Small home · Licensed for 6 · Carmichael

Care Horizons Assisted Living

6630 Care Lane, Carmichael, CA 95608Licensed since 2022

Overview

Estimated starting rate

$4,550 a month

Covelight estimate · likely $3,750–$5,600 See costs

No openings reported

Approved by the state: Hospice · BedriddenState licensing record · October 26, 2026
Licensed for 6: a small care homeThe state license record

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Care and support

Hospiceup to 4 residents
Bedriddenup to 6 residents

Not on file: wheelchair and dementia 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 RANGE 60 AND OVER. FACILITY IS APPROVED FOR SIX (6) BEDRIDDEN RESIDENTS IN BEDROOM #1,2,3,4 AND 5. HOSPICE WAIVER FOR FOUR (4). HOSPICE WAIVER FOR 4.

935 - ELDERLY

CDSS record, verbatim · October 26, 2026

As needs change

Staying through hospice
Hospice waiver on file · covers up to 4 — care may continue at the end of life
State licensing record · October 26, 2026

We’ll ask for you. Not on file for Care Horizons Assisted Living: 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

$4,550a month to start

Likely $3,750–$5,600

From 21 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$4,550likely 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$4,550likely $3,750–$5,600
Covelight’s estimate starts from the rates 21 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 (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 $3,750–$5,800: $4,550
First monthWith a one-time move-in fee · likely $4,400–$9,000: $7,050

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 homes21 nearby homes publish starting rates of $3,200 to $9,000

21 homes like this within 5 miles publish starting rates mostly between $3,500–$5,550.

Splendor Oaks Senior Living 1Carmichael · 0.5 mi · Small home
$3,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
Hollister Care HomeCarmichael · 0.6 mi · Small home
$4,500Listed on Seniorly · seen September 9, 2026
Madison Square Senior Living IICarmichael · 1.4 mi · Small home
$4,000Listed on Seniorly · seen September 9, 2026
Magnolia Elderly Care HomeFair Oaks · 1.7 mi · Small home
$6,000Listed on Seniorly · assisted living · seen September 9, 2026
Cozy Home CareCarmichael · 1.8 mi · Small home
$5,000Listed on Seniorly · assisted living · seen September 9, 2026
Abundant Love and Care for the ElderlyCarmichael · 2.5 mi · Small home
$3,300Listed on A Place for Mom · seen September 9, 2026
Royal Gardens Elder CareRancho Cordova · 2.7 mi · Small home
$5,000Listed on A Place for Mom · seen September 9, 2026
Meraki of SacramentoSacramento · 3.0 mi · Mid-size home
$3,500Listed on Seniorly · seen September 9, 2026
Marylou's Home CareSacramento · 3.1 mi · Small home
$3,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
Norris Senior HomeSacramento · 3.1 mi · Small home
$5,000Listed on Seniorly · assisted living private room · seen September 9, 2026
Eastern ManorSacramento · 3.3 mi · Mid-size home
$3,800Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
Kentfield Estates Ranch RCFESacramento · 3.6 mi · Small home
$4,000Listed on Seniorly · seen September 9, 2026
Mount Hood Serenity CareSacramento · 4.2 mi · Small home
$3,800Listed on Seniorly · seen September 9, 2026
Glorious Homes #1Citrus Heights · 4.2 mi · Small home
$5,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
Best Life Home CareCitrus Heights · 4.3 mi · Small home
$6,000Listed on A Place for Mom · seen September 9, 2026
Splendor Oaks Senior Living #3Fair Oaks · 4.4 mi · Mid-size home
$5,000Listed on A Place for Mom · seen September 9, 2026
All Seasons HialeahFair Oaks · 4.4 mi · Small home
$9,000Listed on Seniorly · assisted living · seen September 9, 2026
Sunny Beach VillaSacramento · 4.5 mi · Small home
$3,200Listed on A Place for Mom · seen September 9, 2026
Courtyard TerraceSacramento · 4.7 mi · Mid-size home
$4,345Listed on Seniorly · seen September 9, 2026
Comfort & CareOrangevale · 4.9 mi · Small home
$3,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
Love You MomOrangevale · 5.0 mi · Small home
$3,500Listed 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 21 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.

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

6630 Care Lane, Carmichael, CA 95608Address 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 list2.4 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 #345002881 · See the state’s own record

The last 36 months — 9 of 15 documents

Complaint outcomes in these 36 months, in the state’s words: 1 “Unsubstantiated” and 2 “Unfounded”.

