Small home · Licensed for 6 · Fresno

Fresno Guest Home #20

2165 E Menlo Avenue, Fresno, CA 93710Licensed since 2024

Overview

Estimated starting rate

$3,800 a month

Covelight estimate · likely $3,100–$4,700 See costs

No openings reported

Approved by the state: Wheelchair · Dementia · HospiceState licensing record · October 26, 2026
Ways to pay: Medi-Cal ALW acceptedDHCS participant list · October 1, 2026
Licensed for 6: a small care homeThe state license record

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Care and support

Wheelchairup to 6 residents
Dementia
Hospiceup to 6 residents

Not on file: bedridden approval.

Approved by the state · State licensing record · October 26, 2026. An approval may cover specific rooms or residents; it does not establish an opening.

Read the state’s own wording

AGE RANGE 60 AND OVER. 6 NON-AMBULATORY. HOSPICE WAIVER FOR 6.

983 - RCFE / DEMENTIA

CDSS record, verbatim · October 26, 2026

Care services

These are the home’s own statements about its day-to-day practice — they are not part of the state licensing record, and the state has not approved or reviewed them.

Assisted living
Reported on fresnoguesthomes.com · source dated October 2, 2026.
Building is wheelchair accessible
Reported on fresnoguesthomes.com · source dated June 30, 2025.
Works with residents’ own health care providers
Reported on fresnoguesthomes.com · source dated October 2, 2026.
Diabetes care
Reported on fresnoguesthomes.com · source dated June 30, 2025.
Parkinson's care experience
Reported on fresnoguesthomes.com · source dated June 30, 2025.
Stroke care experience
Reported on fresnoguesthomes.com · source dated June 30, 2025.

As needs change

Staying through hospice
Residents may remain through end of life — reported yes
fresnoguesthomes.com · June 30, 2025
If memory loss develops
Dementia-care designation on file
State licensing record · October 26, 2026

We’ll ask for you. Not on file for Fresno Guest Home #20: two-person transfers or a lift, who is awake overnight and help with medicines. When we check availability, we ask about these too.

Check availability

What it costs here

Covelight estimate

$3,800a month to start

Likely $3,100–$4,700

From 8 nearby homes that publish rates · this home’s rate is not on file

Costs & moving in

Veterans benefits
Reported on fresnoguesthomes.com · source dated June 30, 2025.

Monthly cost breakdownWith a shared room and basic help · room, care and fees$3,800likely a month

Room

Daily care

Sharing the room

Starting monthly rate$3,800likely $3,100–$4,700
Covelight’s estimate starts from the rates 8 small homes and similar homes within 9 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.
Basic help with daily careUsually includedup to $600
Basic help is usually part of the starting rate. Homes that price care by level start around $600 a month (44 California homes publish a care-level range, seen in September 2026).
One-time move-in fee$2,500one time · likely $0–$4,000
Homes that list a one-time entry or community fee charge a median of $2,500 (133 California listings; middle half $1,000–$4,000). Many homes list none — ask.

Likely monthly totalLikely $3,100–$4,900: $3,800
First monthWith a one-time move-in fee · likely $3,700–$8,150: $6,300

How people payOn the Medi-Cal waiver list · private pay, SSI/SSP, veterans, insurance

MedicareDoes not pay for room and board in a care home. It can still cover hospice or home-health visits inside one.
Private payMost residents pay from savings, a home sale or family help. Ask for the rate and what it includes in writing.
Medi-Cal Assisted Living WaiverThis home appears on the DHCS participation list, October 1, 2026. Confirm eligibility and current participation with the program. The waiver pays for care services, not room and board. On the waiver, a resident on SSI/SSP pays the home $1,444.07 a month for room and board.
SSI/SSPCalifornia’s 2026 standard is $1,626.07 a month; $1,444.07 of it goes to the home and $182 stays with the resident. Whether this home accepts it is not on file — ask.
VeteransVA Aid & Attendance can add to a veteran’s or surviving spouse’s pension. Ask whether residents here have used it.
Long-term care insuranceMost policies pay for licensed care homes. Ask what paperwork the home provides for claims.

If the money runs out, what Medi-Cal covers

Rates at nearby homes8 nearby homes publish starting rates of $2,800 to $6,000

8 homes like this within 9 miles publish starting rates mostly between $2,800–$5,450.

Palo Alto Senior Care HomeFresno · 2.5 mi · Small home
$3,000Listed on Seniorly · assisted living · seen September 9, 2026
Copper River Retirement Group - LoyolaClovis · 2.7 mi · Small home
$2,800Listed on its own website · fully furnished shared room starting at · seen October 27, 2026
Joyful Living RcheFresno · 3.7 mi · Small home
$3,600Listed on Seniorly · assisted living · seen September 9, 2026
Green VillaFresno · 3.7 mi · Small home
$5,000Listed on Seniorly · assisted living private room · seen September 9, 2026
Carmel Village Memory CareClovis · 3.9 mi · Mid-size home
$6,000Listed on Seniorly · independent living private cottage/casita · seen September 9, 2026
Copper River Retirement GroupFresno · 4.2 mi · Small home
$2,800Listed on its own website · fully furnished shared room starting at · seen October 27, 2026
Serenity Garden Home 2Fresno · 7.4 mi · Small home
$4,000Listed on Seniorly · seen September 9, 2026
Close to Home Residential CareFresno · 8.8 mi · Small home
$5,700Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026

How this estimate worksWithin 25% for 7 in 10 homes in testing

Covelight’s estimate starts from the rates 8 small homes and similar homes within 9 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.

Only prices a home put out itself count: its own website, a listing it supplied, or a price Seniorly says the home confirmed. Prices a listing site shows without saying where they came from are left out.
Nearby homes are the nearest of the same size that publish a rate, widening from 3 to 40 miles until at least 8 do. The estimate starts from what they charge, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices.
Room, care-level, second-person and move-in lines come from what California homes publish on listing sites. Memory care uses Covelight’s researched premium over assisted living.
Totals add each line’s figure and combine the lines’ ranges as separate charges, because a home is rarely at the top, or the bottom, of every line at once.
We tested this estimate on 1,546 California homes that publish their own starting rate. It was within 10% of the real rate for 3 in 10 homes and within 25% for 7 in 10; the likely range held the real rate for 6 in 10 (September 12, 2026).
It cannot see this home’s specials, how it assesses care, or which rooms are open.

Avoid surprises on the billWhat changes the price, and what to ask

The care level
Some homes charge one all-inclusive rate. Others add levels or points as needs grow. Ask how the level is set, who decides, and what the next level costs.
What is billed separately
Medication management, incontinence supplies, transportation and a second person in the room are often extra. Ask for the list in writing.
Move-in costs
A one-time move-in fee or deposit is common. Ask what it covers and whether any of it comes back if the stay is short.
Increases
California requires at least 90 days’ written notice, with reasons, before a rate rises (Health & Safety Code §1569.655). A change in the resident’s care level is the section’s own exception and can be billed sooner.

Ask for the price

An estimate for planning, not a quote. A home sets the price after hearing about the care needed.

Daily life

Rooms, meals, activities and house rules, in the home’s own words. Open any detail to see where it came from.

Search the home’s details

Rooms & the spaces they will use (12)Private rooms · Outdoor space · Wifi

Private rooms
Reported on fresnoguesthomes.com · source dated June 30, 2025.
Outdoor spaceProduce garden · Fruit trees · Secure backyard living space · Backyard
Produce garden · Fruit trees — reported on fresnoguesthomes.com · source dated October 23, 2025.
Secure backyard living space · Backyard — reported on fresnoguesthomes.com · source dated June 30, 2025.
Wifi
Reported on fresnoguesthomes.com · source dated June 30, 2025.
Private bathroomYes — “Private bathrooms based on availability”
Reported on fresnoguesthomes.com · source dated June 30, 2025.
Common areasCommunity spaces
Reported on fresnoguesthomes.com · source dated April 5, 2026.
Monitoring technologyRemote vitals monitoring
Reported on fresnoguesthomes.com · source dated June 30, 2025.
Wifi in resident rooms
Reported on fresnoguesthomes.com · source dated June 30, 2025.
LaundryDone by staff
Reported on fresnoguesthomes.com · source dated June 30, 2025.
Emergency call system in the room
Reported on fresnoguesthomes.com · source dated June 30, 2025.
Housekeeping frequencyDaily
Reported on fresnoguesthomes.com · source dated October 2, 2026.
AmenitiesStructure · Routine · Socialization · Trash removal · Dedicated maintenance staff · Fully adjustable beds · and 11 more
Structure · Routine · Socialization — reported on fresnoguesthomes.com · source dated October 2, 2026.
Trash removal · Dedicated maintenance staff · Fully adjustable beds · Power-lift recliners · Ramps · Handrails · No-step showers · Elevated toilet seats · Grab bars · Widened door frames · Widened hallways · Fully adjustable beds, power-lift recliners, ramps, handrails, no-step showers, elevated toilet seats, grab bars, widened door frames and hallways for easy wheelchair access · Big-screen living-room TV · Secure backyard living space — reported on fresnoguesthomes.com · source dated June 30, 2025.
Housekeeping
Reported on fresnoguesthomes.com · source dated October 2, 2026.

