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    • 5Step 5: Move in
    • 6Step 6: The first months, and your rights

    Start with a question

    • Who pays for a care home?
    • Does Medi-Cal pay for a care home?
    • Board and care or assisted living?
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    • Check a home’s license
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Fresno Guest Home #18License #107209272 · Covelight Care
Covelight CareFresno Guest Home #18License #107209272 · 2804 E. Palo Alto Avenue, Fresno, CA · (559) 434-1839Record printed from covelightcare.com — data as of the dates shown on each item.
Home/California/Fresno County/Fresno/Fresno Guest Home #18
Map · 2804 E. Palo Alto Avenue

© Protomaps © OpenStreetMap

Estimated starting rate$3,750/mo

Covelight estimate · likely $3,050–$4,650 · See costs

Check availability

Request a tour

More days
  • AskThe cost, or your own question
  • (559) 434-1839

    From the state licensing record · October 26, 2026

  • fresnoguesthomes.com↗

Free for families. A home gets your number only if you say yes.

FG

Call Fresno Guest Home #18

Fresno · Licensed for 6

(559) 434-1839

From the state licensing record · October 26, 2026

From the home’s website, fresnoguesthomes.com:

contact@fresnoguesthomes.com · general email · seen October 27, 2026

or

Let us do the legwork

  • We ask about availability, price and the care you describe.
  • If it’s a fit, you choose whether they call you. Either way, you get every answer.
Check availabilityFree

Small home · Licensed for 6 · Fresno

Fresno Guest Home #18

2804 E. Palo Alto Avenue, Fresno, CA 93710 · Licensed since 2023

  • Overview
  • Care
  • Costs
  • Daily life
  • Location
  • State record

Fresno Guest Home #18

Overview

Estimated starting rate

$3,750 a month

Covelight estimate · likely $3,050–$4,650 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

Ask this home

Check availability

Request a tour

More days
  • AskThe cost, or your own question

Free for families. A home gets your number only if you say yes.

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. APPROVED FOR SIX (6) NON-AMBULATORY. HOSPICE WAIVER APPROVED FOR SIX (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.

  • Works with hospice

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

  • Disease management

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

  • 24-hour supervision claimed

    Reported on fresnoguesthomes.com · source dated October 2, 2026.

  • Registered nurse on staff

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

  • Security system

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

  • Clinicians who come to the homePsychiatry (as needed) · Primary care

    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 #18: 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

$3,750a month to start

Likely $3,050–$4,650

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$3,750likely a month
Room
Daily care
Sharing the room
  • Starting monthly rate$3,750likely $3,050–$4,650

    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 $3,050–$4,850
$3,750
First monthWith a one-time move-in fee · likely $3,650–$8,100
$6,250
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

$2,800$6,000

EstimateLikely rangeA nearby home’s published starting rate

8 homes like this within 9 miles publish starting rates mostly between $2,800–$5,550.

  • Copper River Retirement Group - LoyolaClovis · 2.2 mi · Small home
    $2,800Listed on its own website · fully furnished shared room starting at · seen October 27, 2026
  • Palo Alto Senior Care HomeFresno · 3.2 mi · Small home
    $3,000Listed on Seniorly · assisted living · seen September 9, 2026
  • Carmel Village Memory CareClovis · 3.4 mi · Mid-size home
    $6,000Listed on Seniorly · independent living private cottage/casita · seen September 9, 2026
  • Copper River Retirement GroupFresno · 4.1 mi · Small home
    $2,800Listed on its own website · fully furnished shared room starting at · seen October 27, 2026
  • Joyful Living RcheFresno · 4.4 mi · Small home
    $3,600Listed on Seniorly · assisted living · seen September 9, 2026
  • Green VillaFresno · 4.4 mi · Small home
    $5,000Listed on Seniorly · assisted living private room · seen September 9, 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.

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

2804 E. Palo Alto Avenue, Fresno, CA 93710Address from the public record · October 26, 2026. Confirm the entrance with the home before visiting.

Opening the neighborhood map…

  1. 1San Joaquin Valley Rehabilitation HospitalHospital · General acute care, on the state’s list1.3 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 #107209272 · See the state’s own record ↗

The last 36 months — 7 of 9 documents

Complaint outcomes in these 36 months, in the state’s words: 1 “Unsubstantiated” and 2 “Unfounded”.

