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Inspection visit

Complaint

SUMMERFIELD OF FRESNOLicense 1072089831 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 2/24/25 Licensing Program Analyst (LPA) M. Garza completed an unannounced complaint visit. LPA met with Business Office Manager, Bryant Ward, explained reason for visit and was permitted entry into the facility. Executive Director, Sheree Addison was contacted and arrived some time later. LPA completed a tour of the facility inside and out. A health and safety check was completed on residents in care. Residents observed in common areas, hallways and in rooms. During visit LPA completed interviews and reviewed documentation (staff schedule, resident roster, needs and services plan, pre-placement appraisal, physicians report and charting notes). Charting notes documeted resident was found outside near facility sign on 7/25/25. On 8/2/25 resident exited a gate and was found by the street. Interviews with staff disclosed that resident was found in the parking lot walking and was returned to the facility. Resident medical assessment dated 04/17/25 indicated the resident had wandering behavior and was not allowed to leave the community unsupervised. The allegation above has met the preponderance of evidence standard. The allegation is SUBSTANTIATED. Deficiency cited per California Code of Regulations, Title 22 on attached 9099D. If not corrected, the deficiencies could have a direct impact to residents in care. Exit interview completed with Executive Director, Sheree. A plan of correction was developed by ED, Sheree and reviewed by LPA. A copy of this report, deficiencies and appeal rights provided.

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.

  • 87202(a)Type A

    Maintain fire clearance before retaining specified persons

    87202 Fire Clearance (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. This requirement was not met as evidence by: LPA observations. The licensee did not comply with the section cited above in that all facility gates were observed with pads locks on them preventing exiting. Review of records indicated the facility did not provide the Department with the proper paperwork to get an appropriate fire clearance approval. This poses an immediate health safety and or personal rights risk to residents in care. *****Immediate civil penalty in the amount of $500 assessed.*****

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  • 87211(a)(1)(D)Type B

    87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below…(D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidence by: review of records. The licensee did not comply with the section cited above in that the facility did not report R1 eloping from the facility on 7/25/25 and 8/2/25. This poses a potential health safety and or personal rights risk to residents in care.

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  • 87705(f)(5)Type A

    87705 Care of Persons with Dementia (f) Licensees that lock exterior doors or perimeter fence gates shall meet the following initial and continuing requirements: (5) Interior and exterior space shall be available on the facility premises to permit residents with dementia to wander freely and safely. This requirement was not met as evidence by: LPA observation. The licensee did not comply in the section cited above in that Delayed egress door in Garden kitchenette took 38 seconds to open from inside the kitchenette to the outside courtyard area and would not open from the outside to the inside of the facility. This door did not open in the required time posing a harm for residents in care.

  • 87411(a)Type A

    Facility personnel sufficiency and competence

    87411 Personnel Requirements– General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required… This requirement was not met as evidence by: review of records and interviews completed. The licensee did not comply with the section cited above in that R1 eloped from the facility on 7/25/25 and 8/2/25 without staff supervision. This poses an immediate health safety and or personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the February 24, 2026 inspection of SUMMERFIELD OF FRESNO?

This was a complaint inspection of SUMMERFIELD OF FRESNO on February 24, 2026. 1 citation were issued: 1 Type A (serious).

Were any citations issued to SUMMERFIELD OF FRESNO on February 24, 2026?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87202 Fire Clearance (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county..."

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.