Assisted Living
City Creek Assisted Living
6254 66th Avenue, Sacramento, CA 95823 · Map
Licensed for 121 residents · T STREET LLC
City Creek Assisted Living is a state-licensed assisted living community in Sacramento, California. It is licensed for 121 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Area costs
Care and services
From the community’s website
What City Creek Assisted Living says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
24-hour RNs and CNAs
(page, checked Oct 12, 2026) - 3 meals a day.
Three meals per day served in main dining or rehabilitative dining areas
(page, checked Oct 12, 2026) - Apartment types named: private room, semi-private room.
We offer both private and semi-private rooms.
(page, checked Oct 12, 2026)
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
License
Active, 121 residents
RESIDENTIAL CARE ELDERLY 342700835, licensed since Aug 30, 2021. Licensee T STREET LLC.
Nearest emergency room
1.5 miles
Kaiser Foundation Hosp So Sacramento, rated 2 of 5 stars by CMS.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| City Creek Assisted Living this community | 121 | Not published | Active | 28 Type A, 22 Type B | |
| Ali Senior Living | 0.7 mi | 6 | Not published | Active | 0 Type A, 0 Type B |
| Skypark Manor | 0.8 mi | 144 | Not published | Active | 10 Type A, 17 Type B |
| Legacy Lane Senior Living | 0.8 mi | 14 | Not published | Active | 19 Type A, 28 Type B |
| Sacramento Senior Living II | 1.0 mi | 6 | Not published | Active | 15 Type A, 9 Type B |
State inspection record28 Type A, 22 Type B
- Last state visit
- August 18, 2026
- State visits since September 21, 2021
- 56 (including 5 inspections, 39 complaints investigated)
- Type A citations
- 28 immediate risk
- Type B citations
- 22 potential risk if not corrected
- Complaint allegations investigated
- 107: 35 substantiated, 72 not substantiated
- No citations at the last inspection (August 2026)
- License active since 2021
Citations (50), newest first
- 87465(h)(2) (plan of correction due May 22, 2026): Incidental Medical and Dental Care Services. Centrally stored medicines must be locked up, kept in their original labeled containers, and tracked in a written record.
- 87465(h)(5) (plan of correction due August 8, 2025): Incidental Medical and Dental Care Services. Centrally stored medicines must be locked up, kept in their original labeled containers, and tracked in a written record.
- 1569.625(b)(2) (plan of correction due August 8, 2025): Direct Care Staff Training. Training requirements for staff who help residents with personal daily activities.
- 87464(d) (plan of correction due May 16, 2025): Basic Services. Once a community accepts a resident, it must meet the needs identified in that resident's pre-admission appraisal.
- 87466 (plan of correction due May 16, 2025): Observation of the Resident. Staff must watch residents for changes in their physical, mental, emotional and social condition, write changes down, and tell the resident's doctor and responsible person.
Show all 8
- 87468.1(a)(1) (plan of correction due May 9, 2025): Personal Rights of Residents in All Facilities. Lists the basic rights of every resident, including dignity, safe and comfortable accommodations, and freedom from punishment, humiliation and abuse.
- 87303(a) (plan of correction due March 14, 2025): Maintenance and Operation. The building must be kept clean, safe, sanitary and in good repair.
- 87555(a) (plan of correction due February 12, 2025): General Food Service Requirements. Food must meet residents' nutritional needs and be stored, prepared and served safely.
Show all citations (42 more)
- 87468.1(a)(2) (plan of correction due February 12, 2025): Personal Rights of Residents in All Facilities. Lists the basic rights of every resident, including dignity, safe and comfortable accommodations, and freedom from punishment, humiliation and abuse.
- 87625(b)(3) (plan of correction due February 12, 2025): Managed Incontinence. Incontinent residents must be helped with regular toileting, checked often including at night, and kept clean and dry.
- 87470(b)(3) (plan of correction due February 12, 2025): Infection Control Requirements. Infection control rules, including hand hygiene, steps when a resident has a contagious disease, and a written infection control plan.
- 87468.1(a)(1) (plan of correction due February 5, 2025): Personal Rights of Residents in All Facilities. Lists the basic rights of every resident, including dignity, safe and comfortable accommodations, and freedom from punishment, humiliation and abuse.
