Illustration — no photo of this home on file yet
Heart to Heart Family Care Center
Small home·Licensed for 6·Fresno, California
- Care approvals on fileWheelchair · BedriddenState 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 payAsk the homeMedi-Cal ALW participation not on file
- Last state visitJuly 9, 2026CDSS inspection record
Heart to Heart Family Care Center 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 2019. Dementia care and hospice care are 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 Heart to Heart Family Care Center
Is Heart to Heart Family Care Center licensed?
The state lists this license as “Licensed,” per CDSS records as of September 13, 2026.
How many residents is Heart to Heart Family Care Center licensed for?
6 residents — a small home, per CDSS records as of September 13, 2026.
Has Heart to Heart Family Care Center been cited?
0 Type A and 0 Type B citations since 2019, per CDSS records as of September 13, 2026. Those records count 7 state visits over the same years.
Is Heart to Heart Family Care Center still open?
This license was on the CDSS roster as of September 28, 2026.
What does Heart to Heart Family Care Center 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.
Does Heart to Heart Family Care Center 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 to Heart Family Care Center LLC, per CDSS records as of September 13, 2026.
Is there a hospital nearby?
Fresno Surgical Hospital is 0.6 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.
Can Heart to Heart Family Care Center keep a resident on hospice?
Not on file — the state’s record does not list hospice care on this license. Ask: “Can a resident stay here on hospice, and under what conditions?”
Heart to Heart Family Care Center license and inspection record
- Name on the license: “HEART TO HEART FAMILY CARE CENTER LLC”, per the CDSS roster as of May 25, 2025.
- License #107208905. 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 Heart to Heart Family Care Center LLC, per CDSS records as of September 13, 2026.
- First licensed in 2019, per CDSS records as of September 13, 2026.
- 7 state inspection visits since 2019, per CDSS records as of September 13, 2026.
- 0 Type A and 0 Type B citations on file since 2019, per CDSS records as of September 13, 2026. The same records count 7 state visits in that period.
- 0 complaints and 0 substantiated allegations on file since 2019, per CDSS records as of September 13, 2026.
- The most recent state visit on file is July 9, 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 6 residents
- Dementia / memory careNot on file · ask the home
- Hospice careNot on file · ask the home
- BedriddenApproved · covers up to 1 resident
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. 6 NON-AMBULATORY, OF WHICH 1 MAY BE BEDRIDDEN.
935 - ELDERLY
CDSS record, verbatim · September 13, 2026
As needs change
5 questions to ask the home — nothing on file yet
- 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?”
- Staying through hospice
Hospice waiver not on file
Ask: “If hospice is needed, can care continue here until the end?”
- 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 $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
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 $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 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 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
- Palo Alto Senior Care HomeFresno · 1.6 mi · Small home$3,000Listed on Seniorly · assisted living · seen September 9, 2026
- Joyful Living RcheFresno · 2.3 mi · Small home$3,600Listed on Seniorly · assisted living · seen September 9, 2026
- Green VillaFresno · 2.6 mi · Small home$5,000Listed on Seniorly · assisted living private room · seen September 9, 2026
- Carmel Village Memory CareClovis · 4.9 mi · Mid-size home$6,000Listed on Seniorly · independent living private cottage/casita · seen September 9, 2026
- Serenity Garden Home 2Fresno · 7.2 mi · Small home$4,000Listed on Seniorly · seen September 9, 2026
- Close to Home Residential CareFresno · 8.6 mi · Small home$5,700Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- The Harvest at FowlerFowler · 14 mi · Mid-size home$3,000Listed on AssistedLiving.com · seen September 9, 2026
Where it is
- 672 E Wrenwood Ave, 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 7 documents for this home, and its records count 7 visits since 2019. The most recent is a facility evaluation report, dated July 9, 2026.
- On file since
- 2022
- State visits
- 7
- Most recent visit
- July 9, 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 2019.
