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Afable Home Care II

Small home·Licensed for 6·Sacramento, California

Licensed since 2004Licence #347002549
(916) 258-3868From the state roster · September 27, 2026Plan a visit
  • Care approvals on fileWheelchair · HospiceState licensing record · September 27, 2026
  • Estimated starting rate$3,950 a monthCovelight estimate · likely $3,250–$4,850
  • Home sizeLicensed for 6Small care home · a licensed care home (RCFE)
  • Room at the last state visit5 of 6 beds occupiedAugust 12, 2022 · not a current opening
  • Ways to payAsk the homeMedi-Cal ALW participation not on file
  • Last state visitFebruary 2, 2026CDSS inspection record

Afable Home Care II is a small care home in Sacramento — 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 2004. 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 Afable Home Care II

Is Afable Home Care II licensed?

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

How many residents is Afable Home Care II licensed for?

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

Has Afable Home Care II been cited?

1 Type A and 3 Type B citations since 2004, per CDSS records as of September 27, 2026. Those records count 14 state visits over the same years.

Is Afable Home Care II still open?

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

What does Afable Home Care II cost?

$3,950 a month to start is a Covelight estimate, likely $3,250–$4,850. 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 18 small homes and similar homes within 5 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 19 other homes of a similar licensed size in Sacramento that publish a starting rate, the middle half runs $3,046 to $4,461 a month, and the middle figure is $3,500 (n = 19 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 Afable Home 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 Afable, Nicolasa O., per CDSS records as of September 27, 2026.

Is there a hospital nearby?

Mercy San Juan Medical Center is 3 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.

Can Afable Home Care II keep a resident on hospice?

Hospice care is approved on this license, per CDSS records as of September 27, 2026.

Afable Home Care II license and inspection record

  • Name on the license: “AFABLE HOME CARE II”, per the CDSS roster as of May 25, 2025.
  • License #347002549. 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 Afable, Nicolasa O., per CDSS records as of September 27, 2026.
  • First licensed in 2004, per CDSS records as of September 27, 2026.
  • 14 state inspection visits since 2004, per CDSS records as of September 27, 2026.
  • 1 Type A and 3 Type B citations on file since 2004, per CDSS records as of September 27, 2026. The same records count 14 state visits in that period.
  • 4 complaints and 4 substantiated allegations on file since 2004, per CDSS records as of September 27, 2026. One complaint can carry several allegations.
  • The most recent state visit on file is February 2, 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 by the state
  • Dementia / memory careNot on file · ask the home
  • Hospice careApproved by the state
  • 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. ALL SIX (6) RESIDENTS MAY BE NON-AMBULATORY. HOSPICE WAIVER APPROVED FOR FOUR (4) RESIDENTS.

935 - ELDERLY

CDSS record, verbatim · September 27, 2026

As needs change

  • Staying through hospice

    Hospice waiver on file — 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

$3,950a month to start

Likely $3,250–$4,850

From 18 nearby homes that publish rates · this home’s rate is not on file

Likely monthly total

$3,950a month

Likely $3,250–$5,050

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$3,950likely $3,250–$4,850

    Covelight’s estimate starts from the rates 18 small homes and similar homes within 5 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 $3,250–$5,050
$3,950
First monthWith a one-time move-in fee · likely $3,800–$8,250
$5,950
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 18 small homes and similar homes within 5 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.

18 homes like this within 5 miles publish starting rates mostly between $3,500–$6,100.

  • 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 18 nearby homes behind this estimate

Where it is

  • 4080 Palm Avenue, Sacramento, CA 95842Address 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 12 documents for this home, and its records count 14 visits since 2004. The most recent is a facility evaluation report, dated February 2, 2026.

On file since
2021
State visits
14
Most recent visit
February 2, 2026
Occupied · August 12, 2022 visit
5 of 6 bedsa count on that day, not an opening

We hold 4 complaint reports the state published for this home, 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 complaint reports 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 citations1typical 0
  • Type B citations3typical 0
  • Substantiated allegations4typical 0
  • Total complaints4typical 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 2004.

Year by year
YearVisitsDocumentsSubstantiated202611020251102024110202311020224632021220

The last 36 months — 3 of 12 documents

The full record on the state’s site →
20261 state visit · 1 document
Feb 2, 2026Facility evaluation reportReport on file

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Talwinder Bains arrived on 02/02/26 to conduct the annual inspection. LPA met with staff and explained the purpose of today's visit. Administrator, Nicolasa Afable came later and assisted LPA with today's visit. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed residents (2) and staff files (2). Staff files were found to be completed. Facility was clean and well organized. All required postings were observed. LPA reviewed medications for two (2) residents and errors were noted. LPA and Administrator toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, kitchen, and common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. Grab bars were present at the toilet and in the shower. All exits were unobstructed. There is a side gate for emergency access. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked. LPA observed cleaning products and other toxins to be locked away. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguisher was last serviced on 10/22/25 and was ready for emergency use. Hot water temperature was observed to be 111 degrees F, which is within the regulation range of 105-120 degree. Inside temperature was 74 degree F. LPA requested a copy of the LIC 500, LIC610E and current liability insurance to be sent to the Department by 02/15/26. Deficiencies were observed and cited per Title 22, CCR Regulations as listed on LIC809-D. Exit interview conducted. Copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Feb 2, 2026

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

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

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Talwinder Bains arrived on 03/13/25 to conduct the annual inspection. LPA met with administrator, Nicolasa Afable who assisted LPA during today's inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed residents (2) and staff files (2). All residents files contained the required paperwork. Staff file contained the required paperwork. Staff have current first aid and CPR training. Facility was clean. All required postings were observed. LPA reviewed medications of 2 residents comparing with physician orders and find no errors. LPA and Administrator toured the facility together to ensure the health and safety of residents in care. The areas toured included residents rooms, bathrooms, kitchen, common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. All exits were unobstructed. The administrator's certificate is current. There is a gate for emergency access. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked . LPA observed cleaning products and other toxins to be locked away. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguisher was serviced on 09/13/24 and was ready for emergency use . Water temperature is within compliance (116 degree F) .Inside temperature was observed to be 74 degree F. In the areas toured, there were no health or safety violations were observed. LPA requested a copy of the LIC500, LIC610E and current liability insurance to be sent to the Department by 03/31/25. No deficiencies were observed or cited during today's visit. Exit interview conducted. A copy of this report was printed and given to Administrator.the state’s words, verbatim · CDSS document, Mar 13, 2025
20241 state visit · 1 document
Mar 6, 2024Facility evaluation reportReport on file

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Talwinder Bains arrived on 03/06/24 to conduct the annual inspection. LPA met with administrator, Nicolasa Afable and explained the purpose of today's visit. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed residents (2) and staff files (2). Staff files were found to be completed. Facility was clean and well organized. All required postings were observed. Resident ,R1 file found to be complete. Resident, R2 medications were found to be in bubble pack from March 1-6, 2024 and missing updated LIC602 and Re-appraisal with dementia diagnosis. LPA and Administrator toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, kitchen, and common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. Grab bars were present at the toilet and in the shower. All exits were unobstructed. There is a side gate for emergency access. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked. LPA observed cleaning products and other toxins to be locked away. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguisher was last serviced on 10/22/23 and was ready for emergency use. Hot water temperature was observed to be 115 degrees F, which is within the regulation range of 105-120 degree. Inside temperature was 71 degree F. LPA requested a copy of the LIC 500, LIC610E and current liability insurance to be sent to the Department by 03/25/24. Deficiencies were observed and cited per Title 22, CCR Regulations as listed on 809-D. Exit interview conducted. Copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Mar 6, 2024

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

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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