Annai House
The LIC 602 is the doctor's picture of the person moving in: diagnoses, mobility, continence, memory, and the help they need with daily tasks. The home reads it to decide whether it can meet those needs. Families often wait on this one piece of paper longer than on anything else in the process.
The home itself is at 175 W Sierra Ave in Clovis, in Fresno County. State records list it as a Residential Care Facility for the Elderly under license number 107209542, with room for 49 residents. That size puts it in a middle category that is worth understanding before you visit.
Who Annai House Is Licensed to Serve
A Residential Care Facility for the Elderly, or RCFE, is licensed for older adults who need help with daily life but not around-the-clock nursing. That covers bathing, dressing, meals, housekeeping, supervision and help with medications, all in a residential setting rather than a hospital one.
What that means in practice is set by the license and by the home, not by the label. Some RCFEs accept residents who use a wheelchair or who have memory loss; others do not. The LIC 602 and a conversation with the administrator are what settle it for your parents specifically.
If the answer at one home is no, that is about the care plan rather than about your family, and hearing it early saves everyone time. It usually means the needs on the form call for a different setting, which is worth knowing before you spend three weekends on tours that were never going to work out.
The Name on the License, and Why You May Know It as Sierra Villa
The address has been a licensed care home for years, and for most of that time it carried the name Sierra Villa Rest Home. State records show that earlier license, number 107203505, under the licensee Therapeutic Residential Services, Inc.
Current state records for 175 W Sierra Ave list the home as Annai House under license 107209542. The administrator on the newer record is the same person listed on the older one, Sundari Susan Kendakur, so the continuity at the building is real even though the paperwork changed.
This matters when you search. Directory sites, review pages and older referral lists still carry the Sierra Villa name, and you may find two entries that look like two different homes. Ask by address and by license number, and the confusion usually clears in one phone call.
What a 49-Resident Home Feels Like Day to Day
Forty-nine beds sit between the two things most families picture. It is far larger than a six-bed board and care in a converted house, and much smaller than a campus-style community with hundreds of apartments and a marketing office.
That middle size tends to come with a real dining room, scheduled activities and staff on every shift, without the long corridors that make a building hard for someone with memory trouble to learn. The trade-off runs the other way too: fewer amenities than a large community, and a staffing pattern that you should ask about directly.
What to ask about instead is staffing: how many caregivers are on duty on a Sunday evening, who answers a call light at three in the morning, and whether the person who gave you the tour will still be working there in six months. Those answers shape a resident's day far more than the bed count does.
How Doctor Visits and Medical Care Work Here
A licensed care home is not a medical facility, so residents keep their own doctors and their own appointments. Staff help with reminders, records and transport arrangements, and they pass information along, but prescriptions, diagnoses and treatment decisions stay with the resident's own clinicians outside the building.
For many residents, the simpler path is a clinician who comes to them. Primary care and specialists who visit care homes can handle routine follow-ups, medication reviews and new symptoms on site, which spares an older adult a car trip and a waiting room for every small question.
Ask the home how it handles a change in condition after hours, how often a doctor currently comes on site, and who calls you when something shifts. The answers tell you more about daily life there than any brochure does.
What Sits Around the Home in Clovis
Clovis is the smaller city next to Fresno, and the stretch of West Sierra Avenue the home sits on is ordinary residential Clovis: single-story houses, wide streets, shade trees and parking that is not a fight. For visiting family, that is a practical advantage.
The city runs its own programs for older adults through Clovis Senior Services, based at the Senior Activity Center at 735 Third Street. Classes and activities are open to anyone 50 and over, with no membership fee for Clovis residents and a 25 dollar yearly fee for non-residents.
That matters for a spouse or a sibling who moves to the area to be close by. Clovis Community Medical Center is the main hospital in town, and Old Town Clovis gives you somewhere to take your parents on a good afternoon that is not the dining room.
What to Ask and Look For on a Tour
Go at an awkward hour. Late afternoon and early evening show you the home as it actually runs, when staffing is thinnest and residents are most tired, which is the opposite of the mid-morning slot most tours are scheduled for.
Questions That Get Useful Answers
Ask what happens when a resident needs more help than the current care plan covers, and whether that means a price change or a move. Ask how medications are stored and handed out, and who is responsible on each shift. Ask to see the most recent state inspection report, which the home is required to keep available.
Ask about turnover among caregivers, not just managers. A home where the same faces appear month after month usually feels different to a resident with memory loss than one where the staff list keeps resetting, whatever the building looks like.
What to Notice Without Asking
Watch how staff speak to residents who are not being shown off: the person dozing in the hallway, the one repeating a question. Notice whether call lights are answered while you are standing there. Smell the building at the far end, not the entrance.
Address, License Number and Contact Details
Annai House is at 175 W Sierra Ave, Clovis, CA 93612, in Fresno County. The state licensing record lists it as a Residential Care Facility for the Elderly, license number 107209542, with a licensed capacity of 49 residents.
The phone number on the current state record is (559) 345-4929. Older listings and some directory sites still carry a second number and the Sierra Villa name, so if a number does not connect, try the one on the licensing record and ask for the home by its address.
No facility website turned up in state records or in a search, which is common for homes this size. Availability, pricing and the level of care accepted change often, so confirm all of it directly with the home before you plan a move.
If You Are Still Comparing Options
Most families look at several homes before anything feels right, and the Clovis and Fresno area has a wide range of them, from six-bed houses to large communities. Seeing three or four in one week makes the differences obvious in a way that reading listings never does.
If the search is taking over your evenings, a senior placement agency does the shortlisting for you, matches the care needs on the LIC 602 to homes that actually accept them, and books the tours. It is usually free to the family, since the homes pay the fee.
Whichever way you go, start the physician's report early. It is the one step you cannot rush at the end, and having it in hand turns a tour from a browse into a real conversation about whether your parents can move in.
Sources Used
Written by Sofiia Puhach
October 6, 2026
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Address: 2145 Stanford Ave, Clovis, CA 93611 (Fresno County)