Assisted Living
Royal Gardens II
4238 E Alamos Ave, Fresno, CA 93726 · Map
Licensed for 6 residents · VR ENIGMA INC.
Royal Gardens II is a state-licensed assisted living community in Fresno, California. It is licensed for 6 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Area costs
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
License
Active, 6 residents
RESIDENTIAL CARE ELDERLY 107201415, licensed since Jan 18, 2002. Licensee VR ENIGMA INC..
Nearest emergency room
2.2 miles
Saint Agnes Medical Center, rated 2 of 5 stars by CMS.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| Royal Gardens II this community | 6 | Not published | Active | No record | |
| Jan-Roy Place of Fresno 2 | 0.8 mi | 6 | Not published | Active | 6 Type A, 5 Type B |
| Gettysburg Mercy Care | 1.1 mi | 18 | Not published | Active | 0 Type A, 0 Type B |
| Rose Meadow Manor | 1.2 mi | 6 | Not published | Active | 0 Type A, 2 Type B |
| Livocity Homes RCFE | 1.2 mi | 6 | Not published | Active | 0 Type A, 0 Type B |
License and ownershipActive license, licensee VR ENIGMA INC.
- License type
- RESIDENTIAL CARE ELDERLY
- License number
- 107201415
- License status
- Active
- Licensed since
- 2002-01-18
- Licensed capacity
- 6
- Licensee
- VR ENIGMA INC.
- County
- Fresno County
- Administrator
- Gurmit Aulakh
Source: California state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Administrator name from the California licensing record, as of Sep 9, 2026.
Paying with Medicaid and other programsHow Medicaid pays for care in California, and other programs
How Medicaid pays for care in California
- Assisted Living Waiver (ALW). Medi-Cal can pay for assisted living care services through the Assisted Living Waiver, but only in 15 counties, only for people who need nursing home level care, and there is a waitlist. The resident still pays room and board. (state page)
- Waitlist. The Assisted Living Waiver has a waitlist. DHCS reported 18,365 people on it in December 2025. (source)
Ask the community whether it accepts Medicaid.
Staff pay and workplace safety2 federal wage cases with violations found
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Jan 10, 2010 to May 29, 2010. Violations found: Minimum wage. Back wages: $1,651 owed to 1 employee. Employer as DOL recorded it: Royal Gardens II (VR Enigma, Inc.). Case 1595302.
- Findings for Dec 30, 2007 to Feb 23, 2008. Violations found: Minimum wage, Overtime. Back wages: $10,168 owed to 5 employees. Employer as DOL recorded it: Royal Gardens II (VR Enigma Inc.). Case 1532619.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby careNearest hospital 2.2 mi, nursing home 1.7 mi, pharmacy 1.8 mi
- Nearest hospital with an emergency room
- Saint Agnes Medical Center, Fresno. 2.2 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- The Terraces at San Joaquin Gardens Village, Fresno. 1.7 miles away, straight line.
- Nearest home health agency office
- Community Home Care, Fresno. 0.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Rite Aid. 1.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 93726 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fresenius Medical Care Fresno North, Fresno, 1.4 miles away, straight line (CMS rating 5 of 5 stars)
San Joaquin Valley Dialysis, Fresno, 1.8 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Davita Fresno At Home Center-Pd, Fresno, 2.1 miles away, straight line - Hospice
- 42 Medicare hospices tell CMS they serve ZIP code 93726.
Hospice Of The Valley, office in Fresno, 0.6 miles away, straight line
Saint Agnes Home Health & Hospice, office in Fresno, 1.4 miles away, straight line (CMS family survey rating 4 of 5 stars)
Oyuna Hospice, Inc, office in Fresno, 1.4 miles away, straight line - Nearest geriatric medicine practice
- Permanente Medical Group Inc, Fresno. 2.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk relatively low; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone X: 0.2% annual chance (500-year) flood area (moderate risk). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: inland flooding relatively moderate, tornado very low, heat wave relatively low, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour10 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- What does the base rate include, and when did rates last go up?
- Who is here at night? Are they awake, or asleep and on call?
- Who covers when the owner is sick, on vacation, or away for the day? Can we meet them?
- Is it one flat rate, or does it rise with care needs?
- Can you help someone who needs two people to move, or a mechanical lift?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
- How long have the executive director and the head of care been here?
What we checked13 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| California Department of Social Services, Community Care Licensing inspection records | Sep 28, 2026 | Nothing on record |
| California Medicaid provider list | Mar 3, 2026 | Not on the state list we checked. These lists are often incomplete. |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
Common questionsAnswers to 4 questions families ask
What type of care does Royal Gardens II provide?
Royal Gardens II is licensed by the state of California for assisted living in Fresno, California. Its licensed capacity is 6 residents.
Does Lilisity rate Royal Gardens II?
No. We publish state licensing details for Royal Gardens II but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Royal Gardens II cost?
Assisted Living in California typically starts at $3,800 to $6,100 a month. Based on 267 communities that publish prices. These are area figures, not this community's price. Royal Gardens II does not publish its prices.
How do I contact Royal Gardens II?
Use Royal Gardens II's website, myroyalgardens-rcfe.com, or visit at 4238 E Alamos Ave, Fresno, CA 93726.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid