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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107208983
Report Date: 12/20/2024
Date Signed: 12/20/2024 06:03:44 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/06/2024 and conducted by Evaluator Mary Garza
COMPLAINT CONTROL NUMBER: 24-AS-20240906130954
FACILITY NAME:SUMMERFIELD OF FRESNOFACILITY NUMBER:
107208983
ADMINISTRATOR:GALINDO, BERONICAFACILITY TYPE:
740
ADDRESS:6075 N. MARKSTELEPHONE:
(559) 446-6226
CITY:FRESNOSTATE: CAZIP CODE:
93711
CAPACITY:64CENSUS: 41DATE:
12/20/2024
UNANNOUNCEDTIME BEGAN:
05:59 PM
MET WITH:Executive Director, Beronica GalindoTIME COMPLETED:
06:06 PM
ALLEGATION(S):
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Staff do not ensure that residents' medications are stored locked and inaccessible to residents
Staff do not ensure that residents take medications as prescribed
Facility is not maintained in good repair
INVESTIGATION FINDINGS:
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On 12/20/24 Licensing Program Analyst (LPA) M. Garza completed an unannounced complaint visit to deliver findings. LPA met with Executive Director, Beronica Galindo, explained reason for visit and was permitted entry into the facility. LPA completed a health and safety check on residents in care. Residents observed in rooms and common areas.

During the investigation documentation was reviewed (physicians reports, pre-admission appraisals, needs and services plans, hospice care plans, central stored medication logs, MARS, staff schedules, staff trainings, employment records, emergency contact information, admission agreement, hospital records, special incident reports, resident and staff roster), tours completed (9/10/24, 9/16/24 and 10/30/24) and interviews were conducted.

During visits LPA observation of medication carts showed they were locked and inaccessible to residents in care. Rooms were toured during visits and medications were not observed accessible. MARS and CSMR and resident’s medical records were reviewed. All records indicated that resident was not prescribed medication as indicated in the complaint. CONT...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 24-AS-20240906130954
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: SUMMERFIELD OF FRESNO
FACILITY NUMBER: 107208983
VISIT DATE: 12/20/2024
NARRATIVE
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CONT...

During tour of the facility LPA observed the facility to be in good repair. Interviews with staff and administration indicated the repairs requested and completed are done in a timely manner.

Although the allegations may or may not have occurred, the preponderance of evidence standard has not been met per Title 22. The allegations listed above were found to be UNSUBSTANTIATED.

No deficiencies cited during this visit. Exit interview completed with Executive Director, Beronica. A copy of this report was provided.
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2