Sierra Palace For Elderly is a residential care home for the elderly (RCFE) in Fresno, Fresno County, California — state license #107200486, licensed for 6 residents, listed as licensed/pending increase in the CDSS record we retrieved August 2, 2026. It does not appear on the DHCS Assisted Living Waiver participant list checked August 9, 2026 — that list covers the state waiver only, not a home's own payment arrangements. California has 11 dated inspection and complaint documents on file for this home going back to 2021, the most recent dated February 10, 2026 — published below in full, verbatim and unscored.

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Sierra Palace For Elderly

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Residential care home for the elderly (RCFE) · Small home, 6 residents · Fresno, CA · Fresno County
LicensedWheelchairHospiceMemory care not on fileBedridden not on file
No openings reportedBeds change hands in days ·
License #107200486, held since 1997 · read from the California state record on August 2, 2026 ·See on State Site →
607 E. Sierra Avenue · Fresno, Fresno County
Phone
(559) 435-6345
from the state licensing roster · August 2, 2026
No Google listing is on file for this home.
Website
None on file
Many small homes have no website — that says nothing about the care inside.
Contact facts come from the state roster, a county Area Agency on Aging roster, the home’s Google listing, or the operator — each labelled, never blended. Operators: add or correct yours, free →
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Wheelchair / non-ambulatoryApproved for 6 residents
Dementia / memory careNot on file — ask the home
Hospice careVerified in record
Bedridden careNot on file — ask the home

“Not on file” is not a no — approvals can be bed- or room-specific, so confirm current scope with the home on a tour. Where a number is shown it is the state’s own wording for how many residents the approval covers, not how many places are open today; where none is shown, the record simply does not state one.

Specific medical needs — insulin, oxygen, a catheter, an ostomy — aren’t in the state license record; ask the home directly. A feeding tube, tracheostomy, or advanced wound care usually needs skilled nursing →

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What the state record says, word for word
AGE 60 AND OVER. ALL MAY BE NON AMBULATORY. HOSPICE WAIVER APPROVED FOR ONE(1). DEVELOPMENTALLY AND MENTALLY DISABLED RESIDENTS.State service designation920 - DEVELOPMENTALLY / MENTALLY DISABLED (DD/MD)the CDSS license record, verbatim · checked August 2, 2026

Since 2021, the state has visited this home 14 times and filed 11 documents. The most recent is a facility evaluation report, dated February 10, 2026.

Most recent state visit
February 10, 2026
Occupancy at the February 23, 2024 visit
6 of 6 beds

The state's published file for this home includes 6 documents with transcribed findings, dated December 14, 2021 to February 23, 2024. 6 of the 6 carry the state's recorded outcome word: “Substantiated” (2), “Unfounded” (2), “Unsubstantiated” (2). 6 include the transcribed allegation the state investigated, word for word.

Summary composed by computer from the 6 documents below — every count derives from them, and the documents themselves are the state's records, verbatim. We never grade, score, or color a record.

What the state’s words mean
Substantiatedthe state found the allegation more likely true than notUnsubstantiatedinvestigated, but couldn’t be confirmed either way — not a finding of wrongdoingUnfoundedthe state concluded it was false or couldn’t have happenedType A citationthe most serious: an immediate health-or-safety risk, usually fixed on the spot or on a short deadlineType B citationless serious, with a deadline to fix
The last 36 months — 6 of 11 documentsFull record on the state’s site →
20261 state visit · 1 document
Feb 10, 2026Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

20251 state visit · 1 document
Feb 11, 2025Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

20241 state visit · 3 documents
Feb 23, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff force residents to shower

Licensing Program Analyst (LPA) M. Flores arrived at the facility unannounced for subsequent complaint inspection. LPA discussed the purpose of the visit and the elements of the allegations with House Manager, Lisa Luna. Administrator, Elizabeth gave a verbal consent for this LPA to have this inspection with House Manager, Lisa Luna. LPA delivered the following findings: During this visit LPA delivered investigation findings regarding the above allegation. The Department has investigated the complaint alleging: Staff force residents to shower. Based on the interviews conducted and records reviews the above allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted and a copy of this report was provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 23, 2024 · control 24-AS-20231213150724
Feb 23, 2024Complaint investigation reportUnfounded

Allegation investigated: Staff do not transport residents to hospital as needed Staff force residents to attend day program

