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Inspection visit

complaint

EVERGREEN RETIREMENTLicense 1976090222 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Allegation: Staff does not ensure facility is free of rodents. It is alleged that several mice are running around the lobby, dining room, reception desk, mail room, and activity room. At the time of inspection, LPA observed glue traps in storage room/Culinary Director’s office, underneath kitchen sink and activity room. LPA observed rodent droppings in storage room/Culinary Director’s office metal shelf, plastic containers, cardboard boxes, behind shelves, food tin cans, food bags and underneath the reception desk and kitchen sink. Wall in kitchen underneath sink has holes that are covered with metal material. Interviews with all staff members confirmed that the facility has rodents. The Service Inspection Report from Professional Pest Management indicated that they are not treating for rodents at this time. A review of facility records verified the information revealed from interviews. Based on interviews, observation, and document review, there is a sufficient information to support the allegation. Therefore, this allegation is deemed Substantiated. Deficiencies were issued and recorded on LIC9099D. Executive Director, Amber Maczaczyj had to leave and designated Culinary Director, Luis Pacheco to sign the report. No health and safety hazard were noted during this visit. Exit interview conducted. Report signed and delivered. Appeal rights delivered. Allegation: Staff does not ensure facility is free of pests. It was alleged that cockroaches have been seen multiple times in resident room. Interview with resident #1 (R1) revealed that about two (2) months ago they had cockroaches in room but no cockroaches now. Interview with staff revealed that there are no cockroaches in the facility. The facility has hired pest control company, working on the pest situation at the facility. At the time of inspection, LPA did not observed any cockroaches in resident rooms. A review of facility records verified the information revealed from interviews. Professional Pest Management services the facility two (2) times a month for roaches. Based on inspection, observation and interviews, there is an insufficient information to support the allegation. Therefore, the allegation is deemed Unsubstantiated at this time. Executive Director, Amber Maczaczyj had to leave and designated Culinary Director, Luis Pacheco to sign the report. No immediate health and safety hazard is noted during this visit. Exit interview conducted. Copy of report was provided.

Citations

2 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 80076(a)(17)Type B

    80076(a)(17) Food Service. Kitchens, food preparation, and storage areas shall be kept clean... free of rodents, and other vermin. This requirement is not met as evidenced by: Based on inspection, and observation the Licensee did not ensure that the kitchen was free from rodents. LPA observed rodent droppings in storage room/office on metal shelf, containers, boxes, food tin cans, food bags and underneath kitchen sink. This poses a potential health, safety risk and personal rights violation to residents in care.

  • 87303(a)Type B

    87303(a) The facility shall be clean, safe, sanitary... at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees, and visitors. This requirement is not met as evidenced by: Based on inspection, and observation the Licensee did not ensure that the facility is safe and sanitary for wellbeing of residents and others. LPA observed rodent droppings in food storage/office, kitchen and reception desk. This poses a potential health, safety risk and personal rights violation to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 4, 2023 inspection of EVERGREEN RETIREMENT?

This was a complaint inspection of EVERGREEN RETIREMENT on October 4, 2023. 2 citations were issued: 2 Type B.

Were any citations issued to EVERGREEN RETIREMENT on October 4, 2023?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "80076(a)(17) Food Service. Kitchens, food preparation, and storage areas shall be kept clean... free of rodents, and ot..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.