State assisted-living licensing record · California CDSS · record as pulled September 18, 2026· Not the federal nursing home survey
Sierra Palace for Elderly
607 E. Sierra Avenue, Fresno, CA 93710 · FRESNO County · 6 licensed beds
CDSS facility number 107200486 · licensed · first licensed February 1997
The licence
Licensed by CDSS · Residential Care Facility for the Elderly
Licence details, as listed by CDSS
- CDSS regional office
- 24
Position within California
4 citations — more than 82% of the 8,587 licensed assisted living facilities in California. Compared only within California: a citation from CDSS means what it means in California, and there is no national assisted living record to compare to. Counted over 5 years, which holds two or three routine inspections. How this is calculated
Not in this record
Fire and life safety. A Residential Care Facility for the Elderly needs a fire clearance from the local fire authority, and that inspection is not part of the CDSS record. What CDSS does cite about the building is here: maintenance and operation of the premises, the emergency and disaster plan, and the physical environment sections of Title 22.
Get an email about Sierra Palace for Elderly
One email when it happens, from the CDSS record as it is pulled each month. No account; stop it any time with one click.
Building-related citations
The citation about the building itself — physical plant and emergency management. Usually the maintenance side’s to fix.
- CCR-87307 Personal Accommodations and ServicesDecember 14, 2021 · Type B · POC due December 24, 2021
How that compares
Compared with the median licensed assisted living facility in California. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 4 |
| Median facility in California | 0 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| October 4, 2021 | other visit | 1 |
| December 14, 2021 | other visit | 0 |
| December 14, 2021 | complaint investigation | 2 |
| February 23, 2022 | licensing inspection | 0 |
| December 28, 2022 | other visit | 0 |
| July 5, 2023 | complaint investigation | 0 |
| July 31, 2023 | complaint investigation | 0 |
| December 18, 2023 | licensing inspection | 0 |
| February 23, 2024 | complaint investigation | 0 |
| February 23, 2024 | complaint investigation | 1 |
| February 23, 2024 | complaint investigation | 0 |
| February 11, 2025 | licensing inspection | 0 |
| February 10, 2026 | licensing inspection | 0 |
What the citations cover
- Uncatalogued tags 1
- Physical plant 1
- Staffing and training 1
- Medication 1
| Category | Citations |
|---|---|
| Uncatalogued tags | 1 |
| Physical plant | 1 |
| Staffing and training | 1 |
| Medication | 1 |
Every visit on file since September 2021
As published by CDSS, newest first, including visits that cited nothing. The wording and the classes are CDSS’s own.
February 10, 2026 — licensing inspection, nothing cited
February 11, 2025 — licensing inspection, nothing cited
February 23, 2024 — complaint investigation, 1 citation
| Tag | What CDSS checks | Type | POC due |
|---|---|---|---|
| CCR-87411 | Personnel Requirements – General | Type B | February 23, 2024 |
February 23, 2024 — complaint investigation, nothing cited
February 23, 2024 — complaint investigation, nothing cited
December 18, 2023 — licensing inspection, nothing cited
July 31, 2023 — complaint investigation, nothing cited
July 5, 2023 — complaint investigation, nothing cited
December 28, 2022 — other visit, nothing cited
February 23, 2022 — licensing inspection, nothing cited
December 14, 2021 — complaint investigation, 2 citations
| Tag | What CDSS checks | Type | POC due |
|---|---|---|---|
| CCR-87307 | Personal Accommodations and Services | Type B | December 24, 2021 |
| CCR-87488.1 | Title 22 §87488.1 | Type B | December 24, 2021 |
December 14, 2021 — other visit, nothing cited
October 4, 2021 — other visit, 1 citation
| Tag | What CDSS checks | Type | POC due |
|---|---|---|---|
| CCR-87465 | Incidental Medical and Dental Care | Type A | October 8, 2021 |
Reflects the CDSS record as pulled September 18, 2026. A recent visit may not appear yet. This is the California state licensing record; it is not the federal nursing home survey and the two are never combined.