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

ERIN HOUSE

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

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

Address

ERIN HOUSE1303 N ERIN AVEUpland, CA 91786 · San Bernardino County

Phone: (909) 899-5046

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-N (Nursing)
Licensed beds
6
Administrator
BENNETT, MARILYN
CDPH facility ID
630016719
License number
550003933
First licensed
July 3, 2017
Current license
Jul 3, 2026 to Jul 2, 2027
CDPH district office
San Bernardino

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
55G765
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
March 9, 2018
Last certification survey
April 15, 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 0.33 · LVN/LPN 2.33 · direct care 8.33 · all employees 10.99

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 AAPatient RightsDeath-related

    Citation - AA · Violations: W&I 4502(a), T22 DIV5 CH8 ART4-76525(a), T22 DIV5 CH8 ART3-76301(e), T22 DIV5 CH8 ART3-76335(e), T22 DIV5 CH8 ART4-76521(a) · Violation Aug 21, 2021 · Penalty #240017715 · Survey D9FP11

    Status: Closed · Not appealed

Federal inspections (CMS-2567)

34 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 36A7B1-H1 · no deficiencies cited

    Official 2567 ↗
  2. · Complaint

    Event 2SCH11 · no deficiencies cited

    Official 2567 ↗
  3. · Complaint

    Event 7M7211 · no deficiencies cited

    Official 2567 ↗
  4. · Complaint

    Event 3THC11 · 2 deficiencies

    Official 2567 ↗
  5. · Complaint

    Event ZN5R11 · 1 deficiency

    Official 2567 ↗
  6. · Complaint

    Event RXOI11 · 2 deficiencies

    Official 2567 ↗
  7. · Recertification

    Event 53SX21 · 2 deficiencies

    Official 2567 ↗
  8. · Recertification

    Event 53SX11 · 4 deficiencies

    Official 2567 ↗
  9. · Complaint

    Event 1ID511 · 1 deficiency

    Official 2567 ↗
  10. · Complaint

    Event NJKF11 · 1 deficiency

    Official 2567 ↗
  11. · Complaint

    Event 9MHH11 · no deficiencies cited

    Official 2567 ↗
  12. · Complaint

    Event B0U611 · 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

36 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): no deficiencies(state record)

    See this survey →
  4. ReportFederal survey (complaint): 2 deficiencies(state record)

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

    See this survey →
  6. ReportFederal survey (complaint): 2 deficiencies(state record)

    See this survey →
  7. ReportFederal survey (recertification): 2 deficiencies(state record)

    See this survey →
  8. ReportFederal survey (recertification): 4 deficiencies(state record)

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

    See this survey →
  10. ReportFederal survey (complaint): 1 deficiency(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.