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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361880786
Report Date: 08/08/2025
Date Signed: 08/08/2025 02:20:03 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/18/2025 and conducted by Evaluator Edith Conchas
COMPLAINT CONTROL NUMBER: 56-AS-20250618132605
FACILITY NAME:SUMMERFIELD OF REDLANDSFACILITY NUMBER:
361880786
ADMINISTRATOR:HEIDI CHARETTEFACILITY TYPE:
740
ADDRESS:1319 BROOKSIDE AVENUETELEPHONE:
(909) 793-9500
CITY:REDLANDSSTATE: CAZIP CODE:
92373
CAPACITY:75CENSUS: 46DATE:
08/08/2025
UNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Resident Services Director, Rachelle WheatonTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff is neglecting residents in care.
INVESTIGATION FINDINGS:
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Licensed Program Analysts (LPAs), Edith Conchas and Renese Howell-Small conducted an unannounced visit to conclude the investigation and deliver findings to the above-mentioned complaint. LPAs identified themselves and discussed the purpose of the visit to Resident Servcies Director, Rachelle Wheaton.  The investigation consisted of LPA observations, interviews with staff and residents, and review of pertinent records. 

It is alleged that staff are neglecting residents in care.  

LPA interviewed the reporting party, staff, and residents. Interviews revealed that Resident 1 (R1) and Resident 2 (R2) were in a physical altercation. On 4/25/2025 Staff 1 (S1) observed R2 kicking R1 in the hallway. Interviews with staff revealed that although R1 was bloodied, emergency services were not contacted. Therefore, this allegation is SUBSTANTIATED. A deficiency will be cited.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Edith Conchas
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2025
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 4
Control Number 56-AS-20250618132605
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: SUMMERFIELD OF REDLANDS
FACILITY NUMBER: 361880786
VISIT DATE: 08/08/2025
NARRATIVE
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A SUBSTANTIATED finding means that the allegation is valid because the preponderance of the evidence standard has been met.

An exit interview was conducted where this report, LIC9099, LIC9099-C, LIC9099-D and Appeal Rights were discussed and a copy provided to Resident Services Director, Rachelle Wheaton.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Edith Conchas
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4
Control Number 56-AS-20250618132605
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: SUMMERFIELD OF REDLANDS
FACILITY NUMBER: 361880786
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/08/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/11/2025
Section Cited
CCR
87468.2(a)(4)
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87468.2(a)(4) Additional perosnal rigths of residents of privately operated faclilites (a)... facilities for the elderly shall have all of the following personal rights: (4) to care, supervision and services that meet...This requirement is not met as evidence by:
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licensee/Adminsitrator will complete an in house training on emergency protocol when residents are in need of immediate care and submit proof to LPA by plan of correction due date.
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Based on interviews and records review licensee did not ensure the physical safety of resident 1 (R1) and did not call 911 per the family's request, which posed an immediate risk to the health and safety of the resident in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Edith Conchas
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4