Sierra Palace For Elderly #2 is a residential care home for the elderly (RCFE) in Fresno, Fresno County, California — state license #107200877, licensed for 6 residents, listed as licensed 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 September 24, 2025 — published below in full, verbatim and unscored.

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Sierra Palace For Elderly #2

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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 #107200877, held since 1999 · read from the California state record on August 2, 2026 ·See on State Site →
1492 W. Bullard · 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 →
Print tour sheet →

Wheelchair / non-ambulatoryApproved for 6 residents
Dementia / memory careNot on file — ask the home
Hospice careApproved for 1 resident
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 RANGE 60 AND OVER. ALL MAY BE NON-AMBULATORY. DEVELOPMENTALLY DISABLED CLIENTS. HOSPICE WAIVER FOR ONE (1) ON FILE.State service designation935 - ELDERLYthe CDSS license record, verbatim · checked August 2, 2026

Since 2021, the state has visited this home 17 times and filed 11 documents. The most recent is a facility evaluation report, dated September 24, 2025.

Most recent state visit
September 24, 2025
Occupancy at the July 24, 2024 visit
6 of 6 beds

The state's published file for this home includes 5 documents with transcribed findings, dated August 29, 2022 to July 24, 2024. 5 of the 5 carry the state's recorded outcome word: “Substantiated” (5). 5 include the transcribed allegation the state investigated, word for word.

Summary composed by computer from the 5 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 — 7 of 11 documentsFull record on the state’s site →
20252 state visits · 2 documents
Sep 24, 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.

Aug 14, 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.

20242 state visits · 4 documents
Sep 9, 2024Facility 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.

Jul 24, 2024Complaint investigation reportSubstantiated

Allegation investigated: Staff did not follow client's behavior plan or provide proper support Staff did not seek medical assistance for client in a timely manner

On this date, Licensing Program Analyst (LPA) A. Walton and Licensing Program Manager (LPM) S. Moua met with Administrator Elizabeth Perera-Moreland to deliver findings for the above allegations. The Department conducted interviews and reviewed records. Based on the records reviewed, the facility failed to follow client’s behavior plan or seek medical assistance timely. The preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. See citations on the attached LIC. 9099D. Exit interview conducted and a plan of correction was reviewed and developed. A copy of this report and appeal rights were discussed and provided to Administrator, Elizabeth Perera-Moreland, whose signature on this form confirms receipt of this document. Substantiatedthe state’s words, verbatim · CDSS document, Jul 24, 2024 · control 24-AS-20231213160739
Jul 24, 2024Complaint investigation reportSubstantiated

Allegation investigated: Resident was obseved to have an unexplained injury Resident beds smell like urine due to facility not have proper bedding

On this date, Licensing Program Analyst (LPA) A. Walton and Licensing Program Manager (LPM) S. Moua met with Administrator Elizabeth Perera-Moreland to deliver findings for the above allegations. The Department conducted interviews and reviewed records. Based on the records reviewed and interviews conducted, resident was observed with an unexplained injury. Based on LPA observation during the facility visit, resident’s bed smelled like urine. The preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. See citations on the attached LIC. 9099D. The allegation of lack of care and supervision resulting in resident sustaining an unexplained injury is cited on Complaint #24-AS-20231213160739 Exit interview conducted and a plan of correction was reviewed and developed. A copy of this report and appeal rights were discussed and provided to Administrator Elizabeth Perera-Moreland, whose signature on this form confirms receipt of this docuthe state’s words, verbatim · CDSS document, Jul 24, 2024 · control 24-AS-20240327135300
Jul 24, 2024Complaint investigation reportSubstantiated

Allegation investigated: Staff sleeping while on duty Facility does not have an adequate amount of food

On this date, Licensing Program Analyst (LPA) A. Walton and Licensing Program Manager (LPM) S. Moua met with Administrator Elizabeth Perera-Moreland to deliver findings for the above allegations. The Department conducted interviews, reviewed records, and toured the facility. Based on the records reviewed and interviews conducted, it was found that staff was asleep while on duty. LPA observe the facility did not have an adequate amount of food. The preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. See citations on the attached LIC. 9099D. The allegation of staff sleeping while on duty is cited on Complaint #24-AS-20231213160739 Exit interview conducted and a plan of correction was reviewed and developed. A copy of this report and appeal rights were discussed and provided to Administrator Elizabeth Perera-Moreland, whose signature on this form confirms receipt of this document. Substantiatedthe state’s words, verbatim · CDSS document, Jul 24, 2024 · control 24-AS-20240329135433
20231 state visit · 1 document
Oct 25, 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 citations2typical 0
Type B citations6typical 0
Substantiated complaints10typical 0
Total complaints5typical 0
State visits on file17typical 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 1999.
Year-by-year trend
YearVisitsDocumentsSubstantiated20252202024243202311020222322021110
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 #2 licensed?

Yes — Sierra Palace For Elderly #2 is a licensed residential care home for the elderly (RCFE) in Fresno (Fresno County): California license #107200877, 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 September 24, 2025, appears in the inspection record on this page.