Meals, preferences & familiar food (5)Meals provided per day · Snacks available · Dishes the home names, on a published menu or in its own description of its food

Meals provided per day3
Reported on fresnoguesthomes.com · source dated October 23, 2025.
Snacks available
Reported on fresnoguesthomes.com · source dated October 23, 2025.
Dishes the home names, on a published menu or in its own description of its foodVegetable quesadillas with rice and salad · Italian wedding soup and garlic bread · Tilapia scaloppine with farro and green beans · Fish tacos with citrus slaw and rice · Beef enchiladas with rice and black beans · Lemon-thyme chicken tenders and fries · and 3 more
Vegetable quesadillas with rice and salad · Italian wedding soup and garlic bread · Tilapia scaloppine with farro and green beans · Fish tacos with citrus slaw and rice · Beef enchiladas with rice and black beans · Lemon-thyme chicken tenders and fries · Waffles and fresh berries · Oatmeal and yogurt · Pancakes and bacon — reported on fresnoguesthomes.com · source dated October 23, 2025.
Meals provided
Reported on fresnoguesthomes.com · source dated October 2, 2026.
Dining atmosphereHomestyle Meals
Reported on fresnoguesthomes.com · source dated October 2, 2026.

Activities & the rhythm of a day (2)Activity types offered · Activities tailored to the individual

Activity types offeredCommunity-building life enrichment opportunities · Beauty services · Manicure · Aroma therapy · Getting active · Getting outside · and 12 more
Community-building life enrichment opportunities — reported on fresnoguesthomes.com · source dated April 5, 2026.
Beauty services · Manicure · Aroma therapy · Getting active · Getting outside · Getting creative · Getting together · Socialization · Physical · Mental · Social · Spiritual activities · Community-building activities · Spiritual · Arts and crafts · Music and aroma therapy · Outdoor walks — reported on fresnoguesthomes.com · source dated June 30, 2025.
Activities tailored to the individual
Reported on fresnoguesthomes.com · source dated June 30, 2025.

Pets, routines & independence (2)Residents may bring a pet · Family may bring a pet to visit

Residents may bring a petReported no
Reported on fresnoguesthomes.com · source dated October 2, 2026.
Family may bring a pet to visit
Reported on fresnoguesthomes.com · source dated October 2, 2026.

Visiting & staying involved (1)Contact form

Contact form
Reported on fresnoguesthomes.com · source dated February 18, 2026.
Open on the website

Where it is

2165 E Menlo Avenue, Fresno, CA 93710Address from the public record · October 26, 2026. Confirm the entrance with the home before visiting.

Opening the neighborhood map…

San Joaquin Valley Rehabilitation HospitalHospital · General acute care, on the state’s list0.8 mi

Straight-line distances; check the drive or the walk. Hospital: the nearest general acute care hospital on the state’s list (CDPH, September 16, 2026).

Open directions

The state record

California inspects every licensed home and publishes what it found. A citation does not make a home unsafe, and an empty file does not make a home good.

CDSS public record, read October 26, 2026 · License #107209394 · See the state’s own record

The last 36 months — 3 of 3 documents

20261 state visit · 1 document

Feb 6, 2026Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

On 02/06/2026, Licensing Program Analyst (LPA) Daiquiri Boyd arrived at the facility unannounced to conduct a required annual visit. LPA was granted entry by staff and explain the purpose of the visit. Administrator Teresa Long (AD) arrived at the facility shortly after, to assist in the inspection. The residence was set at 74 F temperature and free of passageway obstructions inside and outside. LPA observed six bedrooms in the residence. Residents' rooms were toured and inspected. Rooms were found to be clean, and furnishing was in good condition. Hot water temperature was measured at 110.5 degrees F. Kitchen toured, supply of food observed, and food stored properly for perishable and nonperishable. Medication and knives are locked in a kitchen pantry closet. Cleaning supplies were locked in the laundry room. Smoke detectors and carbon monoxide are dual detectors, they were checked and operating. Fire extinguishers were charged and was serviced on 08/06/2025. Emergency disaster drills are conducted quarterly, last drill completed on 12/08/2025. First Aid kit was observed and found to be fully stocked.There was outdoor seating for the residents. Outdoor area was clean and free of obstruction. LPA reviewed 3 staff files and 3 client binders. An exit interview was conducted, and a copy of this report was provided to AD whose signature confirms receipt. AD requested that document be emailed to the email: contact@fresnoguesthomes.com, rather than leaving a paper copy of report. No deficiencies were cited on this day. LPA requested the following updated forms faxed to CCLD by 02/20/2026: Personnel Report (LIC 500), Proof of current Liability Coverage.the state’s words, verbatim · CDSS document, Feb 6, 2026

20251 state visit · 1 document

Feb 7, 2025Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

On 02/07/2025, Licensing Program Analyst (LPA) Daiquiri Boyd arrived at the facility unannounced to conduct a required annual visit. LPA was granted entry by staff and explain the purpose of the visit. Administrator Teresa Long (AD) arrived at the facility shortly after, to assist in the inspection. The residence was set at 74 F temperature and free of passageway obstructions inside and outside. LPA observed six bedrooms in the residence. Residents' rooms were toured and inspected. Rooms were found to be clean, and furnishing was in good condition. Hot water temperature was measured at 110.8 degrees F. Kitchen toured, supply of food observed, and food stored properly for perishable and nonperishable. Medication and knives are locked in a kitchen pantry closet. Cleaning supplies were locked in the laundry room. Smoke detectors and carbon monoxide are dual detectors, they were checked and operating. Fire extinguishers were charged and was serviced on 08/05/2024. Emergency disaster drills are conducted quarterly, last drill completed on 12/01/2024. First Aid kit was observed and found to be fully stocked. LPA reviewed 2 staff files and 3 client binders. There was outdoor seating for the residents. Outdoor area was clean and free of obstruction. An exit interview was conducted, and a copy of this report was provided to AD whose signature confirms receipt. No deficiencies were cited on this day. LPA requested the following updated forms faxed to CCLD by 02/20/2025: Administrative Organization (LIC309), Personnel Report (LIC 500), Proof of current Liability Coverage.the state’s words, verbatim · CDSS document, Feb 7, 2025

20241 state visit · 1 document

Feb 2, 2024Facility evaluation reportPrelicensingReport on file

Type of visit: Prelicensing

A Pre-Licensing visit was conducted on the scheduled date and times indicated above by Licensing Program Analyst (LPA) M. Flores. LPA met with Licensee, Angelica Kutnerian and Administrator, Teresa Long. Application documents as applicable for Pre-Licensing were reviewed at the time of visit. Facility phone: (559) 512-5551. Physical plant toured. Facility is clean and in good repair. Interior and exterior passageways are free of obstructions. Items that could pose a danger, such as disinfectants and cleaning solutions are inaccessible and locked in the laundry room. Sufficient lighting and furnishings were noted in the kitchen, dining, living, and resident bedrooms. Locked centralized storage area for medications is next to the kitchen. First aid kit is complete. Hot water tested & measured at 112.6 degrees F. Room temperature measured at 72 degrees. Physical plant is consistent with the facility sketch/floor plan. Fire extinguisher was purchased on 10/18/23. Smoke & carbon monoxide detectors tested & determined to be operational. Comp III was waived. Pre-Licensing is complete & this facility has no deficiencies. Exit interview conducted and a copy of this report was provided to Licensee, Angelica Kutnerian.the state’s words, verbatim · CDSS document, Feb 2, 2024

License holder

Xencare II, Inc., licensed since 2024.

