Fire safety and emergency preparedness
Cited in 3 reports, with 5 deficiencies in total.
EVANS ELDERLY RESIDENTIAL CARE
13947 CASTILLE ST., Victorville CA 92392
6 bedsLatest official report Nov 17, 2025Licensed
Additional info
- Telephone
- (442) 229-2141
- Licensee
- EVANS ELDERLY RESIDENTIAL CARE LLC
- Administrator
- EVANS, KELLY
- Contact
- EVANS, KELLY
- License first date
- Nov 4, 2015
- License effective date
- Nov 4, 2015
- District office
- SAN BERNARDINO ASC · (951) 248-2222
- Regional office
- 56
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 3 Type A and 16 Type B deficiencies for this facility.
- Most recent inspection
- Nov 17, 2025
- Most recent deficiency
- Nov 17, 2025
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 229 San Bernardino County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 4 reports for this facility: 4 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 3 Type A and 16 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 4
- Recorded deficiencies
- 19
- Type A deficiencies
- 3
- Type B deficiencies
- 16
- Substantiated complaints
- 0
- Repeated topics
- 5
About the same as most this size
1 in the last 12 months
Well above the typical 1
8 in the last 12 months
Most this size have none
1 in the last 12 months
Well above the typical 1
7 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.
Staffing, personnel, and training
Cited in 2 reports, with 3 deficiencies in total.
Health conditions and treatments
Cited in 2 reports, with 2 deficiencies in total.
Licensing and administration
Cited in 2 reports, with 2 deficiencies in total.
Records and plan of operation
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
Licensing and administrationType A
- Official classification
- Type A
- Official code
- 1569.605
- Regulation authority
- HSC
What the official deficiency says
On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above by not having an active liability insurance which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/18/2025 Plan of Correction Licensee stated that she will renew her liability insurance and provide proof to LPA via email by POC due date.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87470(c)
- Regulation authority
- CCR
What the official deficiency says
(c) An Infection Control Plan shall be developed by the licensee and shall be included in the Plan of Operation required by Section 87208. 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 an infection control plan which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/24/2025 Plan of Correction Licensee stated that she will complete LIC9282 and send proof to LPA via email by POC due date.
Plan of correction recorded
Correction not verified in available records
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)
- Regulation authority
- CCR
What the official deficiency says
(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above by not sending the resident's death report LIC624A to the regional office which posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/20/2025 Plan of Correction Licensee stated that she will send LIC624A to the regional office through fax and provide proof to LPA via email by POC due date. Licensee will also submit a statement of understanding on regulation cited and send proof to LPA via email by POC due date.
Plan of correction recorded
Correction not verified in available records
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 observation, interview and record review, the licensee did not comply with the section cited above by not having an active administrator's certificate which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/20/2025 Plan of Correction Licensee stated that she will complete the required missing CEUs and renew her certificate. Licensee stated that she will submit a statement of understanding on regulation cited to LPA via email by POC due date.
Plan of correction recorded
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)
- Regulation authority
- CCR
What the official deficiency says
(b) Each resident's record shall contain at least the following information: 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 complete resident records which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/24/2025 Plan of Correction Licensee stated that she will complete all the missing items on LIC311F section 1 for each resident and send proof to LPA via email by POC due date.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87458(c)(1)(A)
- Regulation authority
- CCR
What the official deficiency says
(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: (A) Communicable tuberculosis. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above by not having proof of the 2 residents TB tests which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/24/2025 Plan of Correction Licensee stated that she will obtain the 2 residents TB tests along with the results and send proof to LPA via email by POC due 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(a)(2)
- Regulation authority
- HSC
What the official deficiency says
(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: (2) Plans for the facility to be self-reliant for a period of not less than 72 hours immediately following any emergency or disaster, including, but not limited to, a short-term or long-term power failure. If the facility plans to shelter in place and one or more utilities, including water, sewer, gas, or electricity, is not available, the facility shall have a plan and supplies available to provide alternative resources during an outage. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above by not having emergency kits which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/20/2025 Plan of Correction Licensee stated that she will purchase emergency kits and send proof to LPA via email by POC due 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(d)
- Regulation authority
- HSC
What the official deficiency says
(d) A facility shall review the plan annually and make updates as necessary, including changes in floor plans and the population served. The licensee or administrator shall sign and date documentation to indicate that the plan has been reviewed and updated as necessary. 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 an emergency disaster plan which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/24/2025 Plan of Correction Licensee stated that she will complete LIC610E and send proof to LPA via email by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 1569.605
- Regulation authority
- HSC
What the official deficiency says
On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the administrator did not comply with the section cited above by not having an active liability insurance which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/13/2024 Plan of Correction Administrator stated that she will purchase a liability insurance and submit proof to LPA via email by POC due 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 administrator did not comply with the section cited above by not having a clean kitchen, dining areas and living room which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/08/2024 Plan of Correction Administrator stated that she will clean the kitchen, dining areas and living room. Administrator stated that she will submit a statement of understanding to LPA via email by POC due date.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(f)
- Regulation authority
- CCR
What the official deficiency says
(f) All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the administrator did not comply with the section cited above by not having the administrator's file available for audit with a current health screening which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/13/2024 Plan of Correction Administrator stated that she will submit a copy of the administrator's file with a current health screening to LPA via email by POC due date.
