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

INDEPENDENT OPTIONS, INC. HARBOR VILLAGE I

ICF/DD-H (Habilitative) · 6 licensed beds · Costa Mesa, CA

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

Address

INDEPENDENT OPTIONS, INC. HARBOR VILLAGE I2532 SANTA CATALINA DR, SUITE 101Costa Mesa, CA 92626 · Orange County

Phone: (657) 226-5690

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
6
Licensee
INDEPENDENT OPTIONS, INC. · Profit Corp
Administrator
SCHIELE, MORGAN A
CDPH facility ID
060000933
License number
060000256
First licensed
November 13, 1989
Current license
Nov 13, 2025 to Nov 12, 2026
CDPH district office
Orange

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
05G425
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
March 2, 1990
Last certification survey
October 9, 2025
CMS certification status
Certified
In compliance (CMS)
Yes
Last certification action
Complaint
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 645

State citations and penalties (CDPH)

1 penalty, 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 BAbuse/Facility Not Self Reported

    Citation - B · Violations: 483.420(d)(1)(i) · Violation May 2, 2024 · Penalty #060020267 · Survey 0CQV11

    Status: Closed · Not appealed

Federal inspections (CMS-2567)

20 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 341F41-H1 · 3 deficiencies

    Official 2567 ↗
  2. · Complaint

    Event 22E868-H1 · 2 deficiencies

    Official 2567 ↗
  3. · Complaint

    Event 58O511 · no deficiencies cited

    Official 2567 ↗
  4. · Recertification

    Event F9WA21 · 1 deficiency

    Official 2567 ↗
  5. · Complaint, Recertification

    Event F9WA11 · 10 deficiencies

    Official 2567 ↗
  6. · Complaint

    Event Z7YT11 · 1 deficiency

    Official 2567 ↗
  7. · Recertification

    Event MIBD21 · 4 deficiencies

    Official 2567 ↗
  8. · Recertification

    Event MIBD11 · 8 deficiencies

    Official 2567 ↗
  9. · Complaint

    Event 0CQV11 · 2 deficiencies

    Official 2567 ↗
  10. · Complaint

    Event 9UJH11 · 1 deficiency

    Official 2567 ↗
  11. · Complaint

    Event ZJDQ11 · 2 deficiencies

    Official 2567 ↗
  12. · Recertification

    Event 2CYQ21 · 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

22 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): 3 deficiencies(state record)

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

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

    See this survey →
  4. ReportFederal survey (recertification): 1 deficiency(state record)

    See this survey →
  5. ReportFederal survey (complaint, recertification): 10 deficiencies(state record)

    See this survey →
  6. ReportFederal survey (complaint): 1 deficiency(state record)

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

    See this survey →
  8. ReportFederal survey (recertification): 8 deficiencies(state record)

    See this survey →
  9. ReportState Class B citation ($1,000)(state record)

    See this citation →
  10. ReportFederal survey (complaint): 2 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.