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A Family Affair Care II

Small home·Licensed for 6·Sacramneto, California

Licensed since 2019Licence #342700456
(916) 392-9814From the state roster · September 27, 2026Plan a visit
  • Care approvals on fileWheelchair · HospiceState licensing record · September 27, 2026
  • Estimated starting rate$4,050 a monthCovelight estimate · likely $3,300–$5,000
  • Home sizeLicensed for 6Small care home · a licensed care home (RCFE)
  • Room at the last state visit6 of 6 beds occupiedJuly 9, 2021 · not a current opening
  • Ways to payAsk the homeMedi-Cal ALW participation not on file
  • Last state visitMay 1, 2026CDSS inspection record

A Family Affair Care II is a small care home in Sacramneto — a licensed residential care facility for the elderly (RCFE), the licence category behind “assisted living” and “board and care.” It is licensed for 6 residents since 2019. Dementia care and bedridden care are not on file.

Built from CDSS public records · September 27, 2026. Every fact below names its source and date.

Quick answers and the state record

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

Quick answers about A Family Affair Care II

Is A Family Affair Care II licensed?

The state lists this license as “Licensed,” per CDSS records as of September 27, 2026.

How many residents is A Family Affair Care II licensed for?

6 residents — a small home, per CDSS records as of September 27, 2026.

Has A Family Affair Care II been cited?

0 Type A and 0 Type B citations since 2019, per CDSS records as of September 27, 2026. Those records count 5 state visits over the same years.

Is A Family Affair Care II still open?

This license was on the CDSS roster as of September 28, 2026.

What does A Family Affair Care II cost?

$4,050 a month to start is a Covelight estimate, likely $3,300–$5,000. This home’s own rate is not on file. Ask: “What is the all-in monthly rate, and what would push it higher?”

Covelight’s estimate starts from the rates 14 small homes and similar homes within 10 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.

Among 51 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 = 51 other homes publishing a starting rate).

Each of those is a home’s own published figure, gathered on its own date in September 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 A Family Affair Care II take Medi-Cal?

On Medi-Cal’s Assisted Living Waiver: this home is not on the DHCS participation list dated September 23, 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 A Family Affair Inc., per CDSS records as of September 27, 2026. See the homes licensed to A Family Affair Inc. — at least 3 on the state roster.

Is there a hospital nearby?

Kaiser Foundation Hospital - South Sacramento is 3.9 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.

Can A Family Affair Care II keep a resident on hospice?

Hospice care is approved on this license, covering up to 1 resident, per CDSS records as of September 27, 2026.

A Family Affair Care II license and inspection record

  • Name on the license: “A FAMILY AFFAIR CARE II”, per the CDSS roster as of May 25, 2025.
  • License #342700456. The state lists this license as “Licensed,” per CDSS records as of September 27, 2026.
  • Licensed for 6 residents — a small home, per CDSS records as of September 27, 2026.
  • Licensed to A Family Affair Inc., per CDSS records as of September 27, 2026.
  • First licensed in 2019, per CDSS records as of September 27, 2026.
  • 5 state inspection visits since 2019, per CDSS records as of September 27, 2026.
  • 0 Type A and 0 Type B citations on file since 2019, per CDSS records as of September 27, 2026. The same records count 5 state visits in that period.
  • 0 complaints and 0 substantiated allegations on file since 2019, per CDSS records as of September 27, 2026.
  • The most recent state visit on file is May 1, 2026, per CDSS records as of September 27, 2026.
Type 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

California writes these definitions for every licensed home, not for this one. CDSS citation definitions (PDF) ↗

See the state’s own record

Can they support the care needed?

California licenses a home for specific kinds of care. The state’s record lists what this home is approved for; the home’s own answers fill in what changes as needs change.

  • Wheelchair / non-ambulatoryApproved · covers up to 6 residents
  • Dementia / memory careNot on file · ask the home
  • Hospice careApproved · covers up to 1 resident
  • BedriddenNot on file · ask the home

State licensing record · September 27, 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 1 RESIDENT.

935 - ELDERLY

CDSS record, verbatim · September 27, 2026

As needs change

  • Staying through hospice

    Hospice waiver on file · covers up to 1 — care may continue at the end of life

    Ask: “If hospice is needed, can care continue here until the end?”