Plan of correction recorded
Correction not verified in available records
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 observation, interview and record review, the administrator did not comply with the section cited above by not renewing their administrator's certificate which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/13/2024 Plan of Correction Administrator stated that she will renew her administrator's certificate and show proof of process to LPA via email by POC due 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 observation, interview and record review, the administrator did not comply with the section cited above by not conducting quarterly emergency drills which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/13/2024 Plan of Correction Administrator stated that she will conduct a drill and submit proof to LPA along with a statement of understanding on the regulation cited via email by POC due 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(d)
- Regulation authority
- HSC
What the official deficiency says
(d) A facility shall review the plan annually and make updates as necessary, including changes in floor plans and the population served. The licensee or administrator shall sign and date documentation to indicate that the plan has been reviewed and updated as necessary. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the administrator did not comply with the section cited above by reviewing/updating the emergency disaster plan annually which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/13/2024 Plan of Correction Administrator stated that she will review/update the emergency disaster plan annually and submit proof to LPA via email by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
Background checksType A
- Official classification
- Type A
- Official code
- 87355(e)
- Regulation authority
- CCR
What the official deficiency says
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the administrator did not comply with the section cited above in hiring staff with criminal record clearance which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/07/2023 Plan of Correction Administrator removed staff immediately from premises. Administrator stated that she will have staff get criminal record clearance and submit proof to LPA via email as soon as it's cleared.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87470(c)(1)(D)
- Regulation authority
- CCR
What the official deficiency says
(c) An Infection Control Plan shall be developed by the licensee and shall be included in the Plan of Operation required by Section 87208. (1) The Infection Control Plan shall include all of the following: (D) The licensee shall review the use of infection control procedures in the facility at least annually, if local government public health determines an epidemic outbreak has occurred, or if the review is requested by the local licensing agency. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the administrator did not comply with the section cited above in maintaining an updated Infection Control Plan which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/21/2023 Plan of Correction Administrator stated that she will create and update an Infection Control Plan and submit a copy via email to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)
- Regulation authority
- CCR
What the official deficiency says
(b) Each resident's record shall contain at least the following information: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the administrator did not comply with the section cited above in including a signed personal rights form for each resident and emergency ID form for one resident which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/21/2023 Plan of Correction Administrator stated that she will have residents sign a personal rights form and include a emergency ID form for one resident. Administrator stated that she will submit a copy to LPA via email by POC due 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(d)
- Regulation authority
- HSC
What the official deficiency says
(d) A facility shall review the plan annually and make updates as necessary, including changes in floor plans and the population served. The licensee or administrator shall sign and date documentation to indicate that the plan has been reviewed and updated as necessary. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the administrator did not comply with the section cited above in reviewing the emergency disaster annually which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/21/2023 Plan of Correction Administrator stated that she will review and update the emergency disaster plan and submit a copy to LPA via email by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(l)(2)
- Regulation authority
- CCR
What the official deficiency says
This requirement is not met as evidenced by: Based on observation and interview with Administrator, the Licensee did not comply with the regulation by locking the perimeter fence gate in a manner that residents are unable to exit without assistance. This poses an immediate hazard to all residents in care. Deficient Practice Statement CCR - 87705 Care of Persons with Dimentia: (l) The following initial and continuing requirements shall be met by the licensee to lock exterior doors or perimeter fence gates: (2) The Licensee shall ensure that the Fire Clearance includes approval of locked exterior doors or locked perimeter fence gates.
Official plan of correction
POC Due Date: 11/02/2021 Plan of Correction Licensee agrees to remove the lock and agree to not lock the perimeter fence gate without LIcensing and Fire Marshall approval. Administrator unlocked gate during visit. Plan of Correction (POC) cleared.
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