Inspection
No deficiencies recorded in this report
ATRIA EVERGREEN VALLEY
4463 SAN FELIPE ROAD, San Jose CA 95135
134 bedsLatest official report Aug 19, 2026Licensed
Additional info
- Telephone
- (408) 532-7677
- Licensee
- AOC CA OPCO GP PTR,GP OF AOC SAN FELIPE OPCO;ATRIA
- Administrator
- CHAVEZ, MADDALENA
- Contact
- CHAVEZ, MADDALENA
- License first date
- Sep 24, 2019
- License effective date
- Sep 24, 2019
- District office
- SAN JOSE RO · (408) 324-2112
- Regional office
- 26
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 4 Type A and 3 Type B deficiencies for this facility.
- Most recent inspection
- Aug 19, 2026
- Most recent deficiency
- Apr 8, 2026
1 later report, on Aug 19, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
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 41 Santa Clara County facilities licensed for 50 or more beds.
In the available public five-year record, CCLD published 24 reports for this facility: 10 inspections, 14 complaint investigations, and 0 licensing or administrative records.
Those records contain 4 Type A and 3 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 10
- Recorded deficiencies
- 7
- Type A deficiencies
- 4
- Type B deficiencies
- 3
- Substantiated complaints
- 3
- Repeated topics
- 0
About the same as most this size
2 in the last 12 months
More than the typical 4
1 in the last 12 months
More than the typical 2
1 in the last 12 months
More than the typical 1
0 in the last 12 months
Most this size have none
1 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.
No topic repeats in the last 36 months
No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(g)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (g)The licensee shall immediately telephone 9-1-1 if an injury ... resulted in an imminent threat to a resident’s health..an apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4). This requirement is not met as evidenced by: Based on interview, document reviews, licensee did not ensure that staff are available to meet resident’s needs and staff are adequately trained and equipped to assist residents with lift assistance when it has been determined that the resident has not sustained any injury. Which pose/poses
Official plan of correction
ED/ADM stated he/she will submit a written plan of correction for staff training on PIN 25-06-ASC, review alternative options based on the PIN. ED/ADM stated written plan of correction will be submitted to LPA by end of POC due date of 04/09/2026. an immediate, health, safety and personal rigths risk to persons in care.
Deadline recorded: Apr 9, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 9, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 2 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportInspection
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)(16)
- Regulation authority
- CCR
What the official deficiency says
87506 Resident Records (b) Each resident’s record shall contain at least the following information: (16) Records of resident's cash resources as specified in Section 87217, Safeguards for Resident Cash, Personal Property, and Valuables. This requirement was not met as evidenced by: Licensee did not ensure that resident R1's resident record contained a Safeguard for Personal Property and Valuables form, which posed a potential personal rights risk to residents in care.
Official plan of correction
Licensee agrees to submit a copy of R1's Safeguard for Personal Property and Valuables form to CCL by Plan of Correction date.
Deadline recorded: Jun 6, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 6, 2025
Correction not verified in available records
Complaint
Allegations1 substantiated · 1 unsubstantiated · 1 unfounded · 1 cited
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(1)(B)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care: (h) The following requirements shall apply to medications which are centrally stored: (1) Medications shall be centrally stored under the following circumstances: (B) Any medication is determined by the physician to be hazardous if kept in the personal possession of the person for whom it was prescribed. This requirement was not met as evidenced by: Licensee did not ensure that medications that were determined by the physician to be hazardous if kept in R1’s personal possession were centrally stored and not in the possession of R1 in R1’s living unit, which poses an immediate safety risk to residents in care.
Official plan of correction
Licensee agrees to submit a Plan of Correction by PoC due date to the department stating how the licensee agrees to conduct an in-service training with staff on ensuring that medications are centrally stored, including by inspecting resident living units for unsecured medications. Once training is complete, the licensee will submit copies of training logs with names of staff trained, dates of training, training topics, and names and qualifications of trainers.
Deadline recorded: May 31, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 31, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 4 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 0 unsubstantiated · 3 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportInspection
Admission, assessment, and evictionType A
- Official classification
- Type A
- Official code
- 87463(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The pre-admission appraisal shall be updated... 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. This requirement was not met as evidence by: Based on document review and investigation, R1 was not reassessed after R1 consumed cleaning solution on 10/26/23. R1’s Reappraisal was not updated for the facility to develop the care plan to meet resident’s needs. This poses an immediate risk to the health of the resident.
Official plan of correction
Licensee agrees to send plan of action in how the facility will ensure care and supervision are provided to residents whose conditions have changed or observations with updated care plans and submit the plan of action to CCL by POC date.
Deadline recorded: Oct 31, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 31, 2023
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Complaint
Allegations3 substantiated · 4 unsubstantiated · 0 unfounded · 3 cited
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87464(f)(4)
- Regulation authority
- CCR
What the official deficiency says
(f) Basic services shall at a minimum include: (4) Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications, as specified in Section 87608, Postural Supports. This requirement was not met as evidenced by: Based on interview, observation, and record review the facility did not ensure resident (R1)’s hygiene needs were met despite the daily service for bathing/showering from the observation of the build-up of gunk underneath R1’s fingernails which poses a potential health, safety, and personal rights risk to persons in care.
Official plan of correction
Licensee will provide an in-service training to all staff on proper hygiene. Licensee will submit the in-servce training record to LPA Dolores by POC due date.
Deadline recorded: Dec 21, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 21, 2022
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(8)
- Regulation authority
- CCR
What the official deficiency says
(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (8) To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs. This requirement was not met as evidenced by: Based on interview and record review, the facility did not ensure to follow-up with R1’s responsible person(s) on the COVID-19 vaccination which poses a potential health, safety, and personal rights risk to persons in care.
Official plan of correction
Licensee will send to the Department their procedures and policies regarding communication and follow-ups with family regarding the residents clinical events in the community. Licensee will send the POC via email to LPA by POC due date.
Deadline recorded: Dec 21, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 21, 2022
Correction not verified in available records
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87307(a)(2)(A)
- Regulation authority
- CCR
What the official deficiency says
(a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: (2) Resident bedrooms shall be provided which meet, at a minimum, the following requirements: (A) Bedrooms shall be large enough to allow for easy passage between and comfortable usage of beds and other required items of furniture specified below, and any resident assistant devices such as wheelchairs or walkers. This requirement was not met as evidenced by: Based on observation, the licensee did not ensure R1’s room allowed for easy passageway to the bedroom's exit with a wheelchair which poses an immediate health, safety, and personal rights risk to persons in care.
Official plan of correction
Licensee will ensure to arrange all the bedrooms appropriately to allow for easy passageway. Licensee will send a statement of understanding to LPA via email by POC due date.
Deadline recorded: Dec 15, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 15, 2022
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportSource 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