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

KCARE HOME

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

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

Address

KCARE HOME1935 BIG BEND DRMilpitas, CA 95035 · Santa Clara County

Phone: (408) 838-1340

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
6
Licensee
KCARE HOMES LLC · Limited Liability Company
Administrator
CUETO, KATHLEEN V
CDPH facility ID
070001130
License number
070000484
First licensed
November 20, 2000
Current license
May 20, 2026 to May 19, 2027
CDPH district office
San Jose

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
55G392
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
September 28, 2001
Last certification survey
November 5, 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 1 · LVN/LPN 1 · direct care 6 · all employees 8

State citations and penalties (CDPH)

5 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 APatient CareDeath-related

    Citation - A · Violations: T22 DIV5 CH8.5 ART3-76875(a)(2), T22 DIV5 CH8.5 ART3-76875(a)(3), T22 DIV5 CH8.5 ART3-76875(b), T22 DIV5 CH8.5 ART3-76876(a), T22 DIV5 CH8.5 ART3-76876(b), T22 DIV5 CH8.5 ART3-76875(a), T22 DIV5 CH8.5 ART3-76875(a)(1) · Violation May 8, 2020 · Penalty #070015881 · Survey 2U1T11 · Issued to “BECKER HOME INC.”

    Status: Closed · Not appealed

  • Other penaltyBreach to person/entity outside facility/hc system

    Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) · Violation Apr 1, 2013 · Penalty #070009874 · Survey W6RL11

    Status: Closed · Not appealed

    $200

  • Other penaltyBreach to person/entity outside facility/hc system

    Failure to Report Breach to Resident (HSC 1280.15(b)(2)) · Violation Apr 2, 2013 · Penalty #070009877 · Survey W6RL11

    Status: Closed · Not appealed

    $600

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Jul 21, 2005 · Penalty #070002602

    Status: Closed · Not appealed

    $800

  • Class BAdministration

    Citation B (HSC 1424) · Violation May 6, 2003 · Penalty #070002517

    Status: Closed · Not appealed

    $400

Federal inspections (CMS-2567)

16 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 V3IB11 · no deficiencies cited

    Official 2567 ↗
  2. · Recertification

    Event WB8N21 · 3 deficiencies

    Official 2567 ↗
  3. · Recertification

    Event WB8N11 · 9 deficiencies

    Official 2567 ↗
  4. · Complaint

    Event DR9B11 · 2 deficiencies

    Official 2567 ↗
  5. · Recertification

    Event BXGZ21 · 2 deficiencies

    Official 2567 ↗
  6. · Complaint, Recertification

    Event BXGZ11 · 16 deficiencies

    Official 2567 ↗
  7. · Recertification

    Event 2KYA21 · 9 deficiencies

    Official 2567 ↗
  8. · Recertification

    Event 2KYA11 · 8 deficiencies

    Official 2567 ↗
  9. · Complaint

    Event 2U1T11 · 2 deficiencies (1 condition-level)

    Official 2567 ↗
  10. · Complaint

    Event 6QCQ11 · no deficiencies cited

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

    Event NR9H11 · no deficiencies cited

    Official 2567 ↗
  12. · Recertification

    Event Z2QB21 · 6 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): no deficiencies(state record)

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

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

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

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

    See this survey →
  6. ReportFederal survey (complaint, recertification): 16 deficiencies(state record)

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

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

    See this survey →
  9. ReportState Class A citation ($20,000)(state record)

    See this citation →
  10. ReportFederal survey (complaint): 2 deficiencies, 1 condition-level(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.