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ICF/DD-N (Nursing)License activeLicensed only

HANSEN COMMUNITY CARE

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

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

Address

HANSEN COMMUNITY CARE12943 WINGO STPacoima, CA 91331 · Los Angeles County

Phone: (818) 203-7779

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-N (Nursing)
Licensed beds
6
Licensee
HANSEN COMMUNITY CARE · Profit Corp
Administrator
ANDREASYAN, ARSEN
CDPH facility ID
630021904
License number
550008910
First licensed
August 25, 2023
Current license
Aug 25, 2026 to Aug 24, 2027
CDPH district office
La Icf/Dd/Clinics

Federal certification (CMS)

This ICF is licensed by CDPH but isn't listed as certified for Medi-Cal, so it has no CMS Certification Number and no federal surveys. State licensing visits still apply; their results are on CalHealthFind.

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)

No federal surveys: this ICF isn't certified for Medi-Cal.

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

1 event, 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. LicensedLicensed(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.