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

CANDLELIGHT HOME MERCED

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

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

Address

CANDLELIGHT HOME MERCED1315 W MERCED AVEWest Covina, CA 91790 · Los Angeles County

Phone: (626) 699-1976

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
6
Licensee
MJ ASSET SERVICES LLC · Limited Liability Company
Administrator
ACABAL, MARILYN
CDPH facility ID
630017172
License number
550004625
First licensed
April 16, 2019
Current license
Apr 16, 2026 to Apr 15, 2027
CDPH district office
La Icf/Dd/Clinics

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
55G786
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
March 23, 2023
Last certification survey
October 31, 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 1 · LVN/LPN 0 · direct care 7 · all employees 8

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)

17 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 22DA5E-H1 · no deficiencies cited

    Official 2567 ↗
  2. · Recertification

    Event FAZT11 · 3 deficiencies

    Official 2567 ↗
  3. · Recertification

    Event FAZT21 · 7 deficiencies

    Official 2567 ↗
  4. · Complaint

    Event 23GO11 · no deficiencies cited

    Official 2567 ↗
  5. · Complaint

    Event QQQR11 · no deficiencies cited

    Official 2567 ↗
  6. · Complaint

    Event PF5N11 · no deficiencies cited

    Official 2567 ↗
  7. · Recertification

    Event F28Z21 · 10 deficiencies

    Official 2567 ↗
  8. · Recertification

    Event F28Z11 · 6 deficiencies

    Official 2567 ↗
  9. · Complaint

    Event RP5K11 · no deficiencies cited

    Official 2567 ↗
  10. · Initial Certification

    Event 3SZJ21 · 4 deficiencies

    Official 2567 ↗
  11. · Other-Fed

    Event 5S6821 · 4 deficiencies

    Official 2567 ↗
  12. · Initial Certification

    Event 3SZJ11 · 6 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

18 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): 7 deficiencies(state record)

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

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

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

    See this survey →
  7. ReportFederal survey (recertification): 10 deficiencies(state record)

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

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

    See this survey →
  10. ReportFederal survey (initial certification): 4 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.