Senior Care Records.

Facility Evaluation Report

Harbor View Estate, San Clemente07/16/2025Licence 306002241

Capacity6
Census5
Date signed07/16/2025 01:37:40 PM
Name of licensing program analystKimberly Lyman
Name of licensing program managerAlisa Ortiz
The inspector’s account

Licensing Program Analyst (LPA) Kimberly Lyman made an unannounced visit to the facility for the purpose of a Plan of Correction (POC) visit, based upon the deficiencies cited in LIC form 809D on 06/03/2025. LPA was greeted and granted entry into the facility and explained the reason for the visit.

*Deficiency cited under Title 22 Regulation 87303(a) pertaining to Maintenance and Operation has been cleared. Licensee corrected noted items. Licensee has complied with the terms of the POC.

LPA observed noted items on advisories have been addressed.

Licensee has been advised to maintain all items especially those that were previously deficient in the facility in accordance with Title 22 Regulations.

Copy of this report was provided to the facility.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction