Sequoia Grove Assisted Living, Inc is a residential care home for the elderly (RCFE) in Fresno, Fresno County, California — state license #107209323, licensed for 6 residents, listed as licensed in the CDSS record we retrieved August 2, 2026. It appears on the DHCS Assisted Living Waiver participant list checked August 9, 2026, so Medi-Cal may help pay for care services here. California has 6 dated inspection and complaint documents on file for this home going back to 2023, the most recent dated February 14, 2026 — published below in full, verbatim and unscored.
No photo of this home is on file — we show real, attributed images only, never a stock photo of someone else’s building.
Since 2023, the state has visited this home 6 times and filed 6 documents. The most recent — a complaint investigation report on February 14, 2026 — closed with the state’s outcome word: “Substantiated.”
The state's published file for this home includes 2 documents with transcribed findings, dated April 2, 2024 to February 14, 2026. 2 of the 2 carry the state's recorded outcome word: “Substantiated” (2). 2 include the transcribed allegation the state investigated, word for word.
Summary composed by computer from the 2 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
Feb 14, 2026Substantiated
Allegation investigated: Staff did not ensure resident was spoken to in an appropriate manner Staff forced resident to consume food with medications mixed in it Staff did not allow resident to choose her own healthcare provider
On 2/14/2026 Licensing Program Analyst (LPA), M. Garza arrived at the facility for an unannounced complaint visit. LPA met by Care Giver, Marisol Gonzalez explained reason for visit and was permitted entry into the facility. Licensee, Keghouhy “Kay” Handian was contacted and stated they were unavailable to come to the facility. Kay gave permission to complete visit with Care Giver, Marisol. LPA completed a health and safety check on residents in care. Residents observed in common areas and in rooms. LPA toured the facility. During visits LPA completed interviews, toured facility, reviewed documentation provided by Licensee (physicians reports, admission agreements, needs and services plans, functional capabilities, hospice records, personnel report, and resident roster). Based on interviews conducted and records reviewed, the allegation staff did not ensure resident was spoken to in an appropriate manner is SUBSTANTIATED. Interviews disclosed staff failed to maintain a respectful interthe state’s words, verbatim · CDSS document, Feb 14, 2026 · control 24-AS-20250722081802
Jan 6, 2026Report 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.
Jan 21, 2025Report 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.
Apr 2, 2024Substantiated
Allegation investigated: Facility did not issue a refund to resident's responsible party.
On 4/02/2024, Licensing Program Analyst (LPA) V. Gorban visited the facility to deliver findings. During this visit LPA met with facility administrator and stated the purpose of the visit. During this visit LPA toured the facility inside and out and observed residents in care. Once the tour was complete, LPA discussed the findings with the AD. Allegation: Facility did not issue a refund to resident's responsible party. Based off of Administrator interview and file review R1 was not refunded payment of $1,324.82 for the month of January R1 when R1 contract terminated in December. Based on LPAs observations and interviews which were conducted with administrator and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulation is being cited on the attached LIC9099-D Exit interview conducted, report signed and with appeal rights provided to Administrator. Substantiatedthe state’s words, verbatim · CDSS document, Apr 2, 2024 · control 24-AS-20240229140618
Oct 3, 2023Report 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.
Year-by-year trend
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Is Sequoia Grove Assisted Living, Inc licensed?
Yes — Sequoia Grove Assisted Living, Inc is a licensed residential care home for the elderly (RCFE) in Fresno (Fresno County): California license #107209323, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 6 residents. State records list 6 inspection and complaint documents since 2023; the most recent, a complaint investigation report dated February 14, 2026, was marked “Substantiated” by the state.
Can Sequoia Grove Assisted Living, Inc 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 Sequoia Grove Assisted Living, Inc with clearances for wheelchair / non-ambulatory, dementia / memory care, hospice care, and bedridden. Clearances describe what the license permits, not day-to-day staffing — confirm current scope and availability with the home directly on a tour.
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. APPROVED FOR SIX (6) NON-AMBULATORY, OF WHICH ONE (1) MAY BE BEDRIDDEN IN ROOM 3. HOSPICE WAIVER APPROVED FOR SIX (6).
How much does Sequoia Grove Assisted Living, Inc cost?
California's public licensing record does not include Sequoia Grove Assisted Living, Inc'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 Sequoia Grove Assisted Living, Inc accept Medi-Cal or the Assisted Living Waiver?
Yes — Medi-Cal can help pay for care at Sequoia Grove Assisted Living, Inc through California's Assisted Living Waiver (ALW): the home appears on the Department of Health Care Services participant list checked August 9, 2026. The waiver pays for assisted-living care services — not room and board — for eligible Medi-Cal members, and each home takes a limited number of waiver residents, so ask the home about a current ALW opening.
Medi-Cal / ALW homes in Fresno County →Assisted living on Medi-Cal in California →See the DHCS list →
6 of 6 beds occupied (100%) when the state visited on February 14, 2026. Availability changes constantly — confirm a current opening with the home.
What do state inspections show for Sequoia Grove Assisted Living, Inc?
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 6 state visits and 6 dated documents since 2023 for Sequoia Grove Assisted Living, Inc; 2 complaint-investigation narratives are transcribed verbatim below. The most recent, dated February 14, 2026, 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.
2026
2024
Transcribed from CDSS complaint-investigation reports · record checked August 2, 2026.
What the state has logged
California has logged 6 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.
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