157204221-10-2-2020-24-AS-AXIG-BU4TN6-20201005145213

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 157204221
Report Date: 09/22/2020
Date Signed: 10/02/2020 09:29:35 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
06/02/2020 and conducted by Evaluator David Ayers

COMPLAINT CONTROL NUMBER: 24-AS-20200602083047

FACILITY NAME:	SUMMER SPRINGS BOARD & CARE		FACILITY NUMBER:	157204221
ADMINISTRATOR:	SOCORRO TELMO		FACILITY TYPE:	740
ADDRESS:	6112 SUMMER SPRINGS DRIVE		TELEPHONE:	(661) 246-8702
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93313
CAPACITY:	6	CENSUS: 5	DATE:	09/22/2020
		UNANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	Socorro Telmo- Administrator		TIME COMPLETED:	02:10 PM

ALLEGATION(S):

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9

Staff yell at the residents
Facility staff failed to treat residents with dignity and respect
Facility staff failed to return resident's personal belongings

INVESTIGATION FINDINGS:

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On this date, Licensing Program Analyst (LPA) David Ayers contacted the facility to deliver findings for a complaint investigation via telephone due to COVID-19 pre-cautionary measures. LPA identified himself and discussed the purpose of the call and the elements of the findings with Administrator Socorro Telmo.

During the course of the investigation, the Department conducted interviews and record reviews. During interviews, the Administrator and Staff 1(S1) stated that staff do not yell at or mistreat residents. The Administrator stated that facility staff do speak loudly in order to be heard by residents who have hearing loss. The licensee did replace personal belongings of Resident1(R1), which R1 had been unable to locate, on 6/9/2020.

Based off of interviews and documentation, the above allegations are unsubstantiated. Exit interview conducted via telephone and a copy of this report provided to licensee Socorro Telmo via email. A read receipt confirms the licensee receives these documents.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Andy Xiong	TELEPHONE: (559) 650-7904
LICENSING EVALUATOR NAME: David Ayers	TELEPHONE: (559) 650-7925
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2020

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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