Small home · Licensed for 6 · Fair Oaks

The Elderly Inn IV

4908 Illinois Ave, Fair Oaks, CA 95628Licensed since 2018

Overview

Estimated starting rate

$4,200 a month

Covelight estimate · likely $3,450–$5,200 See costs

No openings reported

Approved by the state: Wheelchair · HospiceState licensing record · October 26, 2026
Licensed for 6: a small care homeThe state license record

Ask this home

Check availability

Request a tour

More days

AskThe cost, or your own question

Free for families. A home gets your number only if you say yes.

Care and support

Wheelchairup to 6 residents
Hospiceup to 3 residents

Not on file: dementia and bedridden approvals.

Approved by the state · State licensing record · October 26, 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 6 NON-AMBULATORY. HOSPICE WAIVER FOR 3 RESIDENTS.

935 - ELDERLY

CDSS record, verbatim · October 26, 2026

As needs change

Staying through hospice
Hospice waiver on file · covers up to 3 — care may continue at the end of life
State licensing record · October 26, 2026

We’ll ask for you. Not on file for The Elderly Inn IV: two-person transfers or a lift, who is awake overnight, help with medicines and care if memory loss develops. When we check availability, we ask about these too.

Check availability

What it costs here

Covelight estimate

$4,200a month to start

Likely $3,450–$5,200

From 9 nearby homes that publish rates · this home’s rate is not on file

Monthly cost breakdownWith a shared room and basic help · room, care and fees$4,200likely a month

Room

Daily care

Sharing the room

Memory care is not priced here: a dementia-care designation is not on file for this home. Ask the home.

Starting monthly rate$4,200likely $3,450–$5,200
Covelight’s estimate starts from the rates 9 small homes and similar homes within 3 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. 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 (44 California homes publish a care-level range, seen in September 2026).
One-time move-in fee$2,500one time · likely $0–$4,000
Homes that list a one-time entry or community fee charge a median of $2,500 (133 California listings; middle half $1,000–$4,000). Many homes list none — ask.

Likely monthly totalLikely $3,450–$5,400: $4,200
First monthWith a one-time move-in fee · likely $4,050–$8,600: $6,700

How people payPrivate pay, Medi-Cal waiver, SSI/SSP, veterans, insurance

MedicareDoes not pay for room and board in a care home. It can still cover hospice or home-health visits inside one.
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 October 1, 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.

If the money runs out, what Medi-Cal covers

Rates at nearby homes9 nearby homes publish starting rates of $3,000 to $9,000

9 homes like this within 3 miles publish starting rates mostly between $3,250–$7,400.

Splendor Oaks Senior Living #3Fair Oaks · 1.3 mi · Mid-size home
$5,000Listed on A Place for Mom · seen September 9, 2026
All Seasons HialeahFair Oaks · 1.7 mi · Small home
$9,000Listed on Seniorly · assisted living · seen September 9, 2026
Crown JewelOrangevale · 1.8 mi · Small home
$3,000Listed on A Place for Mom · seen September 9, 2026
Ettys' CareOrangevale · 2.1 mi · Small home
$4,000Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
Glen Creek Villa II-Res. Care Fac. for the ElderlyOrangevale · 2.7 mi · Small home
$4,000Listed on Seniorly · seen September 9, 2026
Love You MomOrangevale · 2.7 mi · Small home
$3,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
Shearwater ResidenceOrangevale · 2.7 mi · Mid-size home
$4,500Listed on Seniorly · seen September 9, 2026
Magnolia Elderly Care HomeFair Oaks · 2.7 mi · Small home
$6,000Listed on Seniorly · assisted living · seen September 9, 2026
Comfort & CareOrangevale · 2.8 mi · Small home
$3,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026

How this estimate worksWithin 25% for 7 in 10 homes in testing

Covelight’s estimate starts from the rates 9 small homes and similar homes within 3 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. 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.

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 move-in 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.

Ask for the price

An estimate for planning, not a quote. A home sets the price after hearing about the care needed.

Daily life

Daily life here is not on file yet. Most small homes haven’t published it, and that says nothing about the home.

The best way to see it is a visit.

Request a tour

Where it is

4908 Illinois Ave, Fair Oaks, CA 95628Address from the public record · October 26, 2026. Confirm the entrance with the home before visiting.

Opening the neighborhood map…

Mercy San Juan Medical CenterHospital · General acute care, on the state’s list4.4 mi

Straight-line distances; check the drive or the walk. Hospital: the nearest general acute care hospital on the state’s list (CDPH, September 16, 2026).

Open directions

The state record

California inspects every licensed home and publishes what it found. A citation does not make a home unsafe, and an empty file does not make a home good.

CDSS public record, read October 26, 2026 · License #342700416 · See the state’s own record

The last 36 months — 4 of 8 documents

20251 state visit · 1 document

Nov 4, 2025Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Hood arrived at the facility unannounced on November 4, 2025 to conduct a Required-1 Year Inspection utilizing the inspection tool. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are five (5) bedrooms and four (4) bathrooms for resident use. LPA observed bedrooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition and properly maintained. Hot water temperature was observed to be 106 degrees F. LPA checked the kitchen area for the ability to prepare and store food. Care home has required two (2) day perishable and seven (7) day non-perishable food supply on cite. LPA observed the backyard and perimeter of the care home to be free of clutter and debris. LPA observed smoke detectors and carbon monoxide detectors to be operational in the care home. First aid kit is maintained and ready for emergency use. LPA reviewed three (3) residents' medications. LPA reviewed six (6) resident files and two (2) staff files. Facility has a current copy of certificate of liability insurance and LPA requested a copy. As a result of this visit, a deficiency was cited pursuant to California Code of Regulations, Title 22, Division 6, Chapter 8. Deficiency is listed on 809-D pages. Exit interview was conducted. A copy of this report and appeal rights were provided. Signatures on these forms acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, Nov 4, 2025

20241 state visit · 1 document

Nov 21, 2024Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Hood arrived at the facility unannounced on 11/21/24 to conduct a Required-1 Year Inspection utilizing the inspection tool. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are five (5) bedrooms and four (4) bathrooms for resident use. LPA observed bedrooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition and properly maintained. Hot water temperature was observed to be 109.5 degrees F. LPA checked the kitchen area for the ability to prepare and store food. Care home has required two (2) day perishable and seven (7) day non-perishable food supply on cite. LPA observed knives, cleaning products, and other toxins to be locked away and inaccessible to residents. LPA observed the backyard and perimeter of the care home to be free of clutter and debris. LPA observed smoke detectors and carbon monoxide detectors to be operational in the care home. First aid kit is maintained and ready for emergency use. LPA checked medication storage and found medication to be locked away and inaccessible to the residents. LPA reviewed five (5) resident files and two (2) staff files. Facility has a current copy of certificate of liability insurance and LPA requested a copy. As a result of this visit, no deficiencies were cited per California Code of Regulations, Title 22. Exit was interview conducted and copy of report given at the conclusion of this visit.the state’s words, verbatim · CDSS document, Nov 21, 2024

20232 state visits · 2 documents

Dec 21, 2023Facility evaluation reportPOCReport on file

Type of visit: POC

Licensing Program Analyst (LPA) Michael Hood arrived at the facility and met with Administrator, Sam Toplean, to follow-up on a plan of correction made to the facility on 11/30/2023 to be completed on 12/31/2023. During today's visit, LPA took the temperature of the water and found temperature to be 113.3 degrees F. LPA cleared deficiency during visit. Exit interview was conducted. A copy of this report was provided. Signature on these forms acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, Dec 21, 2023

Nov 30, 2023Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Hood arrived at the facility unannounced on 11/30/23 to conduct a Required-1 Year Inspection utilizing the inspection tool. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are five bedrooms and four bathrooms for resident use. LPA observed bedrooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition and properly maintained. LPA checked the kitchen area for the ability to prepare and store food. Care home has required two (2) day perishable and seven (7) day non-perishable food supply on cite. LPA observed the backyard and perimeter of the care home to be free of clutter and debris. LPA observed smoke detectors and carbon monoxide detectors to be operational in the care home. First aid kit is maintained and ready for emergency use. LPA reviewed three (3) resident files and two (2) staff files. Facility has a current copy of certificate of liability insurance and LPA requested a copy. As a result of today's inspection, deficiencies are being cited pursuant to California Code of Regulations, Title 22, Division 6, Chapter 8 due to expired food and hot water temperature being measured at 101 degrees F. Deficiencies are listed on 809-D. Exit interview was conducted. A copy of this report and appeal rights were provided. Signatures on these forms acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, Nov 30, 2023

