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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107208983
Report Date: 11/14/2024
Date Signed: 11/14/2024 01:50:50 PM

Substantiated


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
11/04/2024 and conducted by Evaluator Mary Garza
COMPLAINT CONTROL NUMBER: 24-AS-20241104154046
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: 40DATE:
11/14/2024
UNANNOUNCEDTIME BEGAN:
01:12 PM
MET WITH:Executive Director, Beronica GalindoTIME COMPLETED:
01:13 PM
ALLEGATION(S):
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Staff does not prevent outbreak of scabies.
INVESTIGATION FINDINGS:
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On 11/14/24 Licensing Program Analyst (LPA) M. Garza completed an unannounced complaint visit. LPA was met by Business Office Manager, Michelle Reyburn due to Executive Director, Beronica Galindo being in a meeting. LPA explained reason for visit and was permitted entry into the facility. LPA completed a tour of the facility and completed a health and safety check on residents in care. Executive Director, Beronica Galindo joined later.

During visit LPA completed interviews and reviewed records. Interviews and record review disclosed the facility had an outbreak with residents in 1 of 4 wings of the facility. At this time the facility has 0 residents presenting symptoms or being treated.

The Department found that the preponderance of evidence standard has been met per Title 22. The allegation is SUBSTANTIATED. Deficiencies issued on attached 809D.

Exit interview completed with Executive Director, Beronica. A copy of this report, deficiencies and appeal rights have been provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2024
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-20241104154046
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/14/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/22/2024
Section Cited
CCR
87470(b)(1)
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87470 Infection Control Requirements
(b) In addition to subsection (a), when one or more residents in the facility are diagnosed with a contagious disease, the following shall apply: (1) In addition to the requirements of subsection (a)(2) assigned staff and volunteers, regardless of having direct contact with residents, shall be required to perform enhanced environmental cleaning and disinfection to maintain a safe and sanitary environment and to prevent, contain, and mitigate the transmission of the contagious disease...
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Staff was trained on infection control. In-sevice sign in sheet to be provided to CCL as proof of correction.
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This requirement was not met as evidence by: record review and interviews conducted disclosed 1 of 4 wings at the facility had an outbreak. This poses a potential health, safety and or personal right risk to residents 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: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2024
LIC9099 (FAS) - (06/04)
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