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

WHITE LANE HOME

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

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

Address

WHITE LANE HOME5604 NICHOLAS STBakersfield, CA 93304 · Kern County

Phone: (661) 397-0703

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
6
Licensee
GOOD AND WELL HOMES, INC. · Profit Corp
Administrator
SANICO, ANA G
CDPH facility ID
120000840
License number
120000337
First licensed
April 19, 1993
Current license
Apr 19, 2026 to Apr 18, 2027
CDPH district office
Bakersfield

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
05G709
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
August 20, 1993
Last certification survey
December 3, 2025
CMS certification status
Certified
In compliance (CMS)
Yes
Last certification action
Recertification
Ownership type (CMS)
Other (specify)
Certified beds (CMS)
6
Staffing reported to CMS
RN 1 · LVN/LPN 0 · direct care 5 · all employees 6

State citations and penalties (CDPH)

2 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 BAbuse/Facility Not Self Reported

    Citation - B · Violations: 1418.91(a) · Violation Dec 7, 2023 · Penalty #120019912 · Survey SRJ411

    Status: Closed · Not appealed

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Apr 29, 2007 · Penalty #120004828 · Survey 2F3Z11

    Status: Closed · Not appealed

    $1,650

    initially $1,000

Federal inspections (CMS-2567)

26 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 V6VE21 · 3 deficiencies

    Official 2567 ↗
  2. · Complaint

    Event I34511 · no deficiencies cited

    Official 2567 ↗
  3. · Complaint, Recertification

    Event V6VE11 · 5 deficiencies

    Official 2567 ↗
  4. · Complaint

    Event 48PY11 · no deficiencies cited

    Official 2567 ↗
  5. · Complaint

    Event MKIB11 · no deficiencies cited

    Official 2567 ↗
  6. · Complaint

    Event SDZE11 · 1 deficiency

    Official 2567 ↗
  7. · Recertification

    Event 440N21 · 4 deficiencies

    Official 2567 ↗
  8. · Recertification

    Event 440N11 · 7 deficiencies

    Official 2567 ↗
  9. · Complaint

    Event M7RP11 · no deficiencies cited

    Official 2567 ↗
  10. · Complaint

    Event SRJ411 · 2 deficiencies

    Official 2567 ↗
  11. · Recertification

    Event GNOH21 · 6 deficiencies

    Official 2567 ↗
  12. · Recertification

    Event GNOH11 · 8 deficiencies

    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

29 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)

    See this survey →
  2. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →
  3. ReportFederal survey (complaint, recertification): 5 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 (complaint): 1 deficiency(state record)

    See this survey →
  7. ReportFederal survey (recertification): 4 deficiencies(state record)

    See this survey →
  8. ReportFederal survey (recertification): 7 deficiencies(state record)

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

    See this survey →
  10. ReportState Class B citation ($1,000)(state record)

    See this citation →

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.