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

CONNER RESIDENCE

ICF/DD-H (Habilitative) · 12 licensed beds · Corona, CA

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

Address

CONNER RESIDENCE825 MAGNOLIA AVECorona, CA 92879 · Riverside County

Phone: (951) 273-7320

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
12
Licensee
PEPPERMINT RIDGE · Nonprofit Corp
Administrator
SANCHEZ, ANDREW
CDPH facility ID
250000553
License number
250000273
First licensed
September 16, 1987
Current license
Nov 16, 2025 to Nov 15, 2026
CDPH district office
Riverside

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
05G272
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
October 16, 1987
Last certification survey
December 16, 2025
CMS certification status
Certified
In compliance (CMS)
Yes
Last certification action
Recertification
Ownership type (CMS)
Private (non-profit)
Certified beds (CMS)
12
Staffing reported to CMS
RN 1 · LVN/LPN 0 · direct care 4 · all employees 5

State citations and penalties (CDPH)

5 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 BPatient Rights

    Citation - B · Violations: 483.420(a)(5), 483.420(d)(1)(i), T22 DIV5 CH8 ART3-76333, T22 DIV5 CH8 ART4-76525(a)(8) · Violation Jan 30, 2026 · Penalty #250023140 · Survey 5EVS11

    Status: Open

  • Class BPatient Care

    Citation B (HSC 1424) · Violation Aug 13, 2015 · Penalty #250013542 · Survey 50N911

    Status: Closed · Appealed (received Oct 24, 2017)

    $1,600

    initially $2,000

  • Class BOther (Abuse)

    Citation B (HSC 1424) · Violation Feb 22, 2012 · Penalty #250010882 · Survey GPU711

    Status: Closed · Not appealed

    $1,000

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Jul 2, 2009 · Penalty #250008208 · Survey N7RU11

    Status: Closed · Not appealed

    $200

  • Class BPatient Care

    Citation B (HSC 1424) · Violation Nov 21, 2005 · Penalty #250003405 · Survey G7CF11

    Status: Closed · Not appealed

    $1,000

Federal inspections (CMS-2567)

62 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. · Complaint

    Event 342607-H1 · no deficiencies cited

    Official 2567 ↗
  2. · Complaint

    Event 2370A3-H1 · 1 deficiency

    Official 2567 ↗
  3. · Complaint

    Event 2329EF-H1 · no deficiencies cited

    Official 2567 ↗
  4. · Complaint

    Event 22F0F6-H1 · no deficiencies cited

    Official 2567 ↗
  5. · Complaint

    Event 22BB71-H1 · no deficiencies cited

    Official 2567 ↗
  6. · Complaint

    Event UPKE11 · no deficiencies cited

    Official 2567 ↗
  7. · Complaint

    Event OQEC11 · no deficiencies cited

    Official 2567 ↗
  8. · Complaint

    Event 5EVS11 · 1 deficiency

    Official 2567 ↗
  9. · Complaint

    Event QS9511 · no deficiencies cited

    Official 2567 ↗
  10. · Recertification

    Event DAJ621 · 3 deficiencies

    Official 2567 ↗
  11. · Complaint, Recertification

    Event DAJ611 · 3 deficiencies

    Official 2567 ↗
  12. · Complaint

    Event 9SX711 · 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

68 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 (complaint): no deficiencies(state record)

    See this survey →
  2. ReportFederal survey (complaint): 1 deficiency(state record)

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

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

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

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

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

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

    See this survey →
  9. ReportFederal survey (complaint): 1 deficiency(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.