True Tranquility

Type of visit: Required - 1 Year

On 07/14/2026 at 10:45AM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an unannounced 1-Year Required inspection. LPA met with Clearnise Bullard, Licensee/Administrator, and explained the purpose of the visit. The Administrator currently holds a certificate #6044470740 that expires on 12/29/2027. The facility’s fire clearance was approved for six (6) ambulatory residents. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility has four (4) bedrooms and two (2) bathrooms. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature is maintained at 75 degrees Fahrenheit. LPA observed lighting in all rooms is adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars. Hot water temperature in the shared clients’ bathroom was measured at 104.5 degrees Fahrenheit. LPA observed some non-perishable and perishable foods, licensee will purchase more food before resident(s) are admitted to facility. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last purchased on 01/27/2025. Emergency Disaster Plan was last posted on 09/28/2025. First aid kit was observed to be complete. Continue on LIC809C Continued from LIC809 LPA reviewed one (1) staff file, no resident’s files were reviewed, the facility has no residents at this time. Staff file was current and complete. LPA requested the following documents to be submitted to CCLD by 07/21/2026. LIC9020 Resident Roster LIC 308 Designation of Administrative Responsibility Liability insurance. LIC 500 Personnel Report(updated) LIC 610E Emergency Disaster Plan. Administrator Certificate No deficiencies were cited during visit. Exit interview conducted and a copy of this report provided to Clearnise Bullard.the state’s words, verbatim · CDSS document, Jul 14, 2026

Type of visit: Prelicensing

On 06/18/2025 at 2:00PM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an announced pre-licensing inspection. This is a continuance from the previous visit conducted on 06/12/2025. LPA met with Licensee, Clearnise Bullard and explained the purpose of the visit On 06/12/2025 at 10:00AM, LPA inspected the facility inside and out including but not limited to the bedrooms, bathrooms, common living areas, kitchen, garage, back yard. The facility has four (4) bedrooms and two (2) bathrooms. No bodies of water observed. There is sufficient lighting around the facility. Residents’ rooms are equipped with the proper furniture, bedding, and lighting. Bathrooms showers/tubs were equipped with non-skid mats. Passageways and hallways are free of obstruction. Locked cabinets available to store medications, toxins and sharps. Hot water temperature is measured at 118.6 degrees Fahrenheit in shared clients' bathroom. Fire extinguisher was last purchased on 01/27/2025. There is a minimum of 7-day non-perishables and 2-day perishables foods. First Aid kit was complete. Carbon monoxide and smoke detectors present. Facility inspection matches the sketch that was provided. Continue on LIC809C Continued from LIC809 LPA observed facility has made the corrections from previous visit on 06/12/2025. The applicant was reminded of the statute that requires CCL to be notified within 5 business days of admitting their first resident. This notification may be done by phone, by mail, or by fax. LPA observed the facility is ready to be licensed. This report will be submitted to the central application unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAU. Additional requirements may still be required Exit interview conducted and a copy of this report providedthe state’s words, verbatim · CDSS document, Jun 18, 2025

Type of visit: Prelicensing

On 06/12/2025 at 10:00 AM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an announced Pre-licensing Inspection. LPA met with Licensee, Clearnise Bullard and Administrator, Rochelle Thommes. LPA inspected the facility inside and out including but not limited to the bedrooms, bathrooms, common living areas, kitchen, garage, back yard. The facility has four (4) bedrooms and two (2) bathrooms. No bodies of water observed. There is sufficient lighting around the facility. Residents’ rooms are equipped with the proper furniture, bedding, and lighting. Bathrooms showers/tubs were equipped with non-skid mats. Passageways and hallways are free of obstruction. Locked cabinets available to store medications, toxins and sharps. Hot water temperature is measured at 118.6 degrees Fahrenheit in shared clients' bathroom. Fire extinguisher was last purchased on 01/27/2025. There is a minimum of 7-day non-perishables and 2-day perishables foods. First Aid kit was complete. Carbon monoxide and smoke detectors present. Facility inspection matches the sketch that was provided. Continue on LIC809C Continued from LIC809 The applicant was reminded of the statute that requires CCL to be notified within 5 business days of admitting their first resident. This notification may be done by phone, by mail, or by fax. The following will need to be completed before recommending licensure to Centralized Application Bureau (CAB): 1.)LPA observed facility does not have a grab bar near toilet in one of the common restrooms. 2.)LPA observed facility does not have a grab bar in bathtub/shower common restrooms. 3.) LPA observed facility does not have an exit sign in the backyard identifying emergency exit. 4.)LPA observed facility does not have a covered area in backyard for residents in care. 5.) LPA reviewed dementia plan and observed the plan does not address behaviors such as ingestion of toxic chemicals and wandering behaviors. Licensee/Applicant will submit proof of corrections to CCLD on/before 04/29/2025 COMP III conducted with Licensee/ Administrator on 06/12/2025. Exit interview conducted and a copy of tis report provided.the state’s words, verbatim · CDSS document, Jun 12, 2025

Type of visit: Case Management - Other

On 06/12/2025 at 11:21 PM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted a face to face Component III presentation. LPA conducted Component III with Licensee/Administrator. LPA presented Component III power point and discussed the regulations embodied in the power point. LPA observed participants gained knowledge about running and maintaining the facility in accordance with regulations. Exit interview conducted and a copy of report provided.the state’s words, verbatim · CDSS document, Jun 12, 2025