Senior Care Records.

Facility Evaluation Report

Evergreen Guest Home #4, San Jose04/24/2025Licence 435202168

Capacity6
Census5
Date signed04/24/2025 02:45:45 PM
Name of licensing program analystManuel Monter
Name of licensing program managerRomeo Manzano
The inspector’s account

On April 24, 2025, LPA Monter conducted a case management POC visit. LPA met with Lead staff, Nelson Reguindin.

On February 25, 2025, the Department received a complaint alleging the facility is not meeting the hygiene needs of residents in care. It has been alleged that resident R1 was observed with poor dental hygiene and wearing 2 diapers.

On April 16, 2025, LPA Monter concluded a complaint investigation. The following deficiencies were cited during the visit with a POC due date of April 17, 2025 and were cleared during today’s visit.

80072 Personal Rights (a) / Type A. Cleared, during visit.

No deficiencies cited during today’s visit. A copy of the report was provided.

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