- 87307(d)(2) (plan of correction due September 24, 2024): Personal Accommodations and Services. Rules for living space and safety, including common rooms, bedrooms, bathrooms, hazards and resident supervision.
Show all 42
- 87468.1(a)(2) (plan of correction due August 16, 2024): Personal Rights of Residents in All Facilities. Lists the basic rights of every resident, including dignity, safe and comfortable accommodations, and freedom from punishment, humiliation and abuse.
- 87303(i)(1)(B) (plan of correction due August 16, 2024): Maintenance and Operation. Rules for keeping the building clean, safe and in good repair, including room temperature, lighting, water, waste, laundry, emergency lighting and call signal systems.
- 87625(b)(3) (plan of correction due August 2, 2024): Managed Incontinence. Incontinent residents must be helped with regular toileting, checked often including at night, and kept clean and dry.
- 87465(a)(4) (plan of correction due July 1, 2024): Incidental Medical and Dental Care Services. The community must have a plan for residents' medical and dental care and help residents arrange and get to that care.
- 87468.1(a)(2) (plan of correction due June 24, 2024): Personal Rights of Residents in All Facilities. Lists the basic rights of every resident, including dignity, safe and comfortable accommodations, and freedom from punishment, humiliation and abuse.
- 87211(a)(1)(B) (plan of correction due May 31, 2024): Reporting Requirements. Events the community must report to the state and to the resident's family or representative, such as deaths, injuries, abuse and changes in leadership.
- 87465(a)(4) (plan of correction due May 24, 2024): Incidental Medical and Dental Care Services. The community must have a plan for residents' medical and dental care and help residents arrange and get to that care.
- 87465(6) (plan of correction due February 23, 2024): Incidental Medical and Dental Care Services. Rules for helping residents with medicines and other incidental medical and dental care.
- 87305(a) (plan of correction due February 9, 2024): Alterations to Existing Buildings or New Facilities. The community must get a building permit before construction or alterations.
- 87465(a)(4) (plan of correction due November 1, 2023): Incidental Medical and Dental Care Services. The community must have a plan for residents' medical and dental care and help residents arrange and get to that care.
- 87615(a)(1) (plan of correction due November 1, 2023): Prohibited Health Conditions. People with certain health conditions, such as stage 3 or 4 pressure injuries, feeding tubes, serious infections or tracheotomies, may not be admitted or kept.
- 87705(k)(6) (plan of correction due October 31, 2023): Care of Persons with Dementia. Rules for caring for residents with dementia, including staff training, door alarms, and delayed-exit or locked exterior doors.
- 1569.312(e) (plan of correction due October 26, 2023): Basic Services. The basic services every community must provide, including care and supervision, help with daily tasks and planned activities.
- 1569.312(e) (plan of correction due July 24, 2023): Basic Services. The basic services every community must provide, including care and supervision, help with daily tasks and planned activities.
- 87465(a)(4) (plan of correction due July 24, 2023): Incidental Medical and Dental Care Services. The community must have a plan for residents' medical and dental care and help residents arrange and get to that care.
- 87211(a)(B) (plan of correction due February 6, 2023): Reporting Requirements. Events the community must report to the state and to the resident's family or representative, such as deaths, injuries, abuse and changes in leadership.
- 87468.2(a)(4) (plan of correction due February 6, 2023): Additional Personal Rights of Residents in Privately Operated Facilities. Additional rights for residents of privately operated communities, such as privacy, confidential records and help exercising their rights.
- 87411(c) (plan of correction due November 1, 2022): Personnel Requirements - General. Staff who help residents with personal daily activities must receive initial and yearly training, including first aid.
- 87211(a)(1)(B) (plan of correction due November 1, 2022): Reporting Requirements. Events the community must report to the state and to the resident's family or representative, such as deaths, injuries, abuse and changes in leadership.
- 87355(D) (plan of correction due November 1, 2022): Criminal Record Clearance. Rules for fingerprinting and criminal background clearance of the licensee, staff, volunteers and others in the community.
- 87464(f)(6) (plan of correction due June 10, 2022): Basic Services. The basic services every community must provide, starting with care and supervision, and its duty to meet the needs of each resident it accepts.
- 87629(b)(1) (plan of correction due May 20, 2022): Injections. Rules for residents who need injections, which must be given by the resident or an appropriately skilled professional.
- 87465(1)(a) (plan of correction due May 20, 2022): Incidental Medical and Dental Care Services. Rules for helping residents with medicines and other incidental medical and dental care.
- 87465(a)(4) (plan of correction due May 20, 2022): Incidental Medical and Dental Care Services. The community must have a plan for residents' medical and dental care and help residents arrange and get to that care.
- 87629(b)(2) (plan of correction due May 20, 2022): Injections. Rules for residents who need injections, which must be given by the resident or an appropriately skilled professional.
- 87465(a)(1) (plan of correction due May 20, 2022): Incidental Medical and Dental Care Services. The community must have a plan for residents' medical and dental care and help residents arrange and get to that care.
- 87464(f)(1) (plan of correction due May 20, 2022): Basic Services. The basic services every community must provide, starting with care and supervision, and its duty to meet the needs of each resident it accepts.
- 87465(a)(2) (plan of correction due January 13, 2022): Incidental Medical and Dental Care Services. Rules for helping residents with medicines and other incidental medical and dental care.
- 87158(b)(4) (plan of correction due January 13, 2022): Capacity. The license sets the maximum number of residents the community may serve.
- 87211(a)(1) (plan of correction due December 29, 2021): Reporting Requirements. Events the community must report to the state and to the resident's family or representative, such as deaths, injuries, abuse and changes in leadership.
- 87468.1(a)(2) (plan of correction due December 14, 2021): Personal Rights of Residents in All Facilities. Lists the basic rights of every resident, including dignity, safe and comfortable accommodations, and freedom from punishment, humiliation and abuse.
- 87203 (plan of correction due December 10, 2021): Fire Safety. The community must meet the State Fire Marshal's fire safety rules.
- 87645(5) (plan of correction due December 1, 2021): Plain meaning not available; see the state’s report.
- 87506(b)(14) (plan of correction due November 29, 2021): Resident Records. Each resident's record must contain required information, such as contacts, doctors, medical assessment, medications and the admission agreement.
- 87464(f)(1) (plan of correction due November 4, 2021): Basic Services. The basic services every community must provide, starting with care and supervision, and its duty to meet the needs of each resident it accepts.
- 87045(a) (plan of correction due October 22, 2021): Plain meaning not available; see the state’s report.
- 87224(c) (plan of correction due September 28, 2021): Eviction Procedures. Rules for evicting a resident: the allowed reasons, written notice, and reporting the eviction to the state.
Plain meanings are our short reading of the rule cited, from the state’s regulation text. The state’s report says what happened.
Complaints with substantiated allegations (date the finding was approved)
- May 20, 2025: 1 substantiated, 1 unsubstantiated, 1 Type B citation
- May 15, 2025: 1 substantiated, 2 unsubstantiated, 1 Type A citation
- March 18, 2025: 1 substantiated, 1 unsubstantiated, 1 Type A citation
- February 24, 2025: 1 substantiated, 1 Type A citation
- February 24, 2025: 3 substantiated, 1 Type A citation, 2 Type B citations
Show all 8
- February 5, 2025: 1 substantiated, 1 Type A citation
- October 1, 2024: 1 substantiated, 2 unsubstantiated, 1 Type B citation
- August 13, 2024: 2 substantiated, 1 Type A citation, 1 Type B citation
Show all (13 more)
- June 26, 2024: 2 substantiated, 1 unsubstantiated, 2 Type A citations
- June 26, 2024: 2 substantiated, 3 unsubstantiated, 1 Type A citation, 1 Type B citation
- March 19, 2024: 1 substantiated, 1 unsubstantiated, 1 Type B citation
- February 5, 2024: 1 substantiated, 1 Type B citation
- October 31, 2023: 1 substantiated, 3 unsubstantiated, 1 Type A citation
Show all 13
- October 12, 2023: 1 substantiated, 1 unsubstantiated, 6 unfounded, 1 Type B citation
- August 16, 2023: 1 substantiated, 1 Type A citation
- February 21, 2023: 2 substantiated, 1 unfounded, 2 Type A citations
- June 2, 2022: 4 substantiated, 2 Type A citations
- June 2, 2022: 4 substantiated, 3 Type A citations, 1 Type B citation
- December 15, 2021: 3 substantiated, 2 unsubstantiated, 1 Type A citation, 2 Type B citations
- November 22, 2021: 1 substantiated, 1 Type B citation
- September 29, 2021: 1 substantiated, 1 Type B citation
Complaints with no substantiated allegation (18)
- August 6, 2026: 2 unsubstantiated
- June 25, 2026: 5 unsubstantiated
- May 14, 2026: 2 unsubstantiated
- March 17, 2026: 3 unsubstantiated
- October 6, 2025: 6 unsubstantiated
Show all 18
- May 15, 2025: 4 unsubstantiated
- May 15, 2025: 3 unsubstantiated
- August 26, 2024: 7 unsubstantiated, 1 unfounded
- May 21, 2024: 1 unsubstantiated
- March 6, 2024: 2 unsubstantiated
- February 19, 2024: 2 unsubstantiated
- October 31, 2023: 1 unsubstantiated, 1 unfounded
- August 22, 2023: 1 unsubstantiated
- August 15, 2023: 1 unsubstantiated
- January 12, 2023: 1 unfounded
- July 26, 2022: 2 unsubstantiated
- January 28, 2022: 2 unsubstantiated
- January 25, 2022: 1 unsubstantiated
Every state visit (87)
- August 18, 2026: Inspection
- July 8, 2026: Complaint visit
- June 8, 2026: Complaint visit
- May 14, 2026: Other visit
- March 10, 2026: Complaint visit
Show all 67
- February 5, 2026: Complaint visit
- September 25, 2025: Complaint visit
- July 24, 2025: Inspection
- May 6, 2025: Other visit
- May 6, 2025: Complaint visit (4)
- May 2, 2025: Complaint visit (2)
- March 13, 2025: Complaint visit (2)
- February 4, 2025: Complaint visit (2)
- January 29, 2025: Other visit
- January 29, 2025: Complaint visit
- September 17, 2024: Other visit
- September 17, 2024: Complaint visit (2)
- August 23, 2024: Complaint visit (2)
- August 5, 2024: Complaint visit
- July 29, 2024: Inspection
- June 24, 2024: Complaint visit (2)
- May 15, 2024: Complaint visit
- May 14, 2024: Other visit
- May 7, 2024: Other visit
- May 7, 2024: Complaint visit (2)
- March 14, 2024: Complaint visit
- February 26, 2024: Complaint visit
- February 23, 2024: Other visit
- February 23, 2024: Complaint visit
- February 20, 2024: Complaint visit
- February 12, 2024: Complaint visit
- February 8, 2024: Complaint visit
- February 1, 2024: Complaint visit
- December 1, 2023: Other visit
- November 1, 2023: Other visit
- October 26, 2023: Other visit
- October 26, 2023: Complaint visit (2)
- October 25, 2023: Other visit (2)
- October 25, 2023: Complaint visit
- October 3, 2023: Complaint visit (3)
- August 30, 2023: Complaint visit
- August 16, 2023: Inspection
- July 21, 2023: Other visit
- July 21, 2023: Complaint visit (3)
- February 6, 2023: Complaint visit (2)
- January 24, 2023: Other visit
- December 15, 2022: Complaint visit
- November 17, 2022: Other visit
- November 1, 2022: Other visit
- October 14, 2022: Other visit
- July 19, 2022: Inspection
- July 19, 2022: Complaint visit
- May 19, 2022: Other visit
- May 19, 2022: Complaint visit (2)
- May 18, 2022: Other visit
- January 20, 2022: Complaint visit
- January 18, 2022: Complaint visit
- January 13, 2022: Other visit
- January 5, 2022: Other visit (2)
- December 13, 2021: Complaint visit (2)
- December 9, 2021: Other visit
- November 15, 2021: Other visit
- November 15, 2021: Complaint visit
- November 3, 2021: Other visit
- October 22, 2021: Other visit
- September 27, 2021: Complaint visit
- September 21, 2021: Other visit
Read every report on the state’s site →
What these terms mean
Type A citations are for “the most serious type of violations in which there is an immediate risk to the health, safety or personal rights of those in care,” and are issued “even if the violation is corrected on the spot.”
Type B citations are for “a violation that, if not corrected, may [pose] an immediate risk to the health, safety or personal rights of clients,” such as faulty medical record keeping or staff training.
CCLD: “There is no difference between an inconclusive and an unsubstantiated complaint allegation. Both terms mean that there was no preponderance of evidence to prove that an alleged violation occurred.” Allegations CCLD finds unfounded are also not substantiated.
