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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107208983
Report Date: 03/16/2026
Date Signed: 03/16/2026 05:25:42 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
08/04/2025 and conducted by Evaluator Mary Garza
COMPLAINT CONTROL NUMBER: 24-AS-20250804105800
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: 50DATE:
03/16/2026
UNANNOUNCEDTIME BEGAN:
11:39 AM
MET WITH:Executive Director, Sheree AddisonTIME COMPLETED:
01:19 PM
ALLEGATION(S):
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Staff not providing resident with meal(s) in a timely manner.
INVESTIGATION FINDINGS:
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On 03/16/26 Licensing program Analyst (LPA) M. Garza arrived at the facility for an unannounced complaint visit. LPA met with Executive Director, Sheree Addison, explained reason for visit and was permitted entry into the facility. LPA completed a health and safety check on residents in care. LPA observed residents in rooms, in common areas, and in kitchenettes getting ready for lunch.

During visits for this complaint, LPA completed tours of the faciilty, completed interviews and requested documentation (medical assessments, staff schedules, needs and services plans, charting notes, staff and resident rosters). LPA observed meal service on 4 of 4 dates (8/6/25, 8/26/25, 11/24/25 and 2/24/26) and observed residents were not getting the required assistance in eating as needed. Meals were observed at bedside, in kitchenette refrigerators and in front of residents requiring assistance. Interviews disclosed that residents requiring assistance should be assisted prior to meal service beginning and "change of faces" should be provided to residents in an effort to get them to eat, if previously declined. Interviews conducted disclosed that this is not occurring. This allegation has met the preponderance of evidence standard per California Code of Regulations, Title 22. The allegation listed above is SUBSTANTIATED. Deficiency cited on 9099D. If not corrected, the deficiency poses a direct impact to residents in care.

Exit interview completed with Executive Director (ED), Sheree. A plan of correction was developed by ED 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: 03/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2026
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-20250804105800
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: 03/16/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/27/2026
Section Cited
CCR
87464(f)(4)
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87464 Basic Services (f) Basic services shall at a minimum include: (4) Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications, as specified in Section 87608, Postural Supports.
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Per ED, all staff training will be conducted to reiterate all residents requiring assistance with feeding will be completed prior to meal services. In-service sign in sheet and training material will be sent to CCL by POC date as proof of correction.
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This requirement was not met as evidence by: interviews conducted and LPA observations. The licensee did not comply with the section cited above in that meals were observed at bedside, in kitchenette refrigerators and in front of residents requiring assistance. Interviews disclosed residents requiring assistance should be assisted prior to meal service but is not occurring. This poses a potential 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: 03/16/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2