Exhibit G – PowerPoint Presentation
TEXT AMENDMENT APPLICATION
NO. P23-03472 AND RELATED ENVIRONMENTAL
DETERMINATION
Filed by Dr. Justice Otchere, MD, of North Pointe Surgery Center FRESNO CITY COUNCIL HEARING | March 27, 2025ID 25-369
PURPOSE OF TEXT AMENDMENT
• Amend Section 15-6703 and Article 68 of the
Development Code relating to Hospitals and Sub-
Acute Care Facilities and Terms and Definitions
• Allow medically-related long-term care in a facility
meeting the definition of a Sub-Acute Care
Facility
FRESNO CITY COUNCIL
MARCH 27, 2025 | ID 25-369
BACKGROUND
• Section 15-6703 (Public and Semi-Public Use
Classifications), describes Hospitals and Clinics as:
“State-licensed facilities providing medical, surgical, psychiatric, or emergency medical services to sick or injured persons. This classification includes facilities for inpatient or outpatient treatment, including substance-abuse programs as well as training, research, and administrative services for patients and employees. This classification excludes veterinaries and animal hospitals (see Animal Care, Sales, and Services).”
FRESNO CITY COUNCIL
MARCH 27, 2025 | ID 25-369
BACKGROUND: CONT’D
• Hospitals and Clinics includes 3 sub-classifications:
• Hospital. A facility providing medical, psychiatric, or surgical services for sick or injured persons primarily on an in-patient basis, and including ancillary facilities for outpatient and emergency treatment, diagnostic services, training, research, administration, and services to patients, employees, or visitors. • Clinic. A facility providing medical, psychiatric, or surgical service for sick or injured persons exclusively on an out-patient basis including emergency treatment, diagnostic services, administration, and related services to patients who are not lodged overnight. Services may be available without a prior appointment. This classification includes licensed facilities such as blood banks and plasma centers, and emergency medical services offered exclusively on an out-patient basis. This classification does not include private medical and dental offices that typically require appointments and are usually smaller scale. This classification includes substance abuse treatment and recovery programs which are not residential in nature, and which exclusively administer counseling services.
• Substance Abuse Treatment Clinic. A facility that administers medication, or supervises the self-administration of medication, for substance abuse treatment.
FRESNO CITY COUNCIL
MARCH 27, 2025 | ID 25-369
TEXT AMENDMENT PROPOSAL
• Define Sub-Acute Care Facility (Article 68)
Sub-Acute Care Facility. A facility providing a level of care needed by a patient who does not require hospital acute care but who requires more intensive licensed skilled nursing care than is typically provided to patients in a skilled nursing facility. Sub-acute care facilities are licensed by the California Department of Public Health, and are focused on in-patient care, including medical supervision, 24-hour skilled nursing and supportive care, pharmaceutical, dietary, social, and physical activities. Patients are referred by a medical doctor for medical procedures requiring rehabilitative and therapeutic care following a surgical procedure. This use is different from other similar uses which are classified as residential uses (e.g. Elderly and Long-Term Care, Residential Care Facilities) in that patient stays shall not exceed 30 days and facilities have a more institution-like environment. This use does not include treatment facilities for alcoholism, drug abuse, sexual or psychological disorders. • Expand upon the description for Hospitals to include a Sub-Acute Care Facility as an ancillary facility.
Hospital. A facility providing medical, psychiatric, or surgical services for sick or injured persons primarily on an in-patient basis, and including ancillary facilities for outpatient and emergency treatment, sub-acute care facilities, diagnostic services, training, research, administration, and services to patients, employees, or visitors.
FRESNO CITY COUNCIL
MARCH 27, 2025 | ID 25-369
PUBLIC INPUT & NOTICE
• Council District Project Review Committees:
• 1, 3, 4, & 6 reviewed and recommended approval
• 5 failed to establish a quorum at two (2) consecutive meetings • August 5, 2024: approved by Fresno County Airport Land Use Commission
• March 5, 2025: Planning Commission recommended adoption of the EA and approval of the Text Amendment
• March 17, 2025: City Council public hearing notice published in the Fresno Bee and posted on the City Clerk’s website
comments and/or recommendations. (Exhibit G)
Council District 4 Project Review Committee
The Council District 4 Project Review Committee considered this project on May 21, 2024, and recommend approval of the GPA/RZ with no additional comments and/or recommendations.
FRESNO CITY COUNCIL
MARCH 27, 2025 | ID 25-369
ACTION BY THE CITY COUNCIL
Staff recommends the City Council:
ADOPT the environmental determination that Text Amendment Application No. P23-03472 is exempt from the California Environmental Quality Act (CEQA) pursuant to Section 15061(b)(3) of the State CEQA Guidelines
APPROVE Text Amendment Application No. P23-03472 amending Section 15-6703 and Article 68 of the FMC to define a Sub-Acute Care Facility and to include Sub-Acute Care Facilities in the description for Hospitals
FRESNO CITY COUNCIL
MARCH 27, 2025 | ID 25-369