Illustration — no photo of this home on file yet

Mom Board and Care Services

Small home·Licensed for 6·Oakland, California

Licensed since 2024Licence #19201192
  • Care approvals on fileWheelchair · Dementia · Hospice · BedriddenState licensing record · September 13, 2026
  • Estimated starting rate$4,450 a monthCovelight estimate · likely $3,650–$5,500
  • Home sizeLicensed for 6Small care home · a licensed care home (RCFE)
  • Ways to payAsk the homeMedi-Cal ALW participation not on file
  • Last state visitSeptember 3, 2026CDSS inspection record

Mom Board and Care Services is a small care home in Oakland — a licensed residential care facility for the elderly (RCFE), the licence category behind “assisted living” and “board and care.” It is licensed for 6 residents since 2024.

Built from CDSS public records · September 13, 2026. Every fact below names its source and date.

Quick answers and the state record

A citation does not make a home unsafe, and an empty file does not make a home good.

Quick answers about Mom Board and Care Services

Is Mom Board and Care Services licensed?

The state lists this license as “Licensed,” per CDSS records as of September 13, 2026.

How many residents is Mom Board and Care Services licensed for?

6 residents — a small home, per CDSS records as of September 13, 2026.

Has Mom Board and Care Services been cited?

0 Type A and 0 Type B citations since 2024, per CDSS records as of September 13, 2026. Those records count 10 state visits over the same years.

Is Mom Board and Care Services still open?

This license was on the CDSS roster as of September 28, 2026.

What does Mom Board and Care Services cost?

$4,450 a month to start is a Covelight estimate, likely $3,650–$5,500. This home’s own rate is not on file. Ask: “What is the all-in monthly rate, and what would push it higher?”

Covelight’s estimate starts from the rates 9 small homes and similar homes within 5 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.

Among 34 other homes of a similar licensed size across Alameda County that publish a starting rate, the middle half runs $3,000 to $5,735 a month, and the middle figure is $4,500 (n = 34 other homes publishing a starting rate).

Each of those is a home’s own published figure, gathered on its own date in September 2026 — not an average of ours, and not a survey. Similar size means small and mid-size homes counted together, and large communities counted on their own, because they are different markets.

A home outside the band is not overcharging or underpricing: a starting rate covers different things in different homes, which is the first thing to ask about.

The price is made in the phone call. Nothing here is a quote, an offer or a discount.

A starting rate is the room and the base care. California homes commonly bill care levels, medication management, supplies, transport and a second person in the room as extras. Many also charge a one-time fee at move-in. Ask for that list in writing before anything is signed.

Only prices a home put out itself count here: its own website, a listing it supplied, or a price a listing site says the home confirmed. Prices a site shows without saying where they came from are left out.

Does Mom Board and Care Services take Medi-Cal?

On Medi-Cal’s Assisted Living Waiver: this home is not on the DHCS participation list dated September 23, 2026. Ask the program about current options. The waiver pays for care services, not room and board.

Who holds the license?

The license is held by Mom Board and Care Services, Inc., per CDSS records as of September 13, 2026.

Is there a hospital nearby?

San Leandro Hospital is 3.1 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.

Can Mom Board and Care Services keep a resident on hospice?

Hospice care is approved on this license, covering up to 2 residents, per CDSS records as of September 13, 2026.

Mom Board and Care Services license and inspection record

  • Name on the license: “MOM BOARD AND CARE SERVICES, INC.”, per the CDSS roster as of May 25, 2025.
  • License #19201192. The state lists this license as “Licensed,” per CDSS records as of September 13, 2026.
  • Licensed for 6 residents — a small home, per CDSS records as of September 13, 2026.
  • Licensed to Mom Board and Care Services, Inc., per CDSS records as of September 13, 2026.
  • First licensed in 2024, per CDSS records as of September 13, 2026.
  • 10 state inspection visits since 2024, per CDSS records as of September 13, 2026.
  • 0 Type A and 0 Type B citations on file since 2024, per CDSS records as of September 13, 2026. The same records count 10 state visits in that period.
  • 0 complaints and 0 substantiated allegations on file since 2024, per CDSS records as of September 13, 2026.
  • The most recent state visit on file is September 3, 2026, per CDSS records as of September 13, 2026.
Type A citationa violation that poses an immediate risk to health, safety or personal rights if it is not correctedType B citationa violation that could become a risk if not corrected, or one involving records, resources or required services

California writes these definitions for every licensed home, not for this one. CDSS citation definitions (PDF) ↗

See the state’s own record

Can they support the care needed?

