Illustration — no photo of this home on file yet

Fresno Guest Home #18

Small home·Licensed for 6·Fresno, California

Licensed since 2023Licence #107209272Medi-Cal ALW
  • Care approvals on fileWheelchair · Dementia · HospiceState licensing record · September 13, 2026
  • Typical starting rate$4,000 a monthTypical in Fresno County · likely $2,950–$5,500
  • Home sizeLicensed for 6Small care home · a licensed care home (RCFE)
  • Room at the last state visit6 of 6 beds occupiedMay 19, 2025 · not a current opening
  • Ways to payMedi-Cal ALW acceptedDHCS participant list · September 23, 2026
  • Last state visitJanuary 22, 2026CDSS inspection record
  • Licence holderXencare II, Inc.Since 2023 · 11 licensed homes

Fresno Guest Home #18 is a small care home in Fresno — a licensed residential care facility for the elderly (RCFE), the licence category behind “assisted living” and “board and care.” It is licensed for 6 residents since 2023. Bedridden care is not on file.

Built from CDSS public records · September 13, 2026. Every fact below names its source and date.

Quick answers and the state record

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 September 13, 2026.

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

6 residents — a small home, per CDSS records as of September 13, 2026.

Has Fresno Guest Home #18 been cited?

0 Type A and 0 Type B citations since 2023, per CDSS records as of September 13, 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 September 28, 2026.

What does Fresno Guest Home #18 cost?

$4,000 a month to start is typical in Fresno County, likely $2,950–$5,500. This home’s own rate is not on file. Ask: “What is the all-in monthly rate, and what would push it higher?”

Too few nearby homes publish a rate, so this is the typical starting rate 5 small homes publish in Fresno County, with a wider likely range. This home’s own rate is not on file.

Among 5 other homes of a similar licensed size in Fresno that publish a starting rate, the middle half runs $3,450 to $5,175 a month, and the middle figure is $4,000 (n = 5 other homes publishing a starting rate).

Each of those is a home’s own published figure, gathered on its own date in September 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, September 23, 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 September 13, 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, per CDSS records as of September 13, 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 September 13, 2026.
  • Licensed for 6 residents — a small home, per CDSS records as of September 13, 2026.
  • Licensed to Xencare II, Inc., per CDSS records as of September 13, 2026.
  • First licensed in 2023, per CDSS records as of September 13, 2026.
  • 10 state inspection visits since 2023, per CDSS records as of September 13, 2026.
  • 0 Type A and 0 Type B citations on file since 2023, per CDSS records as of September 13, 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 September 13, 2026. One complaint can carry several allegations.
  • The most recent state visit on file is January 22, 2026, per CDSS records as of September 13, 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

Can they support the care needed?

California licenses a home for specific kinds of care. The state’s record lists what this home is approved for; the home’s own answers fill in what changes as needs change.

  • Wheelchair / non-ambulatoryApproved · covers up to 6 residents
  • Dementia / memory careApproved by the state
  • Hospice careApproved by the state
  • BedriddenNot on file · ask the home

State licensing record · September 13, 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 · September 13, 2026

As needs change

  • Staying through hospice

    Hospice waiver on file — care may continue at the end of life

    Ask: “If hospice is needed, can care continue here until the end?”

    State licensing record · September 13, 2026

  • If memory loss develops

    Dementia-care designation on file

    Ask: “Can we read the dementia care disclosure and discuss how daily support works?”

    State licensing record · September 13, 2026

3 more questions to ask the home
  • Two-person transfers or a lift

    Not on file

    Ask: “If two people or a lift are needed to transfer, can the person stay?”

  • Someone awake overnight

    Not on file

    Ask: “Who is awake overnight, and how do residents ask for help?”

  • Medicines

    Not on file

    Ask: “Who manages the medicines, and what happens when a dose is missed?”

What it costs here

Typical starting rate

$4,000a month to start

Likely $2,950–$5,500

From homes this size in Fresno County · this home’s rate is not on file

Likely monthly total

$4,000a month

Likely $2,950–$5,650

With a shared room and basic help.

An estimate for planning, not a quote. The price is made in the phone call.