20261 state visit · 1 document

Jan 22, 2026Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

On 01/22/2026, Licensing Program Analyst (LPA) Daiquiri Boyd arrived at the facility unannounced to conduct a required annual visit. LPA was accompanied by Administrator Teresa Long (AD), who arrived at the facility together with LPA to assist in the inspection. LPA and AD arrived together due to coming from another facility immediately before. 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 113.2 degrees F. Kitchen toured, supply of food observed, and food stored properly for perishable and nonperishable. Medication and knives are locked in a pantry area in the kitchen area. 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. LPA reviewed 3 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 01/30/2026: Personnel Report (LIC 500), Proof of current Liability Coverage.the state’s words, verbatim · CDSS document, Jan 22, 2026

20252 state visits · 2 documents

May 19, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Staff do not provide food of good quality

Licensing Program Analyst (LPA) Daiquiri Boyd made an unannounced visit to the Resident Care Facility for the Elderly (RCFE) and met with staff, who then called Administrator, Teresa Long. LPA was greeted by facility staff and was granted entrance into the faciity. Residents were in their rooms and watching television in the living room and some had just finished breakfast. LPA toured the faciity and interviewed Administrator and resident. LPA looked at food supply and found it to be in good and sufficient supply and of good quality. Hot pasta lunch and a salad was currently being provided for lunch this day. During this visit LPA delivered investigation findings regarding the above allegations. The Department has investigated the complaint alleging: staff do not provide food of good quality. Based on the interviews conducted and/or observation the above allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. No deficiencies were sited during this visit. Exit interview conducted and copy of this report provided to Administrator for facility records. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 19, 2025 · control 24-AS-20250515104730
Jan 6, 2025Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

On 01/06/2025, 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 pantry area in the kitchen area. 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 3 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 01/20/2025: Administrative Organization (LIC309), Personnel Report (LIC 500), Proof of current Liability Coverage.the state’s words, verbatim · CDSS document, Jan 6, 2025

20243 state visits · 4 documents

Dec 11, 2024Complaint investigation reportUnfounded

Allegation investigated: Staff inapproproriately threw resident's medication away Staff did not ensure resident received all their belongings

Licensing Program Analyst (LPA) Daiquiri Boyd conducted the complaint investigation visit to the facility. During the course of this investigation LPA reviewed facility files relevant to the complaint investigation. It was determined that the above allegations: staff inappropriately threw resident's medication away and staff did not ensure resident received all their belongings, are UNFOUNDED. Administrator disposed of two days of medications after being notified the resident was not returning to the facility. LPA observed all of residents belongings on their bed, awaiting family to retreive them. This agency has investigated the complaint alleging that staff inappropriately threw resident's medication awar and staff did not ensure resident received all their belongings. We have found that the complaint was unfounded, therefore we have dismissed the complaint. Unfoundedthe state’s words, verbatim · CDSS document, Dec 11, 2024 · control 24-AS-20240925155857
Dec 11, 2024Complaint investigation reportUnfounded

Allegation investigated: Staff is not allowing resident to be re-admitted to the facility Staff does not ensure adequate care and supervision is being provided to resident Staff does not ensure resident special diet is being followed

Licensing Program Analyst (LPA) Daiquiri Boyd conducted the complaint investigation visit to the facility. During the course of this investigation LPA reviewed facility files relevant to the complaint investigation. It was determined that the above allegations: Staff is not allowing resident to be re-admitted to the facility, staff does not ensure adequate care and supervision is being provided to resident, and staff does not ensure resident special diet is being followed, are UNFOUNDED. Resident's son made the decision to move his father to another facility. Resident was adequately watched, but resident refused to follow his diet. Staff followed all protocols where resident's diet was concerned and monitored. This agency has investigated the complaint alleging that staff is not allowing resident to be re-admitted to the facility, staff does not ensure adequate care and supervision is being provided to resident, and staff does not ensure resident special diet is being followed. We have found that the complaint was unfounded, therefore we have dismissed the complaint. Unfoundedthe state’s words, verbatim · CDSS document, Dec 11, 2024 · control 24-AS-20240923162029
Feb 20, 2024Facility evaluation reportCase Management - OtherReport on file

