Afable Home Care Ii is a residential care home for the elderly (RCFE) in Sacramento, Sacramento County, California — state license #347002549, 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 12 dated inspection and complaint documents on file for this home going back to 2021, the most recent dated February 2, 2026 — published below in full, verbatim and unscored.

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Afable Home Care Ii

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Residential care home for the elderly (RCFE) · Small home, 6 residents · Sacramento, CA · Sacramento County
LicensedWheelchairHospiceMemory care not on fileBedridden not on file
No openings reportedBeds change hands in days ·
License #347002549, held since 2004 · read from the California state record on August 2, 2026 ·See on State Site →
4080 Palm Avenue · Sacramento, Sacramento County
Phone
(916) 258-3868
from the state licensing roster · August 2, 2026
No Google listing is on file for this home.
Website
None on file
Many small homes have no website — that says nothing about the care inside.
Contact facts come from the state roster, a county Area Agency on Aging roster, the home’s Google listing, or the operator — each labelled, never blended. Operators: add or correct yours, free →
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Wheelchair / non-ambulatoryVerified in record
Dementia / memory careNot on file — ask the home
Hospice careVerified in record
Bedridden careNot on file — ask the home

“Not on file” is not a no — approvals can be bed- or room-specific, so confirm current scope with the home on a tour. Where a number is shown it is the state’s own wording for how many residents the approval covers, not how many places are open today; where none is shown, the record simply does not state one.

Specific medical needs — insulin, oxygen, a catheter, an ostomy — aren’t in the state license record; ask the home directly. A feeding tube, tracheostomy, or advanced wound care usually needs skilled nursing →

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What the state record says, word for word
AGE RANGE 60 AND OVER. ALL SIX (6) RESIDENTS MAY BE NON-AMBULATORY. HOSPICE WAIVER APPROVED FOR FOUR (4) RESIDENTS.State service designation935 - ELDERLYthe CDSS license record, verbatim · checked August 2, 2026

Since 2021, the state has visited this home 15 times and filed 12 documents. The most recent is a facility evaluation report, dated February 2, 2026.

Most recent state visit
February 2, 2026
Occupancy at the August 12, 2022 visit
5 of 6 beds

The state's published file for this home includes 4 documents with transcribed findings, dated October 15, 2021 to August 12, 2022. 4 of the 4 carry the state's recorded outcome word: “Substantiated” (3), “Unfounded” (1). 4 include the transcribed allegation the state investigated, word for word.

Summary composed by computer from the 4 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
Substantiatedthe state found the allegation more likely true than notUnsubstantiatedinvestigated, but couldn’t be confirmed either way — not a finding of wrongdoingUnfoundedthe state concluded it was false or couldn’t have happenedType A citationthe most serious: an immediate health-or-safety risk, usually fixed on the spot or on a short deadlineType B citationless serious, with a deadline to fix
The last 36 months — 3 of 12 documentsFull record on the state’s site →
20261 state visit · 1 document
Feb 2, 2026Facility evaluation reportReport 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.

20251 state visit · 1 document
Mar 13, 2025Facility evaluation reportReport 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.

20241 state visit · 1 document
Mar 6, 2024Facility evaluation reportReport 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.

Beside homes the same size
Type A citations1typical 0
Type B citations3typical 0
Substantiated complaints4typical 0
Total complaints4typical 0
State visits on file15typical 6
“Typical” is the statewide median across the 5,773 licensed small board-and-care homes (6 or fewer beds) in the state record — larger, longer-licensed homes accumulate more visits and reports, so compare like with like. One complaint can contain several allegations. Counts cover this license since 2004.
Year-by-year trend
YearVisitsDocumentsSubstantiated202611020251102024110202311020224632021220
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.Operate this home? Respond to or correct any document here, free. Respond or correct →

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≈ $5,000–$7,500 /mo
our estimate — Sacramento County band, market research June 2026; not this home’s quoted price
$3,500 · statewide low$9,000 · statewide high
California’s public record holds no per-home price, so we never invent one. Ask the home for its rate sheet, or
Ways families pay here
Private pay — ask what the base rate includes and what’s billed separately.SSI/SSP — California’s board-and-care payment standard is $1,626.07/mo (2026): $1,444.07 to the home, $182 stays with the resident.Medi-Cal ALW — this home isn’t on the DHCS waiver list (checked August 9, 2026). Details →

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Non-ambulatory approval — whole home or specific rooms, and is a spot open?
Ask how the 2022 complaint investigation report was corrected — what changed?
How is medication handled and logged day to day?
What’s in the base monthly rate, and what’s billed separately?
Staff-to-resident ratio on day and night shifts?
How are medical emergencies handled after hours?

