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Inspection visit

Office review

SUMMERFIELD OF FRESNOLicense 107208983
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

On this date, an office meeting was conducted to discuss concerns identified by the Department, the operations of the facility, and the number of complaints received for Summerfield of Fresno. Present during the meeting were: Brenda White, Regional Manager See Moua, Licensing Program Manager Mary Garza, Licensing Program Analyst Dan Gormley, Regional VP of Operations newly hired Executive Director/Administrator, effective 8/4/25 Steve Kregel, COO/Owners On 2/12/25, a Non-compliance meeting (NCC) was conducted to discuss the citations issued by the Department. At this time, issues regarding care and supervision, meeting resident’s personal and hygiene needs, safe guarding resident’s personal belongings, ensuring that hazardous items and materials were inaccessible, and staff training were discussed. The Department also addressed concerns related to Food Services, staff and resident’s records, staffing, and seeking timely medical attention. During the NCC, the facility representatives provided plan of corrections to the Department to address the issues. It was stated that the facility had hired a new Administrator/Executive Director and LVN who would address these issues. CONT... CONT... Since the NCC, in the span of 6 months, the Department received 14 complaints. The complaints alleged concerns related to care and supervision, staffing, resident’s hygiene, a Scabies outbreak, staff training, and food. In addition, case management deficiencies were issued for: Reporting Requirements, Fire Clearance with Civil Penalty, and Reappraisals. During today’s meeting, findings were delivered for complaints. Allegations where the preponderance of evidence were met were Substantiated. Civil penalties were issued. During the meeting, the facility representatives were asked to provide Proof of Corrections for the deficiencies cited and addressed the concerns observed by the LPA. The concerns were: lack of management oversight, staffing, staff accountability, Executive Director/Administrator’s Qualifications and Duties to be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility. COO and VP of Operations stated former Administrator/ED Rob and LVN Gabe wasn’t transparent and did not communicate issues. Proof of corrections provided were: The facility will submit a plan regarding the proof of corrections below by 8/20/25 – 1. Care and Supervision: Hygiene Needs/Incontinence Care 2. Resident’s Files and Re-assessment 3. Staff Training 4. Food 5. Buildings and Grounds -Regarding the Scabies: Local CDPH was contacted and are following Infection Control, Clinical Oversight Nurse by Allen Flores is coming in, skin checks will be done -Staffing and Communicate with Families – townhall meeting with resident’s families, -Accountability and Administrator Qualifications – Leadership member will work past regular hours, ED stated work hours as reflected on the LIC 500, Hired outside service for Satisfaction Surveys effective July 2025 -Implement Stand up and Stand down -Implement Communications log The facility was informed that at this time, the Department will be seeking appropriate Administrative Actions. An exit interview was conducted and appeal rights were provide for citations issued for the complaints.

Citations

5 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.

  • 87468.1(a)(8)Type B

    Regular representative updates on care

    87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (8) To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs. This requirement was not met as evidence by: LPA observations, interviews conducted and records reviewed. The licensee did not comply with the section cited above in that there is verified outbreak and family was not notified. This poses a potential health, safety and or personal rights risk to residents in care.

  • 8711(a)Type A

    87411 Personnel Requirements - GeneralFacility 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 by: LPA observations and interviews conducted. The licensee did not comply with the section cited above in that facility is not meeting residents incontience needs, served frozen food, and night staff was sleeping during a working shift. This poses an immediate health, safety and or personal rights risk to residents in care.

  • 87303(a)Type B

    Maintain facility in clean, safe, sanitary condition

    87303 Maintenance and Operationa) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidence by LPA observation, interviews conducted and records reviewed. The licensee did not comply with the section cited above in that the facility had on overwhelming odor of incontinence during multiple visits, observation of residents room having feces on the wall and dirty laundry pilled in bathrooms. This poses a potential health, safety and or personal rights risk to residents in care.

  • 87405(a)Type B

    Certified administrator requirements and substitute coverage

    87405 Administrator - Qualifications and Duties(a) All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person. The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility as specified in this section... This requirement was not met as evidence by LPA observation, interviews conducted and records reviewed. The licensee did not comply with the section cited above in that Administrator did not respond to resident representives in a timely manner and was not at the facility an appropriate amount of time. This poses a potential health, safety and or personal rights risk to residents in care.

    Read full inspector narrative
  • 87468.1(a)Type B

    Residents in all facilities must have rights

    87468.1 Personal Rights of Residents in All Facilities(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:... This requirement was not met as evidence by LPA observation, interviews conducted and records reviewed. The licensee did not comply with the section cited above in facility staff did not prevent incidents between residents. This poses a potential health, safety and or personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 6, 2025 inspection of SUMMERFIELD OF FRESNO?

This was an other inspection of SUMMERFIELD OF FRESNO on August 6, 2025. The inspection found no deficiencies and no citations were issued.

Were any citations issued to SUMMERFIELD OF FRESNO on August 6, 2025?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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.