    State licensing record · September 27, 2026

4 more questions to ask the home
  • Two-person transfers or a lift

    Not on file

    Ask: “If two people or a lift are needed to transfer, can the person stay?”

  • Someone awake overnight

    Not on file

    Ask: “Who is awake overnight, and how do residents ask for help?”

  • Medicines

    Not on file

    Ask: “Who manages the medicines, and what happens when a dose is missed?”

  • If memory loss develops

    Dementia-care designation not on file

    Ask: “If memory loss develops, what would change — and when would a move be needed?”

What it costs here

Covelight estimate

$4,050a month to start

Likely $3,300–$5,000

From 14 nearby homes that publish rates · this home’s rate is not on file

Likely monthly total

$4,050a month

Likely $3,300–$5,200

With a shared room and basic help.

An estimate for planning, not a quote. The price is made in the phone call.

See the full cost breakdownRoom, care and fees · how people pay · how this estimate works
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$4,050likely $3,300–$5,000

    Covelight’s estimate starts from the rates 14 small homes and similar homes within 10 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 (45 California homes publish a care-level range, seen in September 2026).

  • One-time move-in fee$2,000one time · likely $0–$4,000

    Homes that list a one-time entry or community fee charge a median of $2,000 (134 California listings; middle half $1,000–$4,000). Many homes list none — ask.

Likely monthly totalLikely $3,300–$5,200
$4,050
First monthWith a one-time move-in fee · likely $3,900–$8,350
$6,050
How people payPrivate pay, Medi-Cal waiver, SSI/SSP, veterans, insurance
  • 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 September 23, 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.
  • MedicareDoes not pay for room and board in a care home. It can still cover hospice or home-health visits inside one.
If the money runs out, what Medi-Cal covers
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 community 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.

  • What is the full monthly cost for the room and care we need, and what does it include?
  • What would the next care level cost, and who decides when it changes?
  • What is billed separately, and is there a one-time fee or deposit at move-in?
  • Is any private-pay period required before another payment program can begin?
How this estimate worksWithin 25% for 7 in 10 homes in testing

Covelight’s estimate starts from the rates 14 small homes and similar homes within 10 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.

14 homes like this within 10 miles publish starting rates mostly between $2,700–$4,950.

  • 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.
Show the 14 nearby homes behind this estimate

Where it is

  • 7526 21St Street, Sacramneto, CA 95822Address from the public record · September 27, 2026. Confirm the entrance with the home before visiting.

Opening the neighborhood map…

The state record

California inspects every licensed home and publishes what it found. Here are the dated documents and the state’s own words, beside what is typical for homes this size.

Since 2021, the state has filed 7 documents for this home, and its records count 5 visits since 2019. The most recent is a facility evaluation report, dated May 1, 2026.

On file since
2021
State visits
5
Most recent visit
May 1, 2026
Occupied · July 9, 2021 visit
6 of 6 bedsa count on that day, not an opening

We hold 1 complaint report the state published for this home, dated July 9, 2021. 1 of the 1 carries the state's recorded outcome word: “Unsubstantiated” (1). 1 includes the transcribed allegation the state investigated, word for word. Summary composed by computer from the 1 complaint report below — every count derives from them, and the documents themselves are the state's records, verbatim. We never grade, score, or color a record.

Beside homes the same size

  • Type A citations0typical 0
  • Type B citations0typical 0
  • Substantiated allegations0typical 0
  • Total complaints0typical 0

“Typical” is the statewide median across the 6,808 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 licence since 2019.

Year by year
YearVisitsDocumentsSubstantiated202611020251102024110202311020221102021220

The last 36 months — 3 of 7 documents

The full record on the state’s site →
20261 state visit · 1 document
May 1, 2026Facility evaluation reportReport on file

