S&C QCOR ICF-IID 2567s
d QCOR:  Quality, Certification and Oversight Reports.
ICF-IID 2567s
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Time Interval

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Provider Characteristics

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Survey Type & Deficiency Tags

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CCN and Facility Name

Use these filters if you know the name (or partial name) of the facility you are searching for, or the CMS Certification Number (CCN) for the facility you are searching for.

Other Survey Characteristics

Select one of the options below to filter by surveys that cite deficiencies or by surveys that are deficiency-free. By default, only surveys that cite deficiencies are displayed. Selecting "All" displays all surveys.

CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 55G822 Momentum Agencies Northridge House Icf/Ddh 10401 Shirley Avenue Northridge CA 9 (San Francisco) 12/13/2024 T1KF11 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0000 Initial comments - not a deficiency citation Memo
W0249 Program implementation Standard
W0262 Program monitoring & change Standard
W0369 Drug administration Standard
W0369 Drug administration Standard
▼ 55G823 Reseda Ranch 19013 Arminta St Reseda CA 9 (San Francisco) 06/17/2026 23600B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0331 Nursing services Standard
W0368 Drug administration Standard
W0481 Menus Standard
▼ 55G823 Reseda Ranch 19013 Arminta St Reseda CA 9 (San Francisco) 06/16/2026 23600B-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
KS353 Sprinkler system - maintenance and testing Standard
▼ 55G823 Reseda Ranch 19013 Arminta St Reseda CA 9 (San Francisco) 05/23/2025 1XEP21 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
KS341 Fire alarm system - installation Standard
KS343 Fire alarm system - notification Standard
KS511 Utilities - gas and electric Standard
KS761 Maintenance, inspection & testing - doors Standard
▼ 55G823 Reseda Ranch 19013 Arminta St Reseda CA 9 (San Francisco) 05/22/2025 1XEP11 Initial Certification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0000 Initial comments - not a deficiency citation Memo
W0385 Drug storage and recordkeeping Standard
▼ 55G824 Elgin House 401 Glin Ct Vista CA 9 (San Francisco) 01/07/2026 Z7J111 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0368 Drug administration Standard
▼ 55G824 Elgin House 401 Glin Ct Vista CA 9 (San Francisco) 08/14/2025 WUCW11 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0285 Mgmt of inappropriate client behavior Standard
▼ 55G824 Elgin House 401 Glin Ct Vista CA 9 (San Francisco) 05/05/2025 RIGS21 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
E0006 Plan based on all hazards risk assessment Standard
KS345 Fire alarm system - testing and maintenance Standard
KS351 Sprinkler system - installation Standard
KS353 Sprinkler system - maintenance and testing Standard
▼ 55G824 Elgin House 401 Glin Ct Vista CA 9 (San Francisco) 05/01/2025 RIGS11 Initial Certification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0454 Infection control Standard
▼ 55G825 Invincible Villas 27539 Glasser Ave Canyon Country CA 9 (San Francisco) 06/03/2026 233F28-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0121 Services provided with outside sources Standard
W0367 Drug administration Standard
W0454 Infection control Standard
W0481 Menus Standard