Senior Care Records.

Facility Evaluation Report

Mom Board and Care Services, INC., Oakland09/12/2025Licence 019201192

Capacity6
Census4
Date signed09/12/2025 02:50:58 PM
Name of licensing program analystGregory Clark
Name of licensing program managerYvonne Flores-Larios
The inspector’s account

On 9/12/25 at 1:45 PM, Licensing Program Analysts (LPAS) Greg Clark and Ardalan Gharachorloo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Staff, Ulisese Togotogo and explained the purpose of the visit and spoke with Administrator Falemei Paongo via phone..

LPA toured facility including but not limited to bedrooms, bathroom and, kitchen. The hot water temperature in the residents’ shared bathroom was measured at 97.2 degrees Fahrenheit.

THE FOLLOWING DEFICIENCIES WERE OBSERVED:

LPAs observed no food in the kitchen refrigerator

LPAs measured water temperature in the shared bathroom at 97.2 F.

LPAs observed knife on kitchen counter and Draino under kitchen sink.

LPAs observed the kitchen sink to be filled with dirty dishes.

The above deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations. Failure to correct deficiencies by POC dates may result in additional Civil Penalties.

Exit interview conducted with staff. LIC809D, Appeal Rights and a copy of this report provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction