S&C QCOR ICF-IID 2567s
d QCOR:  Quality, Certification and Oversight Reports.
ICF-IID 2567s
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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
▼ 55G825 Invincible Villas 27539 Glasser Ave Canyon Country CA 9 (San Francisco) 06/02/2026 233F28-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
E0004 Develop ep plan, review and update annually Standard
E0037 Ep training program Standard
E0039 Ep testing requirements Standard
KS345 Fire alarm system - testing and maintenance Standard
KS353 Sprinkler system - maintenance and testing Standard
KS511 Utilities - gas and electric Standard
KS712 Fire drills Standard
KS761 Maintenance, inspection & testing - doors Standard
▼ 55G825 Invincible Villas 27539 Glasser Ave Canyon Country CA 9 (San Francisco) 05/20/2025 4ID321 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
E0004 Develop ep plan, review and update annually Standard
KS345 Fire alarm system - testing and maintenance Standard
KS351 Sprinkler system - installation Standard
KS353 Sprinkler system - maintenance and testing Standard
KS712 Fire drills Standard
KS761 Maintenance, inspection & testing - doors Standard
▼ 55G825 Invincible Villas 27539 Glasser Ave Canyon Country CA 9 (San Francisco) 05/15/2025 4ID311 Initial Certification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0104 Governing body Standard
W0351 Comprehensive dental diagnostic service Standard
W0426 Client bathrooms Standard
W0454 Infection control Standard
W0488 Dining areas and service Standard
▼ 55G826 Hansen Community Care 12943 Wingo St Pacoima CA 9 (San Francisco) 07/20/2026 25F9C8-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
E0039 Ep testing requirements Standard
KS345 Fire alarm system - testing and maintenance Standard
KS712 Fire drills Standard
KS761 Maintenance, inspection & testing - doors Standard
▼ 55G826 Hansen Community Care 12943 Wingo St Pacoima CA 9 (San Francisco) 07/15/2026 25F9C8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0104 Governing body Standard
W0159 Qidp Standard
W0262 Program monitoring & change Standard
W0322 Physician services Standard
W0341 Nursing services Standard
W0369 Drug administration Standard
W0390 Drug labeling Standard
W0454 Infection control Standard
▼ 55G826 Hansen Community Care 12943 Wingo St Pacoima CA 9 (San Francisco) 06/12/2025 EQ7Q11 Initial Certification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0000 Initial comments - not a deficiency citation Memo
W0104 Governing body Standard
W0189 Staff training program Standard
W0263 Program monitoring & change Standard
W0331 Nursing services Standard
W0369 Drug administration Standard
W0390 Drug labeling Standard
W0454 Infection control Standard
W0477 Menus Standard
▼ 55G827 Morning Glory Facility Plus Ii, Inc. 8662 Springer St Downey CA 9 (San Francisco) 08/20/2025 WTEY11 Initial Certification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0331 Nursing services Standard
W0426 Client bathrooms Standard
W0454 Infection control Standard
W0460 Food and nutrition services Standard
▼ 55G828 Jane Bansil Olano 800 N Aurora St Anaheim CA 9 (San Francisco) 02/11/2026 NP4121 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
E0009 Local, state, tribal collaboration process Standard
E0015 Subsistence needs for staff and patients Standard
E0030 Names and contact information Standard
E0031 Emergency officials contact information Standard
KS100 General requirements - other Standard
KS222 Egress doors Standard
KS300 Protection - other Standard
KS345 Fire alarm system - testing and maintenance Standard
KS353 Sprinkler system - maintenance and testing Standard
KS511 Utilities - gas and electric Standard
▼ 55G829 Floral Park Care 2615 N Greenbrier Street Santa Ana CA 9 (San Francisco) 01/06/2026 JZ9K21 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
E0039 Ep testing requirements Standard
KS222 Egress doors Standard
KS341 Fire alarm system - installation Standard
KS345 Fire alarm system - testing and maintenance Standard
KS347 Smoke detection Standard
KS351 Sprinkler system - installation Standard
KS353 Sprinkler system - maintenance and testing Standard
KS511 Utilities - gas and electric Standard
KS711 Evacuation and relocation plan Standard
KS712 Fire drills Standard
KS761 Maintenance, inspection & testing - doors Standard
▼ 55G830 Curly Anne's Residence 2, Inc. Icf/Dd-N 6617 Rio De Onar Way Elk Grove CA 9 (San Francisco) 08/21/2025 BOCU11 Initial Certification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0108 Compliance w federal, state & local laws Standard
W0229 Individual program plan Standard
W0339 Nursing services Standard
W0382 Drug storage and recordkeeping Standard
W0460 Food and nutrition services Standard
W0474 Meal services Standard
W0478 Menus Standard