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

PATE & INGRAM HOME II

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

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

Address

PATE & INGRAM HOME II2303 W 116TH STHawthorne, CA 90250 · Los Angeles County

Phone: (323) 755-9567

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
6
Licensee
PATE & INGRAM HOMES · Partnership
Administrator
KALENIK, DARLENE
CDPH facility ID
960002360
License number
960001083
First licensed
January 28, 1999
Current license
Jan 28, 2026 to Jan 27, 2027
CDPH district office
La Icf/Dd/Clinics

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
55G253
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
May 24, 1999
Last certification survey
March 23, 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 0.15 · LVN/LPN 0 · direct care 6.15 · all employees 6.3

State citations and penalties (CDPH)

3 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 BStaffing

    Citation B (HSC 1424) · Violation Jun 12, 2002 · Penalty #960000979

    Status: Closed · Not appealed

    $700

  • Class BAdministration

    Citation B (HSC 1424) · Violation Jun 25, 2001 · Penalty #960000917

    Status: Closed · Not appealed

    $1,000

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Jan 21, 2001 · Penalty #960000887

    Status: Closed · Not appealed

    $1,000

Federal inspections (CMS-2567)

25 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 D8GV11 · 2 deficiencies

    Official 2567 ↗
  2. · Recertification

    Event D8GV21 · 2 deficiencies

    Official 2567 ↗
  3. · Complaint

    Event 1TF711 · no deficiencies cited

    Official 2567 ↗
  4. · Recertification

    Event QTBU21 · 6 deficiencies

    Official 2567 ↗
  5. · Recertification

    Event QTBU11 · 2 deficiencies

    Official 2567 ↗
  6. · Complaint

    Event 1X1E11 · no deficiencies cited

    Official 2567 ↗
  7. · Complaint

    Event FRGV11 · 3 deficiencies

    Official 2567 ↗
  8. · Complaint

    Event XIRP11 · no deficiencies cited

    Official 2567 ↗
  9. · Recertification

    Event 3ID721 · 4 deficiencies

    Official 2567 ↗
  10. · Recertification

    Event 3ID711 · no deficiencies cited

    Official 2567 ↗
  11. · Complaint

    Event EP7911 · no deficiencies cited

    Official 2567 ↗
  12. · Recertification

    Event V7PZ11 · 8 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

29 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): 2 deficiencies(state record)

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

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

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

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

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

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

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

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

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