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

CAMEO ICF/DDH HOME

ICF/DD-H (Habilitative) · 6 licensed beds · South San Francisco, CA

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

Address

CAMEO ICF/DDH HOME865 ALTA LOMA DRSouth San Francisco, CA 94080 · San Mateo County

Phone: (650) 921-2769

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
6
Licensee
CAMEO CARE, INC. · Profit Corp
Administrator
YEMA, HERMINIA
CDPH facility ID
220001157
License number
220000481
First licensed
April 30, 2002
Current license
Apr 30, 2026 to Apr 29, 2027
CDPH district office
San Francisco

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
55G481
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
November 7, 2003
Last certification survey
November 17, 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 1 · LVN/LPN 0 · direct care 8 · all employees 9

State citations and penalties (CDPH)

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

No state citations or penalties on record for this facility in CDPH's enforcement data (July 1998 to date).

Federal inspections (CMS-2567)

16 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 KPVV21 · 3 deficiencies

    Official 2567 ↗
  2. · Recertification

    Event KPVV11 · 7 deficiencies

    Official 2567 ↗
  3. · Recertification

    Event KGH621 · 2 deficiencies

    Official 2567 ↗
  4. · Recertification

    Event KGH611 · 5 deficiencies

    Official 2567 ↗
  5. · Complaint

    Event 77YF11 · no deficiencies cited

    Official 2567 ↗
  6. · Complaint

    Event NLFN11 · no deficiencies cited

    Official 2567 ↗
  7. · Recertification

    Event 3FER21 · 7 deficiencies

    Official 2567 ↗
  8. · Recertification

    Event 3FER11 · 6 deficiencies

    Official 2567 ↗
  9. · Recertification

    Event JZ0U21 · 5 deficiencies

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

    Event Q7JW11 · no deficiencies cited

    Official 2567 ↗
  11. · Complaint

    Event YI5511 · no deficiencies cited

    Official 2567 ↗
  12. · Recertification

    Event JZ0U11 · 11 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

17 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 (recertification): 7 deficiencies(state record)

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

    See this survey →
  4. ReportFederal survey (recertification): 5 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 (recertification): 7 deficiencies(state record)

    See this survey →
  8. ReportFederal survey (recertification): 6 deficiencies(state record)

    See this survey →
  9. ReportFederal survey (recertification): 5 deficiencies(state record)

    See this survey →
  10. ReportFederal survey (focused infection control, other-fed): no 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.