Earlier years2021 to 2023 · 4 documents

20231 state visit · 2 documents

Jul 13, 2023Complaint investigation reportUnsubstantiated

Allegation investigated: Residents are chemically restrained with medication Facility staff are not fingerprint-cleared Staff are using drugs while on duty Facility staff are abusing residents

Licensing Program Analysts (LPAs) Michael Hood and Angela Hood arrived at the facility and met with Acting Administrator, Marinela "Mary" Barac, to deliver findings into the allegations listed above. LPAs spoke with Licensee, Sam Toplean, via phone call. Licensee gave permission to have Acting Administrator sign report. During the course of the investigation, interviews were conducted, a medication count was conducted for residents (R1, R2, & R3), and documentation pertinent to the investigation was obtained. LPAs did not find any errors for Hydrocodone for R1. LPAs reviewed facility roster indicating that all staff working at the facility are criminal background check cleared. Interviews conducted with staff (S1 & S2) as well as R1 and resident (R4) indicated that they have never witnessed staff using drugs while on duty. Interviews with R1 and R4 indicated that they have never experienced abuse or witnessed staff abusing residents in care. Interviews with S1 and S2 indicated that they have not witnessed staff abusing residents. Based on interviews conducted, documentation reviewed, and medication count, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are UNSUBSTANTIATED. No deficiencies are being cited during this visit. Exit interview conducted. A copy of the report was provided to the Administrator. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 13, 2023 · control 59-AS-20230328154729

Jul 13, 2023Facility evaluation reportCase Management - DeficienciesDeficiency page: Type A

Type of visit: Case Management - Deficiencies

Licensing Program Analysts (LPAs) Michael Hood and Angela Hood met with Acting Administrator, Marinela "Mary" Barac, to conduct a case management visit. During inspection conducted on 7/13/2023, LPAs reviewed medications for residents R1, R2, and R3. LPAs observed Centrally Stored Medication form to be incomplete for R2 and R3 during medication count, causing LPAs to not be able to determine if count was accurate. Due to facility not completing Centrally Stored Medication form for two (2) residents, a deficiency is being cited pursuant to California Code of Regulations, Title 22, Section 87465(a)(4) regarding medication administration. Deficiency is listed on 809-D. Exit interview was conducted with Acting Administrator. A copy of this report and appeal rights were provided. The Acting Administrator’s signature on these forms acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, Jul 13, 2023

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(4) · Plan of correction due date: Jul 14, 2023

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall (...) provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on medication count and observations, the facility did not ensure that medications were properly administered by tracking R2 and R3's medications on Centrally Stored Medication form, which poses an immediate health, safety or personal rights risk to the residents in care.the state’s words, verbatim · CDSS document, Jul 13, 2023

Plan of correction: Licensee will complete a statement of understanding regarding regulation 87465. Licensee will submit statement of understanding to LPA by POC due date.

20221 state visit · 1 document

Nov 18, 2022Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Hood arrived at the facility unannounced on 11/18/2022 to conduct a Required-1 Year Inspection utilizing the infection control domain. LPA met with Licensee, Sam Toplean, and explained the purpose of the visit. LPA ensured to apply hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. LPA toured the facility to ensure the health and safety of residents in care. Areas toured include but are not limited to: 5 bedrooms and 4 bathrooms for residents, common areas, kitchen, outdoor area, laundry area, and PPE supplies. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and Licensee completed the infection control domain. No deficiencies are being cited. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Nov 18, 2022

20211 state visit · 1 document

Nov 8, 2021Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with Anna Richards, caregiver, and explained purpose of inspection. Prior to initiating today's inspection, LPA completed required COVID-19 testing protocols, completed a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. Additionally, LPA was screened per Covid-19 precautionary measures upon entering the community. LPA confirmed there are no residents or staff with a confirmed case or signs/symptoms or Covid. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. LPA observed (3) residents to watching television or napping in the common area and (1) resident resting in her shared resident rooms. (1) resident was out of the facility with a family member at time orf inspection. LPA was advised there are no residents on hospice. LPA met with Administrator, Sam, who arrived shortly to the facility. LPA and caregiver toured the interior of the facility. LPA observed it to be clean and in good repair. LPA observed a few Covid posters throughout. LPA to e-mail additional posters, including one for cough etiquette and proper hand-washing. . Rooms toured include (4) private bedrooms, (1) shared rooms, , (3) bathrooms, kitchen, laundry area and common areas. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and Administrator completed the infection control domain and facility was found to be in compliance at this time. Inside temperature was observed to be 72* F. LPA observed sufficient 2+day perishable and 7+day non-perishable food. LPA observed paper towels, soap and sanitizer. Administrator to place a trash can with lid and hand-washing poster in the bathrooms. Discussed vaccination status of residents and staff. Current copy of Administrator certificate to be posted. Fire extinguisher serviced last week- to provide confirmation as service company did not update tag. Discussed staff and visitors wearing masks at all times, even if fully vaccinated. LPA was provided with a copy of completed Mitigation Plan that was provided to the Department on/around January 2021 when due. There were no deficiencies observed during today's inspection. LPA requested updated copy of liability insurance and LIC308. Exit interview. Copy of report to be e-mailed to facility.the state’s words, verbatim · CDSS document, Nov 8, 2021

