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

ROBIN DALE HOME

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

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

Address

ROBIN DALE HOME23052 DUNE MEAR RDLake Forest, CA 92630 · Orange County

Phone: (951) 231-8805

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-N (Nursing)
Licensed beds
6
Licensee
MARGARET'S VILLA, INC. · Profit Corp
Administrator
ORTIZ, LILIBETH D
CDPH facility ID
060002158
License number
060000877
First licensed
July 24, 2003
Current license
Nov 24, 2025 to Nov 23, 2026
CDPH district office
Orange

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
55G483
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
December 1, 2003
Last certification survey
April 11, 2025
CMS certification status
Certified
In compliance (CMS)
Yes
Last certification action
Recertification
Ownership type (CMS)
Other (specify)
Certified beds (CMS)
6
Staffing reported to CMS
RN 0.25 · LVN/LPN 1.5 · direct care 5 · all employees 8.75

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 BPatient Care

    Citation B (HSC 1424) · Violation Sep 12, 2010 · Penalty #060007771 · Survey YNJL11

    Status: Closed · Not appealed

    $500

Federal inspections (CMS-2567)

15 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. · Recertification

    Event 231D29-L1 · 2 deficiencies

    Official 2567 ↗
  2. · Recertification

    Event 231D29-H1 · 8 deficiencies

    Official 2567 ↗
  3. · Recertification

    Event HW1K21 · no deficiencies cited

    Official 2567 ↗
  4. · Recertification

    Event HW1K11 · 8 deficiencies

    Official 2567 ↗
  5. · Complaint

    Event QCMC11 · no deficiencies cited

    Official 2567 ↗
  6. · Recertification

    Event 98CQ21 · 3 deficiencies

    Official 2567 ↗
  7. · Recertification

    Event 98CQ11 · 17 deficiencies

    Official 2567 ↗
  8. · Recertification

    Event R8RX21 · 12 deficiencies

    Official 2567 ↗
  9. · Recertification

    Event R8RX11 · 13 deficiencies

    Official 2567 ↗
  10. · Focused Infection Control, Other-Fed

    Event L1I011 · no deficiencies cited

    Official 2567 ↗
  11. · Recertification

    Event LVQG21 · 10 deficiencies

    Official 2567 ↗
  12. · Recertification

    Event LVQG11 · 7 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

17 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 (recertification): 2 deficiencies(state record)

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

  3. ReportFederal survey (recertification): no deficiencies(state record)

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

  5. ReportFederal survey (complaint): no deficiencies(state record)

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

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

  8. ReportFederal survey (recertification): 12 deficiencies(state record)

  9. ReportFederal survey (recertification): 13 deficiencies(state record)

  10. ReportFederal survey (focused infection control, other-fed): 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.