Inspection Reports for Summerfield Memory Care of Roseville
110 Sterling Ct, Roseville, CA 95661, United States, CA, 95661
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated. The most recent report from October 28, 2025, had no deficiencies but noted an overdue license fee balance of $10,860.00. Earlier reports identified some issues with medication administration, resident care related to falls, and missing documentation for staff and residents with dementia, with one substantiated complaint involving neglect due to failure to reassess a resident’s fall risk. There were also past findings of mold and kitchen equipment disrepair that posed health risks, which have not recurred in recent inspections. Overall, the facility’s compliance appears to have improved over time, with no recent health or safety violations cited.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Census: 36
Capacity: 64
Deficiencies: 0
Oct 28, 2025
Visit Reason
The visit was conducted as a Case Management - Other unannounced inspection to review the facility's licensing status and fee payment.
Findings
The facility was found to have an overdue license fee balance of $10,860.00 billed on 02/05/2025. No deficiencies were cited during the visit.
Report Facts
Overdue license fee amount: 10860
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Graham Gunby | Licensing Program Analyst | Conducted the visit and explained the purpose of the inspection |
| Heidi Charette | Executive Director | Met with Licensing Program Analyst during the visit |
| May Tate | Administrator/Director | Named as facility administrator/director |
| Troy Ordonez | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 39
Capacity: 64
Deficiencies: 1
May 7, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 2025-02-04 regarding resident falls, fractures, and issues related to care and communication at Summerfield of Roseville.
Findings
The investigation substantiated neglect related to multiple unwitnessed falls of a resident due to staff neglect and failure to reassess the resident's fall risk, resulting in a cited deficiency. Another allegation of neglect related to a resident's fracture was unsubstantiated as staff supervision was deemed appropriate. Allegations regarding failure to provide the resident's responsible party with detailed explanations and itemization of charges at a new level of care were found to be unfounded.
Complaint Details
The complaint investigation was substantiated for neglect/lack of care and supervision related to multiple unwitnessed falls of resident R1 due to staff neglect. The allegation of neglect related to a fracture was unsubstantiated. Allegations regarding failure to provide responsible party with explanations and itemization of charges were unfounded.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to reassess resident R1 after sustaining multiple falls, posing an immediate health and safety risk to residents in care. | Type A |
Report Facts
Resident falls: 9
Facility capacity: 64
Resident census: 39
Deficiency due date: May 8, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lavinia Muscan | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Talwinder Bains | Licensing Program Analyst | Assisted in delivering complaint findings during the investigation |
| Laura Munoz | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Annual Inspection
Census: 39
Capacity: 64
Deficiencies: 0
May 7, 2025
Visit Reason
The visit was conducted as a required unannounced annual inspection to evaluate compliance with licensing regulations.
Findings
During the inspection, no health or safety violations were observed. Five resident and five staff files were reviewed and found complete. The facility's emergency preparedness and fire safety measures were verified to be in compliance.
Report Facts
Residents reviewed: 5
Staff files reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jane Scaparro | Marketing Director | Met with Licensing Program Analysts during inspection |
| Lavinia Muscan | Licensing Program Analyst | Conducted the annual inspection |
| Talwinder Bains | Licensing Program Analyst | Conducted the annual inspection |
| Laura Munoz | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Census: 49
Capacity: 64
Deficiencies: 0
Sep 13, 2024
Visit Reason
The visit was an unannounced case management visit to confirm orders for immediate exclusion of an individual from all facilities.
Findings
The facility was informed of an immediate exclusion order effective 09/13/2024, requiring removal of the individual (S1) from any contact with clients and prohibiting their physical presence in the facility.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cassie Yang | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Jane Scaparro | Marketing Director | Spoke with Licensing Program Analyst regarding the immediate exclusion order. |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 52
Capacity: 64
Deficiencies: 2
Apr 24, 2024
Visit Reason
The visit was conducted as the required annual unannounced inspection to evaluate compliance with regulatory standards.
Findings
The inspection found deficiencies related to personnel records and care of persons with dementia, including missing health screening and TB records for staff and outdated physician reports for residents with dementia. No health or safety violations were observed during the facility tour.
Deficiencies (2)
| Description |
|---|
| Health screening and TB is missing in 1 out of 5 staff files, and 5 out of 5 staff files were missing a job application. |
| 3 out of 5 residents with dementia did not have updated physician's reports in their files. |
Report Facts
Staff files missing job application: 5
Staff files missing health screening and TB: 1
Residents without updated physician's report: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| May Tate | Administrator | Met with Licensing Program Analysts during inspection and named in report |
| Lavinia Muscan | Licensing Program Analyst | Conducted inspection and authored report |
| Talwinder Bains | Licensing Program Analyst | Conducted inspection |
| Laura Munoz | Licensing Program Manager | Named as supervisor and licensing program manager |
Inspection Report
Complaint Investigation
Census: 44
Capacity: 64
Deficiencies: 2
May 31, 2023
Visit Reason
The visit was an unannounced follow-up on a Case Management - Incident visit conducted on 05/04/2023, related to a complaint investigation regarding medication administration errors for resident R1.
Findings
The investigation found that the facility did not ensure medications were given according to physician directions. Resident R1's medications were found to be full and unopened, indicating they were not administered as prescribed. Additionally, R1 did not have an updated medication assessment, posing potential health and safety risks.
Complaint Details
The complaint investigation focused on medication errors for resident R1, diagnosed with dementia and unable to self-administer medications. The facility was found to have not administered prescribed medications and lacked updated medication assessments. The complaint was substantiated based on observations and record reviews.
Severity Breakdown
Type A: 1
Type B: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility did not ensure medication was given according to physician directions; medications for R1 were found full and not given. | Type A |
| Facility did not comply with requirement for annual medical assessment and reassessment of resident's dementia care needs; R1 lacked updated medication assessment. | Type B |
Report Facts
Capacity: 64
Census: 44
Deficiencies cited: 2
Plan of Correction Due Dates: Type A deficiency due date 06/01/2023, Type B deficiency due date 06/30/2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| May Tate | Administrator / Executive Director | Met with Licensing Program Analyst during inspection and involved in internal investigation of medication error |
| Sarena Keosavang | Licensing Program Analyst | Conducted the inspection and complaint investigation |
| Anthony Perez | Licensing Program Manager / Supervisor | Supervisor of the inspection and licensing evaluation |
Inspection Report
Complaint Investigation
Census: 41
Capacity: 64
Deficiencies: 0
May 4, 2023
Visit Reason
The visit was conducted as a Case Management - Incident investigation in response to a telephone call and incident report regarding a resident's eye drops not being administered, which allegedly caused vision loss.
Findings
The facility conducted an internal investigation, reviewed medication administration records, interviewed staff, and confirmed that eye drops were being given. The responsible party refilled the eye drops after the incident. No deficiencies were cited at this time.
Complaint Details
The complaint alleged that staff failed to administer eye drops to a resident, causing vision loss in the left eye. The facility investigated and reported the incident to the licensing agency and local ombudsman. The complaint was not substantiated with deficiencies.
Report Facts
Incident date: Apr 13, 2023
Date eye drops refilled: Apr 18, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| May Tate | Executive Director | Met with Licensing Program Analyst during the visit and involved in the investigation |
| Sarena Keosavang | Licensing Program Analyst | Conducted the case management incident visit |
| Anthony Perez | Licensing Program Manager | Named in the report header |
Inspection Report
Annual Inspection
Census: 39
Capacity: 64
Deficiencies: 1
Apr 12, 2023
Visit Reason
The inspection was an unannounced Required - 1 Year inspection conducted to ensure compliance with health and safety regulations for residents in care.
Findings
The inspection found that the facility generally maintained a safe and sanitary environment with proper medication storage and staff training. However, deficiencies were noted related to the lack of updated annual medical assessments for 2 out of 5 residents with dementia.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Two out of five residents with dementia did not have updated physician's reports in their files, posing a potential health, safety, or personal rights risk. | Type B |
Report Facts
Residents reviewed: 5
Staff files reviewed: 5
Residents with outdated physician's reports: 2
Plan of Correction due date: May 17, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sarena Keosavang | Licensing Program Analyst | Conducted the inspection and authored the report |
| Anthony Perez | Licensing Program Manager | Supervisor of the inspection |
| Jane Scaparro | Community Relations Director | Facility representative who met with the Licensing Program Analyst during the inspection |
Inspection Report
Census: 39
Capacity: 64
Deficiencies: 0
Apr 12, 2023
Visit Reason
The visit was an unannounced Case Management - Incident inspection to follow up on two unusual incident/injury reports submitted regarding missed medication administration for two residents.
Findings
The inspection found that residents had missed medications due to refill issues, the facility notified physicians and observed residents for 48 hours with no deficiencies cited. The facility plans mandatory training for medication technicians and is switching to an online medication tracking system.
Report Facts
Incident report submission date: Mar 31, 2023
Incident date: Mar 28, 2023
Observation period: 48
Training date: Apr 5, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jane Scapparo | Community Relations Director | Met with Licensing Program Analyst during inspection and provided information about incident reports |
| Sarena Keosavang | Licensing Program Analyst | Conducted the inspection visit |
| Anthony Perez | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 39
Capacity: 64
Deficiencies: 3
Feb 3, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2022-11-04 regarding a resident being forced to take medication against her will and being restrained.
Findings
The complaint that a resident was forced to take medication against her will and restrained was substantiated based on interviews and documentation, including statements from staff and review of medical records. The facility lacked proper medication training records for some staff. Another complaint that a resident was forced to eat against her will was unsubstantiated after investigation and interviews.
Complaint Details
The complaint investigation was substantiated for allegations that a resident was forced to take medication against her will and restrained. The complaint that a resident was forced to eat against her will was unsubstantiated.
Severity Breakdown
Type A: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Residents must be free from punishment, humiliation, intimidation, abuse, or other punitive actions such as physical restraint when assisting with medication; this was violated when three staff physically restrained a resident to administer medication. | Type A |
| A plan for incidental medical care must include respecting a resident's right to refuse medication; this was violated when staff forced a resident to take medication against her will. | Type A |
| Employees assisting residents with medication must complete 16 hours of training including hands-on shadowing; the facility lacked records of medication training and credentials for a staff member. | Type A |
Report Facts
Capacity: 64
Census: 39
Deficiencies cited: 3
Plan of Correction Due Date: Feb 10, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jasmine Juchniewicz | Resident Service Director | Named in relation to agreeing to conduct staff training on resident rights and medication refusal as part of plan of correction |
| Sarena Keosavang | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Anthony Perez | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 37
Capacity: 64
Deficiencies: 0
Jul 6, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2022-02-09 regarding emergency disaster plan adherence, locked facility gates, and maintenance of residents' rooms.
Findings
All allegations were found to be unsubstantiated or unfounded. The facility conducted fire drill training with some gaps in records, gates were locked but accessible in emergencies, the kitchen was properly maintained, and residents' rooms were generally well maintained with some exceptions noted during agency staff coverage.
Complaint Details
The complaint investigation addressed multiple allegations: staff not following the emergency disaster plan (unsubstantiated), facility gates locked to residents (unsubstantiated), residents' rooms not properly maintained (unsubstantiated), facility lacking an active administrator on premises (unfounded), and staff not properly maintaining the kitchen (unfounded). The complaint was ultimately unsubstantiated/unfounded.
Report Facts
Facility capacity: 64
Census: 37
Fire Drill Training dates: 9
Resident bedrooms toured: 5
Bathrooms toured: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sarena Keosavang | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jane Scapparo | Executive Director | Met with Licensing Program Analyst during investigation and provided information |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Jay Brown | Maintenance Director | Conducted fire drill training on fire safety topics |
| Rommel Aquino | Regional Support Staff | Interviewed regarding administrator certification and facility support |
Inspection Report
Complaint Investigation
Census: 39
Capacity: 64
Deficiencies: 2
Apr 20, 2022
Visit Reason
An unannounced complaint investigation was conducted following allegations of mold presence and kitchen equipment disrepair at the facility.
Findings
The investigation substantiated the allegations, finding mold on the kitchen ceiling and kitchen equipment such as the ice machine, mixer, and oven in disrepair, posing health and safety risks to residents.
Complaint Details
The complaint was substantiated based on the preponderance of evidence standard.
Severity Breakdown
Type A: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility kitchen is not free from mold which poses an immediate health and safety risk to residents in care. | Type A |
| Kitchen equipment such as ice machine, mixer, and oven is in disrepair. | Type A |
Report Facts
Capacity: 64
Census: 39
Deficiencies cited: 2
Plan of Correction Due Date: Apr 21, 2022
Plan of Correction Due Date: Apr 27, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sarena Keosavang | Licensing Program Analyst | Conducted the complaint investigation |
| Jane Scaparro | Executive Director | Met with Licensing Program Analyst during investigation and agreed to plan of corrections |
| Anthony Perez | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 38
Capacity: 64
Deficiencies: 0
Mar 16, 2022
Visit Reason
The inspection visit was conducted as an unannounced complaint investigation following a complaint received on 10/29/2021 alleging that staff spoke inappropriately to a resident in care.
Findings
The investigation included interviews and review of relevant documents. The allegation that staff spoke inappropriately to a resident was found to be unsubstantiated due to lack of preponderance of evidence. The facility conducted an internal investigation and took corrective actions including discontinuing use of the implicated agency staff.
Complaint Details
The complaint alleged that staff spoke inappropriately to a resident. The allegation was investigated and found to be unsubstantiated. The facility's internal investigation revealed that two agency caregivers denied the allegation, and the agency stopped sending one caregiver to the facility. The facility also implemented in-service training for new agency staff on dementia residents.
Report Facts
Complaint received date: Oct 29, 2021
Capacity: 64
Census: 38
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sarena Keosavang | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Jane Scaparro | Executive Director | Facility representative met during the investigation |
| Snehal Lata | Resident Care Director | Conducted internal investigation at the facility |
Inspection Report
Annual Inspection
Census: 38
Capacity: 64
Deficiencies: 0
Feb 15, 2022
Visit Reason
The inspection was an unannounced Annual/Random Inspection focusing on the infection control domain to ensure compliance with health and safety standards.
Findings
The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited as a result of the inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jane Scaparro | Executive Director | Met with Licensing Program Analyst during inspection and involved in infection control domain review. |
| Sarena Keosavang | Licensing Program Analyst | Conducted the Annual/Random Inspection and infection control domain evaluation. |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 37
Capacity: 64
Deficiencies: 0
Jun 2, 2021
Visit Reason
The inspection was a required unannounced 1-year inspection focusing on the infection control domain, conducted to ensure health and safety compliance at the facility.
Findings
The facility was toured including common areas and resident rooms, with no immediate health, safety, or personal rights violations observed. The facility was found to be in substantial compliance with infection control requirements and no deficiencies were cited.
Report Facts
Resident bedrooms toured: 3
Bathrooms toured: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jane Scaparro | Director of Marketing | Met with Licensing Program Analyst during inspection |
| Jacob Williams | Licensing Program Analyst | Conducted the inspection |
| Anthony Perez | Licensing Program Manager | Named in report header |
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