Small home · Licensed for 6 · Fair Oaks

The Elderly Inn II

4824 Livoti Avenue, Fair Oaks, CA 95628Licensed since 2008

Overview

Estimated starting rate

$4,300 a month

Covelight estimate · likely $3,500–$5,300 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

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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 60 AND OVER. LICENSED TO SERVE UP TO 6 NONAMBULATORY RESIDENTS. HOSPICE APPROVED FOR THREE 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 II: 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.

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What it costs here

Covelight estimate

$4,300a month to start

Likely $3,500–$5,300

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$4,300likely 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$4,300likely $3,500–$5,300
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 $3,500–$5,500: $4,300
First monthWith a one-time move-in fee · likely $4,150–$8,700: $6,800

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 $3,500 to $9,000

9 homes like this within 3 miles publish starting rates mostly between $3,500–$7,750.

Magnolia Elderly Care HomeFair Oaks · 1.4 mi · Small home
$6,000Listed on Seniorly · assisted living · seen September 9, 2026
Splendor Oaks Senior Living #3Fair Oaks · 1.7 mi · Mid-size home
$5,000Listed on A Place for Mom · seen September 9, 2026
All Seasons HialeahFair Oaks · 1.9 mi · Small home
$9,000Listed on Seniorly · assisted living · seen September 9, 2026
Hollister Care HomeCarmichael · 2.4 mi · Small home
$4,500Listed 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
Splendor Oaks Senior Living 1Carmichael · 2.7 mi · Small home
$3,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
Comfort & CareOrangevale · 2.7 mi · Small home
$3,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
Glen Creek Villa II-Res. Care Fac. for the ElderlyOrangevale · 3.0 mi · Small home
$4,000Listed on Seniorly · seen September 9, 2026
Ettys' CareOrangevale · 3.0 mi · Small home
$4,000Listed 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

4824 Livoti Avenue, 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 list2.8 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 #347003747 · See the state’s own record

The last 36 months — 3 of 6 documents

20261 state visit · 1 document

Jan 13, 2026Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Hood arrived at the facility unannounced on January 13, 2026 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 six (6) bedrooms and two (2) 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 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. Emergency exits were unobstructed during visit. Fire extinguishers and first aid kit are maintained and ready for emergency use. LPA reviewed two (2) residents' medications and observed medication storage to be locked away and inaccessible to the residents. 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, 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, Jan 13, 2026

20251 state visit · 1 document

Jan 17, 2025Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Hood arrived at the facility unannounced on 1/17/25 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 six (6) bedrooms and two (2) 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 112.6 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 reviewed two (2) residents' medications and observed medication to be locked away and inaccessible to the residents. 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, 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, Jan 17, 2025

20231 state visit · 1 document

Dec 21, 2023Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Hood arrived at the facility unannounced on 12/21/23 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 six (6) bedrooms and two (2) 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 107.8 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 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 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, Dec 21, 2023

Earlier years2021 to 2023 · 3 documents

20232 state visits · 2 documents

Jul 12, 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 Caregiver, Mureen Green, to deliver findings into the allegations listed above. LPAs spoke with Licensee, Sam Toplean, via phone call. Licensee gave permission to have Caregiver sign report. During the course of the investigation, interviews were conducted, a medication count was conducted for residents (R2 & R3), and documentation pertinent to the investigation was obtained. LPAs found no errors for Alprazolam for R3, which is prescribed for restlessness, or Quetiapine for R2, which is prescribed as a sleep aid. 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 resident (R1) and R2 indicated that they have never witnessed staff using drugs while on duty. Interviews with R1 and R2 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 12, 2023 · control 59-AS-20230328151116

Jan 13, 2023Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Hood arrived at the facility unannounced on 1/13/2023 to conduct a Required-1 Year Inspection utilizing the infection control domain. LPA met with Caregiver, Mureen Green, 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 spoke with Licensee, Sam Toplean, via phone call. Licensee gave permission to have Caregiver sign report. LPA toured the facility to ensure the health and safety of residents in care. Areas toured include but are not limited to: 6 bedrooms and 2 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 Caregiver completed the infection control domain and facility was found to be in substantial compliance at this time. No deficiencies are being cited. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Jan 13, 2023

20211 state visit · 1 document

Dec 23, 2021Facility evaluation reportAnnual/RandomReport on file

Type of visit: Annual/Random

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with caregiver, Valentina Kovalova, who contacted the Administrator, Sam, by phone. LPA met with Jennifer Toplean, Co-Administrator, who arrived to the facility at 11:30 am. Prior to initiating today's inspection, LPA completed required COVID-19 testing protocols and confirmed the facility does not currently have any positive Covid-19 diagnoses. Additionally, LPA was screened per Covid-19 precautionary measures upon entering the community. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. Facility currently has (6) residents and (1) resident is on hospice. LPA observed (1) resident to be watching television in the common area and (5) residents to be resting in their rooms. A second caregiver, Maureen Green, was also present during the inspection. LPA and caregiver toured the interior of the facility, including (6) private resident rooms, (2) resident bathrooms, kitchen, laundry, caregiver room, and common areas. LPA observed it to be clean and in good repair. LPA observed various Covid posters throughout. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and Co-Administrator completed the infection control domain and facility was found to be in compliance at this time. Inside temperature was observed to be 73* F. Fire extinguisher last serviced 10/29/2021. LPA observed sufficient 2+day perishable and 7+day non-perishable food. LPA observed paper towels, soap, sanitizer and trash cans with lids in the bathrooms. Sharps, toxins and medications are secured appropriately. LPA and Administrator discussed vaccination status of residents and staff as well as visitation protocols per PIN 21-40 issued 8/27/2021. LPA observed signage/information posted at the front entrance that masks are required upon entry. LPA requested an updated copy of LIC308, LIC500 and current liability insurance be provided to the Department by 12/31/2021. There were no deficiencies observed during today's inspection. Exit interview. Copy of report provided to Co-Administrator.the state’s words, verbatim · CDSS document, Dec 23, 2021

6 of 6 beds were occupied at the July 12, 2023 state visit — a count on that day, not an opening.

License holder

Toplean, Sam, licensed since 2008.

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 IV · Fair Oaks

The state’s totals for this licenseSince 2008, as the state’s facility page counts them

State visits on file: 6
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 2008, 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 II

Is The Elderly Inn II licensed?

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

How many residents is The Elderly Inn II licensed for?

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

Has The Elderly Inn II been cited?

0 Type A and 0 Type B citations since 2008, per CDSS records as of October 26, 2026. Those records count 6 state visits over the same years.

Is The Elderly Inn II still open?

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

What does The Elderly Inn II cost?

$4,300 a month to start is a Covelight estimate, likely $3,500–$5,300. 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 II 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 2.8 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 II 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.