Welcome to the State of California

QUICK SEARCH


OR

OR


Select a category



Advanced Search

Facility Information

Facility ID: 060002270

Register Complaint

Lighthouse Icf/Dd-N

17001 Saga Dr
Yorba Linda, Ca   92886

County:Orange

Phone:(714) 223-1220

Fax:(714) 996-4838

Managing District Office

Please contact the following Licensing and Certification office for any questions and/or concerns:

Orange County District Office
681 S Parker St, Ste 200
Orange, CA. 92868
Phone Number: (714) 567-2906

License Information

Licensee:
5025 Marshburn Circle
Yorba Linda, Ca 92886

Licensee Type: Individual

License Number: 060000948

License Status: Active

License Category: Intermediate Care Facility/Developmentally Disabled - Nursing

License Effective Date: 11/9/2013

Expiration Date: 11/8/2014

Total License Capacity: 6

Bed Classification/Services:

Certification Information
Title 18 = Medicare
Title 19 = Medi-Cal (Medicaid)

Provider Category:ICF/IID

Last Certification Inspection Status:In Compliance

Certification Status:Eligible to Participate

Approval Date:10/17/2013

Complaints/Facility Self-Reported Incidents/Inspection Results Summary

View Statement of Deficiencies With Plan of Correction

Year: 2013

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

3Survey DeficienciesSurvey Deficiencies

Year: 2012

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

6Survey DeficienciesSurvey Deficiencies

Year: 2011

0ComplaintsComplaints

2Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

7Survey DeficienciesSurvey Deficiencies

Year: 2010

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

15Survey DeficienciesSurvey Deficiencies

Year: 2009

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

18Survey DeficienciesSurvey Deficiencies

Year: 2008

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

6Survey DeficienciesSurvey Deficiencies

Year: 2007

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

12Survey DeficienciesSurvey Deficiencies

Year: 2006

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

11Survey DeficienciesSurvey Deficiencies

Administration Information

11/8/2004
to Present

Brown, Todd And Renee
Relationship to Facility: Licensee

9/14/2004
to Present

Brown, Renee V
Relationship to Facility: Administrator

11/21/2013
to Present

Castleberry, Robin
Relationship to Facility: Director Of Nursing

Ownership Information

To request additional ownership information about this facility, please click the ownership name below.

11/8/2004
to Present

Brown, Renee V
Relationship to Facility: Property Owner
Percentage of Ownership: 0

Operating Entities

None found