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ICF/DD-N (Nursing)License activeMedi-Cal certified

FRAULINE DRIVE

ICF/DD-N (Nursing) · 6 licensed beds · San Diego, CA

Homes of 4–15 beds for medically fragile people with developmental disabilities who need intermittent skilled nursing.

Address

FRAULINE DRIVE1384 FRAULINE DRSan Diego, CA 92154 · San Diego County

Phone: (619) 267-8400

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-N (Nursing)
Licensed beds
6
Licensee
RSCR CALIFORNIA, INC. · Profit Corp
Administrator
PHAM, NOM-PHUONG
CDPH facility ID
630010894
License number
550000520
First licensed
April 23, 2007
Current license
Jan 13, 2026 to Jan 12, 2027
CDPH district office
San Diego

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
55G570
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
May 18, 2007
Last certification survey
January 28, 2026
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 0.25 · LVN/LPN 1.75 · direct care 5.5 · all employees 7.75

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)

32 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 3437B5-H1 · no deficiencies cited

    Official 2567 ↗
  2. · Complaint

    Event 31C2E7-H1 · no deficiencies cited

    Official 2567 ↗
  3. · Complaint

    Event 2AA550-H1 · no deficiencies cited

    Official 2567 ↗
  4. · Complaint

    Event 25C164-H1 · no deficiencies cited

    Official 2567 ↗
  5. · Complaint

    Event 25CC09-H1 · no deficiencies cited

    Official 2567 ↗
  6. · Complaint

    Event 22EF63-H1 · no deficiencies cited

    Official 2567 ↗
  7. · Recertification

    Event GULK11 · 1 deficiency

    Official 2567 ↗
  8. · Recertification

    Event GULK21 · 3 deficiencies

    Official 2567 ↗
  9. · Complaint

    Event ZPD011 · no deficiencies cited

    Official 2567 ↗
  10. · Complaint

    Event PN7C11 · no deficiencies cited

    Official 2567 ↗
  11. · Recertification

    Event OAD121 · 1 deficiency

    Official 2567 ↗
  12. · Recertification

    Event OAD111 · 1 deficiency

    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

33 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)

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

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

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

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

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

  7. ReportFederal survey (recertification): 1 deficiency(state record)

  8. ReportFederal survey (recertification): 3 deficiencies(state record)

  9. ReportFederal survey (complaint): no deficiencies(state record)

  10. ReportFederal survey (complaint): no deficiencies(state record)

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.