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

WILLIAM DEMAREST CANYON COUNTRY CLUB HOUSE

ICF/DD-H (Habilitative) · 6 licensed beds · Palm Springs, CA

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

Address

WILLIAM DEMAREST CANYON COUNTRY CLUB HOUSE3566 N EASTGATE RDPalm Springs, CA 92262 · Riverside County

Phone: (760) 834-1303

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
6
Licensee
ANGEL VIEW, INC. · Nonprofit Corp
Administrator
BERDEJO, KARINNA
CDPH facility ID
250000830
License number
250000374
First licensed
February 9, 1990
Current license
Jan 18, 2026 to Jan 17, 2027
CDPH district office
Riverside

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
05G509
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
January 25, 1991
Last certification survey
June 12, 2025
CMS certification status
Certified
In compliance (CMS)
Yes
Last certification action
Recertification
Ownership type (CMS)
Private (non-profit)
Certified beds (CMS)
6
Staffing reported to CMS
RN 0.25 · LVN/LPN 0 · direct care 7 · all employees 7.25

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 May 16, 2010 · Penalty #250010395 · Survey QPX411

    Status: Closed · Not appealed

    $1,000

Federal inspections (CMS-2567)

35 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 2AB1B3-H1 · no deficiencies cited

    Official 2567 ↗
  2. · Complaint

    Event 233A64-H1 · no deficiencies cited

    Official 2567 ↗
  3. · Recertification

    Event W52G21 · 1 deficiency

    Official 2567 ↗
  4. · Recertification

    Event W52G11 · 2 deficiencies

    Official 2567 ↗
  5. · Complaint

    Event 21IE11 · 2 deficiencies

    Official 2567 ↗
  6. · Complaint

    Event ML4911 · no deficiencies cited

    Official 2567 ↗
  7. · Recertification

    Event AV2D21 · 2 deficiencies

    Official 2567 ↗
  8. · Recertification

    Event AV2D11 · no deficiencies cited

    Official 2567 ↗
  9. · Complaint

    Event LLP311 · no deficiencies cited

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

    Event U7S211 · no deficiencies cited

    Official 2567 ↗
  11. · Complaint

    Event GFHL11 · no deficiencies cited

    Official 2567 ↗
  12. · Complaint

    Event WCZY11 · 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

37 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): no deficiencies(state record)

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

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

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

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

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

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

    See this survey →
  9. ReportFederal survey (complaint): no 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.