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ICF/DD-H (Habilitative)License activeMedi-Cal certified

CROSSROADS II

ICF/DD-H (Habilitative) · 6 licensed beds · Dixon, CA

Homes of 4–15 beds for people with developmental disabilities whose nursing needs are intermittent and predictable.

Address

CROSSROADS II880 ALEXANDER DRDixon, CA 95620 · Solano County

Phone: (707) 470-9154

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
6
Licensee
CROSSROADS LIVING CENTER, INC. · Profit Corp
Administrator
SIMMONS, SAMIKA
CDPH facility ID
010000864
License number
010000328
First licensed
September 19, 1997
Current license
Nov 19, 2025 to Nov 18, 2026
CDPH district office
Sacramento

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
55G132
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
September 26, 1997
Last certification survey
April 23, 2025
CMS certification status
Certified
In compliance (CMS)
Yes
Last certification action
Recertification
Ownership type (CMS)
Private (proprietary)
Certified beds (CMS)
6
Staffing reported to CMS
RN 1 · LVN/LPN 0 · direct care 10 · all employees 11

State citations and penalties (CDPH)

9 penalties, newest first

CDPH issues citations under Health and Safety Code §1424: Class AA (a violation that was a substantial factor in a resident's death), Class A (imminent danger or a substantial probability of death or serious harm) and Class B (a direct relationship to residents' health, safety or security). State citations explained

  • Class BPatient Care

    Citation - B · Violations: W&I 4502(b)(4), T22 DIV5 CH8.5 ART3-76873(b)(1)(I), T22 DIV5 CH8.5 ART3-76873(c)(8) · Violation Feb 5, 2022 · Penalty #110017658 · Survey VBF711

    Status: Closed · Not appealed

  • Class BAbuse/Facility Not Self Reported

    Citation B (HSC 1424) · Violation Dec 7, 2016 · Penalty #110014677 · Survey DC4Q11

    Status: Closed · Not appealed

    $1,000

  • Class BAbuse/Facility Not Self Reported

    Citation B (HSC 1424) · Violation Feb 1, 2011 · Penalty #110009687 · Survey J3OU11

    Status: Closed · Not appealed

    $1,000

  • Class BPatient Care

    Citation B (HSC 1424) · Violation May 25, 2006 · Penalty #110004306 · Survey 94VY11

    Status: Closed · Not appealed

    $800

  • Class APatient Care

    Citation A (HSC 1424) · Violation May 10, 2007 · Penalty #110003968 · Survey 2D5211

    Status: Closed · Appealed (received Oct 18, 2011)

    $5,850

    initially $9,000

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Jul 18, 2002 – Aug 20, 2002 · Penalty #010001994

    Status: Closed · Not appealed

    $800

  • Class BAdministration

    Citation B (HSC 1424) · Violation Jun 26, 2001 – Nov 20, 2001 · Penalty #010001915

    Status: Closed · Not appealed

    $1,050

    initially $1,000

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Jun 19, 2001 · Penalty #010001887

    Status: Closed · Not appealed

    $1,000

  • Class BStaffing

    Citation B (HSC 1424) · Violation Sep 3, 2000 · Penalty #010001788

    Status: Closed · Not appealed

    $1,000

Federal inspections (CMS-2567)

32 surveys since 2018 · CMS data through Oct 12, 2026

CDPH surveys certified ICFs for CMS. Each deficiency is a W-tag (a federal ICF/IID requirement), an E-tag (emergency preparedness) or a K-tag (Life Safety Code), cited at the standard level or, more seriously, the condition level. How to read an ICF inspection

Content note: these federal findings describe residents' care and can include abuse, neglect, injuries and medical details. They're shown as CMS published them; residents are identified only by number (such as "Client 1").

  1. · Complaint

    Event 344543-H1 · no deficiencies cited

    Official 2567 ↗
  2. · Complaint

    Event 6VUY11 · 2 deficiencies

    Official 2567 ↗
  3. · Recertification

    Event GSVR21 · 10 deficiencies

    Official 2567 ↗
  4. · Recertification

    Event GSVR11 · 13 deficiencies

    Official 2567 ↗
  5. · Complaint

    Event XDUD11 · no deficiencies cited

    Official 2567 ↗
  6. · Complaint

    Event 2IYU11 · no deficiencies cited

    Official 2567 ↗
  7. · Recertification

    Event 00BS21 · 12 deficiencies

    Official 2567 ↗
  8. · Recertification

    Event 00BS11 · 3 deficiencies

    Official 2567 ↗
  9. · Complaint

    Event KC7111 · no deficiencies cited

    Official 2567 ↗
  10. · Complaint

    Event M5XW11 · 3 deficiencies

    Official 2567 ↗
  11. · Complaint

    Event PXYR11 · 6 deficiencies

    Official 2567 ↗
  12. · Complaint

    Event VBF711 · 2 deficiencies

    Official 2567 ↗

From CMS's QCOR ICF/IID statement-of-deficiency download, saved Oct 26, 2026. CMS notes that ICF/IID data after March 19, 2026 may be incomplete while its systems migrate. Plans of correction and state-only (licensing) deficiencies aren't in that file; the official 2567 documents on CalHealthFind have them.

Complaints and reported incidents

CDPH doesn't publish complaints or facility-reported incidents as a bulk file, so they aren't on ICFLookup. Its CalHealthFind page for this facility lists them (intake date, allegation category and whether each was substantiated), along with state licensing deficiencies and ownership details.

Federal surveys that came from a complaint or an incident report do appear above, marked "Complaint" as the survey type.

Open this facility on CalHealthFind ↗How to file a complaint with CDPH

Change history

42 events, newest first

Dates marked "state record" are the agencies' own: the license date, federal survey dates and penalty issue dates. "Detected" changes are ones we noticed by comparing CDPH's monthly facility listing with the one before it, tracked since Oct 26, 2026.

  1. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →
  2. ReportFederal survey (complaint): 2 deficiencies(state record)

    See this survey →
  3. ReportFederal survey (recertification): 10 deficiencies(state record)

    See this survey →
  4. ReportFederal survey (recertification): 13 deficiencies(state record)

    See this survey →
  5. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →
  6. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →
  7. ReportFederal survey (recertification): 12 deficiencies(state record)

    See this survey →
  8. ReportFederal survey (recertification): 3 deficiencies(state record)

    See this survey →
  9. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →
  10. ReportFederal survey (complaint): 3 deficiencies(state record)

    See this survey →

Sources: CDPH Licensed and Certified Healthcare Facility Listing (data as of Oct 16, 2026), CDPH State Enforcement Actions, and CMS's ICF/IID statement-of-deficiency (CMS-2567) and Provider of Services files. ICFLookup is not affiliated with CDPH or CMS; always confirm with CDPH's CalHealthFind ↗ before making a decision. See How our data works.