Autumn Ridge Assisted Living is a residential care home for the elderly (RCFE) in Kerman, Fresno County, California — state license #107209492, licensed for 54 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 19 dated inspection and complaint documents on file for this home going back to 2024, the most recent dated July 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 2024, the state has visited this home 22 times and filed 19 documents. The most recent is a facility evaluation report, dated July 14, 2026.
The state's published file for this home includes 9 documents with transcribed findings, dated March 12, 2025 to June 2, 2026. 9 of the 9 carry the state's recorded outcome word: “Substantiated” (4), “Unsubstantiated” (5). 9 include the transcribed allegation the state investigated, word for word.
Summary composed by computer from the 9 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
Jul 14, 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.
Jun 2, 2026Unsubstantiated
Allegation investigated: Staff did not allow resident in care to use the telephone Staff spoke inappropriately to residents in care
On 06/02/26, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an initial complaint investigation. LPA met with Administrator Karen Dhaliwal and stated the purpose of the visit. During the course of the investigation, the facility was toured and interviews were conducted. Residents confirm staff allow residents to use the facility telephone and do not speak to the residents inappropriately. Based on interviews conducted, the preponderance evident has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. An exit interview was conducted. A copy of this report was provided to Administrator, whose signature on this form confirms receipt of this report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 2, 2026 · control 24-AS-20260528101611
May 28, 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 12, 2026Substantiated
Allegation investigated: Resident was left unattended
On this date 01/12/26, Licensing Program Analyst (LPA) M. Yang conducted initial complaint investigation. LPA introduce self, stated the purpose of the visit, and met with Administrator Karen Dhaliwal. LPA discussed complaint and delivered complaint findings to Administrator. During the course of the investigation, the department conducted interviews, records were reviewed, and the facility was toured. Based on interviews conducted and records reviewed, R1's current physician report documents that the resident cannot leave the facility unsupervised. Interviews confirmed R1 had left the facility premises with R2 without staff supervision on 01/06/26, therefore, the preponderance of evidence has been met, the above allegation is found to be SUBSTANTIATED. An exit interview was conducted. A copy of this report and appeal rights was provided to Administrator, whose signature on this form confirms receipt of this report. Substantiatedthe state’s words, verbatim · CDSS document, Jan 12, 2026 · control 24-AS-20260107172854
Sep 12, 2025Unsubstantiated
Allegation investigated: Resident sustained severe pressure injuries due to staff neglect Staff are not providing adequate food service to residents Staff are not providing residents authorized representative with resident's documents Staff are not ensuring the facility is clean
On 09/12/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to delivered complaint findings on the above allegations. LPA introduced self, stated the purpose of the visit, and met with Administrator Karen Dhaliwal. During the course of the investigation, the department conducted interviews, received copies of records, and toured the facility. Based on interviews conducted, records reviewed, and observations, R1 is received hospice care for pressure injury. Staff assist in feeding food for residents that requires feeding. Facility provided requested documents to resident’s authorized representative. Facility was observed inside and outside. Facility was observed to be cleaned and free of odor. Therefore, the preponderance of evidence standard has not been met, the above allegations are found to be UNSUBSTANTIATED. An exit interview was conducted. A copy of this report was provided to Administrator, whose signature on this form confirms receipt of this report. Unsubstantiatethe state’s words, verbatim · CDSS document, Sep 12, 2025 · control 24-AS-20250715135159
Aug 22, 2025Unsubstantiated
Allegation investigated: Neglect/ Lack of care and supervision resulting in resident having scabies
On 08/22/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver complaint findings. LPA introduced self, stated the purpose of the visit, and met with Administrator Karen Dhaliwal. During the course of the investigation, the Department conducted interviews, records were reviewed and toured the facility. R1 developed skin rashes that were not diagnosis as scabies. The facility has notified R1’s physician and treatment has been provided for R1’s skin rash. Based on interviews conducted and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was provided Administrator, whose signature confirms received of this report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 22, 2025 · control 24-AS-20250630150714
Jun 17, 2025Substantiated
Allegation investigated: Staff do not ensure residents expired medications are discarded
On 06/17/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct initial complaint investigation. LPA introduced self, stated the purpose of the visit, and met with Administrator Karen Dhaliwal and Licensed Vocational Nurse Diane Cramer. LPA delivered complaint findings. During the course of the investigation, the Department conducted interviews, toured the facility, and reviewed records. Discontinued medications were stored in medication room unlogged and not disposed. Interview with staff confirms expired medications and medications for former residents has not been logged and disposed back dated to March 2025. Based on observations and interviews conducted, the preponderance evident has been met, therefore the above allegation is found to be SUBSTANTIATED. An exit interview was conducted. A copy of this report and appeal rights was provided to the Administrator, whose signature on this form confirms receipt of this report. Substantiatedthe state’s words, verbatim · CDSS document, Jun 17, 2025 · control 24-AS-20250513154609
Jun 17, 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.
May 19, 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.
May 9, 2025Unsubstantiated
Allegation investigated: Staff do not ensure that residents are provided with a safe environment. Staff are not properly trained. Staff do not provided adequate laundry services.
