PELICAN HOME
ICF/DD-H (Habilitative) · 6 licensed beds · Oxnard, CA
Homes of 4–15 beds for people with developmental disabilities whose nursing needs are intermittent and predictable.
Address
PELICAN HOME1101 IVYWOOD DRIVEOxnard, CA 93030 · Ventura CountyPhone: (805) 983-7601
State penalties
4
Class 1 A · 3 B
Federal surveys
63
since 2018 · 21 with deficiencies
Federal deficiencies
50
1 condition-level
Last federal survey
Sep 21, 2026
survey date
Facility details
- Facility type
- ICF/DD-H (Habilitative)
- Licensed beds
- 6
- Licensee
- EPIPHANY CARE HOMES INC · Profit Corp
- Administrator
- FLORES, STEPHANIE
- CDPH facility ID
- 050000610
- License number
- 050000277
- First licensed
- September 10, 1991
- Current license
- Nov 1, 2025 to Oct 31, 2026
- CDPH district office
- Ventura
Federal certification (CMS)
- CMS Certification Number (CCN)
- 05G544
- Status in CDPH's listing
- Licensed And Certified
- Program
- Medi-Cal (Medicaid, Title XIX)
- Participating since
- September 11, 1991
- Last certification survey
- January 15, 2026
- CMS certification status
- Certified
- In compliance (CMS)
- Yes
- Last certification action
- Other
- Ownership type (CMS)
- Private (proprietary)
- Certified beds (CMS)
- 6
- Staffing reported to CMS
- RN 0.15 · LVN/LPN 0 · direct care 6.3 · all employees 6.45
State citations and penalties (CDPH)
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 Rights
Citation B (HSC 1424) · Violation Sep 9, 2004 · Penalty #050001626
Status: Closed · Not appealed
$800
Class BPatient Rights
Citation B (HSC 1424) · Violation Jul 6, 2003 · Penalty #050001580
Status: Closed · Not appealed
$1,000
Class APatient Rights
Citation A (HSC 1424) · Violation Dec 9, 2000 · Penalty #050001442
Status: Closed · Appealed (received Feb 9, 2001)
$5,000
Class BPatient Rights
Citation B (HSC 1424) · Violation Aug 25, 2000 · Penalty #050001440
Status: Closed · Appealed (received Feb 9, 2001)
$1,050
initially $1,000
Federal inspections (CMS-2567)
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").
· Complaint
Event 3432DC-H1 · no deficiencies cited
· Complaint
Event 25CBF9-H1 · no deficiencies cited
· Complaint
Event 22BE89-H1 · no deficiencies cited
· Complaint
Event J06T11 · no deficiencies cited
· Complaint
Event 9DU211 · no deficiencies cited
· Complaint
Event SSX511 · no deficiencies cited
· Complaint
Event 1NNN11 · no deficiencies cited
· Complaint
Event GTK311 · no deficiencies cited
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
68 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.
ReportFederal survey (complaint): no deficiencies(state record)
ReportFederal survey (complaint): no deficiencies(state record)
ReportFederal survey (complaint): 1 deficiency(state record)
ReportFederal survey (complaint): no deficiencies(state record)
ReportFederal survey (recertification): 3 deficiencies(state record)
ReportFederal survey (recertification): 2 deficiencies(state record)
ReportFederal survey (complaint): no deficiencies(state record)
ReportFederal survey (complaint): no deficiencies(state record)
ReportFederal survey (complaint): no deficiencies(state record)
ReportFederal survey (complaint): no 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.