This community is licensed for 121 residents; larger communities are visited and complained about more often, so read counts with size in mind. Source: California Department of Social Services, Community Care Licensing, data as of September 28, 2026, covering the five years of records the state publishes. The state’s advice: “Never rely on this information alone to make a decision about a facility. Always visit facilities in person.”
License and ownershipActive license, licensee T STREET LLC
- License type
- RESIDENTIAL CARE ELDERLY
- License number
- 342700835
- License status
- Active
- Licensed since
- 2021-08-30
- Licensed capacity
- 121
- Licensee
- T STREET LLC
- County
- Sacramento County
- Administrator
- Nick Oehler
Source: California state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Administrator name from public records we reviewed, as of Oct 12, 2026.
Paying with Medicaid and other programsOn the California list of Medicaid providers (2026)
On the California list of Medicaid providers. Listed as CITY CREEK ASSISTED LIVING under Assisted Living Waiver (ALW). (state list, as of Mar 3, 2026)
Being on the list means the community has taken part in the program. Ask whether it has a Medicaid opening now, and how many residents it serves on Medicaid.
How Medicaid pays for care in California
- Assisted Living Waiver (ALW). Medi-Cal can pay for assisted living care services through the Assisted Living Waiver, but only in 15 counties, only for people who need nursing home level care, and there is a waitlist. The resident still pays room and board. (state page)
- Waitlist. The Assisted Living Waiver has a waitlist. DHCS reported 18,365 people on it in December 2025. (source)
Location and nearby careNearest hospital 1.5 mi, nursing home 0.1 mi, pharmacy 0.4 mi
- Nearest hospital with an emergency room
- Kaiser Foundation Hosp So Sacramento, Sacramento. 1.5 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- City Creek Post Acute, Sacramento. 0.1 miles away, straight line.
- Nearest home health agency office
- Sweet Angels Home Health Provider, Inc, Sacramento. 3.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Vangs Pharmacy. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 95823 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Southgate Dialysis, Sacramento, 0.3 miles away, straight line (CMS rating 2 of 5 stars)
Davita Florin Dialysis Center, Sacramento, 0.5 miles away, straight line (has a shift starting after 5 pm; CMS rating 2 of 5 stars)
Fresenius Kidney Care South Sacramento Dialysis, Sacramento, 1.2 miles away, straight line (CMS rating 1 of 5 stars) - Hospice
- 39 Medicare hospices tell CMS they serve ZIP code 95823.
Absolute Compassion, LLC, office in Sacramento, 6.0 miles away, straight line
Monarch Hospice And Palliative Care, office in Sacramento, 6.2 miles away, straight line
Prohealth Home Care, Inc., office in Sacramento, 7.3 miles away, straight line - Nearest geriatric medicine practice
- Dignity Health Medical Foundation, Sacramento. 2.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk relatively moderate; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone X: 0.2% annual chance (500-year) flood area (moderate risk). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively moderate, wildfire very low, tornado very low, heat wave relatively moderate, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour10 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- The state recorded a finding in May 2025. What was it, and how was it fixed?
- What does the base rate include, and when did rates last go up?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
- How long have the executive director and the head of care been here?
- Who gives medications, and what training do they have?
- For what reasons can a resident be asked to leave?
- Is the apartment held during a hospital stay, and at what cost?
What we checked14 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| California Department of Social Services, Community Care Licensing inspection records | Sep 28, 2026 | See above |
| California Medicaid provider list | Mar 3, 2026 | See above |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Sacramento County Environmental Management Department kitchen inspections | Oct 15, 2026 | No kitchen matched |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Common questionsAnswers to 4 questions families ask
What type of care does City Creek Assisted Living provide?
City Creek Assisted Living is licensed by the state of California for assisted living in Sacramento, California. Its licensed capacity is 121 residents.
Does Lilisity rate City Creek Assisted Living?
No. We publish state licensing details for City Creek Assisted Living but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does City Creek Assisted Living cost?
Assisted Living in Sacramento County typically starts at $3,700 to $5,400 a month. Based on 19 communities that publish prices. These are area figures, not this community's price. City Creek Assisted Living does not publish its prices.
How do I contact City Creek Assisted Living?
Use City Creek Assisted Living's website, citycreeksacramento.com, or visit at 6254 66th Avenue, Sacramento, CA 95823.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid