MOMENTUM AGENCIES ICF/DD-N BRADLEY
ICF/DD-N (Nursing) · 15 licensed beds · Sylmar, CA
Homes of 4–15 beds for medically fragile people with developmental disabilities who need intermittent skilled nursing.
Address
MOMENTUM AGENCIES ICF/DD-N BRADLEY13290 BRADLEY AVESylmar, CA 91342 · Los Angeles CountyPhone: (818) 782-2211
State penalties
5
Class 2 A · 3 B
Federal surveys
96
since 2018 · 42 with deficiencies
Federal deficiencies
87
none condition-level
Last federal survey
Sep 16, 2026
survey date
Facility details
- Facility type
- ICF/DD-N (Nursing)
- Licensed beds
- 15
- Licensee
- MOMENTUM AGENCIES · Nonprofit Corp
- Administrator
- QUEEN, MONICA B
- CDPH facility ID
- 960000914
- License number
- 960000499
- First licensed
- November 9, 1987
- Current license
- May 8, 2026 to May 7, 2027
- CDPH district office
- La Icf/Dd/Clinics
Federal certification (CMS)
- CMS Certification Number (CCN)
- 05G284
- Status in CDPH's listing
- Licensed And Certified
- Program
- Medi-Cal (Medicaid, Title XIX)
- Participating since
- November 25, 1987
- Last certification survey
- March 20, 2025
- CMS certification status
- Certified
- In compliance (CMS)
- Yes
- Last certification action
- Recertification
- Ownership type (CMS)
- Private (non-profit)
- Certified beds (CMS)
- 15
- Staffing reported to CMS
- RN 1 · LVN/LPN 2.8 · direct care 16 · all employees 19.8
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
Class BPatient Care
Citation - B · Violations: 483.460, 483.460(c) · Violation Sep 12, 2024 · Penalty #960021102 · Survey WBE811
Status: Closed
$3,000
Citation document ↗Class APatient Care
Citation - A · Violations: W&I 4502(b)(8) · Violation Aug 19, 2023 · Penalty #960019205 · Survey 649U11
Status: Open · Not appealed
Class APatient Care
Citation A (HSC 1424) · Violation May 16, 2018 · Penalty #960014335 · Survey PBDL11
Status: Closed · Not appealed
$4,000
Class BPatient Care
Citation B (HSC 1424) · Violation Feb 25, 2011 · Penalty #960008323 · Survey SMTK11
Status: Closed · Not appealed
$1,000
Class BAdministration
Citation B (HSC 1424) · Violation Apr 15, 2002 · Penalty #960000970
Status: Closed · Not appealed
$600
Federal inspections (CMS-2567)
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").
· Complaint
Event 341E7B-H1 · no deficiencies cited
· Complaint
Event 2CFEE1-H1 · no deficiencies cited
· Complaint
Event 237454-H1 · no deficiencies cited
· Complaint
Event 2333B0-H1 · no deficiencies cited
· Complaint
Event 2325B6-H1 · no deficiencies cited
· Complaint
Event 230DB1-H1 · no deficiencies cited
· Complaint
Event 22FD9F-H1 · no deficiencies cited
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
102 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.
ReportFederal survey (complaint): 1 deficiency(state record)
See this survey →ReportFederal survey (complaint): no deficiencies(state record)
See this survey →ReportFederal survey (complaint): no deficiencies(state record)
See this survey →ReportFederal survey (complaint): no deficiencies(state record)
See this survey →ReportFederal survey (complaint): 2 deficiencies(state record)
See this survey →ReportFederal survey (complaint): no deficiencies(state record)
See this survey →ReportFederal survey (complaint): 1 deficiency(state record)
See this survey →ReportFederal survey (complaint): no deficiencies(state record)
See this survey →ReportFederal survey (complaint): no deficiencies(state record)
See this survey →ReportFederal survey (complaint): no 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.