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

WRS INC., SQUAW PROGRAM

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

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

Address

WRS INC., SQUAW PROGRAM1571 SQUAW VALLEY DRIVEWoodland, CA 95776 · Yolo County

Phone: (530) 419-0059

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
6
Administrator
KENEALY, SHELLY
CDPH facility ID
100001249
License number
100000520
First licensed
June 1, 1994
Current license
Nov 18, 2025 to Nov 17, 2026
CDPH district office
Sacramento

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
55G124
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
September 15, 1997
Last certification survey
June 4, 2025
CMS certification status
Certified
In compliance (CMS)
Yes
Last certification action
Recertification
Ownership type (CMS)
Private (proprietary)
Certified beds (CMS)
6
Staffing reported to CMS
RN 0.33 · LVN/LPN 0 · direct care 6 · all employees 6.33

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 Sep 27, 2007 · Penalty #030005261 · Survey D70411

    Status: Closed · Not appealed

    $1,000

  • Class BFinancial Occurrence/Fac Not Self Reported

    Citation B (HSC 1424) · Violation Sep 7, 2001 · Penalty #100002147

    Status: Closed · Not appealed

    $1,000

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Sep 20, 1999 · Penalty #100002096

    Status: Closed · Not appealed

    $1,000

  • Class BOther (Other)

    Citation B (HSC 1424) · Violation May 2, 2001 · Penalty #100002080

    Status: Closed · Not appealed

    $800

Federal inspections (CMS-2567)

18 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 2D055E-L1 · 3 deficiencies

    Official 2567 ↗
  2. · Recertification

    Event 2D055E-H1 · 4 deficiencies

    Official 2567 ↗
  3. · Recertification

    Event QEJQ21 · 2 deficiencies

    Official 2567 ↗
  4. · Recertification

    Event QEJQ11 · 6 deficiencies

    Official 2567 ↗
  5. · Complaint

    Event 34NL11 · no deficiencies cited

    Official 2567 ↗
  6. · Complaint

    Event 284M11 · no deficiencies cited

    Official 2567 ↗
  7. · Recertification

    Event K9XL21 · 5 deficiencies

    Official 2567 ↗
  8. · Recertification

    Event K9XL11 · 5 deficiencies

    Official 2567 ↗
  9. · Complaint

    Event RIB511 · no deficiencies cited

    Official 2567 ↗
  10. · Recertification

    Event RT4E21 · 2 deficiencies

    Official 2567 ↗
  11. · Recertification

    Event RT4E11 · 8 deficiencies

    Official 2567 ↗
  12. · Focused Infection Control, Other-Fed

    Event GE2R11 · 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

23 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): 3 deficiencies(state record)

  2. ReportFederal survey (recertification): 4 deficiencies(state record)

  3. ReportFederal survey (recertification): 2 deficiencies(state record)

  4. ReportFederal survey (recertification): 6 deficiencies(state record)

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

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

  7. ReportFederal survey (recertification): 5 deficiencies(state record)

  8. ReportFederal survey (recertification): 5 deficiencies(state record)

  9. ReportFederal survey (complaint): no deficiencies(state record)

  10. ReportFederal survey (recertification): 2 deficiencies(state record)

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.