MOUNTAIN SHADOWS COMMUNITY HOMES - PLUM

Facility type

ICF/DD-H (Habilitative)

Licensed beds

6

Licensee

MOUNTAIN SHADOWS SUPPORT GROUP · Nonprofit (state label: Nonprofit Corp)

Administrator

SALAZAR, KASYN M

IDs

CDPH facility ID 090000313 · License #090000272 · Federal ID (CCN) 05G514

Current license

Dec 9, 2025 to Dec 8, 2026

CDPH district office

San Diego

Status in CDPH's listing

Licensed And Certified

Pays through

Medi-Cal

Participating since

June 7, 1991

Last certification inspection

June 5, 2025From CMS's Provider of Services file, which can lag behind the inspections listed below.

CMS certification status

Certified

Meets federal requirements (CMS)

Yes

Last CMS certification step

Recertification

Ownership change (CMS)

October 1, 2002

Ownership type (CMS)

Private (non-profit)

Certified beds (CMS)

5Beds certified for Medi-Cal; licensed beds (6) are all the beds CDPH's license allows.

Staffing reported to CMS (full-time equivalents)

RN 1 · LVN/LPN 0 · direct care 6 · all employees 7Staff hours counted as full-time jobs: 1 is one full-time job; 0.25 is about 10 hours a week.

CDPH's citations come in three classes: AA (a substantial factor in a resident's death), A (imminent danger or a substantial probability of death or serious harm) and B (a direct relationship to residents' health, safety or security). Care homes licensed by Social Services use Type A/B instead: a different agency and scale. State citations explained

No state citations or penalties on record for this facility in CDPH's enforcement data (July 1998 to date).

CDPH inspects Medi-Cal certified ICFs for CMS (the federal agency calls these "surveys"). Each finding has a code: W for a care or rights rule, E for emergency preparedness, K for fire safety. A "condition-level" finding is the most serious kind: a whole area of care failed. 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. Sep 23, 2026 · Routine inspection (recertification)

   1 problem found · Inspection ID 36A16C-L1

   • KS346Fire alarm out of service(CMS: Fire Alarm System - Out Of Service)

   Official federal report ↗Read findings

2. Jun 9, 2025 · Routine inspection (recertification)

   no problems found · Inspection ID 12A321

   Official federal report ↗Read inspection note

3. Jun 5, 2025 · Routine inspection (recertification)

   no problems found · Inspection ID 12A311

   Official federal report ↗Read inspection note

4. Mar 13, 2025 · Complaint inspection

   no problems found · Inspection ID W26N11

   Official federal report ↗Read inspection note

5. Feb 18, 2025 · Complaint inspection

   no problems found · Inspection ID OUKQ11

   Official federal report ↗Read inspection note

6. May 30, 2024 · Routine inspection (recertification)

   no problems found · Inspection ID 40GB21

   Official federal report ↗Read inspection note

7. May 22, 2024 · Routine inspection (recertification)

   8 problems found · Inspection ID 40GB11

   • W323Doctor's care (physician services)(CMS: Physician Services)
   • W325Doctor's care (physician services)(CMS: Physician Services)
   • W368Giving medications(CMS: Drug Administration)
   • W381Storing medications and keeping records(CMS: Drug Storage And Recordkeeping)
   • W386Storing medications and keeping records(CMS: Drug Storage And Recordkeeping)
   • W388Medication labels(CMS: Drug Labeling)
   • W389Medication labels(CMS: Drug Labeling)
   • W454Infection control(CMS: Infection Control)

   Official federal report ↗Read findings

8. Feb 29, 2024 · Complaint inspection

   no problems found · Inspection ID YL1W11

   Official federal report ↗Read inspection note

9. Nov 21, 2023 · Complaint inspection

   no problems found · Inspection ID OM6L11

   Official federal report ↗Read inspection note

10. Sep 20, 2023 · Complaint inspection

    1 problem found · Inspection ID OMJ111

    • W368Giving medications(CMS: Drug Administration)

    Official federal report ↗Read findings

11. Apr 20, 2023 · Complaint inspection

    no problems found · Inspection ID 5BSS11

    Official federal report ↗Read inspection note

12. Mar 15, 2023 · Complaint inspection

    1 problem found · Inspection ID L4KC11

    • W153How staff treat residents: preventing and reporting abuse and neglect(CMS: Staff Treatment Of Clients)

    Official federal report ↗Read findings

From CMS's inspection data, saved Oct 26, 2026; data after March 19, 2026 may be incomplete while CMS's systems migrate. Plans of correction and State-only (licensing) findings aren't in CMS's file; the official federal reports (form CMS-2567) on CalHealthFind have them.