<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107208983
Report Date: 08/06/2025
Date Signed: 08/06/2025 12:42:21 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
03/06/2025 and conducted by Evaluator Mary Garza
COMPLAINT CONTROL NUMBER: 24-AS-20250306091730
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: 53DATE:
08/06/2025
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Regional VP of Operations, Dan GormleyTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility has an odor
Facility staff are not meeting resident's incontinence needs
Residents personal rights are violated
Facility does not respond to resident's authorized representative in a timely manner.
Facility food is served frozen
Night staff are sleeping during shift
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On this date Licensing Program Analyst (LPA) M. Garza met with Regional VP of Operations, Dan Gormley and delivered findings.

Based on records reviewed, interviews completed and observations of LPA. The preponderance of evidence standard has been met per Title 22. The allegations listed above are SUBSTANTIATED. Deficiencies issued on 9099D. If not corrected, the deficiencies will have a direct impact to persons in care.

Exit interview completed with Regional VP of Operations, Dan. A plan of correction was made by Dan and reviewed by LPA. A copy of this report, deficiencies and appeal rights provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025
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 3
Control Number 24-AS-20250306091730
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: 08/06/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/07/2025
Section Cited
CCR
8711(a)
1
2
3
4
5
6
7
87411 Personnel Requirements - General
Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs...
1
2
3
4
5
6
7
POC provided during 8/6/25 office meeting.
8
9
10
11
12
13
14
This requirement was not met by: LPA observations and interviews conducted. The licensee did not comply with the section cited above in that facility is not meeting residents incontience needs, served frozen food, and night staff was sleeping during a working shift. This poses an immediate health, safety and or personal rights risk to residents in care.
8
9
10
11
12
13
14
Type B
08/08/2025
Section Cited
CCR
87303(a)
1
2
3
4
5
6
7
87303 Maintenance and Operation
a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.
1
2
3
4
5
6
7
POC provided during 8/6/25 office meeting.
8
9
10
11
12
13
14
This requirement was not met as evidence by LPA observation, interviews conducted and records reviewed. The licensee did not comply with the section cited above in that the facility had on overwhelming odor of incontinence during multiple visits, observation of residents room having feces on the wall and dirty laundry pilled in bathrooms. This poses a potential health, safety and or personal rights risk to residents in care.
8
9
10
11
12
13
14
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: 08/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 24-AS-20250306091730
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: 08/06/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/08/2025
Section Cited
CCR
87405(a)
1
2
3
4
5
6
7
87405 Administrator - Qualifications and Duties
(a) All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person. The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility as specified in this section...
1
2
3
4
5
6
7
POC provided during 8/6/25 office meeting.
8
9
10
11
12
13
14
This requirement was not met as evidence by LPA observation, interviews conducted and records reviewed. The licensee did not comply with the section cited above in that Administrator did not respond to resident representives in a timely manner and was not at the facility an appropriate amount of time. This poses a potential health, safety and or personal rights risk to residents in care.
8
9
10
11
12
13
14
Type B
08/08/2025
Section Cited
CCR
87468.1(a)
1
2
3
4
5
6
7
87468.1 Personal Rights of Residents in All Facilities
(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:...
1
2
3
4
5
6
7
POC provided during 8/6/25 office meeting.
8
9
10
11
12
13
14
This requirement was not met as evidence by LPA observation, interviews conducted and records reviewed. The licensee did not comply with the section cited above in facility staff did not prevent incidents between residents. This poses a potential health, safety and or personal rights risk to residents in care.
8
9
10
11
12
13
14
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: 08/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3