On 05/09/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct initial complaint investigation. LPA introduced self, stated the purpose of the visit, and met with Administrator Karen Dhaliwal and Licensed Vocational Nurse Diane Cramer. LPA discussed the purpose of the visit and delivered complaint findings. During the course of the investigation, the Department conducted interviews, toured the facility, and reviewed records. Facility is doing resident’s laundry on laundry schedule date, after resident’s shower date, and as needed. Staff completed required trainings and are redirecting residents. Based on interview conducted, observation, and records reviewed, there was insufficient evidence to prove or disprove that staff did not ensure that residents are provided with a safe environment, staff not properly trained, and staff did not provide adequate laundry services. Therefore, the above allegations are found to be UNSUBSTANTIATED. An exit interview was conducted.the state’s words, verbatim · CDSS document, May 9, 2025 · control 24-AS-20250508124643
May 9, 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.
May 9, 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 16, 2025Substantiated
Allegation investigated: Staff not responding to client's calls for assistance in a timely manner
On 04/16/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct initial complaint investigation. LPA introduced self, stated the purpose of the visit, and met with Administrator Karen Dhaliwal. LPA delivered complaint findings. During the course of the investigation, the Department conducted interviews, toured the facility with Administrator and reviewed records. Administrator stated that call pendants are responded to within 10 to 15 minutes. Administrator and LPA observed a sample of residents' call pendant in which were not responded to in a timely manner upon activation. Based on observation and records reviewed, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. Under California Code of Regulations, Title 22, Division 6, are being cited on the attached LIC 9099D.An exit interview was conducted. A copy of this report and appeals was provided to the Administrator, whose signature on this form confirmthe state’s words, verbatim · CDSS document, Apr 16, 2025 · control 24-AS-20250411152911
Mar 24, 2025Unsubstantiated
Allegation investigated: Staff allows resident to smoke while oxygen tank(s) are in use. Staff allows resident to have access to a lighter. Unqualified staff disposing medications.
On 03/24/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct complaint investigation. LPA introduced self, stated the purpose of the visit, and met with Administrator Karen Dhaliwal. LPA deliver complaint findings on the above allegations. During the course of the investigation, the Department conducted interviews, toured the facility, and reviewed records. Resident was observed requesting for cigarette from staff and staff lighting cigarette for resident outside. The department observed resident smoking outside in designated area. Disposed medications are disposed by medication technicians and management staff into a pharmaceutical container. Based on interviews conducted, observations, and records reviewed, preponderance of evidence standard has not been met, therefore, the above allegations are found to be UNSUBTANTIATED. An exit interview was conducted. A copy of this report was provided to the Administrator, whose signature on this form confirms receipt of tthe state’s words, verbatim · CDSS document, Mar 24, 2025 · control 24-AS-20250318164041
Mar 24, 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.
Mar 12, 2025Substantiated
Allegation investigated: Licensee does not ensure that facility's appliances are maintained in good repair
On 03/12/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct initial complaint investigation. LPA introduced self, stated the purpose of the visit, and met with Administrator Karen Dhaliwal. During the course of the investigation, LPA conducted interviews, toured the facility, and reviewed records. Refrigerators were observed operational and in good repair. Refrigerator temperature was maintained at 36 degrees F. Frozen food was observed stored in refrigerator. A freezer was observed in the facility kitchen non-operational. Based on observation, interviews conducted, and records reviewed, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBTANTIATED. A copy of this report and appeal rights was provided to the Administrator, whose signature on this form confirms receipt of this report. Substantiatedthe state’s words, verbatim · CDSS document, Mar 12, 2025 · control 24-AS-20250311151837
Nov 7, 2024Report 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 9, 2024Report 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 29, 2024Report 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.
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Is Autumn Ridge Assisted Living licensed?
Yes — Autumn Ridge Assisted Living is a licensed residential care home for the elderly (RCFE) in Kerman (Fresno County): California license #107209492, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 54 residents. State records list 19 inspection and complaint documents since 2024; the most recent, a facility evaluation report dated July 14, 2026, appears in the inspection record on this page.
Can Autumn Ridge Assisted Living 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 Autumn Ridge Assisted Living 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. 54 NON-AMBULATORY, OF WHICH 4 MAY BE BEDRIDDEN.APPROVED FOR DELAYED EGRESS. WAIVER/GRANTED FOR HOSPICE CARE FOR (15).
How much does Autumn Ridge Assisted Living cost?
California's public licensing record does not include Autumn Ridge Assisted Living'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 Autumn Ridge Assisted Living accept Medi-Cal or the Assisted Living Waiver?
Yes — Medi-Cal can help pay for care at Autumn Ridge Assisted Living 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 →
49 of 54 beds occupied (91%) when the state visited on June 2, 2026. Availability changes constantly — confirm a current opening with the home.
What do state inspections show for Autumn Ridge Assisted Living?
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 22 state visits and 19 dated documents since 2024 for Autumn Ridge Assisted Living; 9 complaint-investigation narratives are transcribed verbatim below. The most recent, dated June 2, 2026, 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.
2026
2025
Transcribed from CDSS complaint-investigation reports · record checked August 2, 2026.
What the state has logged
California has logged 22 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 larger communities (16+ beds), computed across all 1,244 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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