107208983-1-23-2023-24-AS-MHON-CNZVU4-20230213154408

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 107208983
Report Date: 01/20/2023
Date Signed: 01/23/2023 06:12:52 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
08/26/2022 and conducted by Evaluator Melinda Medina

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20220826143846

FACILITY NAME:	SUMMERFIELD OF FRESNO		FACILITY NUMBER:	107208983
ADMINISTRATOR:	FOWLER, JENNIFER		FACILITY TYPE:	740
ADDRESS:	6075 N. MARKS		TELEPHONE:	(559) 446-6226
CITY:	FRESNO	STATE: CA	ZIP CODE:	93711
CAPACITY:	64	CENSUS: 32	DATE:	01/20/2023
		UNANNOUNCED	TIME BEGAN:	09:18 AM
MET WITH:	Beronica Galindo		TIME COMPLETED:	11:56 AM

ALLEGATION(S):

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Staff do not assist residents with incontinence care
Staff do not assist residents with grooming
Staff do not ensure that residents are hydrated
Staff do not report change in residents' conditions to appropriate parties
Staff do not assist residents with obtaining medical care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) M. Medina conducted a subsequent complaint visit to facility. LPA identified herself and discussed the purpose of visit with Executive Director, Beronica Galindo.

LPA toured facility and conducted interviews during visit. Based on interviews, there was insufficient evidence that these allegations occurred.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Melinda Hoffmann	TELEPHONE: (559) 341-3247
LICENSING EVALUATOR NAME: Melinda Medina	TELEPHONE: (559) 410-5914
LICENSING EVALUATOR SIGNATURE:	DATE: 01/20/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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