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

PEARL HOME

ICF/DD-N (Nursing) · 6 licensed beds · Oxnard, CA

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

Address

PEARL HOME1910 RHONDA STOxnard, CA 93030 · Ventura County

Phone: (805) 659-1218

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-N (Nursing)
Licensed beds
6
Licensee
EPIPHANY CARE HOMES INC · Profit Corp
Administrator
RUIZ, BRIANA C
CDPH facility ID
050001072
License number
050000433
First licensed
May 1, 1995
Current license
Nov 1, 2025 to Oct 31, 2026
CDPH district office
Ventura

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
05G871
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
January 8, 1984
Last certification survey
December 3, 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 0.23 · LVN/LPN 1.4 · direct care 5.6 · all employees 7.23

State citations and penalties (CDPH)

7 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 Rights

    Citation B (HSC 1424) · Violation May 30, 2004 · Penalty #050001602

    Status: Closed · Appealed (received Aug 4, 2004)

    $500

    initially $1,000

  • Class BAdministration

    Citation B (HSC 1424) · Violation Mar 22, 2004 · Penalty #050001603

    Status: Closed · Not appealed

    $500

  • Class BAbuse/Facility Not Self Reported

    Citation B (HSC 1424) · Violation Nov 23, 2002 · Penalty #050001550

    Status: Closed · Not appealed

    $100

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Nov 23, 2002 · Penalty #050001551

    Status: Closed · Not appealed

    $500

  • Class AAdministration

    Citation A (HSC 1424) · Violation May 29, 2002 · Penalty #050001517

    Status: Closed · Appealed (received Sep 13, 2002)

    $5,000

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Dec 6, 2001 · Penalty #050001494

    Status: Closed · Appealed (received Mar 18, 2002)

    $500

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Apr 3, 2000 · Penalty #050001383

    Status: Closed · Not appealed

    $500

Federal inspections (CMS-2567)

30 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 22BEB0-H1 · no deficiencies cited

    Official 2567 ↗
  2. · Recertification

    Event A0RD21 · 1 deficiency

    Official 2567 ↗
  3. · Recertification

    Event A0RD11 · 3 deficiencies

    Official 2567 ↗
  4. · Recertification

    Event 2JTY21 · 2 deficiencies

    Official 2567 ↗
  5. · Recertification

    Event 2JTY11 · 5 deficiencies

    Official 2567 ↗
  6. · Complaint

    Event FFHN11 · no deficiencies cited

    Official 2567 ↗
  7. · Complaint

    Event WSB311 · no deficiencies cited

    Official 2567 ↗
  8. · Recertification

    Event IK1721 · 3 deficiencies

    Official 2567 ↗
  9. · Recertification

    Event IK1711 · 8 deficiencies

    Official 2567 ↗
  10. · Complaint

    Event D3SY11 · no deficiencies cited

    Official 2567 ↗
  11. · Complaint

    Event 6VLW11 · no deficiencies cited

    Official 2567 ↗
  12. · Complaint

    Event PZWU11 · 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

38 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 (recertification): 1 deficiency(state record)

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

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

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

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