ATRIA EVERGREEN VALLEY

4463 SAN FELIPE ROAD, San Jose CA 95135

Facility 435202714 · RESIDENTIAL CARE ELDERLY (740)

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

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.

Apr 8, 2026Complaint

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

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Dec 22, 2025Complaint

Allegations0 substantiated · 1 unsubstantiated · 2 unfounded

No deficiencies recorded in this report

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Sep 4, 2025Complaint

Allegations0 substantiated · 0 unsubstantiated · 1 unfounded

No deficiencies recorded in this report

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May 30, 2025Complaint

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

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Nov 15, 2024Complaint

Allegations0 substantiated · 1 unsubstantiated · 0 unfounded

No deficiencies recorded in this report

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Oct 2, 2024Complaint

Allegations0 substantiated · 1 unsubstantiated · 0 unfounded

No deficiencies recorded in this report

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Oct 2, 2024Complaint

Allegations0 substantiated · 1 unsubstantiated · 1 unfounded

No deficiencies recorded in this report

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Oct 2, 2024Complaint

Allegations0 substantiated · 4 unsubstantiated · 1 unfounded

No deficiencies recorded in this report

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Oct 2, 2024Complaint

Allegations0 substantiated · 2 unsubstantiated · 0 unfounded

No deficiencies recorded in this report

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Sep 4, 2024Complaint

Allegations0 substantiated · 0 unsubstantiated · 3 unfounded

No deficiencies recorded in this report

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Sep 4, 2024Complaint

Allegations0 substantiated · 1 unsubstantiated · 0 unfounded

No deficiencies recorded in this report

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Feb 12, 2024Complaint

Allegations0 substantiated · 0 unsubstantiated · 1 unfounded

No deficiencies recorded in this report

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Dec 14, 2022Complaint

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

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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

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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

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Oct 15, 2021Complaint

Allegations0 substantiated · 1 unsubstantiated · 0 unfounded

No deficiencies recorded in this report

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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