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ICF/DDLicense activeMedi-Cal certified

CASA DE VIDA

ICF/DD · 59 licensed beds · San Luis Obispo, CA

Larger intermediate care facilities for people with developmental disabilities.

Address

CASA DE VIDA879 MEINECKE AVESan Luis Obispo, CA 93405 · San Luis Obispo County

Phone: (805) 544-5332

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD
Licensed beds
59
Licensee
RSCR CALIFORNIA, INC. · Profit Corp
Administrator
KINGMA, DANIEL
CDPH facility ID
050000045
License number
050000085
First licensed
May 30, 1972
Current license
Dec 30, 2025 to Dec 29, 2026
CDPH district office
Ventura

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
05G036
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
September 1, 1978
Last certification survey
August 21, 2025
CMS certification status
Certified
In compliance (CMS)
Yes
Last certification action
Other
Ownership type (CMS)
Private (proprietary)
Certified beds (CMS)
59
Staffing reported to CMS
RN 1 · LVN/LPN 8 · direct care 0.68 · all employees 195

State citations and penalties (CDPH)

4 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 Afirst issued as Class AAPatient RightsDeath-related

    Citation AA (HSC 1424) · Violation Sep 20, 2006 · Penalty #050003528 · Survey MFWL11

    Status: Closed · Appealed (received Sep 12, 2007)

    $10,000

    initially $25,000

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Mar 11, 2006 · Penalty #050003471 · Survey POK211

    Status: Closed · Appealed (received Nov 16, 2006)

    $300

    initially $600

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Aug 18, 2002 · Penalty #050001521

    Status: Closed · Appealed (received Oct 10, 2002)

    $500

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Mar 2, 2000 · Penalty #050001378

    Status: Closed · Appealed (received May 17, 2000)

    $1,000

Federal inspections (CMS-2567)

111 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 343873-H1 · no deficiencies cited

    Official 2567 ↗
  2. · Complaint

    Event 344229-H1 · 1 deficiency

    Official 2567 ↗
  3. · Complaint

    Event 31CC7D-H1 · no deficiencies cited

    Official 2567 ↗
  4. · Complaint

    Event 342683-H1 · no deficiencies cited

    Official 2567 ↗
  5. · Complaint

    Event 2304F5-H1 · no deficiencies cited

    Official 2567 ↗
  6. · Complaint

    Event 31C573-H1 · no deficiencies cited

    Official 2567 ↗
  7. · Complaint

    Event 2AB222-H1 · no deficiencies cited

    Official 2567 ↗
  8. · Complaint

    Event 2850CA-H1 · no deficiencies cited

    Official 2567 ↗
  9. · Complaint

    Event 25C855-H1 · no deficiencies cited

    Official 2567 ↗
  10. · Complaint

    Event 233781-H1 · no deficiencies cited

    Official 2567 ↗
  11. · Complaint

    Event 2329E9-H1 · no deficiencies cited

    Official 2567 ↗
  12. · Complaint

    Event 22E6E4-H1 · 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

116 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): 1 deficiency(state record)

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

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

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

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

    See this survey →
  10. ReportFederal survey (complaint): no 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.