GORHAM HOUSE
ICF/DD-N (Nursing) · 6 licensed beds · Moreno Valley, CA
Homes of 4–15 beds for medically fragile people with developmental disabilities who need intermittent skilled nursing.
Address
GORHAM HOUSE12728 GORHAM STMoreno Valley, CA 92553 · Riverside CountyPhone: (951) 243-3837
State penalties
3
Class 1 A · 2 B
Federal surveys
42
since 2018 · 17 with deficiencies
Federal deficiencies
46
1 condition-level
Last federal survey
Sep 24, 2026
survey date
Facility details
- Facility type
- ICF/DD-N (Nursing)
- Licensed beds
- 6
- Licensee
- DEVELOPMENTAL CLIENT CARE INDUSTRIES, INC. · Profit Corp
- Administrator
- BJORK, WILLEEN
- CDPH facility ID
- 250001465
- License number
- 250000634
- First licensed
- March 8, 1996
- Current license
- Jun 15, 2026 to Jun 14, 2027
- CDPH district office
- Riverside
Federal certification (CMS)
- CMS Certification Number (CCN)
- 05G981
- Status in CDPH's listing
- Licensed And Certified
- Program
- Medi-Cal (Medicaid, Title XIX)
- Participating since
- May 7, 1996
- Last certification survey
- March 26, 2025
- CMS certification status
- Certified
- In compliance (CMS)
- Yes
- Last certification action
- Onsite Visit
- Ownership type (CMS)
- Private (non-profit)
- Certified beds (CMS)
- 6
- Staffing reported to CMS
- RN 1 · LVN/LPN 2 · direct care 7 · all employees 10
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
Class APatient Rights
Citation - A · Violations: 483.420(a)(6), T22 DIV5 CH8 ART4-76525(a)(8), T22 DIV5 CH8 ART3-76329(a)(1), T22 DIV5 CH8 ART4-76521(b) · Violation Apr 24, 2026 · Penalty #250023616 · Survey 230FAA-H1
Status: Open
$10,000
Citation document ↗Class BPatient Rights
Citation - B · Violations: T22 DIV5 CH8 ART4-76521(b), T22 DIV5 CH8 ART4-76525(a)(8), 483.420(a)(6), T22 DIV5 CH8 ART3-76329(a)(1) · Violation Apr 24, 2026 · Penalty #250023648 · Survey 230FAA-H1
Status: Open
$2,000
Citation document ↗Class Bfirst issued as Class APatient Care
Citation A (HSC 1424) · Violation Oct 3, 2000 · Penalty #250001492
Status: Closed · Appealed (received May 3, 2002)
$5,000
initially $7,000
Federal inspections (CMS-2567)
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").
· Complaint
Event 31C294-H1 · no deficiencies cited
· Complaint
Event 25C484-H1 · no deficiencies cited
· Complaint
Event 235145-H1 · no deficiencies cited
· Complaint
Event ZECU11 · no deficiencies cited
· Complaint
Event IZPQ11 · no deficiencies cited
· Complaint
Event 4HMC11 · no deficiencies cited
· Complaint
Event 9LGW11 · no deficiencies cited
· Complaint
Event GKXH11 · no deficiencies cited
· Complaint
Event JDDY11 · no deficiencies cited
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
46 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.
ReportFederal survey (complaint): no deficiencies(state record)
See this survey →ReportFederal survey (complaint): no deficiencies(state record)
See this survey →ReportState Class A citation ($10,000)(state record)
See this citation →ReportState Class B citation ($2,000)(state record)
See this citation →ReportFederal survey (complaint): no deficiencies(state record)
See this survey →ReportFederal survey (complaint): 4 deficiencies, 1 condition-level(state record)
See this survey →ReportFederal survey (recertification): 1 deficiency(state record)
See this survey →ReportFederal survey (recertification): 4 deficiencies(state record)
See this survey →ReportFederal survey (complaint): no deficiencies(state record)
See this survey →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.