Type of visit: Case Management - Other

This Licensing Program Analyst, M. Flores met with Licensee, Angelica Kutnerian at the main office: 7084 N. Maple Ave. Suite 101 Fresno CA 93720. Licensee confirmed that S1 is no longer working for Fresno Guest Homes and has been dissociated.the state’s words, verbatim · CDSS document, Feb 20, 2024
Jan 11, 2024Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) M. Flores arrived at the facility unannounced to conduct a required annual visit. LPA explained the purpose of the visit and was granted entry by care staff. Licensee, Angelica Kutnerian (AD1) and Teresa Long (AD2) arrived few minutes at the facility to complete this annual visit. The residence was set at 73 degrees F temperature and free of passageway obstructions inside and outside. LPA observed six bedrooms in the residence. All six bedrooms are occupied and were inspected. All bedrooms were found to be clean, and furnishing was in good condition. Hot water temperature was measured at 111.0 degrees F. Kitchen toured, supply of food observed, and food stored properly for perishable and nonperishable. Medication and knives are locked in the kitchen area. Cleaning supplies were locked and stored in the laundry room. Smoke detectors and carbon monoxide are dual detectors, they were checked and operating. Fire extinguisher was charged and was serviced on 8/02/23. Emergency disaster drills are conducted quarterly, last drill completed on 12/01/23. First Aid kit is fully equipped. 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 AD1 whose signature confirms receipt. LPA requested the following updated forms faxed to CCLD by 1/18/24: Designation of Facility Responsibility (LIC308), Administrative Organization (LIC309), Personnel Report (LIC 500), Proof of current Liability Coverage.the state’s words, verbatim · CDSS document, Jan 11, 2024
Earlier years2022 to 2023 · 2 documents

20231 state visit · 1 document

Oct 20, 2023Complaint investigation reportUnsubstantiated

Allegation investigated: Staff do not provide residents enough food to meet their needs

On 10/20/23 Licensing Program Analyst (LPA) V Gorban visited the facility stated above to deliver findings. LPA met with Assistant Administrator Jay Cee Sanderson, explained the purpose of the visit. LPA toured facility inside and out, observed clients in care and discussed finding to allegation. Allegation: Staff do not provide residents enough food to meet their needs During this investigation LPA interviewed facility staff, residents, and responsible party. During interview residents stated that the facility provides substantial amounts of food to residents at all times. During this investigation LPA reviewed facility files. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. No citations were issued during this visit. Exit interview conducted, report signed and copy of this report provided to administrator for facility records. Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 20, 2023 · control 24-AS-20230814104419

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

20221 state visit · 1 document

Dec 29, 2022Facility evaluation reportPrelicensingReport on file

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Lady Cabrera conducted a Pre-licensing visit. LPA identified herself and discussed the purpose of the visit. LPA conducted the inspection with Angela Kutnerian, Licensee Representative and Marcus Becerra, Regional Property Manager using the Inspection Tool. A tour inside and outside the facility was conducted. Common rooms have adequate furnishings and lighting. All client’s bedrooms have all the required furnishings (bed and dresser) and adequate lighting. Mattresses were in good condition. All rooms will be private. Home is fire cleared for six non-ambulatory elderly residents. LPA observed a supply of extra bed linens and personal hygiene and grooming products. Bathrooms were properly equipped, and trash cans had a fitting lid. Hot water temperature was observed to be 119 degrees F. Kitchen observed to have dishes, plates, utensils. Sharps/knives and medications are locked in the kitchen. Cleaning supplies are stored. First aid kit contains all the required items. Fire extinguisher is present and was serviced in September 7, 2022. Smoke detectors and carbon monoxide were operating properly. Outside of the facility toured. Exits open free of obstruction. Gate is self-latching. No outside hazards were observed. All required postings are posted. Facility phone number will be (559) 434-1839. Component III conducted during pre-licensing inspection. LPA have found that applicant has met all pre licensing requirements. LPA will submit documentation to CAB in Sacramento for final review prior to license being issued. Pre-Licensing is complete and this facility has no deficiencies.the state’s words, verbatim · CDSS document, Dec 29, 2022

6 of 6 beds were occupied at the May 19, 2025 state visit — a count on that day, not an opening.

License holder

Xencare II, Inc., licensed since 2023.

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

  • Fresno Guest Home #15 · Fresno
  • Fresno Guest Home #16 · Fresno
  • Fresno Guest Home #17 · Fresno
  • Fresno Guest Home #19 · Fresno
  • Fresno Guest Home #20 · Fresno
  • Fresno Guest Home #21 · Fresno
  • Fresno Guest Home #22 · Fresno
  • Fresno Guest Home #26 · Fresno
  • Fresno Guest Home #27 · Fresno
  • Fresno Guest Home #28 · Fresno
The state’s totals for this licenseSince 2023, as the state’s facility page counts them
State visits on file
10
Total complaints
4
Substantiated allegations
0
Type A citations
0
Type B citations
0

These are the state’s own totals for this license since 2023, 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 homeTypical
Type A citations00
Type B citations00
Substantiated allegations00
Total complaints40

“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 errorOperate 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 #18

Is Fresno Guest Home #18 licensed?

