Senior Care Records.

Facility Evaluation Report

Evergreen Adult Development Center, San Jose05/08/2024Licence 435201385

Capacity216
Census64
Date signed05/08/2024 12:21:56 PM
The inspector’s account

On April 10, 2024, Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced case management-Incident visit regarding an incident report on May 7, 2024. LPA met with Administrator Caroline C. Mayo and explained the purpose of the visit.

On May 7, 2024, the Department received an incident report alleging a staff member sexually abused a resident. It has been alleged a staff member placed his/her private parts on a client.

On May 8, 2024, LPA Monter interviewed staff S1. S1 denied doing anything inappropriate to client C1. S1 stated C1 takes a taxi home to and from the day program. S1 stated he/she is also a 1 on 1 staff for client C2. S1 stated he/she does not interact with C1.

LPA interview C1. C1 stated he/she was not sexually abused. C1 stated staff member S1 brushed up against him/her when he/she is drawing. C1 stated he/she doesn't like when male staff get close or touch him/her.

LPA interviewed C1's Conservator (CC). CC stated C1 re-enacted the alleged abuse to show CC what occurred at the day program. CC stated based on the re-enactment, a staff member brushed up against C1 when he/she was drawing.

The Department has completed the investigation of the sexual abuse. Based on interviews conducted, the department has found that the above allegations were UNFOUNDED , meaning that the allegations were false, could not have happened and/or are without a reasonable basis.

No deficiencies cited, an exit interview conducted with Administrator, Administrator Caroline C. Mayo and a copy of the report was provided.

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