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ICF/DDLicense activeMedi-Cal certified

HILLDALE HABILITATION CENTER

ICF/DD · 57 licensed beds · La Mesa, CA

Larger intermediate care facilities for people with developmental disabilities.

Address

HILLDALE HABILITATION CENTER7979 LA MESA BLVDLa Mesa, CA 91942 · San Diego County

Phone: (619) 465-8010

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD
Licensed beds
57
Licensee
RAZAVI CORPORATION · Profit Corp
Administrator
SIEMENS, DARREN
CDPH facility ID
090000118
License number
090000058
First licensed
January 27, 1964
Current license
Jun 30, 2026 to Jun 29, 2027
CDPH district office
San Diego

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
05G028
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
November 1, 1978
Last certification survey
October 16, 2025
CMS certification status
Certified
In compliance (CMS)
Yes
Last certification action
Recertification
Ownership type (CMS)
Private (proprietary)
Certified beds (CMS)
57
Staffing reported to CMS
RN 20 · LVN/LPN 10 · direct care 20 · all employees 50

State citations and penalties (CDPH)

2 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 BPhysical Environment

    Citation - B · Violations: 483.460(c) · Violation Apr 8, 2020 · Penalty #100017223 · Survey SIQ111

    Status: Closed · Not appealed

  • Class BOtherDeath-related

    Citation - B · Violations: 483.460(c) · Violation Jun 5, 2019 · Penalty #100016831 · Survey OPBI11

    Status: Closed · Not appealed

Federal inspections (CMS-2567)

69 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 3436B7-H1 · no deficiencies cited

    Official 2567 ↗
  2. · Complaint

    Event 237430-H1 · no deficiencies cited

    Official 2567 ↗
  3. · Complaint

    Event 2364C2-H1 · no deficiencies cited

    Official 2567 ↗
  4. · Complaint

    Event 2310C5-H1 · no deficiencies cited

    Official 2567 ↗
  5. · Complaint

    Event 22F722-H1 · no deficiencies cited

    Official 2567 ↗
  6. · Complaint

    Event R4IL11 · no deficiencies cited

    Official 2567 ↗
  7. · Complaint

    Event 3EV411 · no deficiencies cited

    Official 2567 ↗
  8. · Complaint

    Event AQ0811 · no deficiencies cited

    Official 2567 ↗
  9. · Recertification

    Event QJSL21 · 3 deficiencies

    Official 2567 ↗
  10. · Recertification

    Event QJSL11 · 4 deficiencies

    Official 2567 ↗
  11. · Complaint

    Event HHOM11 · no deficiencies cited

    Official 2567 ↗
  12. · Complaint

    Event W5T111 · no deficiencies cited

    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

72 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): no deficiencies(state record)

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

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

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

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

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

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

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

    See this survey →
  10. ReportFederal survey (recertification): 4 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.