515002613-10-15-2025-59-AS-TORZ-DMMSUE-20251020141101

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 515002613
Report Date: 10/15/2025
Date Signed: 10/15/2025 01:36:01 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH 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
08/15/2025 and conducted by Evaluator Kerry Hiratsuka

COMPLAINT CONTROL NUMBER: 59-AS-20250815134452

FACILITY NAME:	SUMMERFIELD SENIOR LIVING		FACILITY NUMBER:	515002613
ADMINISTRATOR:	GILDEA, CHANTEL		FACILITY TYPE:	740
ADDRESS:	1224 PLUMAS STREET		TELEPHONE:	(530) 755-3850
CITY:	YUBA CITY	STATE: CA	ZIP CODE:	95991
CAPACITY:	99	CENSUS: 69	DATE:	10/15/2025
		UNANNOUNCED	TIME BEGAN:	01:10 PM
MET WITH:	Chantel Gildea		TIME COMPLETED:	01:40 PM

ALLEGATION(S):

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Staff do not have appropriate emergency response training.

INVESTIGATION FINDINGS:

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Licensing Program Analyst Hiratsuka, conducted this unannounced complaint visit to deliver the results of the allegation above.

LPA interved staff. All interviews state the caregivers and other staff are to get a med tech to assess the residents in an emergency and then one will call 911, get any paperwork to send with the resident, and the caregiver or facility staff who found the resident will stay with the resident until emergency services arrive. If there is an immediate danger any staff person who finds a resident will call 911 directly and then call for a med tech if the staff person has a phone readily available.

Based on information above, the department concluded that the allegations are Unfounded. A finding that an allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis.

no deficiencies cited

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Kerry Hiratsuka
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2025

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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