Type of visit: Required - 1 Year

On May 01, 2026, at 1:50 PM, Licensing Program Analyst (LPA) Avelina Martinez made an unannounced visit to this facility to conduct an annual required inspection. LPA Martinez met with Kassia Mitchell and explained the purpose of today's visit. LPA Martinez inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside courtyards of the facility to ensure compliance with Title 22 regulations. Administrator holds current certificate. The facility is licensed for six ambulatory clients. There are currently six clients who reside at this facility. The LPA Martinez toured the facility with on May 01, 2026 with Kassia Mitchell. The facility has an infection control plan and a natural disaster plan. The last fire drill was conducted on May 01, 2026. LPA Martinez reviewed two staff files and two client files, and all records were maintained and kept current. LPA Martinez reviewed one medication administration record (MAR), and the MAR was maintained and kept current. The facility has a first aid kit, and medications are stored in a locked cabinet. The facility smoke detectors, carbon detectors, and fire extinguisher were all in good repair. The emergency exit gate was in good repair. The facility had an adequate food supply. The facility temperature measured at 75 degrees, and the water temperature measured at 105 degrees. Based on this annual inspection, there were no deficiencies cited. An exit interview was conducted, and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, May 1, 2026
20251 state visit · 1 document
Apr 18, 2025Facility evaluation reportReport on file

Type of visit: Required - 1 Year

On 4/18/25 at 1:20pm Licensing Program Analyst (LPA) Kevin Gould arrived at A Family Affair Care II for the purpose of conducting a required 1 year annual inspection. LPA met with Administrator, Patrick Cain and together conducted a tour of the home. LPA and Administrator evaluated the physical plant to ensure the health and safety of the residents in care. Areas inspected are including but not limited to the kitchen, resident bedrooms; resident bathrooms, living and dining room and outdoor areas. LPA observed the facility to be free of odor, clean and in good repair. LPA observed that all rooms are equipped with the required furniture and sufficient lighting throughout the facility. LPA measured the water temperature, temperature measured at 108 degrees F which meets the 105-120 degree Fahrenheit regulation. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Fire extinguishers and smoke detectors are current and in compliance with fire safety. LPA notes the facility had the required carbon monoxide detectors. First aid kit was checked and is complete. LPA observed centrally stored medications secure from residents. Per California Code of Regulations, Title 22 there were no deficiencies cited during today's inspection. An exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Apr 18, 2025
20241 state visit · 1 document
Mar 13, 2024Facility evaluation reportReport on file

Type of visit: Required - 1 Year

On 3/13/24 at 1:20pm Licensing Program Analyst (LPA) Kevin Gould arrived at A Family Affair Care II for the purpose of conducting a required 1 year annual inspection. LPA met with Administrator, Patrick Cain and together conducted a tour of the home. LPA and Administrator evaluated the physical plant to ensure the health and safety of the residents in care. Areas inspected are including but not limited to the kitchen, resident bedrooms; resident bathrooms, living and dining room and outdoor areas. LPA observed the facility to be free of odor, clean and in good repair. LPA observed that all rooms are equipped with the required furniture and sufficient lighting throughout the facility. LPA measured the water temperature, temperature measured at 108 degrees F which meets the 105-120 degree Fahrenheit regulation. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Fire extinguishers and smoke detectors are current and in compliance with fire safety. LPA notes the facility had the required carbon monoxide detectors. First aid kit was checked and is complete. LPA observed centrally stored medications secure from residents. LPA observed one cracked window needing replacement. LPA observed the staff training with 12 hours of training, the facility does not have a dementia care program and had not completed dementia care training pre Health and Safety Code regulations and will implement that component into training. LPA Requested the following documents for facility file: LIC 308 Designation of Facility Responsibility, LIC 500 personnel report, LIC 9020 client roster and current administrator certificate. Per California Code of Regulations, Title 22 there were no deficiencies cited during today's inspection. An exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Mar 13, 2024
What the state’s words mean
Substantiatedthe 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 and the questions below stand in their place.
Open CDSS facility search ↗Report a record errorOperate this home? Respond or correct, free →

Life here

Rooms, meals, the rhythm of a day, faith and language, pets and house rules — as the home describes them. Tap any detail for its source and date; nothing here is graded.

The home has not described daily life anywhere we have reviewed yet — that is the case for most small homes, and it says nothing about the home. These questions fill in the picture; keep the ones that matter to you.

Before you call

Ask every home the same questions — the state’s record does not answer these. Keep the ones that matter and they travel with your saved homes.

  1. What is included in the monthly rate, and what costs extra?
  2. Who is awake overnight, and how do residents ask for help?
  3. Which rooms does the non-ambulatory approval cover, and what transfer support is provided?
  4. What could change whether someone can stay here?
  5. Can we see a bedroom and share a meal during a visit?
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