Sierra Palace For The Elderly is a residential care home for the elderly (RCFE) in Fresno, Fresno County, California — state license #107206560, 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 8 dated inspection and complaint documents on file for this home going back to 2021, the most recent dated June 11, 2026 — published below in full, verbatim and unscored.

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Sierra Palace For The Elderly

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Residential care home for the elderly (RCFE) · Small home, 6 residents · Fresno, CA · Fresno County
LicensedWheelchairMemory care not on fileHospice not on fileBedridden not on file
No openings reportedBeds change hands in days ·
License #107206560, held since 2012 · read from the California state record on August 2, 2026 ·See on State Site →
2060 W. Menlo · Fresno, Fresno County
Phone
(559) 375-1917
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 careNot on file — ask the home
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 NONAMBULATORY. DEVELOPMENTALLY DISABLED CLIENTS.State service designation935 - ELDERLYthe CDSS license record, verbatim · checked August 2, 2026

Since 2021, the state has visited this home 10 times and filed 8 documents. The most recent is a facility evaluation report, dated June 11, 2026.

Most recent state visit
June 11, 2026
Occupancy at the July 24, 2024 visit
5 of 6 beds

The state's published file for this home includes 3 documents with transcribed findings, dated December 2, 2021 to July 24, 2024. 3 of the 3 carry the state's recorded outcome word: “Substantiated” (3). 3 include the transcribed allegation the state investigated, word for word.

Summary composed by computer from the 3 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 — 5 of 8 documentsFull record on the state’s site →
20261 state visit · 1 document
Jun 11, 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 · 2 documents
Jun 30, 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.

Jun 30, 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 · 2 documents
Jul 24, 2024Complaint investigation reportSubstantiated

Allegation investigated: Staff do not transport residents to hospital as needed

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, facility staff did not transport the resident to the hospital. 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 was discussed and provided to Administrator Elizabeth Perera-Moreland, whose signature on this form confirm receipt of this document. Substantiatedthe state’s words, verbatim · CDSS document, Jul 24, 2024 · control 24-AS-20231213131331
Jun 21, 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.

Beside homes the same size
Type A citations1typical 0
Type B citations5typical 0
Substantiated complaints7typical 0
Total complaints3typical 0
State visits on file10typical 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 2012.
Year-by-year trend
YearVisitsDocumentsSubstantiated20261102025120202422120221212021111
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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≈ $3,000–$5,000 /mo
our estimate — Fresno County band, market research June 2026; not this home’s quoted price
$3,000 · statewide low$8,000 · 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?
If end-of-life care were ever needed, could they stay here? What’s the plan?
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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Call (559) 375-1917

Is Sierra Palace For The Elderly licensed?

Yes — Sierra Palace For The Elderly is a licensed residential care home for the elderly (RCFE) in Fresno (Fresno County): California license #107206560, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 6 residents. State records list 8 inspection and complaint documents since 2021; the most recent, a facility evaluation report dated June 11, 2026, appears in the inspection record on this page.

Can Sierra Palace For The 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 The Elderly with clearances for wheelchair / non-ambulatory; it does not list dementia / memory care, hospice 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 NONAMBULATORY. DEVELOPMENTALLY DISABLED CLIENTS.

How much does Sierra Palace For The Elderly cost?

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

Sierra Palace For The 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

5 of 6 beds occupied (83%) 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 The 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 10 state visits and 8 dated documents since 2021 for Sierra Palace For The Elderly; 3 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.

3 transcribed reports on file

2024

Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff do not transport residents to hospital as needed
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, facility staff did not transport the resident to the hospital. 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 was discussed and provided to Administrator Elizabeth Perera-Moreland, whose signature on this form confirm receipt of this document. Substantiated— CDSS inspection report, July 24, 2024 · control 24-AS-20231213131331

2022

Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedResidents engaged in a physical altercation resulting in injuries. Facility is not following reporting requirements. Facility staff did not adequately supervise residents. Facility did not seek resident medical attention.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
The Department conducted interviews and reviewed records. Based on interviews conducted with Regional Center and facility staff, facility failed to intervene in a physical altercation between R1 and R2, which resulted in R1 getting a black eye, missing teeth, and injury to his right arm. Records and Regional’s Center’s corrective action plan were also reviewed and supported that the facility failed to seek medical attention for R1 after the altercation and the incident was not reported to the Department until after regional center was made aware of the incident. The preponderance of evidence standard has been met, therefore, the above allegations are substantiated. Per Title 22, the following deficiencies are being cited on the attached 9099D. Plan of correction discussed. Appeal rights given. Exit interview completed. Substantiated— CDSS inspection report, May 19, 2022 · control 24-AS-20220126091415

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.
On this date, Licensing Program Analyst(LPA) D. Ayers arrived at the facility unannounced to deliver complaint findings. LPA met with Manager Virginia Jimenez and announced the purpose of the visit. During the course of the investigation, the Department conducted interviews, reviewed records, and conducted facility inspections. Based off of interviews and a tour of the facility conducted on 9/28/2021, facility was not properly quarantining COVID-19 positive or exposed residents according to safety protocols. Facility did not have an adequate supply of proper PPE for their staff to utilize while caring for residents. The above allegations are Substantiated. See attached 9099-D for— CDSS inspection report, December 2, 2021 · control 24-AS-20210924152010

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

What the state has logged

California has logged 10 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
1
typical for this size: 0
Type B citations
5
typical for this size: 0
Substantiated complaints
7
typical for this size: 0
Total complaints
3
typical for this size: 0
State visits on file
10
typical for this size: 6
See the full inspection record on the state's site →
Talk to this home directly

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(559) 375-1917
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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