Small board & care homeLicensed

Nagomi Home LLC

1128 N Fairvalley Ave, Covina, CA 91722

  • Licensed for 6 residents
  • Hospice waiver

About Nagomi Home LLC

Nagomi Home LLC is a small, home-like residential care facility for the elderly in Covina, California, licensed by the California Department of Social Services to care for up to 6 residents. It has held its current license for 5 years. It holds a hospice waiver, so residents can receive hospice care without moving.

Licensing & inspections

Official CDSS report
License status
Licensed
Facility number
198603438
Licensed capacity
6
Licensed since
June 4, 2021
Last state visit
June 1, 2026
Inspection visits
5
Recent routine and required inspections
Complaint visits
0
Visits to investigate complaints
Type A citations
0
Immediate risk to health, safety, or rights
Type B citations
0
Could become a risk if not corrected
Licensee:
Nagomi Home LLC
Administrator:
Ayabe, Tokie
CDSS office:
GREATER LA AC/SC
Serves:
RCFE / Hospice

State license notes: Age range 60 and over. Approved for six (6) non ambulatgory, room a,c & d., of which one (1) bedridden is approved in room b. Hospice waiver approved for five (5) residents. Hospice waiver approved for two (2) residents.

Data from CDSS Community Care Licensing, last checked November 3, 2026.

Location

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