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

OLIVE STREET NORTH HOME

ICF/DD-H (Habilitative) · 6 licensed beds · Santa Ana, CA

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

Address

OLIVE STREET NORTH HOME2034 NORTH OLIVE STREETSanta Ana, CA 92706 · Orange County

Phone: (562) 469-1189

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
6
Licensee
RSCR CALIFORNIA, INC. · Profit Corp
Administrator
CONTI, LORI
CDPH facility ID
060001591
License number
060000499
First licensed
January 22, 1998
Current license
Jan 23, 2026 to Jan 22, 2027
CDPH district office
Orange

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
55G172
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
February 27, 1998
Last certification survey
October 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 0.5 · LVN/LPN 0 · direct care 3 · all employees 3.5

State citations and penalties (CDPH)

3 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 CareDeath-related

    Citation B (HSC 1424) · Violation Apr 5, 2019 · Penalty #060015085 · Survey MDYK11

    Status: Closed · Not appealed

    $1,000

  • Class BPatient Care

    Citation B (HSC 1424) · Violation Sep 18, 2017 · Penalty #060013649 · Survey PDUF11

    Status: Closed · Not appealed

    $3,000

    initially $1,000

  • Class BPatient Care

    Citation B (HSC 1424) · Violation Jan 18, 2017 · Penalty #060013100 · Survey 53PH11

    Status: Closed · Not appealed

    $1,000

Federal inspections (CMS-2567)

31 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 RTW611 · 2 deficiencies

    Official 2567 ↗
  2. · Complaint

    Event F4HJ11 · 2 deficiencies

    Official 2567 ↗
  3. · Recertification

    Event HUSP21 · 4 deficiencies

    Official 2567 ↗
  4. · Recertification

    Event HUSP11 · 21 deficiencies

    Official 2567 ↗
  5. · Complaint

    Event DI2111 · 3 deficiencies

    Official 2567 ↗
  6. · Complaint

    Event RXT811 · 1 deficiency

    Official 2567 ↗
  7. · Complaint

    Event PI5911 · no deficiencies cited

    Official 2567 ↗
  8. · Complaint

    Event PHLT11 · 1 deficiency

    Official 2567 ↗
  9. · Recertification

    Event 25V621 · 6 deficiencies

    Official 2567 ↗
  10. · Recertification

    Event 25V611 · 6 deficiencies

    Official 2567 ↗
  11. · Complaint

    Event BVB011 · 5 deficiencies

    Official 2567 ↗
  12. · Complaint

    Event ZL3211 · 3 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

35 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): 2 deficiencies(state record)

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

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

    See this survey →
  4. ReportFederal survey (recertification): 21 deficiencies(state record)

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

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

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

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

    See this survey →
  9. ReportFederal survey (recertification): 6 deficiencies(state record)

    See this survey →
  10. ReportFederal survey (recertification): 6 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.