107209508-2-6-2026-24-AS-DBOD-DR2VJQ-20260206152906

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 107209508
Report Date: 02/06/2026
Date Signed: 02/06/2026 03:29:14 PM

Document Has Been Signed on 02/06/2026 03:29 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 HOME		FACILITY NUMBER:	107209508
ADMINISTRATOR/ DIRECTOR:	RAMOS, ROSARIO JR.		FACILITY TYPE:	740
ADDRESS:	6567 N LAUREEN AVE		TELEPHONE:	(559) 367-7847
CITY:	FRESNO	STATE: CA	ZIP CODE:	93710
CAPACITY: 6		CENSUS: 0	DATE:	02/06/2026
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:30 PM
MET WITH:	Rosario Ramos		TIME VISIT/ INSPECTION COMPLETED:	03:45 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 02/06/2026, Licensing Program Analyst (LPA) Daiquiri Boyd made a visit to the facility to complete an Annual Inspection. LPA was greeted by Licensee/Administrator(AD) Rosemarie Riemer. This facility has not yet taken on its first resident. AD stated that she has been in contact with Fresno County Behavioral Health and they have not yet referred any clients to her. AD says that this is her preferred method to receive clients and the preferred type of client to assist in her facilities. 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. There is also a staff day bed in this room for possible use. There are two bathrooms, both are in good working order. Taps delivering hot water in the bathrooms at 109.8 degrees F. 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. (Continued on next page.)

NAME OF LICENSING PROGRAM MANAGER: Sergiy Pidgirny
NAME OF LICENSING PROGRAM ANALYST: Daiquiri Boyd
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/06/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2026

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: LAUREEN HOME	FACILITY NUMBER: 107209508
	VISIT DATE: 02/06/2026

NARRATIVE

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There is a fire extinguisher in the kitchen that was serviced on 07/20/2025. The facility has a fire sprinkler system and documentation was reviewed from the State Fire Marshal on 10/23/2025, that the Sprinkler system was in working order by Wilson Fire Sprinkler Co.
All smoke alarms and carbon monoxide detectors are operating properly.
The facility has a temporary caretaker living in the facility, until they receive their first client.
LPA observed a Plan of Operation, Infection Control Plan, and Disaster and Emergency Plan.

Licensee's signature on this document confirms receipt.

Licensee will notify Licensing by sending a FAX to (559) 243-8088 letting us know when the first client is placed.

NAME OF LICENSING PROGRAM MANAGER: Sergiy Pidgirny
NAME OF LICENSING PROGRAM ANALYST: Daiquiri Boyd
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/06/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2026

LIC809 (FAS) - (06/04)

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