Facility Evaluation Report
Capacity4
Date signed10/27/2025 03:40:04 PM
Name of licensing program analystAmy Domingo
Name of licensing program managerSimon Jacob
Licensing Program Analyst (LPA) Amy Domingo rang the door bell of the facility. The facility did not look occupied. LPA left a message for Dominique Mase.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction