GREEN GABLES CARE HOME V

1962 ELLERY AVENUE, Clovis CA 93611

Facility 107202858 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Mar 26, 2026Licensed

Additional info
Licensee
GREEN GABLES CARE HOME, INC., THE
Administrator
SHEAKALEE, LORIK
Contact
SHEAKALEE, LORIK
License first date
May 3, 2004
License effective date
May 3, 2004
District office
FRESNO RO · (559) 243-8080
Regional office
24
Clients served
983 - RCFE / DEMENTIA

Summary

The available records show 3 Type A and 3 Type B deficiencies for this facility.

Most recent inspection
Mar 26, 2026
Most recent deficiency
Mar 26, 2025

1 later report, on Mar 26, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.

What Type A and Type B mean
Type A
Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
Type B
Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.

Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.

At a glance

Counts cover the five-year public record. Typical figures are the median for the 260 Fresno County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 4 reports for this facility: 4 inspections, 0 complaint investigations, and 0 licensing or administrative records.

Those records contain 3 Type A and 3 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
4

Fewer than the typical 5

1 in the last 12 months

Recorded deficiencies
6

Well above the typical 1

0 in the last 12 months

Type A deficiencies
3

Most this size have none

0 in the last 12 months

Type B deficiencies
3

Most this size have none

0 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
0

Last 36 months

Repeated topics

Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.

No topic repeats in the last 36 months

No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Inspection
Fire safety and emergency preparednessType A
Official classification
Type A
Official code
1569.695(c)
Regulation authority
HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of [total 1 fire drill was not completed and logged which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/27/2025 Plan of Correction Licensee agrees to complete and log the fire drill quarterly. Licensee agrees to submit copy of completed fire drill to CCLD by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Admission, assessment, and evictionType A
Official classification
Type A
Official code
87204(a)
Regulation authority
CCR

What the official deficiency says

87204 (a) A licensee shall not operate a facility beyond the conditions and limitations specified on the license, including specification of the maximum number of persons who may receive services at any one time. An exception may be made in the case of catastrophic emergency when the licensing agency may make temporary exceptions to the approved capacity. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interviews conducted, and records reviewed, the facility is a capacity of 6 and 7 residents was observed reside at the facility which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/25/2024 Plan of Correction Licensee is to submit a plan to Fresno CCL by POC due date 05/25/24 on relocation of the 7th resident.

Plan of correction recorded
Correction not verified in available records
View official report
Medication handling and storageType A
Official classification
Type A
Official code
87465(c)(2)
Regulation authority
CCR

What the official deficiency says

87465 (c)(2) Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidenced by: Deficient Practice Statement Based on interviews, records review, and observation, MARs were reviewed, and medications were audit and shown that staff did not administer medications for R1 and R2 as directed by physician, which poses an immediate health and safety risk for the person in care. Licensee shall have staff be retrained on administering medications. Licensee will submit documentation of training topics which include process of administering medications with staff attendance rooster to the Fresno CCL office by 06/06/24.

Official plan of correction

POC Due Date: 05/25/2024 Plan of Correction Licensee shall submit documents of steps the facility will take to ensure facility meets the regulation on administering medications as directed by physician to Fresno CCL office by POC due date 05/25/24. Licensee shall have staff be retrained on administering medications. Licensee will submit documentation of training topics which include process of administering medications with staff attendance rooster to the Fresno CCL office by 06/06/24.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87458(b)(1)
Regulation authority
CCR

What the official deficiency says

87458(b)(1) A physical examination of the resident indicating the physician's primary diagnosis and secondary diagnosis, if any and results of an examination for communicable tuberculosis, other contagious/infectious diseases or other medical conditions which would preclude care of the person by the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on records reviewed, 5 out of 7 residents do not have TB result on file which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/06/2024 Plan of Correction Licensee will submit proof of TB result for 5 of the residents to Fresno CCL by POC due date 6/6/24.

Plan of correction recorded
Correction not verified in available records
View official report
Not classified in the sourceType B
Official classification
Type B
Official code
1796.45
Regulation authority
HSC

What the official deficiency says

HSC 1796.45 TB Testing (a) Affiliated home care aides hired on or after January 1, 2016, shall submit to an examination 90 days prior to employment, or within seven days after employment, to determine that the individual is free of active tuberculosis disease. This requirement is not met as evidenced by: Deficient Practice Statement LPA reviewed S1 did not have a TB result on file which poses a potential risk to the health and safety of the residents.

Official plan of correction

POC Due Date: 06/06/2024 Plan of Correction Licensee shall ensure all staff have a TB result on file. S1 TB result shall be submitted to the Fresno CCL office by POC due date 6/6/24.

Plan of correction recorded
Correction not verified in available records
View official report
Medication handling and storageType B
Official classification
Type B
Official code
87465(c)(3)
Regulation authority
CCR

What the official deficiency says

87465 (c)(3) A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response. This requirement is not met as evidenced by: Deficient Practice Statement Based on interviews and records reviewed, R1’s medication Quetiapine Fumarate 50 mg had been administered by staff and not documented in the resident’s MARs. R2’s medication Pantopraxole Sod Dr 40 mg had been administered by staff and not documented in the resident’s MARs, which poses a potential health and safety risk for the person in care.

Official plan of correction

POC Due Date: 06/06/2024 Plan of Correction Licensee shall have staff be retrained on documentation of medications. Licensee will submit documentation of training topics which will include trains of documentation in the residents’ MARs with staff attendance rooster to the Fresno CCL office by 06/06/24.

Plan of correction recorded
Correction not verified in available records
View official report

Source and limits

California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.

Read the data methodology