MOUNTAIN SHADOWS COMMUNITY HOMES - OAK
ICF/DD-H (Habilitative) · 6 licensed beds · San Marcos, CA
Homes of 4–15 beds for people with developmental disabilities whose nursing needs are intermittent and predictable.
Address
MOUNTAIN SHADOWS COMMUNITY HOMES - OAK866 VIKING LNSan Marcos, CA 92069 · San Diego CountyPhone: (760) 743-3714
Last 3 years: 10 federal inspections (7 found problems), 0 State citations or penalties. Last federal inspection: Dec 4, 2025.
State citations & penalties
2
since 1998 · 2 Class B
Federal inspections
26
since 2018 · 16 found problems
Federal findings
56
since 2018, care and fire safety · none of the most serious kind
Last federal inspection
Dec 4, 2025
- Complaints aren't shown here; see this home on CalHealthFind ↗, CDPH's own site.
- Federal inspections after March 19, 2026 may be missing: CMS says its data since then may be incomplete.
Facility details
- Facility type
- ICF/DD-H (Habilitative)
- Licensed beds
- 6
- Licensee
- MOUNTAIN SHADOWS SUPPORT GROUP · Nonprofit (state label: Nonprofit Corp)
- Administrator
- RENDON, TAYLOR A
- IDs
- CDPH facility ID 090001340 · License #090000546 · Federal ID (CCN) 55G005
- First licensed
- May 28, 1996
- Current license
- Dec 9, 2025 to Dec 8, 2026
- CDPH district office
- San Diego
Federal certification (CMS)
- Status in CDPH's listing
- Licensed And Certified
- Program
- Medi-Cal (state label: T19)
- Participating since
- August 16, 1996
- Last certification inspection
- December 4, 2025From CMS's Provider of Services file, which can lag behind the inspections listed below.
- 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 (full-time equivalents)
- RN 0.15 · LVN/LPN 0 · direct care 6.3 · all employees 6.81Staff hours counted as full-time jobs: 1 is one full-time job; 0.25 is about 10 hours a week.
State citations and penalties (CDPH)
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
Class BPatient Rights
Citation B (HSC 1424) · Violation Aug 29, 2004 · Penalty #090002845
Case closed · Not appealed
$1,000
Class BPatient Care
Citation B (HSC 1424) · Violation Dec 30, 1999 · Penalty #090002755
Case closed · Not appealed
$750
Federal inspections
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").
· Routine inspection (recertification)
6 problems found · Inspection ID N46011
· Routine inspection (recertification)
2 problems found · Inspection ID N46021
· Complaint inspection
no problems found · Inspection ID GPRP11
· Complaint inspection
no problems found · Inspection ID U9GS11
· Complaint inspection
no problems found · Inspection ID VUVP11
· Routine inspection (recertification)
2 problems found · Inspection ID TBOB21
· Routine inspection (recertification)
4 problems found · Inspection ID TBOB11
· Routine inspection (recertification)
1 problem found · Inspection ID CX2121
· Complaint, Recertification inspection
5 problems found · Inspection ID CX2111
· Complaint inspection
no problems found · Inspection ID TVF311
· Complaint inspection
no problems found · Inspection ID HDQV11
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.
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 findings and ownership details.
Federal inspections that came from a complaint or an incident report do appear above, marked "Complaint inspection".
Open this facility on CalHealthFind ↗How to file a complaint with CDPH
Change history
29 events (28 reports, 1 other change), newest first
Dates are the agencies' own (license, federal inspection and citation dates), except changes marked "detected": those we spotted in CDPH's monthly list ourselves, tracked since Oct 26, 2026.
ReportRoutine federal inspection: 6 problems found
See this inspection →ReportRoutine federal inspection: 2 problems found
See this inspection →ReportFederal complaint inspection: no problems found
See this inspection →ReportFederal complaint inspection: no problems found
See this inspection →ReportFederal complaint inspection: no problems found
See this inspection →ReportRoutine federal inspection: 2 problems found
See this inspection →ReportRoutine federal inspection: 4 problems found
See this inspection →ReportFederal complaint inspection: 1 problem found
See this inspection →ReportRoutine federal inspection: 1 problem found
See this inspection →ReportFederal inspection (complaint, recertification): 5 problems found
See this inspection →
Sources: CDPH Licensed and Certified Healthcare Facility Listing (data as of Oct 16, 2026), CDPH State Enforcement Actions, and CMS's ICF/IID inspection (CMS-2567) and Provider of Services files. Always confirm with CDPH's CalHealthFind ↗ before making a decision. See How our data works.