Senior Care Records.

Facility Evaluation Report

Crossroads Village, San Jose05/17/2023Licence 435201665

Capacity45
Census39
Date signed05/17/2023 12:46:58 PM
The inspector’s account

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