Routine inspection·February 26, 2026

On 02/26/26, Licensing Program Analyst (LPA) M. Yang arrived at the facility unannounced to conduct the Annual Inspection. LPA met Interim Administrator (A1) Gustovo “Gus” Chavez and staff (S1) Melissa Segura. LPA conduct tour of facility building A, building B, and building C with A1 and S1. There were 17 residents present during inspection. A sample of staff files was reviewed. The facility was observed to be at a comfortable temperature, clean, and no passageway obstructions or fire hazards. Facility consists of Assisted Living (AL) and Memory Care (MC) Unit. -2950 Building A (Bldg A) – facility label as North Creek with all 18 residents resides as building. -2950 Building B (Bldg B) – facility label as East Creek currently consists with no residents. -2948 Building C (Bldg C) – facility label as South Creek currently consists with no residents. At this time, Bldg B is in the process of finalizing updates and is currently not ready for placement of residents. Multiple topics in relation to operation of Residential Care Facility for the Elderly (RCFE), & the Department's expectation regarding specific regulations were discussed with A1. A1 have agreed to notify the department when final finishing touches have been completed on Bldg B, & ready for Department walk-through prior to placement of residents in Bldg B. Bldg B, all bathrooms’ hot water temperature was tested maintained within range. Kitchen was toured. An adequate supply of perishable and non-perishable food was observed to be properly stored in walk-in freezer, walk-in refrigerator, pantry. Walk-in refrigerator temperature maintained at 40 degree F. All food are prepared in Bldg B and delivered to Bldg A and Bldg C. LPA observed exits in Bldg B to have a 30-second delay egress. Bldg C was toured and currently has no residents reside in building. Side exits clear of debris. LPA, A1, and S1 continue to Bldg A. A sample of resident bedrooms was toured. Residents were observed seating in common areas. Facility has sufficient furnishings inside and outside for resident use. Facility is equipped with pull stations and fire sprinklers throughout facility in all three buildings. Fire extinguisher was observed throughout the facility in all three buildings with a service date of: 11/14/25. Carbon monoxide was observed operational and functional during visit. Chemicals were observed locked under sink in kitchen room. Medications were observed locked in medication carts. Hot water temperature tested maintained at 129.7 degree F in bedroom 106, 135.7 degree F in bedroom 109, 111.1 degree F in bedroom 124B, and 116 degree F in bedroom 116B. LPA observed securely fastened grab bars and non-skid mats in showers. The outside was toured and observed to be free from debris with outdoor seating available for residents. A sample of resident was reviewed. A deficiency is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit interview was conducted. The following documents are requested and submitted to Fresno CCL by: 03/04/26. The following updated forms were requested: Lic 308, Lic 500, Lic 610E, current liability insurance, and Administrator certificate. A copy of this report and appeal rights was provided to Executive Director.