Illustration — no photo of this home on file yet

Fresno Guest Home #32

Small home·Licensed for 6·Fresno, California

Licensed since 2025Licence #107209556Medi-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)
  • Ways to payMedi-Cal ALW acceptedDHCS participant list · September 23, 2026
  • Last state visitApril 20, 2026CDSS inspection record
  • Licence holderXencare III, Inc.Since 2025 · 8 licensed homes

Fresno Guest Home #32 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 2025. 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 #32

Is Fresno Guest Home #32 licensed?

The state lists this license as “Licensed,” per CDSS records as of September 13, 2026.

How many residents is Fresno Guest Home #32 licensed for?

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

Has Fresno Guest Home #32 been cited?

0 Type A and 0 Type B citations since 2025, per CDSS records as of September 13, 2026. Those records count 2 state visits over the same years.

Is Fresno Guest Home #32 still open?

This license was on the CDSS roster as of September 28, 2026.

What does Fresno Guest Home #32 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 #32 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 III, Inc., per CDSS records as of September 13, 2026. See the homes licensed to Xencare III, 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 #32 keep a resident on hospice?

Hospice care is approved on this license, covering up to 6 residents, per CDSS records as of September 13, 2026.

Fresno Guest Home #32 license and inspection record

  • Name on the license: “FRESNO GUEST HOME #32”, per the CDSS roster as of May 25, 2025.
  • License #107209556. 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 III, Inc., per CDSS records as of September 13, 2026.
  • First licensed in 2025, per CDSS records as of September 13, 2026.
  • 2 state inspection visits since 2025, per CDSS records as of September 13, 2026.
  • 0 Type A and 0 Type B citations on file since 2025, per CDSS records as of September 13, 2026. The same records count 2 state visits in that period.
  • 0 complaints and 0 substantiated allegations on file since 2025, per CDSS records as of September 13, 2026.
  • The most recent state visit on file is April 20, 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 · covers up to 6 residents
  • 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 6 NON-AMBULATORY. HOSPICE WAIVER FOR 6.

983 - RCFE / DEMENTIA

CDSS record, verbatim · September 13, 2026

As needs change

  • Staying through hospice

    Hospice waiver on file · covers up to 6 — 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

  • 2853 E. Millbrae 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 2025, the state has filed 2 documents for this home, and its records count 2 visits since 2025. The most recent is a facility evaluation report, dated April 20, 2026.

On file since
2025
State visits
2
Most recent visit
April 20, 2026

Beside homes the same size

  • Type A citations0typical 0
  • Type B citations0typical 0
  • Substantiated allegations0typical 0
  • Total complaints0typical 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 2025.

Year by year
YearVisitsDocumentsSubstantiated20261102025110

The last 36 months — 2 of 2 documents

20261 state visit · 1 document
Apr 20, 2026Facility evaluation reportReport on file

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Daiquiri Boyd arrived at the facility unannounced to conduct an Annual Inspection. LPA met with Administrator (AD) Teresa Long. LPA began the tour by entering through the front door of the 6 bedroom - 4 1/2 bathroom - single story home, with one bedroom for the staff. Common areas have adequate furniture and lighting. Flooring is new and intact throughout. Smoke and Carbon Monoxide detectors were tested and found to be in working order. The Fire Extinguisher was purchased 07/07/2025. LPA observed a supply of extra bed linens and towels in the hallway closet. Personal hygiene and grooming products in the laundry room closet. Resident rooms are found to be in good repair and contained new furnishings and adequate lighting. The resident bathrooms are clean, in good repair with faucets delivering hot water as required at 112 F. The kitchen was observed to have a supply of new dishes, plates, utensils and cooking items. Food storage areas are clear and appropriate for food preparation. Cleaning supplies, chemicals, and sharps/knives are all locked as required. Appliances were found to be in working order. LPA observed the required food supply. Resident medications will be stored in a designated locked closet in the kitchen area. The First aid kit contains all the required items. Doors and passageways are unobstructed throughout the inside of the home. Outside of the facility was toured. There is a covered seating area and a self-releasing gate found to be working properly. Required postings are placed as required. Infection Control Plan and Emergency Plan in place and posted. No deficiencies cited on this day. AD signature confirms receipt.the state’s words, verbatim · CDSS document, Apr 20, 2026
20251 state visit · 1 document
Apr 30, 2025Facility evaluation reportReport on file

Type of visit: Prelicensing

Licensing Program Analysts (LPA) Daiquiri Boyd arrived at the facility to conduct a Pre-Licensing Inspection. LPA met with Administrator (AD) Teresa Long. LPAs began the tour by entering through the front door of the 6 bedroom - 4 1/2 bathroom - single story home, with one bedroom for the staff. Common areas have adequate furniture and lighting. Flooring is new and intact throughout. Smoke and Carbon Monoxide detectors were tested and found to be in working order. The Fire Extinguisher was purchased 09/11/2024. LPAs observed a supply of extra bed linens and towels in the hallway closet. Personal hygiene and grooming products in the laundry room closet. Resident rooms are found to be in good repair and contained new furnishings and adequate lighting. The resident bathrooms are clean, in good repair with faucets delivering hot water as required at 112 F. The kitchen was observed to have a supply of new dishes, plates, utensils and cooking items. Food storage areas are clear and appropriate for food preparation. Cleaning supplies, chemicals, and sharps/knives are all locked as required. Appliances were found to be in working order. LPA observed the required food supply. Resident medications will be stored in a designated locked closet in the kitchen area. The First aid kit contains all the required items. Doors and passageways are unobstructed throughout the inside of the home. Outside of the facility was toured. There is a covered seating area and a self-releasing gate found to be working properly. Required postings are placed as required. (Continued on next page) Emergency Disaster and Infection Control Plans were reviewed and COMP III was conducted during this visit with AD. The applicant has met all pre-licensing requirements. LPA will submit documentation to CAB in Sacramento for final review prior to license being issued. An exit interview was conducted and a copy of this report was left with AD, whose signature confirms receipt of these documents.the state’s words, verbatim · CDSS document, Apr 30, 2025
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 III, Inc., licensed since 2025, operates 8 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