Illustration — no photo of this home on file yet
- Care approvals on fileHospiceState licensing record · September 27, 2026
- Typical starting rate$4,000 a monthTypical in Tulare County · likely $3,000–$5,000
- Home sizeLicensed for 6Small care home · a licensed care home (RCFE)
- Ways to payAsk the homeMedi-Cal ALW participation not on file
- Last state visitFebruary 6, 2026CDSS inspection record
Heart and Home Living is a small care home in Visalia — 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. Wheelchair and non-ambulatory care, dementia care and bedridden care are not on file.
Built from CDSS public records · September 27, 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 and Home Living
Is Heart and Home Living licensed?
The state lists this license as “Licensed,” per CDSS records as of September 27, 2026.
How many residents is Heart and Home Living licensed for?
6 residents — a small home, per CDSS records as of September 27, 2026.
Has Heart and Home Living been cited?
0 Type A and 0 Type B citations, per CDSS records as of September 27, 2026.
Is Heart and Home Living still open?
This license was on the CDSS roster as of September 28, 2026.
What does Heart and Home Living cost?
$4,000 a month to start is typical in Tulare County, likely $3,000–$5,000. 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 small care homes in Tulare 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 and Home Living 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 and Home LLC, per CDSS records as of September 27, 2026.
Is there a hospital nearby?
Kaweah Health Medical Center is 0.9 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.
Can Heart and Home Living keep a resident on hospice?
Hospice care is approved on this license, covering up to 2 residents, per CDSS records as of September 27, 2026.
Heart and Home Living license and inspection record
- Name on the license: “HEART AND HOME LIVING LLC”, per the CDSS roster as of June 12, 2026.
- License #547209637. The state lists this license as “Licensed,” per CDSS records as of September 27, 2026.
- Licensed for 6 residents — a small home, per CDSS records as of September 27, 2026.
- Licensed to Heart and Home LLC, per CDSS records as of September 27, 2026.
- First licensed: the year is not on file — the roster carries no first-license date for it. Ask: “When did this license start?”
- 1 state inspection visit on file, per CDSS records as of September 27, 2026.
- 0 Type A and 0 Type B citations on file, per CDSS records as of September 27, 2026.
- 0 complaints and 0 substantiated allegations on file, per CDSS records as of September 27, 2026.
- The most recent state visit on file is February 6, 2026, per CDSS records as of September 27, 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-ambulatoryNot on file · ask the home
- Dementia / memory careNot on file · ask the home
- Hospice careApproved · covers up to 2 residents
- BedriddenNot on file · ask the home
State licensing record · September 27, 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) AMBULATORY ONLY. WAIVER/GRANTED FOR HOSPICE CARE FOR TWO(2).
935 - ELDERLY
CDSS record, verbatim · September 27, 2026
As needs change
- Staying through hospice
Hospice waiver on file · covers up to 2 — care may continue at the end of life
Ask: “If hospice is needed, can care continue here until the end?”
State licensing record · September 27, 2026
4 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?”
- If memory loss develops
Dementia-care designation not on file
Ask: “If memory loss develops, what would change — and when would a move be needed?”
What it costs here
Typical starting rate
$4,000a month to start
Likely $3,000–$5,000
Covelight’s researched range for Tulare County · this home’s rate is not on file
Likely monthly total
$4,000a month
Likely $3,000–$5,200
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
Memory care is not priced here: a dementia-care designation is not on file for this home. Ask the home.
Starting monthly rate$4,000likely $3,000–$5,000
Too few homes publish a rate here, so this is the middle of Covelight’s researched range for small care homes in Tulare 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 $3,000–$5,200
- $4,000
- First monthWith a one-time move-in fee · likely $3,750–$8,350
- $6,000
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 small care homes in Tulare 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.
Show the 4 nearby homes that publish a rate
- Jordeth Senior Care HomeVisalia · 2.5 mi · Small home$4,500Listed on A Place for Mom · seen September 9, 2026
- The Harvest at FowlerFowler · 30 mi · Mid-size home$3,000Listed on AssistedLiving.com · seen September 9, 2026
- Close to Home Residential CareFresno · 35 mi · Small home$5,700Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Serenity Garden Home 2Fresno · 37 mi · Small home$4,000Listed on Seniorly · seen September 9, 2026
Where it is
- 710 W Vassar Ave, Visalia, CA 93277Address from the public record · September 27, 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 2026, the state has filed 1 document for this home, and its records count 1 visit. The most recent is a facility evaluation report, dated February 6, 2026.
- On file since
- 2026
- State visits
- 1
- Most recent visit
- February 6, 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.
The full record — 1 document
Feb 6, 2026Facility evaluation reportReport on file
Type of visit: Prelicensing
Licensing Program Analyst (LPA) K.Kaur conducted a Pre-licensing Inspection on this date. LPA met with Administrator/ Licensee Karina Megerdijian and Garabed Kalanjian. A tour of the facility was conducted together. This is a new facility with no residents in care. The facility was observed to be at a comfortable temperature, clean, and in good repair. No passageway obstructions or fire hazards were observed inside or outside. Common areas were properly furnished and well-lit throughout. The dining room is equipped with a table and chairs, living room is equipped with adequate sofas and chairs for residents. Non-perishable food supply appeared adequate. Knives will be kept locked in the kitchen cabinet. Medication, first aid kit, and facility files will be kept locked in the facility office. Cleaning and Chemical supplies observed locked under kitchen sink. Extra overflow of cleaning supplies and chemicals will be kept in the Hallway closet. adequate outside space for rest and recreational under a covered patio. Gate is self-closing and self-latching. Residents' bedrooms were observed to be adequately furnished with bed, dresser, chair and adequate lighting. Mattresses and linen were in good condition. Extra linen and towels are available. Hot water temperature measured at 107 degrees F. Carbon monoxide and smoke alarm detectors installed and operational. Facility has designated one bathroom for residents. Grab bars observed in bathroom showers. Toilet equipped with toilet safety rails, Non-skid mats in place, hand soap available for use. Trash cans with tight fitting lids are in place. Fire extinguisher was purchased on 2/4/2026. Complaint poster posted, resident council info posted, residents' rights posted; emergency disaster plan posted. Component III was completed by Licensee. Exit interview was conducted. Pre-licensing requirements were met. An exit interview was conducted with Licensee. A copy of this report was provided to Administrator, whose signature on this form confirms receipt of this document.the state’s words, verbatim · CDSS document, Feb 6, 2026
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?
- 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 Tulare County, closest first. Every listed home appears on the same terms.
Augdon Senior Care Home
Visalia · Small home · 0.7 mi away
$4,000 a month to start · Typical in Tulare County
Tlc Assisted Living for Seniors
Visalia · Mid-size home · 1.4 mi away
$4,500 a month to start · Typical in Tulare County
Kaweah Health Ruth Wood Open Arms House
Visalia · Small home · 1.6 mi away
$4,000 a month to start · Typical in Tulare County
Glory Days Assisted Living
Visalia · Mid-size home · 1.6 mi away
$4,500 a month to start · Typical in Tulare County
Evergreen Residence
Visalia · Mid-size home · 1.8 mi away
$4,500 a month to start · Typical in Tulare County
Marbella Visalia
Visalia · Large community · 1.8 mi away
$4,150 a month to start · Listed by the home