Licensing Program Analyst (LPA) M. Flores arrived at the facility unannounced for subsequent complaint inspection. LPA discussed the purpose of the visit and the elements of the allegations with House Manager, Lisa Luna. Administrator, Elizabeth gave a verbal consent for this LPA to have this inspection with House Manager, Lisa Luna. LPA delivered the following findings: During the course of this investigation LPA reviewed facility files and completed interviews relevant to the complaint investigation. It was determined that the above allegations: Staff do not transport residents to hospital as needed and Staff force residents to attend day program are UNFOUNDED. This agency has investigated the complaint alleging, Staff do not transport residents to hospital as needed and Staff force residents to attend day program. We have found that the complaint was unfounded, therefore we have dismissed the allegations. An exit interview was conducted and a copy of this report was provided. Unfounthe state’s words, verbatim · CDSS document, Feb 23, 2024 · control 24-AS-20231213150724
Feb 23, 2024Complaint investigation reportSubstantiated

Allegation investigated: Staff do not provide the proper resources to residents in care

Licensing Program Analyst (LPA) M. Flores arrived at the facility unannounced for subsequent complaint inspection. LPA discussed the purpose of the visit and the elements of the allegations with House Manager, Lisa Luna. Administrator, Elizabeth gave a verbal consent for this LPA to have this inspection with House Manager, Lisa Luna. LPA delivered the following findings: LPA, M. Flores conducted the subsequent complaint investigation visit to the facility. During the course of this complaint investigation. LPA interviewed staff on duty, obtained and reviewed facility records. It was determined based on the interviews and records review that the above allegation is SUBSTANTIATED. Staff do not provide the proper resources to resident in case. Based on evidence, facility did not have the proper personnel to meet the needs of R4 per needs identified in the care plan. Based on LPA’s observations and interviews which were conducted and record review(s), the preponderance of evidence standardthe state’s words, verbatim · CDSS document, Feb 23, 2024 · control 24-AS-20231213150724
20231 state visit · 1 document
Dec 18, 2023Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Beside homes the same size
Type A citations0typical 0
Type B citations3typical 0
Substantiated complaints3typical 0
Total complaints4typical 0
State visits on file14typical 6
“Typical” is the statewide median across the 5,773 licensed small board-and-care homes (6 or fewer beds) in the state record — larger, longer-licensed homes accumulate more visits and reports, so compare like with like. One complaint can contain several allegations. Counts cover this license since 1997.
Year-by-year trend
YearVisitsDocumentsSubstantiated202611020251102024131202333020222202021231
An “unsubstantiated” complaint is not a finding of wrongdoing — it means the state investigated and could not confirm the allegation. Outcome words are the state’s own; we never grade, score, or color a record.Operate this home? Respond to or correct any document here, free. Respond or correct →

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≈ $3,500–$5,500 /mo
our estimate — Fresno County band, market research June 2026; not this home’s quoted price
$3,500 · statewide low$9,000 · statewide high
California’s public record holds no per-home price, so we never invent one. Ask the home for its rate sheet, or
Ways families pay here
Private pay — ask what the base rate includes and what’s billed separately.SSI/SSP — California’s board-and-care payment standard is $1,626.07/mo (2026): $1,444.07 to the home, $182 stays with the resident.Medi-Cal ALW — this home isn’t on the DHCS waiver list (checked August 9, 2026). Details →

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Non-ambulatory approval — whole home or specific rooms, and is a spot open?
Ask how the 2024 complaint investigation report was corrected — what changed?
How is medication handled and logged day to day?
What’s in the base monthly rate, and what’s billed separately?
Staff-to-resident ratio on day and night shifts?
How are medical emergencies handled after hours?

The first two come straight from this home’s record — a brochure won’t answer them.

Operate this home? This page is generated from CDSS public records — respond or correct it, free.
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Is Sierra Palace For Elderly licensed?

Yes — Sierra Palace For Elderly is a licensed residential care home for the elderly (RCFE) in Fresno (Fresno County): California license #107200486, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 6 residents. State records list 11 inspection and complaint documents since 2021; the most recent, a facility evaluation report dated February 10, 2026, appears in the inspection record on this page.

Can Sierra Palace For Elderly care for dementia, hospice, bedridden, or non-ambulatory residents?

From the CDSS license record, checked August 2, 2026.

