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ICF/DD-H (Habilitative)License activeMedi-Cal certified

HARBOR HEALTH CARE, INC. - HOBACK DIVISION

ICF/DD-H (Habilitative) · 6 licensed beds · Norwalk, CA

Homes of 4–15 beds for people with developmental disabilities whose nursing needs are intermittent and predictable.

Address

HARBOR HEALTH CARE, INC. - HOBACK DIVISION11262 HOBACK STNorwalk, CA 90650 · Los Angeles County

Phone: (562) 866-7054

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
6
Licensee
HARBOR HEALTH CARE, INC. · Profit Corp
CDPH facility ID
960000956
License number
960000518
First licensed
April 3, 1985
Current license
Nov 1, 2025 to Oct 31, 2026
CDPH district office
La Icf/Dd/Clinics

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
55G180
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
March 4, 1998
Last certification survey
May 29, 2025
CMS certification status
Certified
In compliance (CMS)
Yes
Last certification action
Recertification
Ownership type (CMS)
Private (proprietary)
Certified beds (CMS)
6
Staffing reported to CMS
RN 0.25 · LVN/LPN 0 · direct care 1.75 · all employees 8

State citations and penalties (CDPH)

3 penalties, newest first

CDPH issues citations under Health and Safety Code §1424: Class AA (a violation that was a substantial factor in a resident's death), Class A (imminent danger or a substantial probability of death or serious harm) and Class B (a direct relationship to residents' health, safety or security). State citations explained

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Mar 7, 2008 · Penalty #960004842 · Survey 53QC11

    Status: Closed · Not appealed

    $1,000

  • Class BPatient Care

    Citation B (HSC 1424) · Violation Mar 19, 2008 · Penalty #960004843 · Survey 53QC11

    Status: Closed · Not appealed

    $1,000

  • Class BPatient Care

    Citation B (HSC 1424) · Violation Oct 21, 2003 · Penalty #960001047

    Status: Closed · Appealed (received Jan 6, 2004)

    $0

    initially $900

Federal inspections (CMS-2567)

19 surveys since 2018 · CMS data through Oct 12, 2026

CDPH surveys certified ICFs for CMS. Each deficiency is a W-tag (a federal ICF/IID requirement), an E-tag (emergency preparedness) or a K-tag (Life Safety Code), cited at the standard level or, more seriously, the condition level. How to read an ICF inspection

Content note: these federal findings describe residents' care and can include abuse, neglect, injuries and medical details. They're shown as CMS published them; residents are identified only by number (such as "Client 1").

  1. · Complaint

    Event 36A71A-H1 · no deficiencies cited

    Official 2567 ↗
  2. · Recertification

    Event 23496D-L1 · 7 deficiencies

    Official 2567 ↗
  3. · Recertification

    Event 23496D-H1 · 7 deficiencies

    Official 2567 ↗
  4. · Recertification

    Event 7F9H11 · 9 deficiencies

    Official 2567 ↗
  5. · Recertification

    Event 7F9H21 · 9 deficiencies

    Official 2567 ↗
  6. · Recertification

    Event 89LI21 · 4 deficiencies

    Official 2567 ↗
  7. · Recertification

    Event 89LI11 · 9 deficiencies

    Official 2567 ↗
  8. · Complaint

    Event O9EW11 · no deficiencies cited

    Official 2567 ↗
  9. · Complaint

    Event 8D2311 · no deficiencies cited

    Official 2567 ↗
  10. · Complaint

    Event JQG511 · no deficiencies cited

    Official 2567 ↗
  11. · Complaint

    Event 5SGM11 · 1 deficiency

    Official 2567 ↗
  12. · Recertification

    Event YBSN21 · 4 deficiencies

    Official 2567 ↗

From CMS's QCOR ICF/IID statement-of-deficiency download, saved Oct 26, 2026. CMS notes that ICF/IID data after March 19, 2026 may be incomplete while its systems migrate. Plans of correction and state-only (licensing) deficiencies aren't in that file; the official 2567 documents on CalHealthFind have them.

Complaints and reported incidents

CDPH doesn't publish complaints or facility-reported incidents as a bulk file, so they aren't on ICFLookup. Its CalHealthFind page for this facility lists them (intake date, allegation category and whether each was substantiated), along with state licensing deficiencies and ownership details.

Federal surveys that came from a complaint or an incident report do appear above, marked "Complaint" as the survey type.

Open this facility on CalHealthFind ↗How to file a complaint with CDPH

Change history

23 events, newest first

Dates marked "state record" are the agencies' own: the license date, federal survey dates and penalty issue dates. "Detected" changes are ones we noticed by comparing CDPH's monthly facility listing with the one before it, tracked since Oct 26, 2026.

  1. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →
  2. ReportFederal survey (recertification): 7 deficiencies(state record)

    See this survey →
  3. ReportFederal survey (recertification): 7 deficiencies(state record)

    See this survey →
  4. ReportFederal survey (recertification): 9 deficiencies(state record)

    See this survey →
  5. ReportFederal survey (recertification): 9 deficiencies(state record)

    See this survey →
  6. ReportFederal survey (recertification): 4 deficiencies(state record)

    See this survey →
  7. ReportFederal survey (recertification): 9 deficiencies(state record)

    See this survey →
  8. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →
  9. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →
  10. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →

Sources: CDPH Licensed and Certified Healthcare Facility Listing (data as of Oct 16, 2026), CDPH State Enforcement Actions, and CMS's ICF/IID statement-of-deficiency (CMS-2567) and Provider of Services files. ICFLookup is not affiliated with CDPH or CMS; always confirm with CDPH's CalHealthFind ↗ before making a decision. See How our data works.