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

FOXDALE HOUSE

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

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

Address

FOXDALE HOUSE12867 FOXDALE DRMoreno Valley, CA 92553 · Riverside County

Phone: (951) 243-3837

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
6
Administrator
FITTS, CARMEN Z
CDPH facility ID
250000596
License number
250000293
First licensed
February 4, 1989
Current license
Nov 4, 2025 to Nov 3, 2026
CDPH district office
Riverside

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
05G407
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
October 27, 1989
Last certification survey
February 11, 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 7 · all employees 8

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 Care

    Citation B (HSC 1424) · Violation Oct 9, 2007 · Penalty #250009664 · Survey Z9YG11

    Status: Closed · Not appealed

    $1,000

Federal inspections (CMS-2567)

42 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 2F7562-H1 · 1 deficiency

    Official 2567 ↗
  2. · Complaint

    Event 25C469-H1 · no deficiencies cited

    Official 2567 ↗
  3. · Complaint

    Event 234BD7-H1 · 1 deficiency

    Official 2567 ↗
  4. · Complaint

    Event 231AAD-H1 · no deficiencies cited

    Official 2567 ↗
  5. · Complaint

    Event 22F946-H1 · no deficiencies cited

    Official 2567 ↗
  6. · Complaint

    Event 4BYP11 · 2 deficiencies

    Official 2567 ↗
  7. · Recertification

    Event B37721 · 3 deficiencies

    Official 2567 ↗
  8. · Recertification

    Event B37711 · 10 deficiencies

    Official 2567 ↗
  9. · Complaint

    Event Z8VZ11 · no deficiencies cited

    Official 2567 ↗
  10. · Complaint

    Event 31Y011 · no deficiencies cited

    Official 2567 ↗
  11. · Complaint

    Event U9OY11 · no deficiencies cited

    Official 2567 ↗
  12. · Recertification

    Event W5B221 · 3 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

44 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): 1 deficiency(state record)

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

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

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

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

    See this survey →
  6. ReportFederal survey (complaint): 2 deficiencies(state record)

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

    See this survey →
  8. ReportFederal survey (recertification): 10 deficiencies(state record)

    See this survey →
  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.