The CDSS license record checked August 2, 2026 lists Sierra Palace For Elderly with clearances for wheelchair / non-ambulatory and hospice care; it does not list dementia / memory care and bedridden. A clearance that is not on file is not a “no” — it may simply be unrecorded, so if your family needs one of these, ask the home directly and confirm its current scope on a tour.

Wheelchair / non-ambulatoryDementia / memory careHospice careBedridden

From the California state record. Some approvals are bed- or room-specific — always confirm current scope with the facility.

What the state record says, word for word
Verbatim, from the CDSS license recordAGE 60 AND OVER. ALL MAY BE NON AMBULATORY. HOSPICE WAIVER APPROVED FOR ONE(1). DEVELOPMENTALLY AND MENTALLY DISABLED RESIDENTS.

How much does Sierra Palace For Elderly cost?

California's public licensing record does not include Sierra Palace For Elderly's monthly price, so we never show or estimate one for a specific home. As county-level context only, assisted living in Fresno County typically runs $3,500–$5,500/mo and small board-and-care homes $3,000–$5,000/mo (market research compiled June 2026 — ranges, not quotes; California's 2026 SSI/SSP board-and-care payment standard is $1,626.07/month, of which $1,444.07 is the room-and-board portion paid to the home). Ask the home for its own rate sheet and what the base rate includes — or use the cost section at the top of this page.

Does Sierra Palace For Elderly accept Medi-Cal or the Assisted Living Waiver?

Sierra Palace For Elderly is not in the DHCS Assisted Living Waiver participant record we checked August 9, 2026 — that list covers only the state's ALW program, not a home's own payment policies, so ask the home directly about private Medi-Cal arrangements. The waiver pays for assisted-living care services (not room and board) at participating homes; every DHCS-listed home appears on our statewide Medi-Cal page.

Assisted living on Medi-Cal in California →See the DHCS list →

How full it was at the last state visit

6 of 6 beds occupied (100%) when the state visited on February 23, 2024. Availability changes constantly — confirm a current opening with the home.

What do state inspections show for Sierra Palace For Elderly?

Verbatim from CDSS complaint-investigation reports — the state's own words, never summarized by us. Record checked August 2, 2026.

The CDSS state record checked August 2, 2026 lists 14 state visits and 11 dated documents since 2021 for Sierra Palace For Elderly; 6 complaint-investigation narratives are transcribed verbatim below. The most recent, dated February 23, 2024, records an allegation the state marked “Unsubstantiated”. Open any entry to read the state's full finding, word for word.

Most licensed homes receive some findings over 36 months; what matters is what was found and whether it was corrected. Counts here are shown compared with homes of similar size, and the state's own words appear in full below.

6 transcribed reports on file

2024

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff force residents to shower
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) M. Flores arrived at the facility unannounced for subsequent complaint inspection. LPA discussed the purpose of the visit and the elements of the allegations with House Manager, Lisa Luna. Administrator, Elizabeth gave a verbal consent for this LPA to have this inspection with House Manager, Lisa Luna. LPA delivered the following findings: During this visit LPA delivered investigation findings regarding the above allegation. The Department has investigated the complaint alleging: Staff force residents to shower. Based on the interviews conducted and records reviews the above allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted and a copy of this report was provided. Unsubstantiated— CDSS inspection report, February 23, 2024 · control 24-AS-20231213150724
Complaint investigationAllegation reviewed · Unfounded
Allegation the state reviewedStaff do not transport residents to hospital as needed Staff force residents to attend day program
State's findingUnfoundedThe state investigated and found the allegation to be false.
Licensing Program Analyst (LPA) M. Flores arrived at the facility unannounced for subsequent complaint inspection. LPA discussed the purpose of the visit and the elements of the allegations with House Manager, Lisa Luna. Administrator, Elizabeth gave a verbal consent for this LPA to have this inspection with House Manager, Lisa Luna. LPA delivered the following findings: During the course of this investigation LPA reviewed facility files and completed interviews relevant to the complaint investigation. It was determined that the above allegations: Staff do not transport residents to hospital as needed and Staff force residents to attend day program are UNFOUNDED. This agency has investigated the complaint alleging, Staff do not transport residents to hospital as needed and Staff force residents to attend day program. We have found that the complaint was unfounded, therefore we have dismissed the allegations. An exit interview was conducted and a copy of this report was provided. Unfoun— CDSS inspection report, February 23, 2024 · control 24-AS-20231213150724
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff do not provide the proper resources to residents in care
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) M. Flores arrived at the facility unannounced for subsequent complaint inspection. LPA discussed the purpose of the visit and the elements of the allegations with House Manager, Lisa Luna. Administrator, Elizabeth gave a verbal consent for this LPA to have this inspection with House Manager, Lisa Luna. LPA delivered the following findings: LPA, M. Flores conducted the subsequent complaint investigation visit to the facility. During the course of this complaint investigation. LPA interviewed staff on duty, obtained and reviewed facility records. It was determined based on the interviews and records review that the above allegation is SUBSTANTIATED. Staff do not provide the proper resources to resident in case. Based on evidence, facility did not have the proper personnel to meet the needs of R4 per needs identified in the care plan. Based on LPA’s observations and interviews which were conducted and record review(s), the preponderance of evidence standard— CDSS inspection report, February 23, 2024 · control 24-AS-20231213150724