Operates 11 licensed homes in California. Running more than one home is common and is neither good nor bad on its own.

The state’s totals for this licenseSince 2024, as the state’s facility page counts them

State visits on file: 3
Total complaints: 0
Substantiated allegations: 0
Type A citations: 0
Type B citations: 0

These are the state’s own totals for this license since 2024, per CDSS records. The state counts them apart from the documents above, and they can differ from what those documents show; the documents say what each visit found. One complaint can contain several allegations.

Compare with homes the same size

	This home	Typical
Type A citations	0	0
Type B citations	0	0
Substantiated allegations	0	0
Total complaints	0	0

“Typical” is the statewide median for licensed homes this size. It does not adjust for years licensed, and older licenses have had more visits and reports. The median is across the 6,916 licensed small board-and-care homes (6 or fewer beds) in the state record. The figures compared are the state’s totals, not the documents.

What the state’s words mean

Routine visita visit the state records as “Required” — a scheduled visit, not one made in answer to a complaintSubstantiatedthe state found the allegation more likely true than notUnsubstantiatedthere was not enough evidence to prove a violation occurred — not a finding of wrongdoingUnfoundedthe evidence showed the allegation was false, could not have happened, or had no reasonable basisType A citationa violation that poses an immediate risk to health, safety or personal rights if it is not correctedType B citationa violation that could become a risk if not corrected, or one involving records, resources or required services

CDSS citation definitions (PDF) ↗ · CDSS complaint outcomes ↗

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, and we publish no reviews — the state’s dated documents stand in their place.

Open CDSS facility search ↗Report a record error Operate this home? Respond or correct, free →

Frequently asked questions

A citation does not make a home unsafe, and an empty file does not make a home good.

Quick answers about Fresno Guest Home #20

Is Fresno Guest Home #20 licensed?

The state lists this license as “Licensed,” per CDSS records as of October 26, 2026.

How many residents is Fresno Guest Home #20 licensed for?

6 residents — a small home, per CDSS records as of October 26, 2026.

Has Fresno Guest Home #20 been cited?

0 Type A and 0 Type B citations since 2024, per CDSS records as of October 26, 2026. Those records count 3 state visits over the same years.

Is Fresno Guest Home #20 still open?

This license was on the CDSS roster as of November 12, 2026.

What does Fresno Guest Home #20 cost?

$3,800 a month to start is a Covelight estimate, likely $3,100–$4,700. This home’s own rate is not on file. Ask: “What is the all-in monthly rate, and what would push it higher?”

Among 6 other homes of a similar licensed size in Fresno that publish a starting rate, the middle half runs $3,000 to $5,000 a month, and the middle figure is $3,800 (n = 6 other homes publishing a starting rate).

Each of those is a home’s own published figure, gathered on its own date between September and October 2026 — not an average of ours, and not a survey. Similar size means small and mid-size homes counted together, and large communities counted on their own, because they are different markets.

A home outside the band is not overcharging or underpricing: a starting rate covers different things in different homes, which is the first thing to ask about.

The price is made in the phone call. Nothing here is a quote, an offer or a discount.

A starting rate is the room and the base care. California homes commonly bill care levels, medication management, supplies, transport and a second person in the room as extras. Many also charge a one-time fee at move-in. Ask for that list in writing before anything is signed.

Only prices a home put out itself count here: its own website, a listing it supplied, or a price a listing site says the home confirmed. Prices a site shows without saying where they came from are left out. What Medi-Cal’s Assisted Living Waiver covers in a care home.

Does Fresno Guest Home #20 take Medi-Cal?

On Medi-Cal’s Assisted Living Waiver: this home appears on the DHCS participation list, October 1, 2026. Confirm eligibility and current participation with the program. The waiver pays for care services, not room and board.

Who holds the license?

The license is held by Xencare II, Inc., per CDSS records as of October 26, 2026. See the homes licensed to Xencare II, Inc. — at least 14 on the state roster.

Is there a hospital nearby?

San Joaquin Valley Rehabilitation Hospital is 0.8 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.

Can Fresno Guest Home #20 keep a resident on hospice?

Hospice care is approved on this license, covering up to 6 residents, per CDSS records as of October 26, 2026.