California licenses a home for specific kinds of care. The state’s record lists what this home is approved for; the home’s own answers fill in what changes as needs change.

  • Wheelchair / non-ambulatoryApproved · covers up to 2 residents
  • Dementia / memory careApproved by the state
  • Hospice careApproved · covers up to 2 residents
  • BedriddenApproved · covers up to 1 resident

State licensing record · September 13, 2026. An approval may cover specific rooms or residents; it does not establish an opening.

Read the state’s own wording
AGE RANGE 60 AND OVER. 4 AMBULATORY & 2 NON-AMBULATORY, OF WHICH 1 MAY BE BEDRIDDEN. 1 NON-AMBULATORY & 1 BEDRIDDEN IN BEDROOM 3. HOSPICE WAIVER FOR 2.

935 - ELDERLY · 983 - RCFE / DEMENTIA · 985 - RCFE / HOSPICE

CDSS record, verbatim · September 13, 2026

As needs change

  • Staying through hospice

    Hospice waiver on file · covers up to 2 — care may continue at the end of life

    Ask: “If hospice is needed, can care continue here until the end?”

    State licensing record · September 13, 2026

  • If memory loss develops

    Dementia-care designation on file

    Ask: “Can we read the dementia care disclosure and discuss how daily support works?”

    State licensing record · September 13, 2026

3 more questions to ask the home
  • Two-person transfers or a lift

    Not on file

    Ask: “If two people or a lift are needed to transfer, can the person stay?”

  • Someone awake overnight

    Not on file

    Ask: “Who is awake overnight, and how do residents ask for help?”

  • Medicines

    Not on file

    Ask: “Who manages the medicines, and what happens when a dose is missed?”

What it costs here

Covelight estimate

$4,450a month to start

Likely $3,650–$5,500

From 9 nearby homes that publish rates · this home’s rate is not on file

Likely monthly total

$4,450a month

Likely $3,650–$5,700

With a shared room and basic help.

An estimate for planning, not a quote. The price is made in the phone call.

See the full cost breakdownRoom, care and fees · how people pay · how this estimate works
Room
Daily care
Sharing the room
  • Starting monthly rate$4,450likely $3,650–$5,500

    Covelight’s estimate starts from the rates 9 small homes and similar homes within 5 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.

  • Basic help with daily careUsually includedup to $600

    Basic help is usually part of the starting rate. Homes that price care by level start around $600 a month (45 California homes publish a care-level range, seen in September 2026).

  • One-time move-in fee$2,000one time · likely $0–$4,000

    Homes that list a one-time entry or community fee charge a median of $2,000 (134 California listings; middle half $1,000–$4,000). Many homes list none — ask.

Likely monthly totalLikely $3,650–$5,700
$4,450
First monthWith a one-time move-in fee · likely $4,250–$8,800
$6,450
How people payPrivate pay, Medi-Cal waiver, SSI/SSP, veterans, insurance
  • Private payMost residents pay from savings, a home sale or family help. Ask for the rate and what it includes in writing.
  • Medi-Cal Assisted Living WaiverThis home is not on the DHCS participation list dated September 23, 2026. Ask the program about current options. The waiver pays for care services, not room and board.
  • SSI/SSPCalifornia’s 2026 standard is $1,626.07 a month; $1,444.07 of it goes to the home and $182 stays with the resident. Whether this home accepts it is not on file — ask.
  • VeteransVA Aid & Attendance can add to a veteran’s or surviving spouse’s pension. Ask whether residents here have used it.
  • Long-term care insuranceMost policies pay for licensed care homes. Ask what paperwork the home provides for claims.
  • MedicareDoes not pay for room and board in a care home. It can still cover hospice or home-health visits inside one.
If the money runs out, what Medi-Cal covers
Avoid surprises on the billWhat changes the price, and what to ask
  • The care level

    Some homes charge one all-inclusive rate. Others add levels or points as needs grow. Ask how the level is set, who decides, and what the next level costs.

  • What is billed separately

    Medication management, incontinence supplies, transportation and a second person in the room are often extra. Ask for the list in writing.

  • Move-in costs

    A one-time community fee or deposit is common. Ask what it covers and whether any of it comes back if the stay is short.

  • Increases

    California requires at least 90 days’ written notice, with reasons, before a rate rises (Health & Safety Code §1569.655). A change in the resident’s care level is the section’s own exception and can be billed sooner.

