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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157203361
Report Date: 05/14/2024
Date Signed: 05/15/2024 08:14:03 AM

Document Has Been Signed on 05/15/2024 08:14 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
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:SUMMER HOMEFACILITY NUMBER:
157203361
ADMINISTRATOR/
DIRECTOR:		TIMBREZA, JHOSANFACILITY TYPE:
735
ADDRESS:8719 HOODSPORT AVENUETELEPHONE:
(661) 589-4001
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY: 4CENSUS: 4DATE:
05/14/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:32 AM
MET WITH:Jhosan TimbrezaTIME VISIT/
INSPECTION COMPLETED:
01:18 PM
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On 5/14/2024, Licensing Program Analyst (LPA) M. Medina conducted an Annual Required Inspection. LPA arrived, introduced self and stated purpose of visit. LPA met with Administrator, Jhosan Timbreza.

Residents attend day program Monday through Friday 7:00 AM - 2:30 PM. No residents were present at time of inspection.

Facility tour conducted both inside and outside with Administrator. Resident bedrooms observed to have all required furnishings. All common areas have adequate seating and lighting available. Resident bathrooms toured, all fixtures observed operational at time of inspection. Water temperature measured at 106 degrees F. Facility kitchen toured, all knives observed to be locked and secured. Facility observed to have adequate food supply for residents in care.

Smoke detectors and carbon monoxide detectors observed operational during today's inspection. Fire Extinguishers present with a service date of Fire Extinguisher has a service date of 7/31/2023. Last fire drill conducted 4/17/2024 according to facility records. All chemicals observed to be locked and secured in cabinet. Medications are locked and secured in kitchen area. Medications observed to have original labels and to be administered as prescribed.

Outside area & garage area toured. All exits open free of obstruction. No hazards observed during inspection.

LPA received copies of LIC 308, LIC 500, LIC 610D, LIC 9020, Administrator Certificate, First Aid training, and staff schedule during inspection.

No deficiencies observed during today's visit.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE: DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/14/2024
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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