Senior Care Records.

Facility Evaluation Report

Evergreen Residence, Visalia08/26/2023Licence 547201120

Capacity40
Census26
Date signed08/26/2023 12:36:05 PM
The inspector’s account

On 8/26/2023, Licensing Program Analyst (LPA) K.Kaur arrived unannounced for complaint inspection and conducted a case management in conjunction. LPA met Administrator Esmeralda Coronado and introduced self and explained the reason for the visit.

LPA conducted a tour of the facility with Administrator . LPA observed unlocked Bleach and Laundry detergent in the laundry room in Building A (Assisted Living). LPA observed in Building B (Memory Care) unlocked chemicals and cleaning supplies in the dinning room cabinet.

Deficiency is being cited on the attached 809D in accordance with California Code of Regulations, Title 22, Division 6.

An exit interview was conducted with Administrator including discussing the plan of corrections. Report signed on-site. Printed copy provided with 809D page and appeal rights.

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