MOMENTUM AGENCIES NORTHRIDGE HOUSE
ICF/DD-H (Habilitative) · 6 licensed beds · Northridge, CA
Homes of 4–15 beds for people with developmental disabilities whose nursing needs are intermittent and predictable.
Address
MOMENTUM AGENCIES NORTHRIDGE HOUSE10401 SHIRLEY AVENorthridge, CA 91326 · Los Angeles CountyPhone: (747) 307-4282
State penalties
0
none on record since 1998
Federal surveys
—
not certified
Federal deficiencies
—
not certified
Last federal survey
—
none on record
Facility details
- Facility type
- ICF/DD-H (Habilitative)
- Licensed beds
- 6
- Licensee
- MOMENTUM AGENCIES · Nonprofit Corp
- Administrator
- WILLIAMS, LARRY
- CDPH facility ID
- 630027406
- License number
- 550009327
- First licensed
- August 22, 2024
- Current license
- Aug 22, 2026 to Aug 21, 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.
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.