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

ABLE

ICF/DD-H (Habilitative) · 9 licensed beds · San Rafael, CA

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

Address

ABLE25 DE ANZA WAYSan Rafael, CA 94903 · Marin County

Phone: (415) 492-8087

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
9
Licensee
A BROADER LIVING EXPERIENCE DBA ABLE · Nonprofit Corp
Administrator
YATES, JR., RONALD S
CDPH facility ID
010000998
License number
010000384
Current license
May 21, 2026 to May 20, 2027
CDPH district office
Santa Rosa

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
05G679
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
March 11, 1993
Last certification survey
November 13, 2025
CMS certification status
Certified
In compliance (CMS)
Yes
Last certification action
Recertification
Ownership type (CMS)
Private (non-profit)
Certified beds (CMS)
9
Staffing reported to CMS
RN 0.5 · LVN/LPN 0.5 · direct care 12.5 · all employees 13.5

State citations and penalties (CDPH)

12 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: 483.410(d)(3) · Violation Jul 23, 2026 · Penalty #110023941 · Survey 2CFCAA-H1

    Status: Closed

  • Class APatient Care

    Citation A (HSC 1424) · Violation Nov 7, 2016 · Penalty #110013134 · Survey UWMS11

    Status: Closed · Not appealed

    $18,000

    initially $6,000

  • Class APatient Rights

    Citation A (HSC 1424) · Violation Dec 26, 2015 · Penalty #110012237 · Survey VKL711

    Status: Closed · Not appealed

    $10,000

  • Class APatient Care

    Citation A (HSC 1424) · Violation Jun 1, 2011 · Penalty #110010047 · Survey H2SR11

    Status: Closed · Not appealed

    $10,000

  • Class APatient Rights

    Citation A (HSC 1424) · Violation Aug 30, 2011 · Penalty #110008587 · Survey 83TC11

    Status: Closed · Not appealed

    $6,000

  • Class BAbuse/Facility Not Self Reported

    Citation B (HSC 1424) · Violation Jun 10, 2010 · Penalty #110008396 · Survey 34I911

    Status: Closed · Not appealed

    $1,000

  • Class BPatient Care

    Citation B (HSC 1424) · Violation Dec 7, 2009 · Penalty #110006934 · Survey L10I11

    Status: Closed · Appealed (received Sep 15, 2010)

    $1,950

    initially $1,000

  • Class BPatient Care

    Citation B (HSC 1424) · Violation Jan 30, 2009 · Penalty #110005861 · Survey W2OL11

    Status: Closed · Not appealed

    $1,000

  • Class BMedication

    Citation B (HSC 1424) · Violation Feb 29, 2008 · Penalty #110004753 · Survey HSL811

    Status: Closed · Not appealed

    $1,000

  • Class BPatient Care

    Citation B (HSC 1424) · Violation May 3, 2004 · Penalty #010002106

    Status: Closed · Not appealed

    $600

  • Class BOther (Pt. Care/Medication)

    Citation B (HSC 1424) · Violation Feb 1, 2002 – May 1, 2002 · Penalty #010001986

    Status: Closed · Not appealed

    $1,500

    initially $500

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Jul 22, 2001 – Jul 24, 2001 · Penalty #010001867

    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 2CFCAA-H1 · 1 deficiency

    Official 2567 ↗
  2. · Recertification

    Event GFHY21 · 5 deficiencies

    Official 2567 ↗
  3. · Recertification

    Event GFHY11 · no deficiencies cited

    Official 2567 ↗
  4. · Complaint

    Event 4I9S11 · no deficiencies cited

    Official 2567 ↗
  5. · Complaint

    Event 19FE11 · no deficiencies cited

    Official 2567 ↗
  6. · Recertification

    Event JS1621 · 9 deficiencies

    Official 2567 ↗
  7. · Recertification

    Event JS1611 · 4 deficiencies

    Official 2567 ↗
  8. · Complaint

    Event NLDZ11 · no deficiencies cited

    Official 2567 ↗
  9. · Complaint

    Event XXZX11 · 2 deficiencies

    Official 2567 ↗
  10. · Complaint

    Event ORSK11 · 1 deficiency

    Official 2567 ↗
  11. · Complaint

    Event 4DLD11 · no deficiencies cited

    Official 2567 ↗
  12. · Complaint

    Event 697Z11 · no deficiencies cited

    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

44 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. ReportState Class B citation ($1,000)(state record)

  2. ReportFederal survey (complaint): 1 deficiency(state record)

  3. ReportFederal survey (recertification): 5 deficiencies(state record)

  4. ReportFederal survey (recertification): no deficiencies(state record)

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

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

  7. ReportFederal survey (recertification): 9 deficiencies(state record)

  8. ReportFederal survey (recertification): 4 deficiencies(state record)

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

  10. ReportFederal survey (complaint): 2 deficiencies(state record)

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.