Senior Care Records.

Facility Evaluation Report

Evergreen Adult Development Center, San Jose04/06/2026Licence 435201385

Capacity216
Census102
Date signed04/06/2026 11:52:56 AM
Name of licensing program analystManuel Monter
Name of licensing program managerRomeo Manzano
The inspector’s account

Licensing Program Analyst Manuel Monter conducted a POC case management visit to clear deficiencies cited on March 30, 2026 during an case management visit. LPA met with Administrator Caroline Mayo and explained the purpose of the visit.

The facility was cited the following Type A deficiencies on March 30, 2026

82065 Personnel Requirements(a), POC due date March 31, 2026

LPA received plan of corrections by POC date. Deficiencies cleared during todays visit. POC cleared letter provided to ADM.

No deficiency was cited during todays visit. This report was reviewed with Administrator Caroline Mayo . A copy of this report was provided.

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