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

PALM HOUSE

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

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

Address

PALM HOUSE540 FERNSHAW DRLa Verne, CA 91750 · Los Angeles County

Phone: (909) 394-1385

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
6
Licensee
ZUHA HOMES, INC. · Profit Corp
Administrator
AZIZ, UMBER
CDPH facility ID
960001316
License number
960000679
First licensed
August 14, 1991
Current license
Nov 14, 2025 to Nov 13, 2026
CDPH district office
La Icf/Dd/Clinics

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
05G546
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
September 11, 1991
Last certification survey
February 11, 2026
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)

7 penalties, newest first

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

  • Other penaltyWillful Material Falsification

    Violations: 1424.5.(a) · Violation Apr 30, 2026 · Penalty #960023772 · Survey 2342CC-H1

    Status: Closed

  • Class APatient Care

    Citation - A · Violations: W&I 4502(a), T22 DIV5 CH8.5 ART3-76865(m), T22 DIV5 CH8.5 ART4-76918 · Violation May 1, 2026 · Penalty #960023774 · Survey 2342CC-H1

    Status: Closed

  • Class BOther

    Citation - B · Violations: T22 DIV5 CH8.5 ART3-76882(b)(7) · Violation Feb 21, 2024 · Penalty #960019979 · Survey 98QG11

    Status: Closed · Appealed (received Apr 19, 2024)

    $1,150

    initially $1,800

    Citation document ↗
  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Feb 6, 2008 · Penalty #960004783 · Survey E5YF11

    Status: Closed · Not appealed

    $1,000

  • Class BAdministration

    Citation B (HSC 1424) · Violation Feb 6, 2008 · Penalty #960004690 · Survey UX8I11

    Status: Closed · Not appealed

    $1,000

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Oct 15, 2003 · Penalty #960001039

    Status: Closed · Not appealed

    $1,000

  • Class BPatient Care

    Citation B (HSC 1424) · Violation Oct 2, 2001 · Penalty #960000941

    Status: Closed · Appealed (received Nov 26, 2001)

    $1,000

Federal inspections (CMS-2567)

23 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 2D002F-H1 · 2 deficiencies

    Official 2567 ↗
  2. · Complaint

    Event 2342CC-H1 · 3 deficiencies

    Official 2567 ↗
  3. · Complaint

    Event OVTU11 · no deficiencies cited

    Official 2567 ↗
  4. · Recertification

    Event W2P621 · 1 deficiency

    Official 2567 ↗
  5. · Recertification

    Event W2P611 · 4 deficiencies

    Official 2567 ↗
  6. · Complaint

    Event CFR911 · no deficiencies cited

    Official 2567 ↗
  7. · Recertification

    Event 98QG11 · 15 deficiencies (3 condition-level)

    Official 2567 ↗
  8. · Recertification

    Event 98QG21 · 4 deficiencies

    Official 2567 ↗
  9. · Complaint

    Event 3BEN11 · no deficiencies cited

    Official 2567 ↗
  10. · Recertification

    Event FIW921 · 1 deficiency

    Official 2567 ↗
  11. · Recertification

    Event FIW911 · 3 deficiencies

    Official 2567 ↗
  12. · Complaint

    Event NH4Y11 · 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

31 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): 2 deficiencies(state record)

    See this survey →
  2. ReportState penalty ($3,500)(state record)

    See this citation →
  3. ReportState Class A citation ($4,500)(state record)

    See this citation →
  4. ReportFederal survey (complaint): 3 deficiencies(state record)

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

    See this survey →
  6. ReportFederal survey (recertification): 1 deficiency(state record)

    See this survey →
  7. ReportFederal survey (recertification): 4 deficiencies(state record)

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

    See this survey →
  9. ReportState Class B citation ($1,150)(state record)

    See this citation →
  10. ReportFederal survey (recertification): 15 deficiencies, 3 condition-level(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.