State assisted-living licensing record · California CDSS · record as pulled September 18, 2026· Not the federal nursing home survey
Humble Haven Rcfe IV
4036 Tournament DR, Palmdale, CA 935515644 · LOS ANGELES County · 6 licensed beds
CDSS facility number 197610333 · licensed · first licensed November 2022
The licence
Licensed by CDSS · Residential Care Facility for the Elderly · managed by Humble Haven Rcfe LLC
Licence details, as listed by CDSS
- CDSS regional office
- 31
Position within California
3 citations — more than 77% of the 8,587 licensed assisted living facilities in California. Compared only within California: a citation from CDSS means what it means in California, and there is no national assisted living record to compare to. Counted over 5 years, which holds two or three routine inspections. How this is calculated
Not in this record
Fire and life safety. A Residential Care Facility for the Elderly needs a fire clearance from the local fire authority, and that inspection is not part of the CDSS record. What CDSS does cite about the building is here: maintenance and operation of the premises, the emergency and disaster plan, and the physical environment sections of Title 22.
Get an email about Humble Haven Rcfe IV
One email when it happens, from the CDSS record as it is pulled each month. No account; stop it any time with one click.
How that compares
Compared with the median licensed assisted living facility in California. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 3 |
| Median facility in California | 0 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| September 27, 2022 | other visit | 0 |
| October 19, 2022 | other visit | 0 |
| March 22, 2024 | licensing inspection | 0 |
| May 17, 2024 | other visit | 2 |
| May 18, 2024 | complaint investigation | 0 |
| May 18, 2024 | other visit | 1 |
| November 1, 2024 | licensing inspection | 0 |
| October 31, 2025 | licensing inspection | 0 |
What the citations cover
- Staffing and training 2
- Records and administration 1
| Category | Citations |
|---|---|
| Staffing and training | 2 |
| Records and administration | 1 |
Every visit on file since September 2021
As published by CDSS, newest first, including visits that cited nothing. The wording and the classes are CDSS’s own.
October 31, 2025 — licensing inspection, nothing cited
November 1, 2024 — licensing inspection, nothing cited
May 18, 2024 — other visit, 1 citation
| Tag | What CDSS checks | Type | POC due |
|---|---|---|---|
| CCR-87355 | Criminal Record Clearance | Type A | May 19, 2024 |
May 18, 2024 — complaint investigation, nothing cited
May 17, 2024 — other visit, 2 citations
March 22, 2024 — licensing inspection, nothing cited
October 19, 2022 — other visit, nothing cited
September 27, 2022 — other visit, nothing cited
Reflects the CDSS record as pulled September 18, 2026. A recent visit may not appear yet. This is the California state licensing record; it is not the federal nursing home survey and the two are never combined.