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

MOUNTAIN SHADOWS COMMUNITY HOMES - ASH

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

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

Address

MOUNTAIN SHADOWS COMMUNITY HOMES - ASH2067 W EL NORTE PKWYEscondido, CA 92026 · San Diego County

Phone: (760) 743-3714

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
6
Licensee
MOUNTAIN SHADOWS SUPPORT GROUP · Nonprofit Corp
Administrator
PARKER, BRITTIN
CDPH facility ID
090000277
License number
090000261
First licensed
January 27, 1986
Current license
Dec 9, 2025 to Dec 8, 2026
CDPH district office
San Diego

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
05G202
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
February 27, 1986
Last certification survey
January 14, 2026
CMS certification status
Certified
In compliance (CMS)
Yes
Last certification action
Recertification
Ownership change (CMS)
October 1, 2002
Ownership type (CMS)
Private (non-profit)
Certified beds (CMS)
6
Staffing reported to CMS
RN 0.15 · LVN/LPN 0 · direct care 6.3 · all employees 6.45

State citations and penalties (CDPH)

4 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 Care

    Citation B (HSC 1424) · Violation Jan 4, 2014 · Penalty #090010419 · Survey VRVV11

    Status: Closed · Not appealed

    $1,000

  • Class BMedication

    Citation B (HSC 1424) · Violation Jun 13, 2006 · Penalty #090003611 · Survey PV8S11

    Status: Closed · Not appealed

    $950

  • Class BPatient Care

    Citation B (HSC 1424) · Violation Sep 2, 2006 · Penalty #090003424 · Survey UJ6S11

    Status: Closed · Not appealed

    $800

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Jun 5, 2002 · Penalty #090002803

    Status: Closed · Not appealed

    $500

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. · Recertification

    Event HRD321 · 1 deficiency

    Official 2567 ↗
  2. · Recertification

    Event HRD311 · 8 deficiencies

    Official 2567 ↗
  3. · Complaint

    Event U0F411 · no deficiencies cited

    Official 2567 ↗
  4. · Complaint

    Event 8SO711 · no deficiencies cited

    Official 2567 ↗
  5. · Complaint

    Event KLV611 · no deficiencies cited

    Official 2567 ↗
  6. · Recertification

    Event R5GX21 · 3 deficiencies

    Official 2567 ↗
  7. · Recertification

    Event R5GX11 · 1 deficiency

    Official 2567 ↗
  8. · Recertification

    Event DJDB21 · 1 deficiency

    Official 2567 ↗
  9. · Recertification

    Event DJDB11 · 1 deficiency

    Official 2567 ↗
  10. · Complaint

    Event F8QJ11 · no deficiencies cited

    Official 2567 ↗
  11. · Complaint

    Event FO3611 · 2 deficiencies

    Official 2567 ↗
  12. · Complaint

    Event OTDD11 · 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

40 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): 1 deficiency(state record)

    See this survey →
  2. ReportFederal survey (recertification): 8 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 (recertification): 3 deficiencies(state record)

    See this survey →
  7. ReportFederal survey (recertification): 1 deficiency(state record)

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

    See this survey →
  9. ReportFederal survey (recertification): 1 deficiency(state record)

    See this survey →
  10. ReportFederal survey (complaint): no 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.