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Inspection visit

complaint

EVERGREEN HAVENLicense 198200705
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

The investigation revealed the following: Allegation: Staff are financially abusing resident. The allegation alleges that the staff have spent all of their funds. During record review, LPA received and reviewed staff’s Statement Acknowledging Requirement to Report Suspected Abuse of Dependent Adults and Elders. Additionally, LPA received and reviewed resident’s Personal Rights of Residents in Privately operated Residential Care Facilities of the Elderly that states, residents have the right “to be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse.” During the inspection, LPA observed the Personal Rights of residents posted near the entrance of the facility. During interviews with Residents R1-R6, were asked if the staff are financially abusing them, six (6) out of six (6) stated no, staff are not financially abusing them. Additionally, Residents R1-R6, were asked if staff have access to their banking accounts, six (6) out of six (6) stated no, staff do not have access to their banking accounts. During interviews with Staff S1-S3, were asked if any of the residents have been financially abused by a staff at the facility, three (3) out of three (3) stated none of the residents have been financially abused. Allegation: Staff are not providing resident with adequate accommodations. The allegation alleges that the resident is staying in a closet. During record review, LPA received and reviewed the initial Fire Clearance, and facility sketch that indicates the rooms R1-R6 are residing in are approved for residents. Additionally, LPA received and reviewed resident’s Personal Rights of Residents in Privately Operated Residential Care Facilities for the Elderly, that states residents have the right “to be accorded safe, healthful and comfortable accommodations, furnishings and equipment.” As part of the facility inspection, LPA inspected all resident rooms and observed they accommodate a bed, dresser, nightstand, chair, and has storage space for resident’s personal belongings. During interviews with Residents R1-R6, were asked how they like their accommodations, six (6) out of six (6) stated their rooms are okay. During interviews with Staff S1-S3, were asked were asked if residents are provided with a room to reside in, three (3) out of three (3) stated residents are provided with a private room. Allegation: Staff are inappropriately tapping resident’s phone. The allegation alleges that the staff have tapped the phone of a resident. During record review, LPA received and reviewed resident’s Personal Rights of Residents in Privately Operated Residential Care Facilities for the Elderly that states, resident’s have the “to have reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations, use of the internet, and meetings of resident and family groups.” During the visit, LPA observed staff assist a resident with making a phone. The staff assisted with dialing the number, handed the phone to the resident, told the resident to call if they need assistance when they are done, exited the room, and closed the door. Additionally, LPA observed a resident visiting with their family privately in the living room. During interviews with Staff S1-S3, were asked if a resident’s phone has been tapped, three (3) out of three (3) stated no, a resident’s phone has not been tapped. Additionally, Staff S1-S3 were asked how residents are provided privacy while on a telephone call, three (3) out of three (3) stated they help them dial the number, if needed, then exit the room and close the door. During interviews with Residents R1-R6, were asked if they are provided with privacy while on the telephone, six (6) out of six (6) stated yes, they are provided with privacy during telephone calls. Additionally, LPA asked Staff S1-S6 if the any of the phones in the facility are tapped. During the course of the investigation, LPA was unable to find evidence to support the allegation(s). Although the allegation(s) may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation(s) is/are unsubstantiated . During today's visit LPA did not observe or cite any deficiencies. An exit interview was conducted with Administrator, Arlene Feliciano, and a copy of this report was provided.

Citations

No citations recorded on this visit

The inspector found no violations of California child care regulations during this visit.

FAQ · About this visit

Common questions about this visit

What happened during the March 12, 2026 inspection of EVERGREEN HAVEN?

This was a complaint inspection of EVERGREEN HAVEN on March 12, 2026. The inspection found no deficiencies and no citations were issued.

Were any citations issued to EVERGREEN HAVEN on March 12, 2026?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

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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