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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107208983
Report Date: 12/23/2024
Date Signed: 12/23/2024 03:58:56 PM

Document Has Been Signed on 12/23/2024 03:58 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:SUMMERFIELD OF FRESNOFACILITY NUMBER:
107208983
ADMINISTRATOR/
DIRECTOR:		GALINDO, BERONICAFACILITY TYPE:
740
ADDRESS:6075 N. MARKSTELEPHONE:
(559) 446-6226
CITY:FRESNOSTATE: CAZIP CODE:
93711
CAPACITY: 64TOTAL ENROLLED CHILDREN: 0CENSUS: 41DATE:
12/23/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:48 PM
MET WITH:Executive Director, Beronica GalindoTIME VISIT/
INSPECTION COMPLETED:
04:05 PM
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On 12/23/24 Licensing Program Analyst (LPA) M. Garza arrived at the facility unannounced to complete a case management visit. 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 common areas and in rooms.

This case management visit is being conducted to obtain resident (R1's) file. The file is being removed from the facility and will be returned in 3 business days.

No deficiencies issued during todays visit. Exit interview completed with Executive Director, Beronica.

A copy of this report was provided.
See MouaTELEPHONE: (559) -580-4596
Mary GarzaTELEPHONE: 559-365-9009
DATE: 12/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/23/2024
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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