The first two come straight from this home’s record — a brochure won’t answer them.

Operate this home? This page is generated from CDSS public records — respond or correct it, free.
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Call (916) 258-3868

Is Afable Home Care Ii licensed?

Yes — Afable Home Care Ii is a licensed residential care home for the elderly (RCFE) in Sacramento (Sacramento County): California license #347002549, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 6 residents. State records list 12 inspection and complaint documents since 2021; the most recent, a facility evaluation report dated February 2, 2026, appears in the inspection record on this page.

Can Afable Home Care Ii 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 Afable Home Care Ii 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.

Wheelchair / non-ambulatoryDementia / memory careHospice careBedridden

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. ALL SIX (6) RESIDENTS MAY BE NON-AMBULATORY. HOSPICE WAIVER APPROVED FOR FOUR (4) RESIDENTS.

How much does Afable Home Care Ii cost?

California's public licensing record does not include Afable Home Care Ii'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 Afable Home Care Ii accept Medi-Cal or the Assisted Living Waiver?

Afable Home Care Ii 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 →

How full it was at the last state visit

5 of 6 beds occupied (83%) when the state visited on August 12, 2022. Availability changes constantly — confirm a current opening with the home.

What do state inspections show for Afable Home Care Ii?

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 15 state visits and 12 dated documents since 2021 for Afable Home Care Ii; 4 complaint-investigation narratives are transcribed verbatim below. The most recent, dated August 12, 2022, records an allegation the state marked “Substantiated”. 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.

4 transcribed reports on file

2022

Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff did not provide adequate supervision to resident while in care. Licensee did not do a proper assessment of resident.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 08/12/22, Licensing Program Analyst (LPAs) Talwinder Bains and Michael Hood conducted an unannounced complaint investigation visit to deliver the findings for the above allegations and met with administrator Nicolasa Afable. Prior to initiating the complaint visit, LPAs completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. Upon arrival, completed a facility risk assessment. LPAs ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical Mask /N-95 mask. Additionally, LPAs was screened with temperature at the facility upon arrival. The department conducted records review and interviews. **Report continued on LIC9099-C** Substantiated— CDSS inspection report, August 12, 2022 · control 25-AS-20220407105548
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedFacility is not releasing records to resident.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analysts (LPAs) Michael Hood and Talwinder Bains arrived at the facility and met with Licensee, Nicolasa Afable, to deliver findings into the allegation listed above. Facility staff wore masks while on the premises. During investigation, the Department reviewed documentation pertinent to the investigation. The results of the investigation are as follows: Allegation: Facility is not releasing records to resident. ** Report continued on 9099-C ** Substantiated— CDSS inspection report, August 12, 2022 · control 25-AS-20220607143656
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedFacility fails to address the infestation of bed bugs
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On May 19, 2022, Licensing Program Analyst,(LPA) DeAnna Williams-Lyons arrived unannounced to deliver findings for complaint # 25-AS-20220502151128. LPA met with administrator, Nicolasa, Afable, and explained the reason for the visit. Prior to the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; contacted licensee and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 Masks. The licensee did advised LPA that there were bed bugs in the facility. The licensee stated she had Clark Pest Control come to the facility to treat the bed bugs. The licensee said that the pest control company has recently been to the facility a minimum of 3 times to spray bed area and carpets. To continue see 9099-C... Substantiated— CDSS inspection report, May 19, 2022 · control 25-AS-20220502151128

2021

Complaint investigationAllegation reviewed · Unfounded
Allegation the state reviewedFailed to provide timely medical care
State's findingUnfoundedThe state investigated and found the allegation to be false.
Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 10/12/21 to provide complaint findings. LPA met with staff and explained the purpose of the visit. Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. Upon arrival LPA completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical Mask. Additionally, LPA were screened by facility staff upon entering the facility. LPA requested for staff to notify Administrator that LPA is present. LPAs reviewed hospital records, facility records and conducted interviews. The department finds that facility met Tittle 22 requirements. During the course of the investigation, LPA interviews, review of medical records and the incident report submitted for the incide— CDSS inspection report, October 15, 2021 · control 25-AS-20210820121519

Transcribed from CDSS complaint-investigation reports · record checked August 2, 2026.

What the state has logged

California has logged 15 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.

Type A citations
1
typical for this size: 0
Type B citations
3
typical for this size: 0
Substantiated complaints
4
typical for this size: 0
Total complaints
4
typical for this size: 0
State visits on file
15
typical for this size: 6
See the full inspection record on the state's site →
Talk to this home directly

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(916) 258-3868
What isn't in the state record

Resident 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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