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

ENRICHING LIVES II

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

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

Address

ENRICHING LIVES II2501 CHRISTOPHER LNCosta Mesa, CA 92626 · Orange County

Phone: (562) 331-5055

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-N (Nursing)
Licensed beds
6
Licensee
ENRICHING LIVES INC. · Profit Corp
Administrator
HARRIS, SHANNON
CDPH facility ID
060001033
License number
060000278
First licensed
August 10, 1990
Current license
Dec 1, 2025 to Nov 30, 2026
CDPH district office
Orange

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
05G477
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
November 26, 1990
Last certification survey
January 16, 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 0.25 · LVN/LPN 0 · direct care 6.5 · all employees 0

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

No state citations or penalties on record for this facility in CDPH's enforcement data (July 1998 to date).

Federal inspections (CMS-2567)

22 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 233C02-H1 · 1 deficiency

    Official 2567 ↗
  2. · Complaint

    Event 22D93A-H1 · 2 deficiencies

    Official 2567 ↗
  3. · Recertification

    Event L8E421 · 2 deficiencies

    Official 2567 ↗
  4. · Recertification

    Event PSR421 · 5 deficiencies

    Official 2567 ↗
  5. · Complaint, Recertification

    Event PSR411 · 11 deficiencies

    Official 2567 ↗
  6. · Complaint

    Event TIEP11 · 4 deficiencies

    Official 2567 ↗
  7. · Recertification

    Event D9FX21 · 11 deficiencies

    Official 2567 ↗
  8. · Recertification

    Event D9FX11 · 17 deficiencies

    Official 2567 ↗
  9. · Complaint

    Event 4C7Z11 · 1 deficiency

    Official 2567 ↗
  10. · Complaint

    Event GVH111 · no deficiencies cited

    Official 2567 ↗
  11. · Recertification

    Event MDYB21 · 15 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

23 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): 1 deficiency(state record)

  2. ReportFederal survey (complaint): 2 deficiencies(state record)

  3. ReportFederal survey (recertification): 2 deficiencies(state record)

  4. ReportFederal survey (recertification): 24 deficiencies(state record)

  5. ReportFederal survey (recertification): 5 deficiencies(state record)

  6. ReportFederal survey (complaint, recertification): 11 deficiencies(state record)

  7. ReportFederal survey (complaint): 4 deficiencies(state record)

  8. ReportFederal survey (recertification): 11 deficiencies(state record)

  9. ReportFederal survey (recertification): 17 deficiencies(state record)

  10. ReportFederal survey (complaint): 1 deficiency(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.