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

HAPPY VALLEY #6

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

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

Address

HAPPY VALLEY #62885 LANE DRConcord, CA 94518 · Contra Costa County

Phone: (925) 944-1222

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
6
Licensee
Not named in CDPH's listing (Individual). CalHealthFind shows ownership.
Administrator
NICULESCU, ANGELA
CDPH facility ID
140001362
License number
140000702
First licensed
December 20, 2002
Current license
Dec 20, 2025 to Dec 19, 2026
CDPH district office
East Bay

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
55G474
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
June 25, 2003
Last certification survey
September 18, 2024
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 1 · LVN/LPN 0 · direct care 5 · all employees 6

State citations and penalties (CDPH)

1 penalty, 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 CareDeath-related

    Citation B (HSC 1424) · Violation Nov 22, 2017 · Penalty #020014088 · Survey 2LBZ11

    Status: Closed · Not appealed

    $1,500

Federal inspections (CMS-2567)

20 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 AZ6F21 · 3 deficiencies

    Official 2567 ↗
  2. · Recertification

    Event AZ6F11 · 3 deficiencies

    Official 2567 ↗
  3. · Complaint

    Event HZ6F11 · no deficiencies cited

    Official 2567 ↗
  4. · Recertification

    Event 74M421 · 3 deficiencies

    Official 2567 ↗
  5. · Recertification

    Event 74M411 · 1 deficiency

    Official 2567 ↗
  6. · Complaint

    Event LSKE11 · no deficiencies cited

    Official 2567 ↗
  7. · Complaint

    Event G2UO11 · no deficiencies cited

    Official 2567 ↗
  8. · Recertification

    Event 6YPM21 · 5 deficiencies

    Official 2567 ↗
  9. · Recertification

    Event 6YPM11 · 2 deficiencies

    Official 2567 ↗
  10. · Complaint

    Event Y4MJ11 · no deficiencies cited

    Official 2567 ↗
  11. · Complaint

    Event 2FHD11 · no deficiencies cited

    Official 2567 ↗
  12. · Complaint

    Event SG7W11 · 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

22 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): 3 deficiencies(state record)

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

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

  5. ReportFederal survey (recertification): 1 deficiency(state record)

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

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

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

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

  10. ReportFederal survey (complaint): no 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.