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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107208983
Report Date: 02/24/2026
Date Signed: 02/24/2026 06:39:17 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
07/28/2025 and conducted by Evaluator Mary Garza
COMPLAINT CONTROL NUMBER: 24-AS-20250728163307
FACILITY NAME:SUMMERFIELD OF FRESNOFACILITY NUMBER:
107208983
ADMINISTRATOR:HUNTLEY, ROBERTFACILITY TYPE:
740
ADDRESS:6075 N. MARKSTELEPHONE:
(559) 446-6226
CITY:FRESNOSTATE: CAZIP CODE:
93711
CAPACITY:64CENSUS: 52DATE:
02/24/2026
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Executive Director, Sheree AddisonTIME COMPLETED:
12:52 PM
ALLEGATION(S):
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Staff do not prevent provide adequate supervision resulting in resident elopement
INVESTIGATION FINDINGS:
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On 2/24/25 Licensing Program Analyst (LPA) M. Garza completed an unannounced complaint visit. LPA met with Business Office Manager, Bryant Ward, explained reason for visit and was permitted entry into the facility. Executive Director, Sheree Addison was contacted and arrived some time later. LPA completed a tour of the facility inside and out. A health and safety check was completed on residents in care. Residents observed in common areas, hallways and in rooms.

During visit LPA completed interviews and reviewed documentation (staff schedule, resident roster, needs and services plan, pre-placement appraisal, physicians report and charting notes). Charting notes documeted resident was found outside near facility sign on 7/25/25. On 8/2/25 resident exited a gate and was found by the street. Interviews with staff disclosed that resident was found in the parking lot walking and was returned to the facility. Resident medical assessment dated 04/17/25 indicated the resident had wandering behavior and was not allowed to leave the community unsupervised. The allegation above has met the preponderance of evidence standard. The allegation is SUBSTANTIATED. Deficiency cited per California Code of Regulations, Title 22 on attached 9099D. If not corrected, the deficiencies could have a direct impact to residents in care.

Exit interview completed with Executive Director, Sheree. A plan of correction was developed by ED, Sheree 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: 02/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026
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-20250728163307
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: 02/24/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/25/2026
Section Cited
CCR
87411(a)
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87411 Personnel Requirements– General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required…
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ED stated that elopement drills are now being conducted and started in August 2025 upon their hire date. Staff training was completed on 11/24/25 on elopements for all staff. ED will provide a copy of the training material and in service sign in sheet as proof of correction.
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This requirement was not met as evidence by: review of records and interviews completed. The licensee did not comply with the section cited above in that R1 eloped from the facility on 7/25/25 and 8/2/25 without staff supervision. This poses an immediate health safety and or personal rights 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: 02/24/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2