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

REALITOS DIVISION

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

REALITOS DIVISION612 REALITOS DRLa Verne, CA 91750 · Los Angeles County

Phone: (909) 912-9314

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
6
Administrator
BENNETT, MARILYN
CDPH facility ID
960001977
License number
960000953
First licensed
March 12, 1996
Current license
Mar 12, 2026 to Mar 11, 2027
CDPH district office
La Icf/Dd/Clinics

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
05G988
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
May 31, 1996
Last certification survey
March 6, 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 0.25 · LVN/LPN 0 · direct care 7 · all employees 7.25

State citations and penalties (CDPH)

4 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 BAbuse/Facility Not Self Reported

    Citation - B · Violations: T22 DIV5 CH8.5 ART4-76916(a)(8)(A) · Violation Jun 26, 2025 · Penalty #960022804 · Survey 8E9711

    Status: Open

  • Class BAbuse/Facility Not Self Reported

    Citation - B · Violations: T22 DIV5 CH8.5 ART3-76870, T22 DIV5 CH8.5 ART4-76916(a)(8)(A) · Violation Sep 29, 2025 · Penalty #960022805 · Survey 8E9711

    Status: Open

    $2,050

    initially $2,000

    Citation document ↗
  • Class BPatient Care

    Citation B (HSC 1424) · Violation Jan 9, 2009 · Penalty #960005837 · Survey XJ0G11

    Status: Closed · Not appealed

    $1,000

  • Class BPatient Care

    Citation B (HSC 1424) · Violation Dec 20, 1999 · Penalty #960000828

    Status: Closed · Appealed (received Jan 24, 2000)

    $600

Federal inspections (CMS-2567)

31 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, Recertification

    Event 22CAE1-H1 · 6 deficiencies

    Official 2567 ↗
  2. · Recertification

    Event 22CAE1-L1 · 3 deficiencies

    Official 2567 ↗
  3. · Complaint

    Event VD5T11 · no deficiencies cited

    Official 2567 ↗
  4. · Complaint

    Event 8E9711 · 7 deficiencies (1 condition-level)

    Official 2567 ↗
  5. · Complaint

    Event 2BME11 · no deficiencies cited

    Official 2567 ↗
  6. · Complaint

    Event UYZZ11 · no deficiencies cited

    Official 2567 ↗
  7. · Complaint, Recertification

    Event JKOL11 · 2 deficiencies

    Official 2567 ↗
  8. · Recertification

    Event JKOL21 · 2 deficiencies

    Official 2567 ↗
  9. · Complaint

    Event 8Z6J11 · no deficiencies cited

    Official 2567 ↗
  10. · Recertification

    Event 9C5M21 · 2 deficiencies

    Official 2567 ↗
  11. · Recertification

    Event 9C5M11 · 3 deficiencies

    Official 2567 ↗
  12. · Complaint

    Event RBSX11 · 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

36 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, recertification): 6 deficiencies(state record)

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

    See this survey →
  3. ReportState Class B citation ($2,000)(state record)

    See this citation →
  4. ReportState Class B citation ($2,050)(state record)

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

    See this survey →
  6. ReportFederal survey (complaint): 7 deficiencies, 1 condition-level(state record)

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

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

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

    See this survey →
  10. ReportFederal survey (recertification): 2 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.