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Inspection visit

Office review

EVERGREEN CARE HOMELicense 3060037732 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

At this informal office visit, present were Licensing Program Manager (LPM) Alisa Ortiz, Licensing Program Analysts(LPAs) Kimberly Lyman and Kevin Saborit-Guasch as well as Licensee/ Administrator Haeryun Cho.and Licensee husband Bong Cho. The following items were discussed during the meeting: Citations previously cited on 11/04/2021 Additional citations provided during today's visit. Residents sleeping on mattresses in the facility. Facility keeping the upstairs living quarters inaccessible to residents. Licensee has agreed to address all issues discussed during today's visit. Licensee was offered the Technical Support Program and agreed to participate. LPA to request a referral to the program for Licensee. Based on the observations made during annual visit on 11/04/2021, additional deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with Administrator Cho and a copy was provided as well as appeal rights.

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.

  • 87307(a)(3)(A)Type B

    Equipment and supplies necessary for personal care and maintenance..: bed for each resident,... Each bed shall be equipped with good springs, a clean and comfortable mattress, available pillow(s) and lightweight warm bedding. This req is not being met as evidenced by: Based on observation, Licensee failed to ensure all residents have functional beds. Three out of five residents are sleeping on mattresses only. This poses a potential health and safety risk to residents in care.

  • 87705(c)(5)Type B

    Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs. This req is not being met as evidenced by: Based on record review, Licensee failed to ensure residents with Dementia have updated physician reports. Three out of four residents with Dementia do not have an updated physician report. This poses a potential health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the November 8, 2021 inspection of EVERGREEN CARE HOME?

This was a other inspection of EVERGREEN CARE HOME on November 8, 2021. 2 citations were issued: 2 Type B.

Were any citations issued to EVERGREEN CARE HOME on November 8, 2021?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "Equipment and supplies necessary for personal care and maintenance..: bed for each resident,... Each bed shall be equi..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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.