Senior Care Records.

Facility Evaluation Report

Atria Evergreen Valley, San Jose04/04/2023Licence 435202714

Capacity134
Census75
Date signed04/04/2023 04:58:54 PM
The inspector’s account

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Case Management visit and met with Administrator Flavio Silva. The purpose of the visit was to investigate an incident of suspected abuse that was reported to the Department.

During visit, LPA Marrufo interviewed residents R1-R7, staff S1-S5, and Administrator Flavio Silva. LPA Marrufo obtained copies of Physician's Report, Appraisal/Needs and Services Plan, and Emergency Contact forms for residents R1,R4, R5, and R7.

No deficiencies were cited at this time as per California Code of Regulations Title 22.

This report was reviewed with Administrator Flavio Silva and a copy of the report was provided.

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