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

SHINRAI-ARAM

ICF/DD-N (Nursing) · 6 licensed beds · San Jose, CA

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

Address

SHINRAI-ARAM2492 ARAM AVESan Jose, CA 95128 · Santa Clara County

Phone: (408) 298-5205

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-N (Nursing)
Licensed beds
6
Administrator
DE JESUS, NOEL
CDPH facility ID
070001362
License number
070000663
First licensed
April 14, 2003
Current license
May 16, 2026 to May 15, 2027
CDPH district office
San Jose

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
55G482
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
November 14, 2003
Last certification survey
April 25, 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 2.5 · LVN/LPN 6.25 · direct care 12 · all employees 20.75

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 BOther

    Citation - B · Violations: T22 DIV5 CH4 ART4-73539 · Violation Jan 7, 2021 · Penalty #070016417 · Survey DCM111

    Status: Closed · Not appealed

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Jul 26, 2009 · Penalty #070006454 · Survey HQI011

    Status: Closed · Not appealed

    $650

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Dec 3, 2005 · Penalty #070002961 · Survey C6E911

    Status: Closed · Not appealed

    $1,000

  • Class BAdministration

    Citation B (HSC 1424) · Violation Aug 30, 2005 · Penalty #070002978 · Survey C6E911

    Status: Closed · Not appealed

    $1,000

  • Class BPatient Care

    Citation B (HSC 1424) · Violation May 31, 2005 · Penalty #070002606

    Status: Closed · Not appealed

    $900

Federal inspections (CMS-2567)

35 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 36A3B0-H1 · no deficiencies cited

    Official 2567 ↗
  2. · Complaint

    Event 235351-H1 · 1 deficiency

    Official 2567 ↗
  3. · Complaint

    Event EEZV11 · 2 deficiencies

    Official 2567 ↗
  4. · Recertification

    Event SWEZ21 · 8 deficiencies

    Official 2567 ↗
  5. · Complaint, Recertification

    Event SWEZ11 · 8 deficiencies

    Official 2567 ↗
  6. · Recertification

    Event 6TTO21 · 3 deficiencies

    Official 2567 ↗
  7. · Complaint, Recertification

    Event 6TTO11 · 9 deficiencies

    Official 2567 ↗
  8. · Complaint

    Event QQHF11 · no deficiencies cited

    Official 2567 ↗
  9. · Recertification

    Event D4NS21 · 5 deficiencies

    Official 2567 ↗
  10. · Recertification

    Event D4NS11 · 5 deficiencies

    Official 2567 ↗
  11. · Complaint

    Event XNMD11 · no deficiencies cited

    Official 2567 ↗
  12. · Complaint

    Event MX8E11 · 1 deficiency

    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

41 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 (complaint): 1 deficiency(state record)

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

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

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

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

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

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

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

    See this survey →
  10. ReportFederal survey (recertification): 5 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.