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

FIELD HOUSE ICF/DDH

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

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

Address

FIELD HOUSE ICF/DDH2215 FIELD STREETAntioch, CA 94531 · Contra Costa County

Phone: (925) 325-5344

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
6
Licensee
LESMONI, INC. · Profit Corp
Administrator
ABESAMIS, JUDITH C
CDPH facility ID
630016936
License number
550003983
First licensed
October 13, 2017
Current license
Oct 13, 2026 to Oct 12, 2027
CDPH district office
East Bay

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
55G769
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
September 30, 2018
Last certification survey
December 4, 2024
CMS certification status
Certified
In compliance (CMS)
Yes
Last certification action
Recertification
Ownership type (CMS)
Other (specify)
Certified beds (CMS)
6
Staffing reported to CMS
RN 0.5 · LVN/LPN 0 · direct care 6 · all employees 6.5

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)

12 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. · Recertification

    Event YMX921 · 3 deficiencies

    Official 2567 ↗
  2. · Recertification

    Event YMX911 · 3 deficiencies

    Official 2567 ↗
  3. · Recertification

    Event KZOC21 · 8 deficiencies

    Official 2567 ↗
  4. · Recertification

    Event KZOC11 · no deficiencies cited

    Official 2567 ↗
  5. · Complaint

    Event ZIFH11 · no deficiencies cited

    Official 2567 ↗
  6. · Complaint

    Event CIU811 · no deficiencies cited

    Official 2567 ↗
  7. · Recertification

    Event SA1N21 · 6 deficiencies

    Official 2567 ↗
  8. · Complaint

    Event DBNK11 · 1 deficiency

    Official 2567 ↗
  9. · Recertification

    Event SA1N11 · no deficiencies cited

    Official 2567 ↗
  10. · Complaint

    Event MNR311 · no deficiencies cited

    Official 2567 ↗
  11. · Initial Certification

    Event 0WKF11 · 9 deficiencies

    Official 2567 ↗
  12. · Initial Certification

    Event 0WKF22 · 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

13 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 (recertification): 3 deficiencies(state record)

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

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

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

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

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

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

  8. ReportFederal survey (complaint): 1 deficiency(state record)

  9. ReportFederal survey (recertification): 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.