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Inspection visit

Follow-up on corrections

SUMMER SPRINGS BOARD & CARELicense 1572042212 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 03/20/2026 Licensing Program Analyst arrived at the facility to complete an unannounced Case Management visit. LPA met with Administrator, Soccorro "Ann" Telmo, explained reason for visit and was permitted entry into the facility. LPA completed a tour of the facility inside and out. A health and safety check was completed on residents in care. 6 residents present during todays visit. There are currently no residents who receive hospice services or are bedridden. This case management is being conducted from a complaint visit occurring on 2/21/26. During this visit LPA observed a conversation between R1 and S1. S1 was informed by R1 that they "overdosed" on medication. Interview with S1 disclosed that family of R1 picked up a prescription (Metformin 500 mg tablet 2x daily by mouth) from the pharmacy and provided the medication to R1. S1 stated they were unaware family already provided the medication to R1. S1 provided R1 the medication a second time. R1 received 1000 mg in am instead of 2x's daily as prescribed. Review of incident reports for the facility does not disclose there was a medication error on this date for R1. During the annual visit being conducted on 3/20/26, a medication audit was completed. The audit disclosed that R2 also has medication errors. Review of medication record disclosed R2 has prescription for the following medications: 1) Carvedilol 3.125 mg tablets 2x daily. Prescription states that medication is to be held if BP is<110/HR<60. Review of record does not show that R2 had their BP taken on 3/8/26 and 3/12/26. 2) Sertraline 25 mg tablets 1x daily. Medication started on 3/7/26. Review of records/medication show the prescription is missing 1 tablet. S1 and Administrator is unaware what occurred. 3) Tramadol HCL 50 mg tablet as needed for pain 3x daily. Medication started on 2/26/26. Review of record/medication shows 3 tablets are missing. 4) Lisinopril 2.5 mg tablets 1x daily. Medication started 2/16/26. Medication audit show medication ran out on 3/17/26 and was not provided to R2 on 3/19/26 and 3/20/26 and a refill has not been received. Deficiencies cited per California Code of Regulations, Title 22, deficiencies are being cited on the attached 809D. If not corrected, the violation with have a direct risk to the health, safety and/or personal rights of residents in care. Exit interview was conducted with Administrator, Ann. A plan of correction was developed by Administrator and reviewed by LPA. A copy of this report, deficiencies, and appeal rights were discussed and provided to Administrator.

Citations

6 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.

  • 87309(a)(1)Type B

    Store disinfectants separately from food supplies

    Based on LPA observation, the licensee did not comply with the section cited above in that roach baits were observed under kitchen counter stored with food. This poses a potential health, safety or personal rights risk to persons in care.

  • 87465(h)(5)Type B

    Keep prescriptions in original containers

    Based on LPA observation, the licensee did not comply with the section cited above in that medications are being pre-poured and not being stored in the original received container.Medications are being transferred between the containers for the day and stored in the kitchen cabinet. This poses a potential health, safety or personal rights risk to persons in care.

  • 87506(b)Type B

    Resident record must include minimum required items

    Based on records reviewed, the licensee did not comply with the section cited above in that Facility is not properly safeguarding resident cash. Facility has a "facility account" where all resident funds go into. Facility is not completing functional capabilities for residents in care. Pre-admission appraisals are not being completed. This poses a potential health, safety or personal rights risk to persons in care.

  • 87555(b)(23)Type B

    Rapid-growth perishable foods must be covered

    Based on LPA observation, the licensee did not comply with the section cited above in that food in the garage freezer was not stored properly and was undated. Food in the kitchen refrigerator/freezer was not stored properly and undated. This poses a potential health, safety or personal rights risk to persons in care.

  • 87211(a)(1)Type B

    Report specified resident events within seven days

    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... This requirement was not met as evidence by: record review of special incident reports submitted to the Department. Incident reports were not reported for medication errors with R1 and R2. This poses a potential health safety and or person rights risk to residents in care.

  • 87465(a)(4)Type A

    Assist residents with self-administered medication

    87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidence by: records reviewed and interviews completed. The licensee did not comply with the section cited above in that R1 was provided medication 2x in the am instead of 2x daily as prescribed and medication audit for R2 disclosed 4 medication errors. 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 March 20, 2026 inspection of SUMMER SPRINGS BOARD & CARE?

This was an other inspection of SUMMER SPRINGS BOARD & CARE on March 20, 2026. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to SUMMER SPRINGS BOARD & CARE on March 20, 2026?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "Based on LPA observation, the licensee did not comply with the section cited above in that roach baits were observed und..."

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.