Senior Care Records.

Facility Evaluation Report

Mom Board and Care Services, INC., Oakland11/06/2025Licence 019201192

Capacity6
Census4
Date signed11/06/2025 12:37:45 PM
Name of licensing program analystGregory Clark
Name of licensing program managerYvonne Flores-Larios
The inspector’s account

On 11/06/25 at 10:30 AM, Licensing Program Analysts (LPAs) Greg Clark and Ardalan Gharachorloo conducted a POC visit. LPA met with Staff Falemei Togotogo, Staff and explained the purpose of the visit.

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.

insufficient supply of non-perishable food

unlocked cleaning supplies under kitchen kitchen sink

several loaves of bread observed with mold in cabinet above stove

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