20262 state visits · 3 documents

Jul 2, 2026Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

On July 2, 2026, Licensing Program Analyst (LPA) Kevin Mknelly arrived unannounced at the facility to conduct a required annual inspection utilizing the inspection tool. LPA met with designee and explained the purpose of the visit. Administrator was unavailable to attend. LPA recommended designees coordinate with Admin for detailed plan with caregivers in the event Admin advice is needed while Admin is away. LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. The home is very clean and residents stated they are happy with care. Overnight awake ON caregiver appears to be needed for current residents LPA reviewed 4 resident files. Files are complete and well organized. deficencies noted. LPA reviewed staff files. Files are complete. increased training advised LPA requested the following documents to update the facility file: Liability Ins certificate, LIC 500, As a result of this inspection, the following deficiencies were cited on 809-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care Exit interview conducted, a copy of report and appeal rights provided.the state’s words, verbatim · CDSS document, Jul 2, 2026

Jul 2, 2026Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

On July 2, 2026, Licensing Program Analyst (LPA) Kevin Mknelly arrived unannounced at the facility to conduct a required annual inspection utilizing the inspection tool. LPA met with designee and explained the purpose of the visit. Administrator was unavailable to attend. LPA recommended designees coordinate with Admin for detailed plan with caregivers in the event Admin advice is needed while Admin is away. LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. The home is very clean and residents stated they are happy with care. Overnight awake ON caregiver appears to be needed for current residents LPA reviewed 4 resident files. Files are complete and well organized. deficencies noted. LPA reviewed staff files. Files are complete. increased training advised LPA requested the following documents to update the facility file: Liability Ins certificate, LIC 500, As a result of this inspection, the following deficiencies were cited on 809-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care Exit interview conducted, a copy of report and appeal rights provided.the state’s words, verbatim · CDSS document, Jul 2, 2026

Apr 22, 2026Complaint investigation reportUnfounded

Allegation investigated: Staff lock resident in their room for extended periods of time while in care. Staff do not provide adequate care and supervision to resident in care.

On 4/22/26 , Licensing Program Analyst (LPA) Kevin Mknelly LPA Mknelly arrived and met with Administrator to deliver investigation findings. LPA reviewed resident records, and conducted interviews. LPA finds that facility met Tittle 22 requirements. Three of 5 residents present were observed to have care needs met. 2 residents are in hospital. LPA intended to interview R1. R1 has voluntarily moved to a private residence. LPA spoke by phone with a housing navigator for R1. R1's location and contact could not be disclosed. Navigator, however, provided information of R1's status and that allegations were fabricated in order to be removed from the home. Navigator expressed utmost praise for the care R1 received at the home. This agency has investigated the above complaint allegations. We have found that the complaint is UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. Report reviewed with Admin. Due to computer issue, report sent by email for signature. Unfoundedthe state’s words, verbatim · CDSS document, Apr 22, 2026 · control 59-AS-20260309133210

20252 state visits · 3 documents

Jul 29, 2025Facility evaluation reportCase Management - Annual ContinuationReport on file

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a case management annual continuation visit. LPA met with staff and explained the purpose of the visit. Today's visit, LPA provided facility with a new license for licensure of four non-ambulatory and two bedridden. At this time, facility has an additional pending fire clearance. Once approved and/or denied, LPA will submit a notification letter to the facility along with new license. LPA and staff conducted a tour of the interior of the facility to ensure the health and safety of residents in care. LPA observed clients in their private rooms. LPA observed facility to have at least two days of perishable and seven days of nonperishable foods. LPA observed sharps, medications, and toxins to be locked and inaccessible to residents in care. LPA observed facility to be at a comfortable temperature of 75* F. LPA observed facility to be clean, free of malodor, and in good repair. LPA conducted a file review of staff records. Additionally, LPA reviewed Emergency Disaster Plan LIC610E revealed it was reviewed by Administrator for the year of 2025. Fire Drill records revealed it was recently conducted on February 15, 2025 and July 21, 2025. CARE tool was completed with staff. As a result of today's visit, no deficiencies cited. Exit interview conducted and a copy of the report was provided.the state’s words, verbatim · CDSS document, Jul 29, 2025

Jul 15, 2025Facility evaluation reportPost LicensingReport on file

Type of visit: Post Licensing

Licensing Program Analyst (LPA) Cassie Yang arrived unannounced to conduct a required annual inspection. LPA met with co- Administrator and explained the purpose of the visit. LPA is conducting an annual inspection today but this report is being generated to clear the Post-Licensing inspection in the system. There are no citations issued on this report. Exit interview. Copy of report provided.the state’s words, verbatim · CDSS document, Jul 15, 2025

Jul 15, 2025Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

On July 15, 2025, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a required annual inspection utilizing the inspection tool. LPA met with co-Administrator and explained the purpose of the visit. Today's census is six residents in care with zero residents on hospice. Facility is licensed for six non-ambulatory with hospice waiver for four. During today's visit, LPA and co-Administrator conducted a file review for six residents in care. LPA observed R1 to be recently admitted to the facility but did not observe a medical assessment on file. LPA was informed admission agreement and medical assessments may be with Administrator. LPA observed R2's LIC 602 is on file which indicated R2 is bedridden. LPA did not observe R3's LIC 602 on file as facility had provided the original copy to emergency medical services, but co-Administrator has an electronic copy. Electronic copy indicated R3 is bedridden. LPA was unable to complete today's inspection due to lack of time. LPA will return at a later day to complete inspection and inspection tool. Deficiencies cited. Exit interview conducted, a copy of report and appeal rights provided.the state’s words, verbatim · CDSS document, Jul 15, 2025

20243 state visits · 3 documents

Sep 10, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Resident sustained unexplained injury in care Facility staff handled resident in a rough manner.

On xx/xx/xx, Licensing Program Analyst (LPA) Kevin Mknelly conducted an unannounced complaint investigation visit to deliver the findings for the above allegations and met with Caregivers/ designees. Administrator was informed of the visit. LPA conducted records review and interviews. LPA is unable to find and or meet the preponderance, per policy. On 7/26/24, LPA conducted an investigation visit, observed residents in care and conducted interviews. R1 was interviewed and provided an explanation of an incident where they sustained a black eye that was different than her previous accounts. R1 was onserved to be treated respectfully by caregivers. R2 was unable to participate in an interview as they were asleep. At todays visit, R1 is currently hospitalized for observation and treatment of frequent behavioral incidents. R2 has relocated to another of the licensee's care homes. Unsubstantiated Observations, interviews and records showed that R1 and R2 have issues frequently addressed by caregivers according to resident care plans. As a result of this investigation, LPA finds allegation to be (US)Unsubstantiated - A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview with caregiver, Nichalet Brave.the state’s words, verbatim · CDSS document, Sep 10, 2024 · control 59-AS-20240719123419

Jul 16, 2024Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Melissa Parks arrived on Tuesday July 16, 2024 to conduct the unannounced annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA Parks reviewed resident (6) and staff files (2). All resident files contained the required paperwork. Staff files contained the required paperwork and training. LPA Parks and staff Sheree toured the facility together to ensure the health and safety of residents in care. The areas toured included staff room, resident rooms, bathrooms, living room, kitchen, garage, and backyard. In the areas toured, there were no health or safety violations observed. Facility was clean and well organized. All required posting were observed. All knives/sharps are kept locked and inaccessible to residents. Chemicals were kept locked in the laundry room. First aid kit was fully stocked. Fire extinguisher had a current inspection tag. No deficiencies cited. Exit interview conducted. A copy of this report was emailed to the facility.the state’s words, verbatim · CDSS document, Jul 16, 2024

May 2, 2024Complaint investigation reportUnfounded

Allegation investigated: Personal rights violations Staff denied residents' food. Staff did not ensure that a resident's hygiene needs were being met.

On 5/1/24 , Licensing Program Analyst (LPA) Kevin Mknelly LPA Mknelly arrived and met with caregivers. The Administrator arrived for LPA to investigate and deliver investigation findings. LPA reviewed facility records, and conducted and extensive interview with R1. LPA finds that facility met Tittle 22 requirements. LPA reviewed R1's LIC 602 and interviewed R1 10-11 AM, privately in R1's room. LPA and R1 discussed a number of R1's medical conditions and things that R1 wishes to resolve. R1 was questioned about the allegations and stated that his care is good but he would like to receive additional therapy for what he perceives are issues effecting his mobility and independence. R1 demonstrated a lack of insight to his current diagnosis and abilities. R1 stated they are happy with the care they recieve in this home. This agency has investigated the above complaint allegations. We have found that the complaint is UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. Exit interview conducted and report provided. Unfoundedthe state’s words, verbatim · CDSS document, May 2, 2024 · control 59-AS-20240425155119

