4096 VIA DE LA BANDOLA, SAN YSIDRO, CA 92173 · License #374603041 · (619) 690-1290
Capacity
6
Licensee
DOMDOM, NOVELITA V. & DOMDOM-JUANITAS, DAISY
Administrator / Contact
DOMDOM, NOVELITA V.
Licensed Since
1/11/2011
Last Visit
10/13/2026
Serves
Developmentally Disabled (DD)FACILITY APPROVED FOR SIX (6) NON-AMBULATORY DEVELOPMENTALLY DISABLED ADULTS AGES 18 TO 59. ***LICENSEE CAN ONLY CARE FOR FIVE (5) ADULTS UNTIL 01-15-2013 DUE TO AN AGE EXCEPTION FOR A MINOR WHO
Citations
0
Type A: 0 · Type B: 0
Complaint allegations
0
Substantiated: 0 · Inconclusive: 0 · Unfounded: 0
Compliance Summary — since 1/11/2011
Total State Visits
5
Inspections
0
Complaint Investigation Reports
0
Substantiated Allegations
0
Cumulative totals across this facility's entire California licensing history, per CCLD public records — not just the reports summarized below.
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No reports on file for this facility yet.