  • What is the full monthly cost for the room and care we need, and what does it include?
  • What would the next care level cost, and who decides when it changes?
  • What is billed separately, and is there a one-time fee or deposit at move-in?
  • Is any private-pay period required before another payment program can begin?
How this estimate worksWithin 25% for 7 in 10 homes in testing

Covelight’s estimate starts from the rates 9 small homes and similar homes within 5 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.

9 homes like this within 5 miles publish starting rates mostly between $2,800–$6,000.

  • Only prices a home put out itself count: its own website, a listing it supplied, or a price Seniorly says the home confirmed. Prices a listing site shows without saying where they came from are left out.
  • Nearby homes are the nearest of the same size that publish a rate, widening from 3 to 40 miles until at least 8 do. The estimate starts from what they charge, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices.
  • Room, care-level, second-person and move-in lines come from what California homes publish on listing sites. Memory care uses Covelight’s researched premium over assisted living.
  • Totals add each line’s figure and combine the lines’ ranges as separate charges, because a home is rarely at the top, or the bottom, of every line at once.
  • We tested this estimate on 1,546 California homes that publish their own starting rate. It was within 10% of the real rate for 3 in 10 homes and within 25% for 7 in 10; the likely range held the real rate for 6 in 10 (September 12, 2026).
  • It cannot see this home’s specials, how it assesses care, or which rooms are open.
Show the 9 nearby homes behind this estimate

Where it is

  • 2301 90Th Ave, Oakland, CA 94603Address from the public record · September 13, 2026. Confirm the entrance with the home before visiting.

Opening the neighborhood map…

The state record

California inspects every licensed home and publishes what it found. Here are the dated documents and the state’s own words, beside what is typical for homes this size.

Since 2023, the state has filed 10 documents for this home, and its records count 10 visits since 2024. The most recent is a facility evaluation report, dated September 3, 2026.

On file since
2023
State visits
10
Most recent visit
September 3, 2026

Beside homes the same size

  • Type A citations0typical 0
  • Type B citations0typical 0
  • Substantiated allegations0typical 0
  • Total complaints0typical 0

“Typical” is the statewide median across the 6,808 licensed small board-and-care homes (6 or fewer beds) in the state record — larger, longer-licensed homes accumulate more visits and reports, so compare like with like. One complaint can contain several allegations. Counts cover this licence since 2024.

Year by year
YearVisitsDocumentsSubstantiated2026340202533020241202023110

The last 36 months — 10 of 10 documents

20263 state visits · 4 documents
Sep 3, 2026Facility evaluation reportReport on file

Type of visit: Case Management - Deficiencies

On 09/3/2026, at around 8:00am during complaint visit 15-AS-20260901095440, LPA K. Nguyen reviewed the files of Resident 1 (R1), Resident 2 (R2), Resident 3 (R3), and Resident 4 (R4) and observed that all four residents' files were incomplete. Deficiency is cited per Title 22 California Code of Regulations and listed on LIC 9099-D. Failure to submit Proof of Corrections (POCs) by plan of correction due date and/or any repeat deficiency within a 12-month period may result in civil penalties. Exit interview conducted with ADM, a copy of this report and appeal rights provided.the state’s words, verbatim · CDSS document, Sep 3, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87506(a) · Plan of correction due date: Sep 18, 2026

87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: This requirement was not met, as evidenced by observation and record review; 4 out of 4 residents' files are incomplete.the state’s words, verbatim · CDSS document, Sep 3, 2026

Plan of correction: The administrator agreed to complete all residents' files, ready for Licensing review, and submit documents to CCL by the POC date.

Jun 15, 2026Facility evaluation reportReport on file

Type of visit: Case Management - Deficiencies

On 06/15/2026, at 9:30 AM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct a Plan of Correction (POC) visit. Upon entrance, the LPA informed Staff S1 of the purpose of the visit. At approximately 9:40 AM, the LPA and the Administrator (ADM) Dr. Falemei "Mei" Paongo, PhD spoke over the phone. She was out of the facility during the whole of the visit. During the inspection, the LPA discovered that neither S1 nor Staff S2 had criminal record clearance. Both S1 and S2 were asked to leave the facility and not to return until they had clearance. At approximately 11:00 AM, Caregiver Ulisese Togotogo arrived at the facility. 1 Type A citation and two $500 civil penalties for a total of $1,000 were issued during this visit. Deficiencies and civil penalties are cited per Title 22 California Code of Regulations and listed on LIC 809-D and LIC 421BG . Failure to submit Proof of Corrections (POCs) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jun 15, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(2) · Plan of correction due date: Jun 22, 2026

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review . . . shall prior to working . . . in a licensed facility: (2) Obtain a California clearance or a criminal record exemption as required by the Department. This requirement is not met as evidenced by: Based on record review, licensee did not comply with the section cited above. Staff S1 was not fingerprint cleared and Staff S2 was not associated with the facility, which poses an immediate safety risk to persons in care.the state’s words, verbatim · CDSS document, Jun 15, 2026

Plan of correction: On or before the due date, the Licensee has agreed to inform LPA Sampair of the fingerprint clearance and association status of Staff S1 and S2. Further, the Licensee has agreed to not allow S1 or S2 to enter the facility until their fingerprint clearance and association process has been completed. Civil penalty of $1,000 is being assessed.

Jun 15, 2026Facility evaluation reportReport on file

Type of visit: POC

On 06/15/2026, at 9:00 AM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct this Plan of Correction (POC) visit concerning the citation issued on 05/26/2026 for complaint 15-AS-20260518143132 that was due on 06/09/2026. Upon entrance, the LPA informed Staff S1 of the purpose of the visit. S1 did not have a criminal record clearance, so the LPA asked him to leave and to get a staff member to take his place at the facility. At approximately 9:40 AM, the LPA and the Administrator (ADM) Dr. Falemei "Mei" Paongo, PhD spoke over the phone. She was out of the facility during the whole of the visit. During the call, the ADM informed the LPA that she had not completed an online course in medication training nor had she trained all of the staff in properly assisting residents in the self-administration of medications. She also informed the LPA that she had not set up a medication binder with the Centrally Stored Medication and Destruction Record and the MAR forms. The LPA informed her that not completing the POC resulted in civil penalties today that would continue to accumulate until the POC was cleared and she had informed the LPA of them being cleared. At approximately 11:00 AM, Caregiver Ulisese Togotogo arrived at the facility. A civil penalty for $600 was issued during the visit. Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC 9099-D and LIC 421FC. Failure to submit Proof of Corrections (POCs) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jun 15, 2026
May 26, 2026Facility evaluation reportReport on file

Type of visit: POC

On 05/26/2026, at 9:15 AM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct this Plan of Correction (POC) visit concerning one of the citations issued for complaint 15-AS-20260325143003 that was due on 05/18/2026. Upon entry, the LPA informed the Administrator (ADM) Dr. Falemei "Mei" Paongo, PhD of the reason for the visit. At approximately 9:45 AM, the LPA toured the facility with the ADM. During the tour, the LPA confirmed that four non-ambulatory residents had moved out of the facility as per the POC. The citation was cleared and a clearance letter was provided to the ADM. No citations were issued during this visit. Exit interview conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, May 26, 2026
20253 state visits · 3 documents
Nov 6, 2025Facility evaluation reportReport on file

Type of visit: POC

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 medication in the refrigerator unlocked cleaning supplies under kitchen kitchen sink no staff present in the facility toilet seat in disrepair several loaves of bread observed with mold in cabinet above stove Exit interview conducted. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Nov 6, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87555(b)(26) · Plan of correction due date: Nov 10, 2025

The following food service requirements shall apply:...(26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirement was not met as evidenced by observation of only 1 package of ground beef in freezer which poses an potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Nov 6, 2025

Plan of correction: Licensee to purchase one week supply of non-perishable food for four residents, and send LPA the reciept by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87467(h)(2) · Plan of correction due date: Nov 7, 2025

(h) The following requirements shall apply to medications which are centrally stored:...(2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement was not met as evidenced by observation of unlocked medication in the refrigiator which poses an potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Nov 6, 2025

Plan of correction: Licensee to purchase a lockedbox for the medication that needs refrigiation and send the picture to LPA by the POC date.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87309(a) · Plan of correction due date: Nov 7, 2025

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances...and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement was not met as evidenced by observation of the cabinet under the sink which contains the cleaning supplies is not locked which poses an immediate health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Nov 6, 2025

Plan of correction: Licensee to repair lock and send the letter of self attestation to LPA by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87411(a) · Plan of correction due date: Nov 10, 2025

(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by observation of having staff upstairs and not present in the facility which poses an potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Nov 6, 2025

