Provider Details - Mimi Jamal
5755 SW HALL BLVD
Beaverton, OR 97005
- Administrator name
- Mimi Jamal
- ID
- 6180684402
- Status
- Open
- Type
- Adult Foster Home
- Classification
- 3
- Licensed beds
- 5
- Accepts Medicaid
- Yes
- Memory Care
- No
If you have questions about this provider or its inspection and compliance history, please contact the provider at the phone number listed above.
This tab displays five years of inspection history.
For inspection information older than five years, please visit
ODHS Records Request
.
To learn more about inspections see:
Provider Information
Records that are highlighted and show the icon, occurred under the current provider owner.
| Date | Event ID | Inspection type(s) Inspection type(s) | Deficiencies cited | Actions | |
|---|---|---|---|---|---|
| 6/24/2026 | RL012783 | Re-Licensure | 4 | ||
| 5/29/2025 | RL005393 | Re-Licensure | 3 | ||
| 7/22/2024 | PYND | Re-Licensure | 5 | ||
| 1/9/2024 | 04UY | Complaint Investig. | 1 | ||
| 6/27/2023 | CE57 | Complaint Investig. | 0 | ||
| 5/22/2023 | P85M | Initial Licensure | 0 |
| Date | Report number Report number | Allegation | Level | Type | Actions | |
|---|---|---|---|---|---|---|
| No Results Found | ||||||
Records that are highlighted and show the icon, occurred under the current provider owner.
| Date | Report number Report number | Allegation | Level | Type | Actions | |
|---|---|---|---|---|---|---|
| 7/22/2024 | CALMS - 00059897 | Failed to provide a safe medication administration system | 3 | Licensing Violation | ||
| 1/9/2024 | CALMS - 00052487 | Failed to keep medication record current or accurate | 2 | Licensing Violation |
Records that are highlighted and show the icon, occurred under the current provider owner.
| Sanction Sanction | Allegation | Type | Effective date | End date | Actions | |
|---|---|---|---|---|---|---|
| AFHCD24-00029 | Failed to provide service | License Condition | 1/18/2024 | 2/6/2024 |