Earlier years2022 to 2023 · 6 documents

20233 state visits · 3 documents

Aug 31, 2023Facility evaluation reportCase Management - Legal/Non-complianceReport on file

Type of visit: Case Management - Legal/Non-compliance

Licensing Program Analyst (LPA) Angela Hood arrived at the facility unannounced on 8/31/2023 to conduct a Case Management Legal visit in accordance with the Stipulation and Order effective 7/27/2022. A copy of the Stipulation and Order is posted in a conspicuous place and is available for review upon request. LPA met with the Administrator, Adriana Iodarche-Stir During today's visit, LPA reviewed the following stipulations of the order: 1. Staff shall have criminal record clearance -LPA checked criminal record clearance for all staff 2. Facility shall be clean, safe, and sanitary -LPA toured facility which was clean, safe, and sanitary 3. Facility shall ensure that poisons, detergents, cleaning compounds, and other toxic products are locked away -LPA toured facility and all products that could pose a danger to residents in care were locked away 4. Facility has not accepted residents with restricted health conditions LPA observed facility to be in compliance and residents receiving care. No deficiencies are being cited. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Aug 31, 2023

Jun 22, 2023Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Angela Hood arrived at the facility unannounced on 6/22/23 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 five (5) bedrooms and three (3) bathrooms for resident use. LPA observed bedrooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition, properly maintained, and the hot water temperature was observed to be 108.5 degrees F. LPA checked the kitchen area for the ability to prepare and store food. Care home has required (2) two-day perishable and (7) seven-day non-perishable food supply on hand. 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 and there appeared to be no potential safety hazards to the residents in care. Smoke detectors and carbon monoxide detector are hardwired and operational. Fire extinguisher and first aid kit are 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 resident files and also reviewed two staff files. Facility provided a current copy of certificate of liability insurance to LPA. Administrator has a current administrator certificate #6029264740 with an expiration date of 12/11/2023. As a result of this visit, no deficiencies were cited per California Code of Regulations, Title 22. Exit interview conducted and copy of report given at the conclusion of this visit.the state’s words, verbatim · CDSS document, Jun 22, 2023

Jun 8, 2023Facility evaluation reportCase Management - Legal/Non-complianceReport on file

Type of visit: Case Management - Legal/Non-compliance

On 6/8/22, Licensing Program Analyst (LPA) Kevin Mknelly, conducted a case management visit and met with licensee . The purpose of the visit was to review compliance with conditions of the Stipulation. All conditions are met. The home is clean, safe and sanitary. Licensee will continue to update care plans for restricted health conditions as needed. As a result of today’s inspection, no deficiencies were noted. Report reviewed. Copy of report providedthe state’s words, verbatim · CDSS document, Jun 8, 2023

20223 state visits · 3 documents

Aug 5, 2022Facility evaluation reportCase Management - Legal/Non-complianceReport on file

Type of visit: Case Management - Legal/Non-compliance

An office meeting was held on August 8,2022 at 10:30 AM on a Microsoft Teams Meeting video conferencing system review the stipulation adopted on July 27, 2022 and the next steps. This Stipulation shall be posted in a conspicuous place at the facility for the duration of the probationary period. The following were in attendance: Regional Manager Alycia Berryman, Licensing Program Manager Maribeth Senty, Licensing Program Analyst Kevin Mknelly and Licensees for Care Horizon Assisted Living, LLC and Care Horizon Assisted Living II, Adriana Iordache-Stir and Dragos “Adrian” Iordache-Stir. Alycia Berryman discussed the purpose and elements of this type of meeting. The Stipulation was reviewed with, Administrators, and Licensees who expressed their understanding. Items discussed at the meeting included, but not limited to: Stipulation contents · Findings · Revocation of License- Stayed with Probation · Denied applications for licensure · Probationary license period of three (3) years for Care Horizons Assisted Living II and Eighteen (18) months for Care Horizon Assisted Living, LLC. · Licenses limitations and conditions · Future Application for a license, registration, certification or approval · Tolling of probationary period Report continued... · Violation of Stipulation Term · Completion of probation · Revocation of Administrator certificates stayed for probationary periods · Terms and Conditions for Adrian · Terms and Conditions for Adriana · Violation of Stipulation Term · Department’s Authority · Monitoring Fee · Waiver of Hearing Rights · Waiver of Appeal/Modification Rights · Waiver of Claims · Severable terms · Public Record · Signatures · Counterparts · Effective Date July 27, 2022 · No Oral modification · Process for request for early termination if requested The Licensees/Respondents/Representatives stated they would abide by the following: ꞏ Abide by the contents/terms of the Stipulation (submit all documents timely) ꞏ Operate the facility in strict compliance with the regulations and statutes governing the operation of a residential care facility for the elderly. CCLD will do the following: ꞏ Increase monitoring Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no violations cited during this visit. A virtual exit interview was conducted, and a copy of this report was provided via email for a signature. Administrator agreed to return a signed copy to CCLD by COB 8/5/22.the state’s words, verbatim · CDSS document, Aug 5, 2022

Jul 22, 2022Facility evaluation reportPrelicensingReport on file

Type of visit: Prelicensing

On 7/22/2022, Licensing Program Analyst (LPA) Cassie Yang arrived announced at the facility to conduct a Pre-licensing inspection for change of ownership referencing the infection control domain. LPA met with Administrator/Licensee, Adriana Stir, and explained the purpose of the visit. Prior to initiating the inspection, 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. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical Mask. Additionally, LPA was screened by facility staff upon entering the facility. LPA toured the interior and exterior of the facility together with Administrator to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, and front yard. In the areas toured, no immediate health, safety, or personal rights violations were observed. LPA observed sharps and toxics to be secured. Fire extinguisher was last serviced 6/13/2022. LPA advised Administrator to have all trash cans with a lid per COVID-19 precaution. LPA and Administrator completed the infection control recommendations and facility was found to be in substantial compliance at this time. LPA confirmed that masks were worn by staff. Component III waived as the current facility Administrator, Adriana Stir, will remain the same. No deficiencies are being cited as a result of today's inspection. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Jul 22, 2022

Mar 3, 2022Facility evaluation reportOfficeReport on file

Type of visit: Office

COMP II by CAB successfully completed Facility Type: RCFE Application Type: CHOW Capacity: 6 Census (if any clients in care): 6 Method: Telephone call with CAB COMP II Participants: Adriana Iordache-Stir, Administrator/Owner; Shannon Betker, analyst. Applicant/administrator participated in COMP II at CAB via telephone call with analyst at CAB. Identification of the applicant and administrator was verified by confirming driver’s license number. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Staff qualifications and responsibilities 3. Staff training 4. Applicant and Administrator qualifications 5. Grievances, Complaints, Community resources 6. Food service 7. Medication management 8. Application document review and technical assistance: Pre-licensing inspectionthe state’s words, verbatim · CDSS document, Mar 3, 2022

5 of 6 beds were occupied at the April 22, 2026 state visit — a count on that day, not an opening.

License holder

Care Horizons Assisted Living, LLC, licensed since 2022.

The state’s totals for this licenseSince 2022, as the state’s facility page counts them

State visits on file: 14
Total complaints: 3
Substantiated allegations: 0
Type A citations: 0
Type B citations: 0

These are the state’s own totals for this license since 2022, 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	3	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.

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Frequently asked questions

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

Quick answers about Care Horizons Assisted Living

Is Care Horizons Assisted Living licensed?

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

How many residents is Care Horizons Assisted Living licensed for?

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

Has Care Horizons Assisted Living been cited?

0 Type A and 0 Type B citations since 2022, per CDSS records as of October 26, 2026. Those records count 14 state visits over the same years.

Is Care Horizons Assisted Living still open?

The state does not list this license as closed, per CDSS records as of October 26, 2026.

What does Care Horizons Assisted Living cost?

$4,550 a month to start is a Covelight estimate, likely $3,750–$5,600. This home’s own rate is not on file. Ask: “What is the all-in monthly rate, and what would push it higher?”

Among 5 other homes of a similar licensed size in Carmichael that publish a starting rate, the middle half runs $3,450 to $4,625 a month, and the middle figure is $4,000 (n = 5 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 Care Horizons Assisted Living 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 Care Horizons Assisted Living, LLC, per CDSS records as of October 26, 2026.

Is there a hospital nearby?

Mercy San Juan Medical Center is 2.4 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.

Can Care Horizons Assisted Living keep a resident on hospice?

Hospice care is approved on this license, covering up to 4 residents, per CDSS records as of October 26, 2026.