See the full cost breakdownRoom, care and fees · how people pay · how this estimate works
Room
Daily care
Sharing the room
  • Starting monthly rate$4,000likely $2,950–$5,500

    Too few nearby homes publish a rate, so this is the typical starting rate 5 small homes publish in Fresno County, with a wider likely range. 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 (45 California homes publish a care-level range, seen in September 2026).

  • One-time move-in fee$2,000one time · likely $0–$4,000

    Homes that list a one-time entry or community fee charge a median of $2,000 (134 California listings; middle half $1,000–$4,000). Many homes list none — ask.

Likely monthly totalLikely $2,950–$5,650
$4,000
First monthWith a one-time move-in fee · likely $3,700–$8,600
$6,000
How people payOn the Medi-Cal waiver list · private pay, SSI/SSP, veterans, insurance
  • 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, September 23, 2026. Confirm eligibility and current participation with the program. The waiver pays for care services, not room and board. For a resident on SSI/SSP, California’s 2026 standard sends $1,444.07 a month to the home 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.
  • MedicareDoes not pay for room and board in a care home. It can still cover hospice or home-health visits inside one.
If the money runs out, what Medi-Cal covers
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 community 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.

  • What is the full monthly cost for the room and care we need, and what does it include?
  • What would the next care level cost, and who decides when it changes?
  • What is billed separately, and is there a one-time fee or deposit at move-in?
  • Is any private-pay period required before another payment program can begin?
How this estimate worksWhy this is a county figure

Too few nearby homes publish a rate, so this is the typical starting rate 5 small homes publish in Fresno County, with a wider likely range. 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.
Show the 7 nearby homes that publish a rate

Where it is

  • 2804 E. Palo Alto Avenue, Fresno, CA 93710Address from the public record · September 13, 2026. Confirm the entrance with the home before visiting.

Opening the neighborhood map…

The state record

California inspects every licensed home and publishes what it found. Here are the dated documents and the state’s own words, beside what is typical for homes this size.

Since 2022, the state has filed 9 documents for this home, and its records count 10 visits since 2023. The most recent is a facility evaluation report, dated January 22, 2026.

On file since
2022
State visits
10
Most recent visit
January 22, 2026
Occupied · May 19, 2025 visit
6 of 6 bedsa count on that day, not an opening

We hold 4 complaint reports the state published for this home, dated October 20, 2023 to May 19, 2025. 4 of the 4 carry the state's recorded outcome word: “Unfounded” (2), “Unsubstantiated” (2). 4 include the transcribed allegation the state investigated, word for word. Summary composed by computer from the 4 complaint reports below — every count derives from them, and the documents themselves are the state's records, verbatim. We never grade, score, or color a record.

Beside homes the same size

  • Type A citations0typical 0
  • Type B citations0typical 0
  • Substantiated allegations0typical 0
  • Total complaints4typical 0

“Typical” is the statewide median across the 6,808 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 licence since 2023.

Year by year
YearVisitsDocumentsSubstantiated20261102025220202434020231102022110

The last 36 months — 8 of 9 documents

20261 state visit · 1 document
Jan 22, 2026Facility evaluation reportReport 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 reportReport 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 reportReport 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 reportReport 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
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.

What the state’s words mean
Substantiatedthe 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 and the questions below stand in their place.

Who holds the licence

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.

Life here

Rooms, meals, the rhythm of a day, faith and language, pets and house rules — as the home describes them. Tap any detail for its source and date; nothing here is graded.

The home has not described daily life anywhere we have reviewed yet — that is the case for most small homes, and it says nothing about the home. These questions fill in the picture; keep the ones that matter to you.

Before you call

Ask every home the same questions — the state’s record does not answer these. Keep the ones that matter and they travel with your saved homes.

  1. What is included in the monthly rate, and what costs extra?
  2. Who is awake overnight, and how do residents ask for help?
  3. Which rooms does the non-ambulatory approval cover, and what transfer support is provided?
  4. What could change whether someone can stay here?
  5. Can we see a bedroom and share a meal during a visit?

Other homes nearby

The nearest licensed homes in Fresno County, closest first. Every listed home appears on the same terms.

Explore Fresno County