A-1 Elderly Care is a residential care home for the elderly (RCFE) in Carmichael, Sacramento County, California — state license #342700763, licensed for 6 residents, listed as licensed in the CDSS record we retrieved August 2, 2026. It does not appear on the DHCS Assisted Living Waiver participant list checked August 9, 2026 — that list covers the state waiver only, not a home's own payment arrangements. California has 11 dated inspection and complaint documents on file for this home going back to 2021, the most recent dated February 24, 2026 — published below in full, verbatim and unscored.
No photo of this home is on file — we show real, attributed images only, never a stock photo of someone else’s building.
Since 2021, the state has visited this home 12 times and filed 11 documents. The most recent is a facility evaluation report, dated February 24, 2026.
The state's published file for this home includes 3 documents with transcribed findings, dated April 19, 2023 to November 5, 2025. 3 of the 3 carry the state's recorded outcome word: “Substantiated” (2), “Unsubstantiated” (1). 3 include the transcribed allegation the state investigated, word for word.
Summary composed by computer from the 3 documents below — every count derives from them, and the documents themselves are the state's records, verbatim. We never grade, score, or color a record.
What the state’s words mean
Feb 24, 2026Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Nov 5, 2025Unsubstantiated
Allegation investigated: Staff did not ensure that the resident's grooming care needs were properly met
Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to investigate complaint. LPA met with Administrator Robert Tif during today’s inspection. The department investigated allegation, “Staff did not ensure that the resident's grooming care needs were properly met”. The department interviewed residents, staff and relevant parties. Reporting Party indicated R1 had unkempt finger nails and dry skin. The department interviewed responsible party of R1 and they stated they were happy with the care being provided to R1 from the facility. R1 had health issues which caused their hand to be curved and it made it difficult to keep their fingernails cut. Responsible party had R1’s fingernails cut by a nail stylist shortly after complaint was made. R1 was on and off hospice care and receiving care from the hospice team. LPA toured the facility and observed residents to appear clean and groomed properly. LPA observed the facility to be clean and free from smell. CONTINUATION ON 9099-Cthe state’s words, verbatim · CDSS document, Nov 5, 2025 · control 59-AS-20250825132401
Feb 12, 2025Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Feb 22, 2024Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Year-by-year trend
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Is A-1 Elderly Care licensed?
Yes — A-1 Elderly Care is a licensed residential care home for the elderly (RCFE) in Carmichael (Sacramento County): California license #342700763, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 6 residents. State records list 11 inspection and complaint documents since 2021; the most recent, a facility evaluation report dated February 24, 2026, appears in the inspection record on this page.
Can A-1 Elderly Care care for dementia, hospice, bedridden, or non-ambulatory residents?
From the CDSS license record, checked August 2, 2026.
The CDSS license record checked August 2, 2026 lists A-1 Elderly Care with clearances for wheelchair / non-ambulatory and hospice care; it does not list dementia / memory care and bedridden. A clearance that is not on file is not a “no” — it may simply be unrecorded, so if your family needs one of these, ask the home directly and confirm its current scope on a tour.
From the California state record. Some approvals are bed- or room-specific — always confirm current scope with the facility.
What the state record says, word for word
Verbatim, from the CDSS license recordAGE RANGE 60 AND OVER; APPROVED FOR CAPACITY OF 6 NON-AMBULATORY IN BEDROOMS 1-4; APPROVED HOSPICE WAIVER FOR 2 HOSPICE RESIDENTS.
How much does A-1 Elderly Care cost?
California's public licensing record does not include A-1 Elderly Care's monthly price, so we never show or estimate one for a specific home. As county-level context only, assisted living in Sacramento County typically runs $5,000–$7,500/mo and small board-and-care homes $4,000–$6,500/mo (market research compiled June 2026 — ranges, not quotes; California's 2026 SSI/SSP board-and-care payment standard is $1,626.07/month, of which $1,444.07 is the room-and-board portion paid to the home). Ask the home for its own rate sheet and what the base rate includes — or use the cost section at the top of this page.
Does A-1 Elderly Care accept Medi-Cal or the Assisted Living Waiver?
A-1 Elderly Care is not in the DHCS Assisted Living Waiver participant record we checked August 9, 2026 — that list covers only the state's ALW program, not a home's own payment policies, so ask the home directly about private Medi-Cal arrangements. The waiver pays for assisted-living care services (not room and board) at participating homes; every DHCS-listed home appears on our statewide Medi-Cal page.
Assisted living on Medi-Cal in California →See the DHCS list →
5 of 6 beds occupied (83%) when the state visited on November 5, 2025. Availability changes constantly — confirm a current opening with the home.
What do state inspections show for A-1 Elderly Care?
Verbatim from CDSS complaint-investigation reports — the state's own words, never summarized by us. Record checked August 2, 2026.
The CDSS state record checked August 2, 2026 lists 12 state visits and 11 dated documents since 2021 for A-1 Elderly Care; 3 complaint-investigation narratives are transcribed verbatim below. The most recent, dated November 5, 2025, records an allegation the state marked “Unsubstantiated”. Open any entry to read the state's full finding, word for word.
Most licensed homes receive some findings over 36 months; what matters is what was found and whether it was corrected. Counts here are shown compared with homes of similar size, and the state's own words appear in full below.
2025
2023
Transcribed from CDSS complaint-investigation reports · record checked August 2, 2026.
What the state has logged
California has logged 12 state visits for this home as of August 2, 2026. These are the home's own counts, straight from that record — shown beside the statewide median for small board-and-care homes (6 or fewer beds), computed across all 5,773 licensed homes of that size, because larger and longer-licensed homes naturally accumulate more visits and reports. They are facts, not a grade — a citation may be minor and since corrected, and an “unsubstantiated” complaint is not a finding of wrongdoing.
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(916) 996-4763Resident reviews, the exact monthly price, and the languages staff speak aren't part of California's public licensing record, so we don't show them here. Ask the home directly — the tour questions above are a good start.
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