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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107209508
Report Date: 12/06/2024
Date Signed: 12/06/2024 01:48:34 PM

Document Has Been Signed on 12/06/2024 01:48 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:LAUREEN HOMEFACILITY NUMBER:
107209508
ADMINISTRATOR/
DIRECTOR:
RIEMER, ROSEMARIEFACILITY TYPE:
740
ADDRESS:6567 N LAUREEN AVETELEPHONE:
(559) 367-7847
CITY:FRESNOSTATE: CAZIP CODE:
93710
CAPACITY: 6CENSUS: 0DATE:
12/06/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Rosemarie RiemerTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On 12/06/2024, Licensing Program Analyst (LPA) Daiquiri Boyd made a visit to the facility to complete a Pre-Licensing visit as well as a Comp III. LPA was greeted by Licensee/Administrator Rosemarie Riemer.

LPA toured the facility and found that there are three rooms set up as client bedrooms with two beds in each room. All furnishings in these rooms are adequate and in working order. One room is set up as a lounge/computer or video conferencing room for staff or residents use, which also has two vinyl couches that convert into beds, much like a futon would.

There are two bathrooms, both are in good working order. Taps delivering hot water in the bathrooms at 120 degrees and maintenance is on premises to lower the temperature. Licensing will recheck next visit.
There is ample living room space for visitors and residents to lounge and watch TV. Medications are stored in a locked cabinet in the kitchen area. Bedding and linens are ample for all residents and stored in the hallway closet.
There is perishable and non-perishable food for more than 7 days. There is an extra freezer in the garage. There is a washer and dryer in the garage area. There is a swimming pool in the backyard that is completely enclosed with an iron fence that is locked with a padlock.
There is a fire extinguisher in the kitchen that was serviced on 08/14/2024.
All smoke alarms and carbon monoxide detectors are operating properly.

There is no Plan of Operation or Infection Control Plan. Licensee stated that she will work on it this weekend and send it to LPA by email.

Pre-Licensing is incomplete with deficiencies to be resolved by 12/13/24. A follow up Pre-Licensure LIC809 will be generated upon resolution of deficiencies.

Licensee's signature on this document confirms receipt.
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Daiquiri Boyd
LICENSING EVALUATOR SIGNATURE: DATE: 12/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/06/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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