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

SUSAN MANOR ICF/DD-H

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

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

Address

SUSAN MANOR ICF/DD-H3271 SUSAN DRSan Bruno, CA 94066 · San Mateo County

Phone: (650) 359-7865

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
6
Licensee
B & M HOMES, INC. · Profit Corp
Administrator
LEGARDA, MARISSA
CDPH facility ID
220001162
License number
220000483
First licensed
October 30, 2002
Current license
Nov 30, 2025 to Nov 29, 2026
CDPH district office
San Francisco

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
55G468
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
March 7, 2003
Last certification survey
January 15, 2026
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 0.25 · LVN/LPN 0 · direct care 6.32 · all employees 6.57

State citations and penalties (CDPH)

3 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 BAdministration

    Citation - B · Violations: T22 DIV5 CH4 ART2-73201(a) · Violation Nov 29, 2019 · Penalty #220017276 · Survey U8Q211

    Status: Closed · Not appealed

  • Class APatient CareDeath-related

    Citation A (HSC 1424) · Violation Dec 20, 2016 · Penalty #220016165 · Survey 75XF11

    Status: Closed · Not appealed

    $20,000

  • Class BPhysical Environment

    Citation B (HSC 1424) · Violation Sep 20, 2007 · Penalty #220004756 · Survey 8NBY11

    Status: Closed · Not appealed

    $1,000

Federal inspections (CMS-2567)

21 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 RZ5P21 · 3 deficiencies

    Official 2567 ↗
  2. · Recertification

    Event RZ5P11 · 3 deficiencies

    Official 2567 ↗
  3. · Recertification

    Event L1SV21 · 3 deficiencies

    Official 2567 ↗
  4. · Recertification

    Event L1SV11 · 2 deficiencies

    Official 2567 ↗
  5. · Complaint

    Event 3QFE11 · no deficiencies cited

    Official 2567 ↗
  6. · Recertification

    Event 9GV321 · 3 deficiencies

    Official 2567 ↗
  7. · Recertification

    Event 9GV311 · 7 deficiencies

    Official 2567 ↗
  8. · Complaint

    Event E66F11 · no deficiencies cited

    Official 2567 ↗
  9. · Complaint

    Event EN7511 · no deficiencies cited

    Official 2567 ↗
  10. · Complaint

    Event 0HJ511 · no deficiencies cited

    Official 2567 ↗
  11. · Complaint

    Event Y1T611 · no deficiencies cited

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

    Event T8UO11 · 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

25 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): 3 deficiencies(state record)

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

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

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

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

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

    See this survey →
  8. ReportState Class B citation ($2,000)(state record)

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

    See this survey →
  10. ReportFederal survey (complaint): 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.