Medical and dental care
Cited in 2 reports, with 3 deficiencies in total.
EVERGREEN SENIOR ASSISTED LIVING
1710 MT DIABLO WAY, Livermore CA 94551
6 bedsLatest official report Jun 12, 2026Licensed
Additional info
- Telephone
- (925) 989-3345
- Licensee
- EVERGREEN ISLAND LLC
- Administrator
- GARCIA, EMILY
- Contact
- GARCIA, EMILY
- License first date
- Jun 13, 2017
- License effective date
- Jun 13, 2017
- District office
- OAKLAND ASC · (510) 286-4201
- Regional office
- 15
- Clients served
- 935 - ELDERLY
Summary
The available records show 3 Type A and 14 Type B deficiencies for this facility.
- Most recent inspection
- Jun 12, 2026
- Most recent deficiency
- Jun 12, 2026
No later report is available, so the records do not show what happened afterward.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 152 Alameda County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 5 reports for this facility: 5 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 3 Type A and 14 Type B deficiencies.
3 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 5
- Recorded deficiencies
- 17
- Type A deficiencies
- 3
- Type B deficiencies
- 14
- Substantiated complaints
- 0
- Repeated topics
- 1
More than the typical 4
1 in the last 12 months
Well above the typical 4
2 in the last 12 months
More than the typical 1
0 in the last 12 months
Well above the typical 2
2 in the last 12 months
Most this size also have none
0 in the last 12 months
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and obserations, the licensee did not comply with the section cited above by having R3 (Permethrin 5% ointment) and R5's (Lacosomide 100 mg and Prazocin 1mg) medications missing doctor's order, R5's acetaminophen medication and doctor's order not matching, and the Medication Administration Record (MAR) not complete which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/26/2026 Plan of Correction By POC date, the Administrator agrees to have an in-service in documentation for MAR and obtain doctors order for R3 and R5's medications. Proof of correction will be sent to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87608(a)(5)(A)
- Regulation authority
- CCR
What the official deficiency says
(A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by not having a doctor's order for 6 of 6 residents' half bed rail which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/26/2026 Plan of Correction By POC date, the Administrator agrees to obtain doctor's order for all of the residents half bed rail.
Plan of correction recorded
Correction not verified in available records
Inspection
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above by not having a doctor's order for R1's vitamin D3 which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 06/06/2025 Plan of Correction Facility has agreed to obtain doctor's order for R1's vitamin D3 and submit the document to CCLD by POC date. Additionally, facility will update R1's MAR for future reviews.
Plan of correction recorded
Correction not verified in available records
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(6)
- Regulation authority
- CCR
What the official deficiency says
(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by not completing R1's centrally stored records correctly which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 06/06/2025 Plan of Correction Facility has agreed to review R1's centrally stored records and update the document as needed. Facility will submit a copy to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Inspection
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87458(b)(1)
- Regulation authority
- CCR
What the official deficiency says
(b) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the physician's primary diagnosis and secondary diagnosis, if any and results of an examination for communicable tuberculosis, other contagious/infectious or contagious diseases or other medical conditions which would preclude care of the person by the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by not have TB test for R1 which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 07/01/2024 Plan of Correction Facility has agreed to obtain TB test for R1 and submit a copy to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by not conducting a disaster drill every quarter which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 07/01/2024 Plan of Correction Facility has agreed to conduct disaster drill and submit log to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Inspection
Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by having unlocked cleaning supplies in laundry area and paint in the backyard which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 06/21/2023 Plan of Correction Staff locked up the cleaning supplies and paint during inspection. Deficiency cleared.
Official record says corrected or clearedOn or before Jun 20, 2023
Plan of correction recorded
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(d)
- Regulation authority
- CCR
What the official deficiency says
(d) The licensee shall maintain documentation that an administrator has met the certification requirements specified in Section 87406, Administrator Certification Requirements or the recertification requirements in Section 87407, Administrator Recertification Requirements. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by not having an administrator with current administrator certificate which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 07/07/2023 Plan of Correction Facility has agreed to obtain current administrator certificate or documentation proof of active administrator certificate from ACP. Facility will submit current administrator certificate or documentation to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87458(b)(1)
- Regulation authority
- CCR
What the official deficiency says
(b) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the physician's primary diagnosis and secondary diagnosis, if any and results of an examination for communicable tuberculosis, other contagious/infectious or contagious diseases or other medical conditions which would preclude care of the person by the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by not having complete medical assessment for R3 & R5 and no TB test results for R5 which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 07/07/2023 Plan of Correction Facility has agreed to obtain complete medical assessment for R3 & R5 and TB test results for R5. Facility will submit medical assessments and TB test results to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, and social condition. Significant changes shall include but not be limited to: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by not having current/complete reappraisal/needs and service plans for R2 and R5 which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 07/07/2023 Plan of Correction Facility has agreed to obtain signed needs and service plans for R2 and R5. Facility will submit the signed needs and service plans to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87507(d)
- Regulation authority
- CCR
What the official deficiency says
(d) The licensee shall retain in the resident's file the original signed and dated admission agreement and all subsequent signed and dated modifications. This does not apply to rate increases which have specific notification requirements as specified in Health and Safety Code section 1569.655. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by not having the complete admission agreement on file for R1 which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 07/07/2023 Plan of Correction Facility has agreed to obtain R1's full admission agreement and submit a copy to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Inspection
Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by having unlocked laundry detergents which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 06/11/2022 Plan of Correction Caregiver locked up laundry detergents during inspection. Deficiency cleared.
Official record says corrected or clearedOn or before Jun 10, 2022
Plan of correction recorded
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(2)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by having unlocked medication cart and unlocked medication in the refrigerator which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 06/11/2022 Plan of Correction Caregiver locked up medication cart during inspection. Caregiver found a lockbox to put the medication from the refrigerator and lock it during inspection. Deficiency cleared.
Official record says corrected or clearedOn or before Jun 10, 2022
Plan of correction recorded
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(f)
- Regulation authority
- CCR
What the official deficiency says
(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health. Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by not having health screening for S1 which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 06/17/2022 Plan of Correction Administrator has agreed to obtain S1's health screening and submit a copy to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
The facility shall be clean, safe, sanitary and in good repair 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: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by having inoperable sliding glass door in the living room and items stored along the side yard near exit gate which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 06/27/2022 Plan of Correction Administrator has agreed to repair sliding glass door in the living room and remove items along the side yard by POC date. Administrator will submit picture/video proof that both sliding glass door is repaired and side yard is clear of storage items to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(a)(2)(C)
- Regulation authority
- CCR
What the official deficiency says
Personal Accommodations and Services (2) Resident bedrooms shall be provided which meet, at a minimum, the following requirements: (C) No bedroom of a resident shall be used as a passageway to another room, bath or toilet. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview, the licensee did not comply with the section cited above by using R1's room as access to the backyard which poses a potential personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/17/2022 Plan of Correction Administrator has agreed to conduct training to staff regarding resident's bedrooms shall not be used as a passageway. Administrator will submit training material and staff sign-in sheet to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468(a)
- Regulation authority
- CCR
What the official deficiency says
Personal Rights (a) Residents in residential care facilities for the elderly shall have personal rights which include, but are not limited to, those listed in Sections 87468.1, Personal Rights of Residents in All Facilities, and 87468.2, Additional Personal Rights of Residents in Privately Operated Facilities, as applicable to the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by having PPE storage cabinet stored in R2's room which poses a potential personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/17/2022 Plan of Correction Administrator has agreed to remove the PPE storage cabinet out of R2's room (room 5) and put it in a common area at the facility. Administrator will submit picture to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Source and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology