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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107208983
Report Date: 12/31/2024
Date Signed: 01/03/2025 09:47:40 AM

Document Has Been Signed on 01/03/2025 09:47 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
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:
12/31/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:58 PM
MET WITH:Executive Director, Beronica GalindoTIME VISIT/
INSPECTION COMPLETED:
02:29 PM
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On 12/31/24 Licensing Program Analyst (LPA) M. Garza arrived for an unannounced case management visit. LPA met with Executive Director, Beronica Galindo, explained reason or visit and was permitted entry into the facility.

This case management visit is being conducted to return a file of a resident (R1) This file was removed from the facility in order to review and make copies on a previous complaint (24-AS-20240906130954). Additional records were requested (MARS, Central Stored Medication Log, medication list, Hospice records, daily notes for R1).

No deficiencies cited 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: 12/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/31/2024
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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