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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157203361
Report Date: 02/21/2025
Date Signed: 02/21/2025 12:02:26 PM

Document Has Been Signed on 02/21/2025 12:02 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 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:
02/21/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:20 AM
MET WITH:Jhosan TimbrezaTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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On 2/21/2025, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Case Management visit. LPA introduced self, stated purpose of visit, and allowed entrance by Administrator, Jhosan Timbreza.

LPA conducted visit to follow up on an incident report that was submitted to this department. The self-reported incident for R1 occurred on 12/18/24.

LPA reviewed resident (R1) file and received copies of hospital discharge paperwork and follow up visits for podiatrist appointments.

No deficiencies cited during visit.

Exit interview conducted and a copy of this report provided for facility records.
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE: DATE: 02/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/21/2025
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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