Senior Care Records.

Facility Evaluation Report

Mom Board and Care Services, INC., Oakland10/03/2025Licence 019201192

Capacity6
Census4
Date signed10/03/2025 12:15:10 PM
Name of licensing program analystGregory Clark
Name of licensing program managerYvonne Flores-Larios
The inspector’s account

On 10/03/25 at 10:30 AM, Licensing Program Analysts (LPAs) Greg Clark and Ardalan Gharachorloo arrived unannounced to continue 1-Year Annual Required inspection. LPAs met with Falemei Togotogo, Staff and explained the purpose of the visit.

LPAs inspected the bathroom and kitchen. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the kitchen was measured at 113.3 degrees Fahrenheit.

LPAs reviewed 4 residents records and 2 staff records; all were incomplete.

Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 10/10/25: LIC 500 Personnel Report

The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties.

Exit interview conducted. Appeal Rights and a copy of this report provided.

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