Can Sierra Palace For Elderly #2 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 #2 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 RANGE 60 AND OVER. ALL MAY BE NON-AMBULATORY. DEVELOPMENTALLY DISABLED CLIENTS. HOSPICE WAIVER FOR ONE (1) ON FILE.

How much does Sierra Palace For Elderly #2 cost?

California's public licensing record does not include Sierra Palace For Elderly #2'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 #2 accept Medi-Cal or the Assisted Living Waiver?

Sierra Palace For Elderly #2 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 July 24, 2024. Availability changes constantly — confirm a current opening with the home.

What do state inspections show for Sierra Palace For Elderly #2?

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 17 state visits and 11 dated documents since 2021 for Sierra Palace For Elderly #2; 5 complaint-investigation narratives are transcribed verbatim below. The most recent, dated July 24, 2024, records an allegation the state marked “Substantiated”. 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.

5 transcribed reports on file

2024

Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff did not follow client's behavior plan or provide proper support Staff did not seek medical assistance for client in a timely manner
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On this date, Licensing Program Analyst (LPA) A. Walton and Licensing Program Manager (LPM) S. Moua met with Administrator Elizabeth Perera-Moreland to deliver findings for the above allegations. The Department conducted interviews and reviewed records. Based on the records reviewed, the facility failed to follow client’s behavior plan or seek medical assistance timely. The preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. See citations on the attached LIC. 9099D. Exit interview conducted and a plan of correction was reviewed and developed. A copy of this report and appeal rights were discussed and provided to Administrator, Elizabeth Perera-Moreland, whose signature on this form confirms receipt of this document. Substantiated— CDSS inspection report, July 24, 2024 · control 24-AS-20231213160739
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedResident was obseved to have an unexplained injury Resident beds smell like urine due to facility not have proper bedding
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On this date, Licensing Program Analyst (LPA) A. Walton and Licensing Program Manager (LPM) S. Moua met with Administrator Elizabeth Perera-Moreland to deliver findings for the above allegations. The Department conducted interviews and reviewed records. Based on the records reviewed and interviews conducted, resident was observed with an unexplained injury. Based on LPA observation during the facility visit, resident’s bed smelled like urine. The preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. See citations on the attached LIC. 9099D. The allegation of lack of care and supervision resulting in resident sustaining an unexplained injury is cited on Complaint #24-AS-20231213160739 Exit interview conducted and a plan of correction was reviewed and developed. A copy of this report and appeal rights were discussed and provided to Administrator Elizabeth Perera-Moreland, whose signature on this form confirms receipt of this docu— CDSS inspection report, July 24, 2024 · control 24-AS-20240327135300
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff sleeping while on duty Facility does not have an adequate amount of food
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On this date, Licensing Program Analyst (LPA) A. Walton and Licensing Program Manager (LPM) S. Moua met with Administrator Elizabeth Perera-Moreland to deliver findings for the above allegations. The Department conducted interviews, reviewed records, and toured the facility. Based on the records reviewed and interviews conducted, it was found that staff was asleep while on duty. LPA observe the facility did not have an adequate amount of food. The preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. See citations on the attached LIC. 9099D. The allegation of staff sleeping while on duty is cited on Complaint #24-AS-20231213160739 Exit interview conducted and a plan of correction was reviewed and developed. A copy of this report and appeal rights were discussed and provided to Administrator Elizabeth Perera-Moreland, whose signature on this form confirms receipt of this document. Substantiated— CDSS inspection report, July 24, 2024 · control 24-AS-20240329135433

2022

Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff do not have required training
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 10/05/22, Licensing Program Analyst (LPA) arrived at the facility unannounced to deliver findings on the above allegation. LPA was greeted by Manager Virginia Jimenez, stated the purpose of the visit and was allowed entry into the facility. During the investigation, LPA reviewed training records for staff. Based on LPAs observation of records review, staff do not have the required training hours to care for residents. The preponderance of evidence standard has been met, therefore, the above allegation is found to be Substantiated. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 9099-D. An exit interview was conducted with Administrator via telephone. A copy of this report and appeal rights were discussed and provided to Manager. A plan of correction was developed by Administrator and reviewed with LPA. Substantiated— CDSS inspection report, October 5, 2022 · control 24-AS-20220613090727
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedFacility is not administering medication as ordered Facility is in disrepair Facility does not have a menu
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 08/29/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to deliver findings on the above allegations. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Manager, Virginia Jimenez. Record review revealed that R1 was not administered medications as prescribed and R2 was missing 3 pills. Administrator stated that the missing pills were on a different bubble pack not in the facility. Administrator did not submit proof as requested by LPA. LPA conducted a facility tour and observed the soven and built in microwave to be in disrepair. Administrator stated that all meals are prepared offsite. LPA informed Administrator that food preparation equipment should remain operational in case of emergencies. LPA requested to see the facility menu. Administrator stated that the facility does not have menu due to food being prepared off-site. Substantiated— CDSS inspection report, August 29, 2022 · control 24-AS-20220602085215

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

What the state has logged

California has logged 17 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
2
typical for this size: 0
Type B citations
6
typical for this size: 0
Substantiated complaints
10
typical for this size: 0
Total complaints
5
typical for this size: 0
State visits on file
17
typical for this size: 6
See the full inspection record on the state's site →
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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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