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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107209508
Report Date: 12/10/2024
Date Signed: 12/10/2024 11:10:04 AM

Document Has Been Signed on 12/10/2024 11:10 AM - 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:
12/10/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:55 AM
MET WITH:Rosemarie RiemerTIME VISIT/
INSPECTION COMPLETED:
11:25 AM
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On 12/10/24, Licensing Program Analyst (LPA) Daiquiri Boyd made visit to the facility and met with Administrator Rosemarie Riemer.

LPA was at the home to check the temperature on the hot water tank, as the Administrator stated she was at the home. LPA measured the water temp in the bathroom to be 105.8F and the kitchen to be 115.6F.

While at the facility, LPA Boyd reviewed the following documents that the Administrator was now able to provide; Infection Control Plan, Dementia Care and staff training for Dementia Care, and the Plan of Operation for the facility.

LPA Boyd has cleared the water temperature and the Plan of Operation.
LPA Boyd notified Administrator that they are cleared and CAB will be notified.

Pre-Licensing deficiencies have been resolved. Pre-Licensing is now complete.
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Daiquiri Boyd
LICENSING EVALUATOR SIGNATURE: DATE: 12/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/10/2024
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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