Illustration — no photo of this home on file yet
Heart & Hand
Mid-size home·Licensed for 14·El Centro, California
- Care approvals on fileWheelchair · Dementia · Hospice · BedriddenState licensing record · September 13, 2026
- Typical starting rate$4,500 a monthTypical in Imperial County · likely $3,500–$5,500
- Home sizeLicensed for 14Mid-size care home · a licensed care home (RCFE)
- Ways to payAsk the homeMedi-Cal ALW participation not on file
- Last state visitMay 7, 2026CDSS inspection record
Heart & Hand is a mid-size care home in El Centro — a licensed residential care facility for the elderly (RCFE), the licence category behind “assisted living” and “board and care.” It is licensed for 14 residents since 2006.
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 Heart & Hand
Is Heart & Hand licensed?
The state lists this license as “Licensed,” per CDSS records as of September 13, 2026.
How many residents is Heart & Hand licensed for?
14 residents — a mid-size home, per CDSS records as of September 13, 2026.
Has Heart & Hand been cited?
0 Type A and 0 Type B citations since 2006, per CDSS records as of September 13, 2026. Those records count 3 state visits over the same years.
Is Heart & Hand still open?
This license was on the CDSS roster as of September 28, 2026.
What does Heart & Hand cost?
$4,500 a month to start is typical in Imperial County, likely $3,500–$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 homes publish a rate here, so this is the middle of Covelight’s researched range for assisted-living communities in Imperial County (compiled June 2026). This home’s own rate is not on file.
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.
Does Heart & Hand take Medi-Cal?
On Medi-Cal’s Assisted Living Waiver: this home is not on the DHCS participation list dated September 23, 2026. Ask the program about current options. The waiver pays for care services, not room and board.
Who holds the license?
The license is held by Heart & Hand, Inc., per CDSS records as of September 13, 2026.
Can Heart & Hand keep a resident on hospice?
Hospice care is approved on this license, per CDSS records as of September 13, 2026.
Heart & Hand license and inspection record
- Name on the license: “HEART & HAND, INC.”, per the CDSS roster as of May 25, 2025.
- License #134601388. The state lists this license as “Licensed,” per CDSS records as of September 13, 2026.
- Licensed for 14 residents — a mid-size home, per CDSS records as of September 13, 2026.
- Licensed to Heart & Hand, Inc., per CDSS records as of September 13, 2026.
- First licensed in 2006, per CDSS records as of September 13, 2026.
- 3 state inspection visits since 2006, per CDSS records as of September 13, 2026.
- 0 Type A and 0 Type B citations on file since 2006, per CDSS records as of September 13, 2026. The same records count 3 state visits in that period.
- 0 complaints and 0 substantiated allegations on file since 2006, per CDSS records as of September 13, 2026.
- The most recent state visit on file is May 7, 2026, per CDSS records as of September 13, 2026.
California writes these definitions for every licensed home, not for this one. CDSS citation definitions (PDF) ↗
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 14 residents
- Dementia / memory careApproved by the state
- Hospice careApproved by the state
- BedriddenApproved by the state
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
FACILITY SERVES FOURTEEN (14) NON-AMBULATORY ELDERLY RESIDENTS, AGES 60 AND ABOVE, SIX (6) OF WHOM MAY BE BEDRIDDEN. ALL BEDROOMS APPROVED FOR BEDRIDDEN USE. HOSPICE WAIVER APPROVED FOR TWO (2) RESIDENTS.
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
$4,500a month to start
Likely $3,500–$5,500
Covelight’s researched range for Imperial County · this home’s rate is not on file
Likely monthly total
$4,500a month
Likely $3,500–$5,700
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
Starting monthly rate$4,500likely $3,500–$5,500
Too few homes publish a rate here, so this is the middle of Covelight’s researched range for assisted-living communities in Imperial County (compiled June 2026). 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 $3,500–$5,700
- $4,500
- First monthWith a one-time move-in fee · likely $4,250–$8,850
- $6,500
How people payPrivate pay, Medi-Cal waiver, 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 is not on the DHCS participation list dated September 23, 2026. Ask the program about current options. The waiver pays for care services, not 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.
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 homes publish a rate here, so this is the middle of Covelight’s researched range for assisted-living communities in Imperial County (compiled June 2026). 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.
Where it is
- 499 South Sunset Drive, El Centro, CA 92243Address 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 3 documents for this home, and its records count 3 visits since 2006. The most recent is a facility evaluation report, dated May 7, 2026.
