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ICF/DDLicense activeMedi-Cal certified

BLOOMFIELD WEST, INC.

ICF/DD · 59 licensed beds · Lynwood, CA

Larger intermediate care facilities for people with developmental disabilities.

Address

BLOOMFIELD WEST, INC.3333 E IMPERIAL HWYLynwood, CA 90262 · Los Angeles County

Phone: (917) 842-8361

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD
Licensed beds
59
Licensee
BLOOMFIELD WEST, INC. · Profit Corp
CDPH facility ID
630013540
License number
550001863
First licensed
January 19, 2012
Current license
Jan 19, 2026 to Jan 18, 2027
CDPH district office
La Icf/Dd/Clinics

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
55G679
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
February 9, 2012
Last certification survey
March 27, 2025
CMS certification status
Certified
In compliance (CMS)
Yes
Last certification action
Recertification
Ownership type (CMS)
Private (proprietary)
Certified beds (CMS)
59
Staffing reported to CMS
RN 0 · LVN/LPN 4 · direct care 50 · all employees 72

State citations and penalties (CDPH)

4 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 BPatient Care

    Citation - B · Violations: 483.460(c), T22 DIV5 CH8 ART3-76345(c) · Violation Feb 22, 2026 · Penalty #960023467 · Survey CUXG11

    Status: Closed

  • Class APatient Care

    Citation - A · Violations: 483.460(c), T22 DIV5 CH8 ART4-76525(a)(16), T22 DIV5 CH8 ART4-76525(a)(20), W&I 4502(a), W&I 4502(b)(4), W&I 4502(a), W&I 4502(b)(8) · Violation Feb 19, 2026 · Penalty #960023451 · Survey 2DGU11

    Status: Open

  • Class BPatient Care

    Citation - B · Violations: T22 DIV5 CH8 ART4-76543(a)(2)(C), 1276(a), T22 DIV5 CH8 ART4-76543(a)(2)(B) · Violation Jul 24, 2024 · Penalty #960020707 · Survey JN5V11

    Status: Open · Appealed (received Sep 13, 2024)

  • Class BPatient Care

    Citation - B · Violations: 483.410(a)(1), 483.440(d)(1) · Violation Jul 30, 2023 · Penalty #960019268 · Survey 930C11

    Status: Closed · Not appealed

    $3,650

    initially $3,000

    Citation document ↗

Federal inspections (CMS-2567)

130 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 343D11-H1 · no deficiencies cited

    Official 2567 ↗
  2. · Complaint

    Event 3424BE-H1 · no deficiencies cited

    Official 2567 ↗
  3. · Complaint

    Event 2AA844-H1 · 1 deficiency

    Official 2567 ↗
  4. · Complaint

    Event 2850AF-H1 · no deficiencies cited

    Official 2567 ↗
  5. · Complaint

    Event 233404-H1 · 1 deficiency

    Official 2567 ↗
  6. · Complaint

    Event 23070C-H1 · no deficiencies cited

    Official 2567 ↗
  7. · Complaint

    Event 230896-H1 · 1 deficiency

    Official 2567 ↗
  8. · Complaint

    Event 22FF9B-H1 · no deficiencies cited

    Official 2567 ↗
  9. · Complaint

    Event 2DGU11 · 2 deficiencies

    Official 2567 ↗
  10. · Recertification

    Event FGY5-L1 · 12 deficiencies

    Official 2567 ↗
  11. · Complaint

    Event CUXG11 · 1 deficiency

    Official 2567 ↗
  12. · Complaint

    Event FFVD11 · 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

135 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 (complaint): 1 deficiency(state record)

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

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

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

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

    See this survey →
  8. ReportState Class B citation ($2,000)(state record)

    See this citation →
  9. ReportState Class A citation ($3,500)(state record)

    See this citation →
  10. 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.