Facility Evaluation Report
Capacity45
Census39
Date signed05/17/2023 12:46:58 PM
Licensing Program Analysts (LPAs) Steve Chang and Manuel Monter conducted a case management with visit today, and met with Administrator (ADM) Kareeb Harbin,
Resident physician report, Appraisal Needs and Service Plan, Functional Capability Assessment, emergency contact, Progress Notes, police report case number, Coroner examiner case number and Admission Agreement.
The Department needs further investigation.
Exit interview was conducted with ADM. This report was provided to ADM for signature. A copy of this report was provided to ADM.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction