Inspection Reports for Summerfield Memory Care of Stockton
3530 Deer Park Dr, Stockton, CA 95219, United States, CA, 95219
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, with the facility generally clean, odor-free, and in good repair. Several complaint investigations were unsubstantiated, including allegations of inadequate supervision and resident assaults. Some deficiencies were noted over time, mainly involving documentation issues such as missing signatures on service plans, late incident reporting, and minor maintenance needs like a fire door replacement. The most serious findings occurred in early 2023 and 2022, including immediate health and safety risks related to staffing, service plan updates, and medication administration, but these were addressed through follow-ups and plans of correction. The most recent report from September 5, 2025, had no deficiencies, indicating improvement in compliance.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Census: 58
Capacity: 60
Deficiencies: 0
Sep 5, 2025
Visit Reason
The inspection visit was a Case Management visit conducted due to a possible outbreak of scabies at the facility.
Findings
No deficiencies were cited during the visit. Advisories were given regarding accessibility of hygiene items and maintenance of breathing treatment equipment.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the Case Management visit related to the possible scabies outbreak. |
Inspection Report
Census: 60
Capacity: 60
Deficiencies: 0
Jun 30, 2025
Visit Reason
The visit was an unannounced health, safety, and welfare case management inspection conducted by Licensing Program Analyst Albert Johnson to review incident reports, fall prevention program, and discharge plans for residents.
Findings
The inspection found that 2 out of 5 incident reports were reported late, and 2 of 14 incident reports were submitted beyond the required seven-day reporting timeframe. Advisories were given as a result of these findings.
Report Facts
Incident reports reviewed: 5
Incident reports reported late: 2
Incident reports submitted late to regional office: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the inspection and reviewed incident reports |
| Leslie Anderson | Administrator | Met with Licensing Program Analyst during inspection |
Inspection Report
Annual Inspection
Census: 54
Capacity: 60
Deficiencies: 2
Mar 18, 2025
Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with regulations at the assisted living facility.
Findings
The facility was found to be clean and odor-free with sufficient furniture, lighting, and food supplies. Minor maintenance issues were noted, including a fire door needing replacement and a dishwasher heater booster needing repair. No citations were issued.
Deficiencies (2)
| Description |
|---|
| Fire door located in the Ivy cottage is in need of replacement |
| Heater booster for the dishwasher in the main kitchen needs fixing |
Report Facts
Residents receiving hospice services: 12
Resident files reviewed: 12
Staff files reviewed: 6
Hot water temperature: 110.9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the annual inspection |
| Leslie Anderson | Administrator | Facility administrator met during inspection |
Inspection Report
Follow-Up
Census: 57
Capacity: 60
Deficiencies: 0
Oct 10, 2024
Visit Reason
The visit was an unannounced case management follow-up to deliver findings from an investigation regarding a resident's incident and to determine if there was any negligence.
Findings
The investigation found that the resident did not require a special diet, but staff took precautions by cutting up certain foods. The resident collapsed after eating, received emergency intervention, but was pronounced dead on scene. The facility was found to have provided the required duty of care and no further action was required.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the incident report case management follow-up visit. |
| Lisa Rios | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Census: 55
Capacity: 60
Deficiencies: 0
Aug 16, 2024
Visit Reason
Unannounced health, safety, and welfare visit of the clients in care conducted by Licensing Program Analyst Albert Johnson.
Findings
The facility was toured and inspected, including physical plant and posted signs. Residents appeared safe with no imminent health or safety concerns observed. No deficiencies were cited as a result of this inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the inspection and met with staff. |
| Leslie Anderson | Administrator | Named as facility administrator. |
Inspection Report
Follow-Up
Capacity: 60
Deficiencies: 0
Aug 13, 2024
Visit Reason
Licensing Program Analyst Albert Johnson conducted an unannounced case management visit to the facility to follow up on an incident involving a resident who choked on food and passed away.
Findings
The analyst reviewed the incident report, medical records, service plan, and food menu related to the incident. No citations were issued during this visit.
Report Facts
Facility capacity: 60
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the unannounced case management visit and reviewed incident-related documents |
| Leslie Anderson | Administrator | Facility administrator met during the visit |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 60
Deficiencies: 0
Aug 2, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that a resident assaulted another resident resulting in a questionable death.
Findings
The investigation found no evidence that staff neglect contributed to the altercation between the two residents. The incident was isolated, with no prior reports of aggression by the perpetrator, and two staff members were present at the time. The complaint was determined to be unsubstantiated.
Complaint Details
The complaint alleged that a resident assaulted another resident resulting in questionable death. The complaint was investigated and found to be unsubstantiated.
Report Facts
Capacity: 60
Census: 58
Estimated Days of Completion: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Leslie Anderson | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 60
Deficiencies: 0
May 14, 2024
Visit Reason
An unannounced case management visit was conducted to follow up on an incident involving a resident who had an unwitnessed fall resulting in a fractured hip.
Findings
The Licensing Program Analyst reviewed the resident's file, medical records related to the fall, and the service plan. The resident had a history of falls and was discharged to a skilled facility for rehabilitation after the incident, with plans to be reassessed for return.
Complaint Details
The visit was triggered by a special incident report dated 04/27/2024 regarding an unwitnessed fall of a resident resulting in a fractured hip. The resident's history of falls and precautions taken by the facility were noted. The resident was discharged for rehabilitation and scheduled for reassessment.
Report Facts
Facility capacity: 60
Resident census: 56
Incident date: Apr 27, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the unannounced case management visit and reviewed incident |
| Leslie Anderson | Administrator | Facility administrator met during the inspection |
Inspection Report
Census: 56
Capacity: 60
Deficiencies: 0
May 1, 2024
Visit Reason
An unannounced Case Management visit was conducted to follow up on multiple incidents involving the Stockton fire department.
Findings
The Licensing Program Analyst reviewed records and interviewed facility staff regarding incidents of falls and emergency service refusals. No deficiencies were cited during this visit.
Report Facts
Capacity: 60
Census: 56
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the unannounced Case Management visit and reviewed records |
| Leslie Anderson | Administrator | Interviewed during the visit regarding incidents and emergency services |
Inspection Report
Annual Inspection
Census: 53
Capacity: 60
Deficiencies: 0
Mar 7, 2024
Visit Reason
The visit was an unannounced annual inspection conducted to evaluate compliance with regulatory standards at the assisted living facility.
Findings
The facility was found to be clean, odor-free, and in good repair with sufficient furniture, lighting, and food supplies. Fire safety equipment was compliant, medications and toxins were securely stored, and staff files including criminal clearances were in order. No citations were issued.
Report Facts
Residents receiving hospice services: 10
Resident files reviewed: 10
Staff files reviewed: 5
Hot water temperature: 118.9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the annual inspection |
| Leslie Anderson | Administrator | Facility administrator |
Inspection Report
Census: 52
Capacity: 60
Deficiencies: 1
Oct 5, 2023
Visit Reason
The visit was a Case Management visit to address the Department's investigation into multiple incidents involving aggressive acts by residents on other residents and to review citations previously given to the facility.
Findings
The facility had appealed prior citations related to staffing and care of persons with dementia, which were granted and citations removed. However, a new citation was issued for employing an individual excluded for life from working in the facility, confirmed by records showing employment from October 21, 2022 to August 18, 2023.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The facility employed an individual that was excluded for life on or about June 5, 2018 and that individual has been working since October 21, 2022 to last day worked August 18, 2023. | Type A |
Report Facts
Capacity: 60
Census: 52
Civil penalty: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the Case Management visit and signed the report |
| Stephenie Doub | Licensing Program Manager | Supervisor overseeing the licensing evaluation |
| Leslie Anderson | Administrator | Facility administrator met during the visit |
Inspection Report
Complaint Investigation
Census: 53
Capacity: 60
Deficiencies: 0
Aug 17, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 08/01/2023 regarding inadequate supervision, untimely medical attention, and residents being left in soiled diapers.
Findings
The investigation found that the allegations were unsubstantiated. Residents were accounted for and supervised, medical attention was provided timely including calling 911 when needed, and no evidence supported that residents were left in soiled diapers for extended periods.
Complaint Details
The complaint involved three allegations: 1) staff not providing adequate supervision, 2) staff not providing medical attention in a timely manner, and 3) a resident being left in a soiled diaper for an extended time. The findings were unsubstantiated, meaning there was insufficient evidence to prove the alleged violations occurred.
Report Facts
Capacity: 60
Census: 53
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the complaint investigation |
| Stephenie Doub | Licensing Program Manager | Oversaw the complaint investigation |
| Leslie Anderson | Administrator | Facility administrator interviewed during investigation |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 60
Deficiencies: 3
Apr 7, 2023
Visit Reason
The inspection was a Case Management visit triggered by multiple incidents involving aggressive acts resulting in a death and injury, including a resident hitting another with a fire extinguisher.
Findings
The facility reduced staffing levels on all shifts, compromising resident safety. Incidents included assaults resulting in injury and death, with service plans not updated to address assaultive behaviors. Deficiencies were cited related to inadequate staffing and failure to update service plans, posing immediate health and safety risks.
Complaint Details
The visit was complaint-related due to incidents of aggression resulting in a death and injury. The incidents were reported to the Stockton Police Department and a Report of Suspected Dependent Adult/Elder Abuse was submitted. The department is evaluating the circumstances for additional civil penalties.
Severity Breakdown
Type A: 1
Type B: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to meet requirements for plan of operation addressing needs of residents with dementia, including notification procedures and safety measures, and inadequate direct care staffing. | Type A |
| Failure to arrange required meetings with residents, representatives, and facility staff regarding significant changes in resident condition and participation in decision making. | Type B |
| Service plans for residents R2 and R4 not updated to address assaultive behavior; missing signatures for R5's assessment. | Type B |
Report Facts
Staff reduction: 1
Staff reduction: 1
Census: 48
Total capacity: 60
POC due date: Apr 8, 2023
POC due date: Apr 21, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the Case Management visit and authored the report |
| Stephenie Doub | Licensing Program Manager | Supervisor overseeing the inspection |
| Leslie Anderson | Administrator | Facility administrator mentioned in the report |
Inspection Report
Annual Inspection
Census: 45
Capacity: 60
Deficiencies: 1
Jan 12, 2023
Visit Reason
Licensing Program Analyst Albert Johnson arrived unannounced to conduct an Annual inspection of the facility.
Findings
The facility was found to be clean, odor-free, and in good repair with sufficient furniture, lighting, and food supplies. Fire safety equipment was compliant, medications were securely stored, and staff files were complete with fingerprint clearances. However, all 10 resident service plans reviewed were missing required signatures from responsible parties or residents.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Missing signatures on all (10 of 10) service plans for residents reviewed, posing a potential safety risk. | Type B |
Report Facts
Deficiencies cited: 1
Plan of Correction due date: Jan 26, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the annual inspection and authored the report |
| Leslie Anderson | Administrator | Facility administrator responsible for providing signatures after meeting with families |
Inspection Report
Plan of Correction
Census: 44
Capacity: 60
Deficiencies: 0
Apr 14, 2022
Visit Reason
The visit was conducted as a Plan of Correction (POC) follow-up from an annual inspection to verify correction of previous deficiencies.
Findings
The Plan of Correction visit found that all previously cited deficiencies were corrected and cleared. POC letters were printed and an exit interview was conducted.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the Plan of Correction visit and met with staff. |
| Leslie Anderson | Administrator | Facility administrator met during the visit. |
| Stephenie Doub | Licensing Program Manager | Named in the report header. |
Inspection Report
Follow-Up
Census: 45
Capacity: 60
Deficiencies: 1
Mar 17, 2022
Visit Reason
Unannounced case management visit to follow up on clarification with the licensee regarding progress in change of ownership since the last request on 11/24/2021, to confirm current control of property, resident notification of changes, and any management company changes.
Findings
The facility failed to submit required documentation and information to the licensing agency by the specified deadlines, including ownership details, financial statements, personnel reports, and criminal record statements. This failure poses an immediate health and safety concern for residents in care.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to report any change in the chief corporate officer of the organization in writing within fifteen working days, including required documentation such as name, address, and fingerprint card. | Type A |
Report Facts
Capacity: 60
Census: 45
Deficiencies cited: 1
Plan of Correction Due Date: Mar 18, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the inspection and cited deficiencies |
| Leslie Anderson | Administrator | Facility administrator involved in the inspection and required to submit documentation |
| Stephenie Doub | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Annual Inspection
Census: 45
Capacity: 60
Deficiencies: 1
Mar 17, 2022
Visit Reason
An unannounced annual inspection was conducted by the Licensing Program Analyst to evaluate compliance with regulations and assess the facility's physical plant and medication administration practices.
Findings
The facility was found to be clean, odor-free, and in good repair with adequate supplies and safety equipment. However, a deficiency was cited for failure to notify the primary care physician prior to administering PRN medications to residents R1 and R2, which poses an immediate health and safety risk.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to contact the resident's physician prior to each dose of PRN medication and document the contact and physician's directions, as required by regulation, evidenced by lack of records for residents R1 and R2. | Type A |
Report Facts
Capacity: 60
Census: 45
Hot water temperature: 112.9
Deficiency count: 1
Plan of Correction Due Date: Due date for correcting the cited deficiency is 03/18/2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the inspection and cited deficiencies |
| Leslie Anderson | Administrator | Facility administrator met during inspection |
| Stephenie Doub | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection |
Inspection Report
Census: 39
Capacity: 60
Deficiencies: 0
Nov 29, 2021
Visit Reason
The visit was an office meeting conference conducted via teleconference to discuss the facility's change of name and new management operations.
Findings
The meeting discussed administrative organization, change of ownership/management company, and a new application. The licensee submitted an abbreviated application to add the management company and will remain responsible until the change of management is approved.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Leslie Anderson | Administrator | Named as facility administrator present during the meeting. |
| Stephen Richardson | Licensing Program Manager | Named as Licensing Program Manager present during the meeting. |
| Albert Johnson | Licensing Program Analyst | Named as Licensing Program Analyst present during the meeting. |
Inspection Report
Census: 39
Capacity: 60
Deficiencies: 2
Nov 23, 2021
Visit Reason
The visit was an unannounced case management visit to clarify changes in ownership since the license was opened on 2020-03-06, confirm current control of the property, resident notification of changes, and any change to the management company.
Findings
The facility management responsibilities were taken over by Northstar Senior Living on 2021-10-01, with property control by SNH CAL TENANT LLC. The facility changed its name to Summerfield of Stockton Memory Care with a new RCFE license pending. Deficiencies were issued related to failure to provide required information about the management company and changes in chief corporate officer, posing immediate risk to residents.
Severity Breakdown
Type A: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to provide the name and address of any management company serving the facility and required information for the management company, posing an immediate risk to residents. | Type A |
| Failure to report changes in the chief corporate officer in writing within fifteen working days, including required documentation, due to lack of records and interviews. | Type A |
Report Facts
Capacity: 60
Census: 39
Plan of Correction Due Date: Nov 24, 2021
Plan of Correction Due Date: Dec 3, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the case management visit and signed the report |
| Stephenie Doub | Licensing Program Manager | Supervisor and Licensing Program Manager overseeing the visit |
| Leslie Anderson | Administrator | Facility Administrator mentioned in relation to facility operation |
| Evelyn Mendez-Choy | Regional Vice President of Operation | Contacted during the visit regarding management company |
| Brook Lothwer | Operation and Marketing Specialist | Contacted during the visit regarding management company |
Inspection Report
Follow-Up
Census: 37
Capacity: 60
Deficiencies: 0
Jul 29, 2021
Visit Reason
An unannounced Plan of Correction (POC) visit was conducted to verify correction of citations issued during the annual inspection in June 2021.
Findings
Deficiencies cited under Title 22 Regulations have been cleared. The licensee complied with the terms of the POC by the due date and was provided a POC cleared letter.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Made the unannounced POC visit to verify correction of citation. |
| Leslie Anderson | Administrator | Facility administrator met during the visit. |
| Stephenie Doub | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Annual Inspection
Census: 32
Capacity: 60
Deficiencies: 2
Jun 14, 2021
Visit Reason
The Licensing Program Analyst arrived unannounced to conduct an Annual inspection of the facility.
Findings
The facility was generally clean, odor-free, and in good repair with sufficient supplies and compliance with fire safety equipment except for the fixed or Ansul system which was out of compliance due to overdue service. Medication review revealed issues with unlabeled medications and missing pharmacy labels on some residents' medications.
Severity Breakdown
Type A: 1
Type B: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| The fixed or Ansul fire safety system in the kitchen was out of compliance; the system was due for service on May 17, 2021. | Type A |
| Medications for residents were found without pharmacy labels and not logged properly; PRN and over-the-counter medications lacked required labeling information. | Type B |
Report Facts
Capacity: 60
Census: 32
Hot water temperature: 117.9
Deficiencies cited: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the annual inspection and cited deficiencies |
| Lakhveer Kaur | Director of Resident Care | Met with Licensing Program Analyst during inspection and involved in medication review |
| Leslie Anderson | Administrator | Joined inspection visit |
| Stephenie Doub | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Original Licensing
Census: 34
Capacity: 60
Deficiencies: 0
Jun 14, 2021
Visit Reason
The visit was a post licensing inspection to evaluate the facility after licensing.
Findings
The licensing program analyst reviewed staff and resident records and found them complete. No deficiencies were identified during the post licensing visit.
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