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

CANTLAY HOUSE

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

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

Address

CANTLAY HOUSE14160 CANTLAY STVan Nuys, CA 91405 · Los Angeles County

Phone: (818) 989-3334

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
6
Licensee
KMB RESIDENTIAL CARE, INC. · Profit Corp
Administrator
KING, CARL L
CDPH facility ID
960002750
License number
960001364
First licensed
June 29, 2002
Current license
Jun 29, 2026 to Jun 28, 2027
CDPH district office
La Icf/Dd/Clinics

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
55G457
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
March 22, 2003
Last certification survey
November 26, 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 0.3 · LVN/LPN 0.25 · direct care 7 · all employees 7.55

State citations and penalties (CDPH)

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

No state citations or penalties on record for this facility in CDPH's enforcement data (July 1998 to date).

Federal inspections (CMS-2567)

27 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 236814-H1 · no deficiencies cited

    Official 2567 ↗
  2. · Recertification

    Event DEKV11 · 9 deficiencies

    Official 2567 ↗
  3. · Recertification

    Event DEKV21 · 3 deficiencies

    Official 2567 ↗
  4. · Complaint

    Event N70R11 · no deficiencies cited

    Official 2567 ↗
  5. · Complaint

    Event KLNN11 · no deficiencies cited

    Official 2567 ↗
  6. · Complaint

    Event FQZ311 · no deficiencies cited

    Official 2567 ↗
  7. · Complaint

    Event VCVQ11 · no deficiencies cited

    Official 2567 ↗
  8. · Complaint

    Event WEYN11 · no deficiencies cited

    Official 2567 ↗
  9. · Complaint

    Event IJNO11 · no deficiencies cited

    Official 2567 ↗
  10. · Complaint

    Event DNGE11 · no deficiencies cited

    Official 2567 ↗
  11. · Complaint

    Event OKN711 · no deficiencies cited

    Official 2567 ↗
  12. · Recertification

    Event Z12Z11 · 3 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

28 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): no deficiencies(state record)

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

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

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

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

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

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