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

LOCUST HOME

ICF/DD-H (Habilitative) · 15 licensed beds · Manteca, CA

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

Address

LOCUST HOME1151 LOCUST AVENUEManteca, CA 95337 · San Joaquin County

Phone: (209) 823-6061

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
15
Licensee
HERITAGE ESTATES, INC. · Profit Corp
Administrator
PERRY-HYLTON, SHERRY
CDPH facility ID
100000194
License number
100000239
First licensed
August 1, 1985
Current license
Dec 1, 2025 to Nov 30, 2026
CDPH district office
Stockton

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
05G176
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
July 26, 1985
Last certification survey
February 19, 2025
CMS certification status
Certified
In compliance (CMS)
Yes
Last certification action
Recertification
Ownership type (CMS)
Private (proprietary)
Certified beds (CMS)
15
Staffing reported to CMS
RN 33 · LVN/LPN 0 · direct care 1413.79 · all employees 1562

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 Rights

    Citation - B · Violations: 483.420(a)(5) · Violation Jan 6, 2025 · Penalty #990021517 · Survey NDW211

    Status: Closed

  • Class BPatient Rights

    Citation - B · Violations: 483.420(d)(1)(i) · Violation Oct 24, 2022 · Penalty #990018267 · Survey 36YM11

    Status: Closed · Not appealed

  • Class BAbuse/Facility Not Self Reported

    Citation - B · Violations: 1418.91(a), 1418.91(b) · Violation May 23, 2022 · Penalty #990018269 · Survey 36YM11

    Status: Closed · Not appealed

  • Class BAbuse/Facility Not Self Reported

    Citation - B · Violations: 1418.91(a), 1418.91(b) · Violation Feb 24, 2022 · Penalty #030017548 · Survey 0D7911

    Status: Closed · Not appealed

Federal inspections (CMS-2567)

89 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 2F5F15-H1 · no deficiencies cited

    Official 2567 ↗
  2. · Recertification

    Event BVTB21 · 3 deficiencies

    Official 2567 ↗
  3. · Complaint, Recertification

    Event BVTB11 · 2 deficiencies

    Official 2567 ↗
  4. · Complaint

    Event SRF011 · 2 deficiencies

    Official 2567 ↗
  5. · Complaint

    Event 3T6411 · no deficiencies cited

    Official 2567 ↗
  6. · Complaint

    Event O60M11 · no deficiencies cited

    Official 2567 ↗
  7. · Complaint

    Event QPHE11 · no deficiencies cited

    Official 2567 ↗
  8. · Recertification

    Event NDW221 · 1 deficiency

    Official 2567 ↗
  9. · Complaint, Recertification

    Event NDW211 · 5 deficiencies

    Official 2567 ↗
  10. · Complaint

    Event YCYZ11 · 2 deficiencies

    Official 2567 ↗
  11. · Complaint

    Event PQ9511 · no deficiencies cited

    Official 2567 ↗
  12. · Complaint

    Event LPMI11 · 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

94 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 (recertification): 3 deficiencies(state record)

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

    See this survey →
  4. ReportFederal survey (complaint): 2 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. ReportState Class B citation ($3,000)(state record)

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

    See this survey →
  10. ReportFederal survey (complaint, 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.