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

THE OLIVE TREE

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

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

Address

THE OLIVE TREE7834 VANALDEN AVEReseda, CA 91335 · Los Angeles County

Phone: (818) 626-8319

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
6
Licensee
THE OLIVE TREE EXPERIENCE · Profit Corp
Administrator
FRIEDMAN, LARRY
CDPH facility ID
630012428
License number
550001318
First licensed
June 14, 2010
Current license
Jun 14, 2026 to Jun 13, 2027
CDPH district office
La Icf/Dd/Clinics

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
55G653
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
December 6, 2010
Last certification survey
October 9, 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 0.1 · LVN/LPN 0 · direct care 6.25 · all employees 6.35

State citations and penalties (CDPH)

3 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 BAbuse/Facility Not Self Reported

    Citation - B · Violations: T22 DIV5 CH8.5 ART4-76916(c) · Violation Sep 3, 2024 · Penalty #960020934 · Survey DCNK11

    Status: Open · Appealed (received Oct 31, 2024)

    $19,620

    initially $1,800

    Citation document ↗
  • Class APatient Care

    Citation - A · Violations: W&I 4502(b)(4), T22 DIV5 CH8.5 ART4-76918, W&I 4502(a) · Violation Dec 6, 2023 · Penalty #960019490 · Survey D72I11

    Status: Closed · Appealed (received Dec 27, 2023)

  • Class BMedication

    Citation - B · Violations: W&I 4502(b)(4), W&I 4502(a) · Violation May 28, 2023 · Penalty #960019405 · Survey F5U811

    Status: Closed · Not appealed

Federal inspections (CMS-2567)

21 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 2AA58D-H1 · no deficiencies cited

    Official 2567 ↗
  2. · Recertification

    Event XLYU21 · 3 deficiencies

    Official 2567 ↗
  3. · Recertification

    Event XLYU11 · 5 deficiencies

    Official 2567 ↗
  4. · Complaint

    Event T9GO11 · 1 deficiency

    Official 2567 ↗
  5. · Complaint

    Event VDB911 · no deficiencies cited

    Official 2567 ↗
  6. · Recertification

    Event PBR911 · 7 deficiencies

    Official 2567 ↗
  7. · Recertification

    Event PBR921 · 5 deficiencies

    Official 2567 ↗
  8. · Complaint

    Event DCNK11 · 1 deficiency

    Official 2567 ↗
  9. · Recertification

    Event B25R21 · 3 deficiencies

    Official 2567 ↗
  10. · Recertification

    Event B25R11 · 7 deficiencies

    Official 2567 ↗
  11. · Complaint

    Event F5U811 · 2 deficiencies

    Official 2567 ↗
  12. · Complaint

    Event D72I11 · 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

25 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 (recertification): 3 deficiencies(state record)

    See this survey →
  3. ReportFederal survey (recertification): 5 deficiencies(state record)

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

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

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

    See this survey →
  7. ReportFederal survey (recertification): 5 deficiencies(state record)

    See this survey →
  8. ReportState Class B citation ($19,620)(state record)

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

    See this survey →
  10. ReportState Class A citation ($10,000)(state record)

    See this citation →

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.