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

How many residents is Fresno Guest Home #18 licensed for?

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

Has Fresno Guest Home #18 been cited?

0 Type A and 0 Type B citations since 2023, per CDSS records as of October 26, 2026. Those records count 10 state visits over the same years.

Is Fresno Guest Home #18 still open?

This license was on the CDSS roster as of November 11, 2026.

What does Fresno Guest Home #18 cost?

$3,750 a month to start is a Covelight estimate, likely $3,050–$4,650. This home’s own rate is not on file. Ask: “What is the all-in monthly rate, and what would push it higher?”

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.

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 #18 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 1.3 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 #18 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.

Fresno Guest Home #18 license and inspection record

  • Name on the license: “FRESNO GUEST HOME #18”, per the CDSS roster as of May 25, 2025.
  • License #107209272. The state lists this license as “Licensed,” per CDSS records as of October 26, 2026.
  • Licensed for 6 residents — a small home, per CDSS records as of October 26, 2026.
  • Licensed to Xencare II, Inc., per CDSS records as of October 26, 2026.
  • First licensed in 2023, per CDSS records as of October 26, 2026.
  • 10 state inspection visits since 2023, per CDSS records as of October 26, 2026.
  • 0 Type A and 0 Type B citations on file since 2023, per CDSS records as of October 26, 2026. The same records count 10 state visits in that period.
  • 4 complaints and 0 substantiated allegations on file since 2023, per CDSS records as of October 26, 2026. One complaint can carry several allegations.
  • The most recent state visit on file is January 22, 2026, per CDSS records as of October 26, 2026.
Type 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

California writes these definitions for every licensed home, not for this one. CDSS citation definitions (PDF) ↗

See the state’s own record

Nearby

Other homes nearby

Licensed homes near this one in Fresno County, most information on file first. Every listed home appears on the same terms.

  • Map

    Fresno · under 0.1 mi

    Fresno Guest Home #26

    Small home · licensed for 6

    Estimated starting rate

    $3,900 a month to start

    Covelight estimate · likely $3,200–$4,850

    On the state record

    • Wheelchair: on the state record
    • Dementia: on the state record
    • Hospice: on the state record
  • Map

    Fresno · 0.1 mi

    Fresno Guest Home #25

    Small home · licensed for 6

    Estimated starting rate

    $3,800 a month to start

    Covelight estimate · likely $3,100–$4,650

    On the state record

    • Wheelchair: on the state record
    • Dementia: on the state record
    • Hospice: on the state record
  • Map

    Fresno · 0.1 mi

    Fresno Guest Home #5

    Small home · licensed for 6

    Estimated starting rate

    $3,600 a month to start

    Covelight estimate · likely $2,950–$4,400

    On the state record

    • Wheelchair: on the state record
    • Hospice: on the state record
    • Bedridden: on the state record
  • Map

    Fresno · 0.1 mi

    Fresno Guest Home #23

    Small home · licensed for 6

    Estimated starting rate

    $3,750 a month to start

    Covelight estimate · likely $3,100–$4,650

    On the state record

    • Wheelchair: on the state record
    • Dementia: on the state record
    • Hospice: on the state record
  • Map

    Fresno · 0.1 mi

    Mum's Home Sweet Home 2

    Small home · licensed for 6

    Estimated starting rate

    $3,450 a month to start

    Covelight estimate · likely $2,800–$4,250

    On the state record

    • Wheelchair: on the state record
    • Dementia: on the state record
    • Hospice: on the state record
  • Map

    Fresno · 0.1 mi

    Fresno Guest Home #30

    Small home · licensed for 6

    Estimated starting rate

    $3,800 a month to start

    Covelight estimate · likely $3,100–$4,650

    On the state record

    • Wheelchair: on the state record
    • Dementia: on the state record
    • Hospice: on the state record

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Fresno · Licensed for 6

(559) 434-1839

From the state licensing record · October 26, 2026

From the home’s website, fresnoguesthomes.com:

contact@fresnoguesthomes.com · general email · seen October 27, 2026

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