2023

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedLicensee did not safeguard residents personal property
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 7/31/2023, Licensing Program Analyst (LPA) D. Ayers conducted an unannounced complaint inspection at 0900 hours. LPA met with House Manager Rosa Perez and announced the purpose of the inspection. The purpose of this visit is to deliver the finding of the investigation completed by the Department. LPA conducted a tour of the facility, interior and exterior to ensure there are no potential or immediate health and safety risk at the facility. During the course of the investigation, the department conducted inspections, conducted interviews, and reviewed records. Based on the interviews conducted, documentation obtained and reviewed, and the information received during this investigation, the preponderance of evidence standard has not been met; therefore, the above allegation is found to be unsubstantiated at this time. Unsubstantiated— CDSS inspection report, July 31, 2023 · control 24-AS-20230705141641
Complaint investigationAllegation reviewed · Unfounded
Allegation the state reviewedStaff are not giving residents medication
State's findingUnfoundedThe state investigated and found the allegation to be false.
On 07/05/23, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an initial 10-day complaint inspection. LPA introduce self, stated the purpose of the visit, and met with Manager Mary Chum. LPA requested to meet with Administrator Elizabeth Perera-Moreland. Administrator was called and stated unable to attend meeting. Administrator authorized General Manger (GM) Virginia Jimenez to sign and receive report. GM arrived shortly. LPA spoke with Administator via telephone and discuss the findings. During the course of the investigation, LPA conducted interviews and reviewed records. It was confirmed there is no client that reside at the facility listed in the complaint. Therefore, the allegation above is founded to be UNFOUNDED, meaning they were false, could not have happened, and/or are without reasonable basis. We have therefore dismissed the complaint. An exit interview was conducted. A copy of this report was provided to GM, whose signature on this form confirms rece— CDSS inspection report, July 5, 2023 · control 24-AS-20230626153456

2021

Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedFacility is not following COVID-19 guidelines. Facility does not have proper PPE for staff.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Lady Cabrera conducted the subsequent complaint investigation visit to the facility. During the course of this complaint investigation LPA conducted interviews and reviewed records. It was determined based on the interviews and records review that the above allegations are SUBSTANTIATED. On 09/28/2021, LPA tracked the facility during the COVID-19 outbreak. Based on interviews, Facility did not have adequate supply of proper PPE for their staff to utilize while caring for residents and did not follow Covid-19 guidelines. See attached LIC9099-D for— CDSS inspection report, December 14, 2021 · control 24-AS-20210924153141

Transcribed from CDSS complaint-investigation reports · record checked August 2, 2026.

What the state has logged

California has logged 14 state visits for this home as of August 2, 2026. These are the home's own counts, straight from that record — shown beside the statewide median for small board-and-care homes (6 or fewer beds), computed across all 5,773 licensed homes of that size, because larger and longer-licensed homes naturally accumulate more visits and reports. They are facts, not a grade — a citation may be minor and since corrected, and an “unsubstantiated” complaint is not a finding of wrongdoing.

Type A citations
0
typical for this size: 0
Type B citations
3
typical for this size: 0
Substantiated complaints
3
typical for this size: 0
Total complaints
4
typical for this size: 0
State visits on file
14
typical for this size: 6
See the full inspection record on the state's site →
Talk to this home directly

You can call them yourself, anytime — you never have to go through us.

(559) 435-6345
What isn't in the state record

Resident reviews, the exact monthly price, and the languages staff speak aren't part of California's public licensing record, so we don't show them here. Ask the home directly — the tour questions above are a good start.

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