Senior Care Records.

Facility Evaluation Report

Evergreen Retirement, Burbank07/24/2025Licence 197609022

Capacity99
Census72
Date signed07/24/2025 03:04:52 PM
Name of licensing program analystNadia Shahbazian
Name of licensing program managerEva Miller
The inspector’s account

Licensing Program Analysts (LPAs) Nadia Shahbazian and Mariana Agban conducted an unannounced Required One (1) year at this facility today. LPAs met with Tanya Quezada - Executive Director and explained the reason for the visit. LPAs utilized the Compliance and Regulatory Enforcement (CARE) tools.

The Residential Care For the Elderly (RCFE) facility is for residents of ages 60 and above. Fire clearance is for 99 ambulatory residents, of which 50 may be non-ambulatory. A hospice waiver for 12 residents is in place with currently only 1 resident is in hospice care. Facility is a three story building consisting of 72 resident rooms, living room, activity room, dining room, kitchen, beauty salon, 2 laundry rooms, underground garage and a courtyard patio areas. The smoke/carbon monoxide detectors are interconnected. There are several fire extinguishers located throughout the facility and last fire inspection was conducted on 03/19/2025. The facility is equipped with emergency pull alarm and fire sprinkler system. There is an elevator with an evacuation chair in the stairway. There is only one entrance being utilized at the facility but there are several exits, in case of emergencies. All required posters were posted at the entrance and the hallways.

A tour of the physical plant was conducted at 9:40 am and the following was noted:

Kitchen: Facility’s kitchen door was observed to be locked and inaccessible to residents. Kitchen floors, counters and work areas were clean and sanitary. LPAs observed an adequate supply of perishable foods for two (2) days, and non-perishable food supply for seven (7) days stored in the walk in refrigerator, walk in freezer, and pantry. Food was properly labeled and stored. Emergency food is kept in a separate locked area, outside of the kitchen. Knives and sharp utensils are stored in the kitchen; inaccessible to residents. Detergents and chemicals were locked in a storage room outside of the kitchen.

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