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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107208983
Report Date: 12/20/2024
Date Signed: 12/20/2024 04:10:57 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
07/24/2024 and conducted by Evaluator Mary Garza
COMPLAINT CONTROL NUMBER: 24-AS-20240724124724
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: 41DATE:
12/20/2024
UNANNOUNCEDTIME BEGAN:
03:20 PM
MET WITH:Executive Director, Belinda GalindoTIME COMPLETED:
03:43 PM
ALLEGATION(S):
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Lack of care and supervision resulted in the resident being found unresponsive in the sun
INVESTIGATION FINDINGS:
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On 12/20/24 Licensing Program Analyst (LPA) M. Garza arrived to complete an unannounced complaint visit to deliver findings. 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 rooms and common areas.

The Department has investigated the above allegations. Based on the interviews conducted and records reviewed, R1 was left in the sun on 7/22/24 for an unknown amount of time. R1 was tachycardic, in respiratory distress, and their skin was warm to the touch upon arrival to the hospital. The admitting diagnosis was heat exposure. All staff interviewed stated the temperature that day was over 100 degrees and the staff failed to routinely check on R1 which resulted in R1 being found outside on the ground unresponsive. The preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Citation is issued according to Title 22 on the attached LIC. 9099D. An immediate civil penalty of $500 is assessed. The issuance of additional civil penalties is pending and currently under review. The details of additional civil penalties will be outlined in a future report to the facility, if any. Exit Interview conducted with Executive Director, Beronica. A copy of this report, deficiency, civil penalty and appeal Rights provided.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: See MouaTELEPHONE: (559) -580-4596
LICENSING EVALUATOR NAME: Mary GarzaTELEPHONE: 559-365-9009
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2024
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-20240724124724
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: 12/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/21/2024
Section Cited
CCR
87411(a)
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87411(a) Personnel Requirements – General - Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs…
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Executive Director stated they have implemented 30 minute checks that staff sign off stating they are aware of the location of each resident. All staff completed heat exposure and egress alarms was competed. In-serivce sign in sheets and training material and a sample of 30 minute checks will be submitted to CCL as proof of correction by POC date.
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This requirement was not met as evidenced by: Interviews and record review indicated R1 was left in the sun on 7/22/24 for an unknown amount of time resulting in R1 becoming unresponsive and requiring medical attention. This poses an immediate health, safety and or personal rights risk to residents in care. An immediate civil penalty in the amount of $500 was assessed per Title 22.
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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.
SUPERVISOR'S NAME: See MouaTELEPHONE: (559) -580-4596
LICENSING EVALUATOR NAME: Mary GarzaTELEPHONE: 559-365-9009
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2024
LIC9099 (FAS) - (06/04)
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