Small board & care homeLicensed

Humble Haven RCFE IV

4036 Tournament Drive, Palmdale, CA 93551

  • Licensed for 6 residents
  • Serves residents with dementia
  • Hospice waiver

About Humble Haven RCFE IV

Humble Haven RCFE IV is a small, home-like residential care facility for the elderly in Palmdale, California, licensed by the California Department of Social Services to care for up to 6 residents. It has held its current license for 4 years. CDSS lists it as serving residents with dementia. It holds a hospice waiver, so residents can receive hospice care without moving.

Licensing & inspections

Official CDSS report
License status
Licensed
Facility number
197610333
Licensed capacity
6
Licensed since
November 1, 2022
Last state visit
October 31, 2025
Inspection visits
3
Recent routine and required inspections
Complaint visits
1
Visits to investigate complaints
Type A citations
0
Immediate risk to health, safety, or rights
Type B citations
0
Could become a risk if not corrected
Licensee:
Humble Haven RCFE LLC
Administrator:
Jennifer Pantig
CDSS office:
N LA & CEN COA AC/SC
Serves:
RCFE / Dementia

State license notes: Age range 60 and over. Approved for five(5) non-ambulatory and one(1) bedridden. Bedroom #5 approved for bedridden clients. Hospice waiver approved for three (3).

Data from CDSS Community Care Licensing, last checked November 3, 2026.

Location

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