Senior Care Records.

Facility Evaluation Report

Evergreen Guest Home #2, San Jose09/10/2024Licence 430707505

Capacity6
Census6
Date signed09/10/2024 04:41:22 PM
The inspector’s account

Licensing Program Analyst (LPA) Manuel Monter and Marcela Yanez arrived unannounced to continue a complaint investigation. During the complaint investigation, a case management deficiencies visit was conducted due to violations discovered during the visit LPA met with Lolita Ignacio.

During investigation LPAs observed two dozen ants on the wall crawling onto the dining room table LPAs and staff observed ants as well (photograph were taken)

Deficiencies are being cited per California Code of Regulations, Title 22. See LIC809-D. This report was reviewed with Staff Lolita Ignacio and Appeals rights were provided

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