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

ROBIN HOOD HOME

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

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

Address

ROBIN HOOD HOME10271 ROBIN HOOD CIRVilla Park, CA 92861 · Orange County

Phone: (714) 948-3352

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
6
Licensee
HARRIS CARE CENTERS, INC. · Nonprofit Corp
Administrator
HARRIS, JOHN M
CDPH facility ID
630012756
License number
550001780
First licensed
November 14, 2011
Current license
Nov 14, 2025 to Nov 13, 2026
CDPH district office
Orange

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
55G677
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
April 5, 2012
Last certification survey
March 4, 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 0.25 · LVN/LPN 0 · direct care 6.5 · all employees 6.75

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 BAdministration

    Citation - B · Violations: 483.410(a)(1), 483.460(c) · Violation Aug 13, 2026 · Penalty #060024098 · Survey 2F56AF-H1

    Status: Closed

Federal inspections (CMS-2567)

15 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 2F56AF-H1 · 4 deficiencies (2 condition-level)

    Official 2567 ↗
  2. · Recertification

    Event GUDU21 · 2 deficiencies

    Official 2567 ↗
  3. · Recertification

    Event GUDU11 · 12 deficiencies

    Official 2567 ↗
  4. · Recertification

    Event V5ZC21 · 2 deficiencies

    Official 2567 ↗
  5. · Recertification

    Event V5ZC11 · 13 deficiencies

    Official 2567 ↗
  6. · Recertification

    Event 5RKH21 · 3 deficiencies

    Official 2567 ↗
  7. · Recertification

    Event 5RKH11 · 10 deficiencies

    Official 2567 ↗
  8. · Recertification

    Event 3JWP21 · 6 deficiencies

    Official 2567 ↗
  9. · Recertification

    Event 3JWP11 · 6 deficiencies

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

    Event 3VVY11 · no deficiencies cited

    Official 2567 ↗
  11. · Recertification

    Event O20821 · 3 deficiencies

    Official 2567 ↗
  12. · Recertification

    Event O20811 · 8 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

17 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. ReportState Class B citation ($1,000)(state record)

  2. ReportFederal survey (complaint): 4 deficiencies, 2 condition-level(state record)

  3. ReportFederal survey (recertification): 2 deficiencies(state record)

  4. ReportFederal survey (recertification): 12 deficiencies(state record)

  5. ReportFederal survey (recertification): 2 deficiencies(state record)

  6. ReportFederal survey (recertification): 13 deficiencies(state record)

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

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

  9. ReportFederal survey (recertification): 6 deficiencies(state record)

  10. ReportFederal survey (recertification): 6 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.