6 of 6 beds were occupied at the July 13, 2023 state visit — a count on that day, not an opening.

License holder

Toplean, Sam, licensed since 2018.

Operates 2 licensed homes in California. Running more than one home is common and is neither good nor bad on its own.

The Elderly Inn II · Fair Oaks

The state’s totals for this licenseSince 2018, as the state’s facility page counts them

State visits on file: 8
Total complaints: 1
Substantiated allegations: 0
Type A citations: 0
Type B citations: 0

These are the state’s own totals for this license since 2018, per CDSS records. The state counts them apart from the documents above, and they can differ from what those documents show; the documents say what each visit found. One complaint can contain several allegations.

Compare with homes the same size

	This home	Typical
Type A citations	0	0
Type B citations	0	0
Substantiated allegations	0	0
Total complaints	1	0

“Typical” is the statewide median for licensed homes this size. It does not adjust for years licensed, and older licenses have had more visits and reports. The median is across the 6,916 licensed small board-and-care homes (6 or fewer beds) in the state record. The figures compared are the state’s totals, not the documents.

What the state’s words mean

Routine visita visit the state records as “Required” — a scheduled visit, not one made in answer to a complaintSubstantiatedthe state found the allegation more likely true than notUnsubstantiatedthere was not enough evidence to prove a violation occurred — not a finding of wrongdoingUnfoundedthe evidence showed the allegation was false, could not have happened, or had no reasonable basisType A citationa violation that poses an immediate risk to health, safety or personal rights if it is not correctedType B citationa violation that could become a risk if not corrected, or one involving records, resources or required services

CDSS citation definitions (PDF) ↗ · CDSS complaint outcomes ↗

An “unsubstantiated” complaint is not a finding of wrongdoing — it means the state investigated and could not confirm the allegation. Outcome words are the state’s own; we never grade, score, or color a record, and we publish no reviews — the state’s dated documents stand in their place.

Open CDSS facility search ↗Report a record error Operate this home? Respond or correct, free →

Frequently asked questions

A citation does not make a home unsafe, and an empty file does not make a home good.

Quick answers about The Elderly Inn IV

Is The Elderly Inn IV licensed?

The state lists this license as “Licensed,” per CDSS records as of October 26, 2026.

How many residents is The Elderly Inn IV licensed for?

6 residents — a small home, per CDSS records as of October 26, 2026.

Has The Elderly Inn IV been cited?

0 Type A and 0 Type B citations since 2018, per CDSS records as of October 26, 2026. Those records count 8 state visits over the same years.

Is The Elderly Inn IV still open?

This license was on the CDSS roster as of November 11, 2026.

What does The Elderly Inn IV cost?

$4,200 a month to start is a Covelight estimate, likely $3,450–$5,200. This home’s own rate is not on file. Ask: “What is the all-in monthly rate, and what would push it higher?”

Among 54 other homes of a similar licensed size across Sacramento County that publish a starting rate, the middle half runs $3,500 to $5,000 a month, and the middle figure is $4,000 (n = 54 other homes publishing a starting rate).

Each of those is a home’s own published figure, gathered on its own date between September and October 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 The Elderly Inn IV take Medi-Cal?

On Medi-Cal’s Assisted Living Waiver: this home is not on the DHCS participation list dated October 1, 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 Toplean, Sam, per CDSS records as of October 26, 2026.

Is there a hospital nearby?

Mercy San Juan Medical Center is 4.4 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.

Can The Elderly Inn IV keep a resident on hospice?

Hospice care is approved on this license, covering up to 3 residents, per CDSS records as of October 26, 2026.