Plan of correction: Licensee to submit an updated LIC500 with hours the administrator and care staff are physically in the facility working to LPA by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Nov 10, 2025

(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidenced by observation of toilet seat in the bathroom in disrepair which poses an potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Nov 6, 2025

Plan of correction: Licensee to replace toilet seat and submit a picture and reciept by the POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR80076(a)(1) · Plan of correction due date: Nov 10, 2025

(a) In facilities providing meals to clients, the following shall apply: (1) All food shall be safe and of the quality and in the quantity necessary to meet the needs of the clients. This requirement was not met as evidenced by observation of numerous expirered food items in the refrigerator which pose an potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Nov 6, 2025

Plan of correction: Licensee to discard expired food items. Licensee to set a schedule of food inspection and send to LPA monthly.

Oct 3, 2025Facility evaluation reportReport on file

Type of visit: Case Management - Annual Continuation

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.the state’s words, verbatim · CDSS document, Oct 3, 2025
Sep 12, 2025Facility evaluation reportReport on file

Type of visit: Required - 1 Year

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.the state’s words, verbatim · CDSS document, Sep 12, 2025
20241 state visit · 2 documents
Aug 28, 2024Facility evaluation reportReport on file

Type of visit: Case Management - Other

LPA Greg Clark conducted a face to face Component III presentation on starting at 3:00 pm. LPA met with licensee and administrator, Falemei Paongo. LPA presented Component III power point and discussed the regulations embodied in the power point. LPA observed the participant gained knowledge about running and maintaining the facility in accordance with regulations. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Aug 28, 2024
Aug 28, 2024Facility evaluation reportReport on file

Type of visit: Prelicensing

On 8/28/24 at 2:00 PM, Licensing Program Analyst (LPA) Greg Clark arrived announced to conduct pre-licensing inspection. LPA met with Administrator, Falemei Paongo and explained the purpose of the visit. The facility currently has 3 residents/clients. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common areas and backyard. Bedrooms and living rooms were equipped with the proper furniture. Bathrooms were equipped with grab bars and non-skid mats. Linens and hygiene supplies were observed inside a cabinet. There is sufficient lighting throughout facility. Room temperature was maintained at 70 degrees F and hot water temperature was maintained at 108.5 degrees F. First-aid kit was observed to be complete. Smoke detectors and carbon monoxide were operational. Fire extinguisher was operational during visit. No issues noted during inspection. LPA observed that facility is ready to be licensed. This report will be submitted to the Central Applications Unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed, and is subject to final approval by CAU. Additional requirements may still be required. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Aug 28, 2024
20231 state visit · 1 document
Oct 5, 2023Facility evaluation reportReport on file

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census: 2 COMP II Participant: Falemei Mahe Paongo, CEO/Administrator Interview Method: Telephone interview On 10/5/23, applicant/administrator participated in COMP II. Identification of the applicant/administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant/administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Oct 5, 2023
What the state’s words mean
Substantiatedthe state found the allegation more likely true than notUnsubstantiatedthere was not enough evidence to prove a violation occurred — not a finding of wrongdoingUnfoundedthe evidence showed the allegation was false, could not have happened, or had no reasonable basisType A citationa violation that poses an immediate risk to health, safety or personal rights if it is not correctedType B citationa violation that could become a risk if not corrected, or one involving records, resources or required services

CDSS citation definitions (PDF) ↗ · CDSS complaint outcomes ↗

An “unsubstantiated” complaint is not a finding of wrongdoing — it means the state investigated and could not confirm the allegation. Outcome words are the state’s own; we never grade, score, or color a record, and we publish no reviews — the state’s dated documents and the questions below stand in their place.

Life here

Rooms, meals, the rhythm of a day, faith and language, pets and house rules — as the home describes them. Tap any detail for its source and date; nothing here is graded.

The home has not described daily life anywhere we have reviewed yet — that is the case for most small homes, and it says nothing about the home. These questions fill in the picture; keep the ones that matter to you.

Before you call

Ask every home the same questions — the state’s record does not answer these. Keep the ones that matter and they travel with your saved homes.

  1. What is included in the monthly rate, and what costs extra?
  2. Who is awake overnight, and how do residents ask for help?
  3. Which rooms does the non-ambulatory approval cover, and what transfer support is provided?
  4. What could change whether someone can stay here?
  5. Can we see a bedroom and share a meal during a visit?

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