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Inspection visit

Complaint

SUMMERFIELD OF FRESNOLicense 1072089832 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On this date, Licensing Program Analyst(LPA) D. Ayers arrived at the facility unannounced to deliver complaint findings. LPA met with Executive Director Jennifer Fowler and announced the purpose of the visit. During the course of the investigation, the Department conducted interviews, reviewed records, and conducted facility inspections. During medication audit, LPA observed multiple errors and omissions on the medication administration records for three residents. Upon review of facility bathing record, LPA observed that not all residents were receiving their agreed upon schedule of showers and hygiene care. Multiple staff members stated that residents miss their showers due to insufficient staffing. Since June 2021, multiple residents at the facility have sustained pressure injuries of various degrees and sizes. Staff members have stated that residents are not being properly cared for and turned in their beds due to lack of communication and insufficient staffing. See attached 9099D for citations issued in accordance with California Code of Regulations Title 22. A copy of this report and appeal rights were provided to the Licensee via email. Exit interview conducted.

Citations

4 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87464(f)(4)Type B

    Personal assistance and care for required daily activities

    87646(f)(4) Basic services shall at a minimum include: Personal assistance and care as needed by the resident…with those activities of daily living such as dressing, eating, bathing…This requirement was not met as evidenced by: Based on records reviewed and interviews, facility failed to provide showers and grooming for at least 6 residents, which poses potential Health & Safety risk to the residents in care.

  • 87465(c)(2)Type A

    Give PRN medication by physician order

    87465(c)(2) Incidental Medical and Dental Care: Once ordered by the physician the medication is given according to the physician's directions. This was not met as evidenced by: Based on records reviewed and observation, facility failed to provide medication for 3 residents, which poses an immediate Health & Safety risk to the residents in care.

  • 87411(a)Type A

    Facility personnel sufficiency and competence

    87411(a) Personnel Requirements - General: Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by: Based on records review and interviews, Resident 1(R1) eloped from the facility unobserved on 6/24/2021. Based on records reviewed and observation, facility failed to provide supervision to 1 out of 45 residents, which poses an immediate Health & Safety risk to the residents in care.

  • 87303(a)Type B

    Maintain facility in clean, safe, sanitary condition

    87303 Maintenance and Operation (a):The facility shall be clean, safe, sanitary and in good repair at all times. This requirement was not met as evidenced by: Based on interviews and observation, the facility failed to keep the clean and sanitary in common areas and at least 1 bedroom, which poses potential Health & Safety risk to the residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 20, 2021 inspection of SUMMERFIELD OF FRESNO?

This was a complaint inspection of SUMMERFIELD OF FRESNO on September 20, 2021. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to SUMMERFIELD OF FRESNO on September 20, 2021?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "87646(f)(4) Basic services shall at a minimum include: Personal assistance and care as needed by the resident…with those..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.