- On file since
- 2022
- State visits
- 3
- Most recent visit
- May 7, 2026
Beside homes the same size
- Type A citations0typical 0
- Type B citations0typical 0
- Substantiated allegations0typical 0
- Total complaints0typical 1
“Typical” is the statewide median across the 327 licensed mid-size homes (7–15 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 2006.
Year by year
The last 36 months — 2 of 3 documents
May 7, 2026Facility evaluation reportReport on file
Type of visit: Required - 1 Year
Licensing Program Analyst (LPA) David Roman conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Administrator, Jeniffer Thomason. House Manager, Priscilla Felix was also present during the annual visit. According to the facility’s license, the facility has a maximum capacity of (14) fourteen clients, of whom all may be non-ambulatory and six (6) of which may be bedridden and has a hospice waiver for two (2). Along with facility staff LPA toured the interior and exterior of the facility and inspected each room. The facility was sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to clients. Medications were labeled, as required, and stored in locked areas. Water temperature was measured at 120 degrees F. No pools or bodies of water on the premises. Per Licensee, Jeniffer Thomason no firearms or ammunition are kept at the facility. Smoke/carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguishers were present. First aid kits were complete and readily accessible. Resident records reviewed had required documentation of physical assessments, consent forms, identification forms, POA contact information, medications etc. Staff records reviewed contained required documentation, training's, and background clearances. An exit interview was conducted with Administrator, Jeniffer Thomason, to whom a copy of this report and the Licensee/Appeal Rights were provided during the visit.the state’s words, verbatim · CDSS document, May 7, 2026
Feb 28, 2024Facility evaluation reportReport on file
Type of visit: Required - 1 Year
Licensing Program Analyst (LPA) Amy Rodgers, made an unannounced visit to conduct the required One-Year Inspection. LPA Rodgers were granted entry into the facility Licensee Jennifer McGrew-Thomason, after identifying herself and stating the purpose of the inspection. The facility serves 14 elderly residents, age 60 and above, all whom may be non-ambulatory. LPA was accompanied by Register Nurse Patricia Diaz for a tour of the facility which was conducted inside and out and included a sample of resident units, the dining area and recreation rooms. Exterior and interior passageways were free from obstructions. Signal system is present and was operational. Resident and facility room temperatures were within a comfortable range. Each resident had clean and sufficient bed linens, towels, and washcloths. All residents’ rooms were equipped with required furnishings. Lighting was present in the bedrooms. Residents’ bathrooms were observed to be sanitary and operational. Toilets and showers were equipped with grab bars. Food menus and activities schedule were posted. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. The medication were stored in a locked area, labeled and kept in compliance with label instructions. LPA interview confirmed the licensee provides assistance in meeting medical and dental needs. [Continued on 809-C] [Continued from 809] LPA interviewed multiple staff and clients. LPA reviewed multiple staff and client records/files. The interviews did not raise any significant licensing concerns. The reviewed files contained all required documents. LPA also conducted a review of In-service training procedures. At the time of visit, LPA observed that residents were being treated with dignity by staff, and there were sufficient staff on duty to meet resident’s needs. A final exit interview and a copy of this report, Licensee/Appeal Rights - LIC 9058 (rev. 01/16), were provided to , Licensee Jenniifer McGrew-Thomason , whose signature on this form acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, Feb 28, 2024
What the state’s words mean
CDSS citation definitions (PDF) ↗ · CDSS complaint outcomes ↗
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.
- What is included in the monthly rate, and what costs extra?
- Who is awake overnight, and how do residents ask for help?
- Which rooms does the non-ambulatory approval cover, and what transfer support is provided?
- What could change whether someone can stay here?
- Can we see a bedroom and share a meal during a visit?
Other homes nearby
The nearest licensed homes in Imperial County, closest first. Every listed home appears on the same terms.
Compassionate Senior Care 247
El Centro · Mid-size home · 0.3 mi away
$4,500 a month to start · Typical in Imperial County
Casa Elite
El Centro · Mid-size home · 4.0 mi away
$4,500 a month to start · Typical in Imperial County
Sonrisa Villa
Holtville · Large community · 13 mi away
$4,500 a month to start · Typical in Imperial County
Dignity Care Homes
El Centro · Mid-size home
$4,500 a month to start · Typical in Imperial County