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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045000568
Report Date: 10/30/2022
Date Signed: 11/07/2022 10:07:35 AM

Document Has Been Signed on 11/07/2022 10:07 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO - RESIDENTIAL, 520 COHASSET RD., STE. 170
CHICO, CA 95926
FACILITY NAME:SUMMERFIELD HOMEFACILITY NUMBER:
045000568
ADMINISTRATOR:NAPOCO, OENONEFACILITY TYPE:
735
ADDRESS:1010 GREENWICH DRIVETELEPHONE:
(530) 487-7266
CITY:CHICOSTATE: CAZIP CODE:
95926
CAPACITY: 6CENSUS: 4DATE:
10/30/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Michael and Oenone NapocoTIME COMPLETED:
10:45 AM
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On 10/30/2022, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a Required 1-yr Annual inspection. LPA met with Licensee, Michael Napoco, and explained the purpose of the visit. LPA observed Administrator, Oenone Napoco, arrived to the facility shortly afterwards. Prior to initiating today's inspection, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask.

LPA and Licensee toured the interior of the facility to ensure the health and safety of clients in care. Areas toured include but are not limited to: common areas, resident rooms, bathrooms, and kitchen. LPA observed (2) clients in a shared bedroom and (2) clients each in a private bedroom. LPA observed clients being excited for Halloween. Areas toured no immediate health, safety or personal rights violation were observed. LPA and Licensee completed the infection control domain and facility was found to be in compliance at this time.

No deficiencies are being cited as a result of todays inspection.

LPA obtained copies of the Surety Bond premium letter, LIC 308 and LIC 9020.

LPA requested copies of Administrator Certificate, LIC 500 and LIC 402 to be completed and emailed to LPA by Friday, November 4, 2022.

Exit interview conducted and copy of report was provided at the facility.
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Cassie Yang
LICENSING EVALUATOR SIGNATURE: DATE: 10/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/30/2022
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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