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ICF (Intermediate Care Facility)License activeMedi-Cal certified

DEL ROSA VILLA D/P ICF

ICF (Intermediate Care Facility) · 5 licensed beds · San Bernardino, CA

Intermediate care units, in California mostly within state hospitals and veterans homes.

Address

DEL ROSA VILLA D/P ICF2018 DEL ROSA AVESan Bernardino, CA 92404 · San Bernardino County

Phone: (909) 000-0000

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF (Intermediate Care Facility)
Licensed beds
5
Licensee
DEL ROSA VILLAIDENCE OPCO, LLC · Limited Liability Company
CDPH facility ID
240000337
License number
240000029
Current license
May 8, 2026 to May 7, 2027
CDPH district office
San Bernardino
Part of another facility
Distinct Part of CDPH facility 240000059

Federal certification (CMS)

CMS Certification Number (CCN)
555195
Status in CDPH's listing
Licensed And Certified
Program
T18 OR T18/19
Participating since
September 10, 1984

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)

CMS's file has no surveys for CCN 555195 since 2018.

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

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.

No changes recorded yet — we started tracking changes on Oct 25, 2026.

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.