Rich Residential Care LLC 2

Type of visit: Required - 1 Year

On 01/08/2025, Licensing Program Analyst (LPA) Antonine Richard conducted an unannounced annual required visit using the new Care Tool. LPA Richard met with the staff Devin Hendrick and LPA Richard explained the purpose of today’s visit. The facility is licensed to operate four (4) ambulatory Seniors ages 60 and above. Currently, three residents reside at this facility. The facility is a one-story structure located in a residential neighborhood. It consists of the following: three (3) bedrooms (three client bedrooms), one (1) staff office room (non-staff bedroom), two (2) bathrooms, living area, dining area, kitchen, outside area with table, umbrella, and chairs. LPA Richard toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for client personal belongings was observed. Bathrooms were found to be clean and operational. The water temperature measured above Title 22 regulations at 107.5F. Storage areas for personal hygiene, toxins, and sharp objects were stored and not accessible to clients. Bleach and cleaning solution was located under the sink in bathroom two (2). A fire/emergency drill was conducted on 10/22/2025. The kitchen was inspected and there is sufficient perishable and non-perishable food available and maintained properly. Two fire extinguishers were charged, smoke detectors and carbon monoxide detectors were operable. During the visit, LPA Richard observed the facility has a Mitigation Plan Report approved by CCLD on file. The facility fees are current. Paid on 01/02/2026 Exit interview conducted. A copy of the report was provided to the staff member Devin Hendrick.the state’s words, verbatim · CDSS document, Jan 8, 2026

Type of visit: Required - 1 Year

On 11/22/2024, Licensing Program Analyst (LPA) Antonine Richard conducted an unannounced annual required visit using the new Care Tool. LPA Richard met with the Administrator Gentry Richardson and LPA Richard explained the purpose of today’s visit. The facility is licensed to operate four (4) ambulatory Seniors ages 60 and above. Currently, four clients reside at this facility. The facility is a one-story structure located in a residential neighborhood. It consists of the following: three (3) bedrooms (three client bedrooms), one (1) staff office room (non-staff bedroom), two (2) bathrooms, living area, dining area, kitchen, outside area with table, umbrella, and chairs. LPA Richard toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for client personal belongings was observed. Bathrooms were found to be clean and operational. The water temperature measured above Title 22 regulations at 107.4F. Storage areas for personal hygiene, toxins, and sharp objects were stored and not accessible to clients. Bleach and cleaning solution was located under the sink in bathroom two (2). A fire/emergency drill was conducted on 08/11/2024. See LIC809-C See LIC9099-C The kitchen was inspected and there is sufficient perishable and non-perishable food available and maintained properly. Two fire extinguishers were charged, smoke detectors and carbon monoxide detectors were operable. During the visit, LPA Richard observed the facility has a Mitigation Plan Report approved by CCLD on file. Exit interview conducted. A copy of the report was provided to the Licensee Gentry Richardson.the state’s words, verbatim · CDSS document, Nov 22, 2024

Type of visit: Required - 1 Year

On 01/03/2024 at 1 :47 pm Licensing Program Analyst (LPA) David Espana conducted an unannounced Required-1-year annual visit. Upon arrival at the facility, LPA Espana conducted a risk assessment at the front door. Based on the assessment, the facility is clear of Covid-19 infection (No COVID-19 cases). LPA verified that the facility has an approved mitigation plan report. LPA was granted access and allowed to enter the facility to conduct the inspection. The Residential Care Facilities for the Elderly (RCFE) facility is licensed for age range 60 and over, two (2) ambulatory and two (2) non-ambulatory in room #3 only.The Annual Licensing Fees are current. The facility is a story single-family home located in a residential neighborhood. The home consists of one (1) floor, three (3) resident rooms, one (1) office, two (2) restrooms, one (1) kitchen, one (1) dining room, one (1) living room. Administrator Gentry Richardson accompanied LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Exits/walkways around the home were free of debris and hazards and no locks were found on exits. Patio furniture under a shaded area behind house was accessible to clients. There are no weapons on the premises. There were no security bars on the windows. LPA toured the kitchen area and observed a two-day (2-day) supply of perishable and a seven-day (7-day) supply of non-perishable food. A fire/emergency drill was conducted on 12/11/2023. All three resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and non-skid mats were in place. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked in hall cabinets. Hot water temperature in bathroom 1 tested and kitchen both read 109.2 Fahrenheit. Two technical assistance provided today: Resident Rights/Information - Technical Assistance: 87468(c)(2)(A) - LPA and the Administrator did not observe PUB 475 (20"X26") at the front entryway of the facility. Disaster Preparedness - Technical Assistance: 1569.695(a)(5) - LPA and the Administrator did not observe the updated LIC610E. An exit interview was conducted. A copy of this report was discussed and left with Administrator Gentry Richardson.the state’s words, verbatim · CDSS document, Jan 3, 2024