manager will do a site check to make sure that all homes are cleaned once a week. 04/01/2020 Implemented
6400.112(a)There was no documentation that a fire drill was held in the month of February 2020. An unannounced fire drill shall be held at least once a month. The program Specialist and House Manger will ensure that an unannounced sleep drill occurs every six months. The program specialist will track all monthly drills through google calendars to ensure the dates are accurate 04/01/2020 Implemented
6400.112(e)June 10 2019 was the only documented sleep drill provided during licensing renewal.A fire drill shall be held during sleeping hours at least every 6 months. The program Specialist and House Manger will ensure that an unannounced sleep drill occurs every six months. The program specialist will track all monthly drills through google calendars to ensure the dates are accurate 04/01/2020 Implemented
6400.144Upon review of medications: It can not be determined if individual 1 was given the medication vehlafaxine 375 mg on March 1-March 4 or was given his prescribed medication aripirazole 10 mg on March 4. Vehlafaxine 375 mg and aripirazole 10 mg medication not signed out as given for March 1-March 4 on mediation administration record in home. Staff states that when they began a new blister-pack they send the log up to office with empty blister pack. At the administrative office, only March 1-March 3 signed off for on aripirazole 10 mg. No medication administration record was found that has March 4 signed off for. No record was found that has March 1-March 4 signed out as given for venlafaxine 375 mg.Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided. A consultant will be reviewing all of Jami Residence training records to identify additional non compliances staff training. Retrain staff on required trainings if the Jami Residence staff is discovered to be out of compliance 06/30/2020 Implemented
SIN-00233562 Renewal 09/28/2023 Compliant - Finalized
SIN-00145689 Renewal 11/15/2018 Compliant - Finalized