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

EMILY'S RESIDENTIAL CARE CENTER, LLC

ICF/DD-H (Habilitative) · 6 licensed beds · Sun Valley, CA

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

Address

EMILY'S RESIDENTIAL CARE CENTER, LLC8983 TELFAIR AVESun Valley, CA 91352 · Los Angeles County

Phone: (818) 767-2913

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
6
Licensee
EMILY'S RESIDENTIAL CARE CENTER, LLC · Limited Liability Company
Administrator
MANSOUR, MARIAM S
CDPH facility ID
960001522
License number
960000768
First licensed
July 1, 1992
Current license
Oct 11, 2025 to Oct 10, 2026
CDPH district office
La Icf/Dd/Clinics

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
05G608
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
September 21, 1992
Last certification survey
February 28, 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 0.1 · LVN/LPN 0 · direct care 5.1 · all employees 5.2

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

  • Class AStaffing

    Citation A (HSC 1424) · Violation Apr 14, 2017 · Penalty #960013247 · Survey HRDK11

    Status: Closed · Not appealed

    $4,000

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Apr 23, 2012 · Penalty #960009358 · Survey IK8111

    Status: Closed · Not appealed

    $1,000

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Nov 21, 2005 · Penalty #960001162

    Status: Closed · Not appealed

    $1,000

  • Class APatient Rights

    Citation A (HSC 1424) · Violation Oct 18, 2001 · Penalty #960000945

    Status: Closed · Not appealed

    $10,000

  • Class BMedication

    Citation B (HSC 1424) · Violation Sep 5, 2000 · Penalty #960000872

    Status: Closed · Not appealed

    $700

  • Class AOther (Neglect)

    Citation A (HSC 1424) · Violation Mar 4, 2000 · Penalty #960000847

    Status: Closed · Not appealed

    $10,000

  • Class BPatient Care

    Citation B (HSC 1424) · Violation Mar 4, 2000 · Penalty #960000848

    Status: Closed · Not appealed

    $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. · Recertification

    Event 22C4E5-L1 · 3 deficiencies

    Official 2567 ↗
  2. · Recertification

    Event 22C4E5-H1 · 2 deficiencies

    Official 2567 ↗
  3. · Recertification

    Event 2L8P21 · 6 deficiencies

    Official 2567 ↗
  4. · Recertification

    Event 2L8P11 · 4 deficiencies

    Official 2567 ↗
  5. · Complaint

    Event T6FJ11 · no deficiencies cited

    Official 2567 ↗
  6. · Recertification

    Event BBAU21 · 1 deficiency

    Official 2567 ↗
  7. · Recertification

    Event BBAU11 · 3 deficiencies

    Official 2567 ↗
  8. · Complaint

    Event W64R11 · no deficiencies cited

    Official 2567 ↗
  9. · Complaint

    Event KBZM11 · 1 deficiency

    Official 2567 ↗
  10. · Complaint

    Event 1T9811 · 1 deficiency

    Official 2567 ↗
  11. · Complaint

    Event SJ0K11 · no deficiencies cited

    Official 2567 ↗
  12. · Recertification

    Event XXOO21 · 7 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

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 (recertification): 3 deficiencies(state record)

    See this survey →
  2. ReportFederal survey (recertification): 2 deficiencies(state record)

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

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

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

    See this survey →
  9. ReportFederal survey (complaint): 1 deficiency(state record)

    See this survey →
  10. ReportFederal survey (complaint): 1 deficiency(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.