Senior Care Records.

Facility Evaluation Report

Tiffany's Board and Care IV, Whittier07/10/2026Licence 197606893

Capacity6
Census2
Date signed07/10/2026 03:27:15 PM
Name of licensing program analystErik Zaragoza
Name of licensing program managerDavid Sicairos
The inspector’s account

Licensing Program Analyst (LPA) Erik Zaragoza conducted an unannounced Plan of Correction (POC) visit to follow up on citations that were issued on 6/30/2026 during the facility's Annual Inspection. LPA met with S2 and explained the purpose of the visit. Administrator Tiffany Sasada was notified of the visit by phone call.

On 6/30/2026, the facility was cited for the following:

Health and Safety Code 1569.32: Any duly authorized officer, employee, or agent of the department may, upon presentation of proper identification, enter and inspect any place providing personal care, supervision, and services at any time, with or without advance notice, to secure compliance with, or to prevent a violation of, this chapter. LPA has not received proof that Bedroom #1 and the Garage of the facility is a separate address "16957 Janine Dr, Whittier, CA" from the facility address. Administrator stated that she will submit blueprints to LPA by email as proof that the address is separate.

Title 22 87355(e)(3) Criminal Record Clearance: (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c). LPA observed that S2 and S3 are still not associated to the facility, but rather a different facility. Administrator along with S2 are working to associate S2 and S3 to facility currently.

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