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ICF/DD-N (Nursing)License activeMedi-Cal certified

OCCIDENTAL HOME

ICF/DD-N (Nursing) · 6 licensed beds · Claremont, CA

Homes of 4–15 beds for medically fragile people with developmental disabilities who need intermittent skilled nursing.

Address

OCCIDENTAL HOME1010 OCCIDENTAL DRClaremont, CA 91711 · Los Angeles County

Phone: (909) 624-4954

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-N (Nursing)
Licensed beds
6
Licensee
RSCR CALIFORNIA, INC. · Profit Corp
Administrator
CROWELL, JILL
CDPH facility ID
960002310
License number
960001067
First licensed
May 13, 1999
Current license
May 13, 2026 to May 12, 2027
CDPH district office
La Icf/Dd/Clinics

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
55G423
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
April 3, 2002
Last certification survey
November 7, 2025
CMS certification status
Certified
In compliance (CMS)
Yes
Last certification action
Recertification
Ownership type (CMS)
Other (specify)
Certified beds (CMS)
6
Staffing reported to CMS
RN 1 · LVN/LPN 2 · direct care 4 · all employees 7

State citations and penalties (CDPH)

5 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 APatient Care

    Citation - A · Violations: W&I 4502(b)(4), W&I 4502(b)(8), HSC 1275.3(a), W&I 4502(a) · Violation Apr 24, 2026 · Penalty #960023728 · Survey 232F14-H1

    Status: Open

    $5,100

    initially $5,000

    Citation document ↗
  • Class AAPatient CareDeath-related

    Citation AA (HSC 1424) · Violation Feb 10, 2017 · Penalty #960013185 · Survey BU1U11

    Status: Open · Not appealed

    $25,000

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Mar 15, 2002 · Penalty #960000963

    Status: Closed · Not appealed

    $1,000

  • Class APatient Care

    Citation A (HSC 1424) · Violation Oct 18, 2000 · Penalty #960000879

    Status: Closed · Appealed (received Apr 19, 2001)

    $7,500

    initially $10,000

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Mar 4, 2000 · Penalty #960000841

    Status: Closed · Appealed (received Apr 4, 2000)

    $500

Federal inspections (CMS-2567)

53 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 25D081-H1 · 1 deficiency

    Official 2567 ↗
  2. · Complaint

    Event 234EEE-H1 · no deficiencies cited

    Official 2567 ↗
  3. · Complaint

    Event 232F14-H1 · 1 deficiency

    Official 2567 ↗
  4. · Complaint, Recertification

    Event 2D1E11 · 1 deficiency

    Official 2567 ↗
  5. · Recertification

    Event 2D1E21 · 1 deficiency

    Official 2567 ↗
  6. · Complaint

    Event 67QI11 · 1 deficiency

    Official 2567 ↗
  7. · Complaint

    Event X4PQ11 · no deficiencies cited

    Official 2567 ↗
  8. · Recertification

    Event Q5O721 · 1 deficiency

    Official 2567 ↗
  9. · Complaint, Recertification

    Event Q5O711 · 4 deficiencies

    Official 2567 ↗
  10. · Complaint

    Event D1XQ11 · no deficiencies cited

    Official 2567 ↗
  11. · Complaint

    Event 2NCR11 · 1 deficiency

    Official 2567 ↗
  12. · Complaint

    Event IQ2J11 · 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

59 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): 1 deficiency(state record)

    See this survey →
  2. ReportState Class A citation ($5,100)(state record)

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

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

    See this survey →
  5. ReportFederal survey (complaint, recertification): 1 deficiency(state record)

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

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

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

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

    See this survey →
  10. ReportFederal survey (complaint, recertification): 4 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.