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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 392700644
Report Date: 12/15/2025
Date Signed: 12/15/2025 03:14:12 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/12/2025 and conducted by Evaluator Albert Johnson
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20250912144135
FACILITY NAME:SUMMERFIELD OF STOCKTONFACILITY NUMBER:
392700644
ADMINISTRATOR:ANDERSON, LESLIEFACILITY TYPE:
740
ADDRESS:3530 DEER PARK DRIVETELEPHONE:
(209) 951-6500
CITY:STOCKTONSTATE: CAZIP CODE:
95219
CAPACITY:60CENSUS: 52DATE:
12/15/2025
UNANNOUNCEDTIME BEGAN:
01:39 PM
MET WITH:Leslie AndersonTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff did not ensure resident was properly treated for scabies
Staff did not seek timely medical care for resident
Staff are not ensuring residents hygiene needs are met
INVESTIGATION FINDINGS:
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Allegations: Staff did not ensure resident was properly treated for scabies/
Staff did not seek timely medical care for resident

Based on records reviewed the facility was made aware in June of 2025 that R1 was having some type of skin irritation and the facility contacted the family. R1's family made an appointment with R1's primary care physician (pcp) who looked at R1's skin and prescribed topical medication (No skin test). On July 10th of 2025, the facility requested and held a video appointment with R1's pcp, because R1 was not getting better. R1's pcp ordered a second round of topical medication.
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Albert Johnson
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2025
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 27-AS-20250912144135
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: SUMMERFIELD OF STOCKTON
FACILITY NUMBER: 392700644
VISIT DATE: 12/15/2025
NARRATIVE
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On August 15th of 2025, R1 was taken to an appointment for swelling of face and eyes and received a diagnosis of an adverse reaction to medication and not Scabies. R1 never received a diagnosis of Scabies. The facility provide R1 with medical care on several occasions and attempted to address the alleged scabies outbreak for R1.


Allegation: Staff are not ensuring residents hygiene needs are met. LPA was able to review assistance of daily living schedule for showering, toileting, dressing and meal reminders and confirmed that the action items on the services were being documented, however, the department is not able to confirm by observation that all action items were completed daily or weekly.

The complaint is Unsubstantiated.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Albert Johnson
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2