Year by year
The last 36 months — 5 of 7 documents
Jul 9, 2026Facility evaluation reportReport on file
Type of visit: Required - 1 Year
Licensing Program Analyst (LPA) Daiquiri Boyd arrived unannounced to conduct the Annual Inspection. LPA met with and explained the reason for the visit with Administrator (AD) Chao Vang. AD and one caregiver staff was at the facility. During this visit, LPA toured the facility inside & out. Resident rooms contained required furnishings and lighting. The bathrooms were found to be clean with faucets delivering hot water at 116.5 degrees. LPA observed required hygiene items, towels, extra bedding, and linens which were stored and available for use. The kitchen was clean, with necessary items and appliances. LPA observed required food supply and paper product storage. Medications are locked and centrally stored in a locked hallway closet. Common and activity areas were clean and occupied by residents throughout. There are visitation areas available inside and out. Doors and passageways are unobstructed throughout the facility. LPA observed required postings in the front entry hall. Smoke and carbon monoxide detectors were checked and operating. Sharps are locked in a kitchen cabinet. Hand rail on the ramp off of the back bedroom is wobbly and needs to be fixed. The Fire extinguishers were serviced 6/24/25 by Valley Fire Company. Citations were issued on this day for hand rail and missing Medical Assessment for one resident. The following documents are to be faxed to the Licensing office by 7/24/2026: Liability Insurance, Disaster and Emergency Plan, Infection Control Plan. Exit interview was conducted with AD and signature on this document confirms it's receipt.the state’s words, verbatim · CDSS document, Jul 9, 2026
Jul 9, 2025Facility evaluation reportReport on file
Type of visit: Required - 1 Year
Licensing Program Analyst (LPA) Daiquiri Boyd arrived unannounced to conduct the Annual Inspection. LPA met with and explained the reason for the visit with Administrator (AD) Chao Vang. AD and one caregiver staff was at the facility. After serving breakfast to residents, AD had to leave to retrieve files at her home office. During this visit, LPA toured the facility inside & out. Resident rooms contained required furnishings and lighting. The bathrooms were found to be clean with faucets delivering hot water at 116.5 degrees. LPA observed required hygiene items, towels, extra bedding, and linens which were stored and available for use. The kitchen was clean, with necessary items and appliances. LPA observed required food supply and paper product storage. Medications are locked and centrally stored in a locked hallway closet. Common and activity areas were clean and occupied by residents throughout. There are visitation areas available inside and out. Doors and passageways are unobstructed throughout the facility. The Fire extinguishers were serviced 6/24/25 by Valley Fire Company. Citations were issued on this day for Resident and Staff files, fingerprint clearances, Building and Grounds, and Disaster Preparedness. Exit interview was conducted with AD and signature on this document confirms it's receipt.the state’s words, verbatim · CDSS document, Jul 9, 2025
Dec 11, 2024Facility evaluation reportReport on file
Type of visit: Case Management - Annual Continuation
On 12/11/24 Licensing Program Analyst (LPA) Daiquiri Boyd visited the facility to complete the Annual Inspection and was greeted by Administrator (AD) Chao Vang. LPA reviewed three staff files and three resident files. All required postings were observed. Smoke alarms and carbon monoxide detectors were observed to be operating. The fire and disaster drill was last performed in July of 2024. LPAs requested Licensee to submit the following documents: LIC308, LIC309, LIC500, Proof of Liability Insurance by 12/20/2024. Deficiencies cited on this day. Administrators signature on this document confirms it's receipt.the state’s words, verbatim · CDSS document, Dec 11, 2024
Dec 10, 2024Facility evaluation reportReport on file
Type of visit: Case Management - Annual Continuation
On 12/10/2024, Licensing Program Analyst (LPA) Daiquiri Boyd made an unannounced visit to the facility for the purpose of completing the Annual Inspection. LPA Boyd met with Administrator Vang and she stated that she came in this morning without her files and her computer which contains the needed staff and resident files needed for review. LPA asked how long it would take to get the files here. Administrator stated that she lives about 30 minutes from the facility and she could be back here in an hour. LPA agreed that we can meet at the home tomorrow afternoon to complete the file review. Due to files not being at the facility, LPA Boyd will complete the Annual Inspection tomorrow when Administrator brings all files to the facility.the state’s words, verbatim · CDSS document, Dec 10, 2024
The state marks this report as 4 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.
Jul 30, 2024Facility evaluation reportReport on file
Type of visit: Required - 1 Year
Licensing Program Analysts (LPAs) Katie Brown and Daiquiri Boyd arrived unannounced to conduct the Annual Inspection. LPA met with and explained the reason for the visit with Administrator (AD) Chao Vang. During this visit, LPA toured the facility inside & out. Resident rooms contained required furnishings and lighting. The bathrooms were found to be clean with faucets delivering hot water at 106 degrees. LPA observed required hygiene items, towels, extra bedding, and linens which were stored and available for use. The kitchen was clean, with necessary items and appliances. LPA observed required food supply and paper product storage. Medications are locked and centrally stored in a locked hallway closet. Common and activity areas were clean and occupied by residents throughout. There are visitation areas available inside and out. Doors and passageways are unobstructed throughout the facility. The Fire extinguishers were serviced April 2024 by Valley Fire Company. Due to time constraint, LPAs were not able to complete the inspection and will return at a later date. Deficiencies are being cited in accordance with California Code of Regulations on the attached LIC 809-D in the areas of: Storage Space, Incidental Medical and Dental Care Services, Maintenance and Operation An exit interview was conducted and Plan of Correction (POC) developed. A copy of this report was signed by AD and Appeal Rights were provided.the state’s words, verbatim · CDSS document, Jul 30, 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 Fresno County, closest first. Every listed home appears on the same terms.
The Terraces at San Joaquin Gardens
Fresno · Large community · 0.4 mi away
$4,500 a month to start · Listed by the home
Rose Meadow Manor
Fresno · Small home · 0.4 mi away
$4,000 a month to start · Typical in Fresno County
Livocity Homes RCFE
Fresno · Small home · 0.6 mi away
$4,000 a month to start · Typical in Fresno County
Sierra Palace for Elderly
Fresno · Small home · 0.8 mi away
$4,000 a month to start · Typical in Fresno County
Dial for Care Inc.
Fresno · Small home · 1.0 mi away
$4,000 a month to start · Typical in Fresno County
Vela Suites
Fresno · Small home · 1.1 mi away
$4,000 a month to start · Typical in Fresno County