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ICF/DD-N (Nursing)License activeMedi-Cal certified

MOMENTUM AGENCIES BEL AIR HOUSE

ICF/DD-N (Nursing) · 15 licensed beds · Westlake Village, CA

Homes of 4–15 beds for medically fragile people with developmental disabilities who need intermittent skilled nursing.

Address

MOMENTUM AGENCIES BEL AIR HOUSE2220 N WESTLAKE BLVDWestlake Village, CA 91362 · Ventura County

Phone: (805) 371-0080

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-N (Nursing)
Licensed beds
15
Licensee
MOMENTUM AGENCIES · Nonprofit Corp
Administrator
REYNOLDS, RACHEL L
CDPH facility ID
050000469
License number
050000222
First licensed
April 21, 1988
Current license
Apr 21, 2026 to Apr 20, 2027
CDPH district office
Ventura

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
05G320
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
April 22, 1988
Last certification survey
August 28, 2025
CMS certification status
Certified
In compliance (CMS)
Yes
Last certification action
Complaint
Ownership type (CMS)
Private (non-profit)
Certified beds (CMS)
15
Staffing reported to CMS
RN 1 · LVN/LPN 4 · direct care 18 · all employees 23

State citations and penalties (CDPH)

2 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 Record

    Citation B (HSC 1424) · Violation Dec 31, 2002 · Penalty #050001555

    Status: Closed · Not appealed

    $800

  • Class APatient Rights

    Citation A (HSC 1424) · Violation Apr 16, 2002 · Penalty #050001509

    Status: Closed · Not appealed

    $5,000

Federal inspections (CMS-2567)

56 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 36A3A9-H1 · no deficiencies cited

    Official 2567 ↗
  2. · Complaint

    Event 31C24C-H1 · no deficiencies cited

    Official 2567 ↗
  3. · Complaint

    Event 25CB96-H1 · no deficiencies cited

    Official 2567 ↗
  4. · Complaint

    Event 2364DD-H1 · no deficiencies cited

    Official 2567 ↗
  5. · Complaint

    Event 231786-H1 · no deficiencies cited

    Official 2567 ↗
  6. · Complaint

    Event VF9D11 · no deficiencies cited

    Official 2567 ↗
  7. · Recertification

    Event 9GMK21 · 6 deficiencies

    Official 2567 ↗
  8. · Recertification

    Event 9GMK11 · 2 deficiencies

    Official 2567 ↗
  9. · Complaint

    Event 2SJA11 · no deficiencies cited

    Official 2567 ↗
  10. · Complaint

    Event II3411 · no deficiencies cited

    Official 2567 ↗
  11. · Complaint

    Event PDE611 · 4 deficiencies (1 condition-level)

    Official 2567 ↗
  12. · Complaint

    Event TKEQ11 · 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

59 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): no deficiencies(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 (recertification): 6 deficiencies(state record)

    See this survey →
  8. ReportFederal survey (recertification): 2 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.