Inspection Reports for Evergreen Court
1415 W. Scott Ave, Fresno, CA 93711, CA, 93711
Back to Facility ProfileInspection Report Summary
Most inspections of this facility found multiple deficiencies, primarily related to environment and safety issues such as unlocked chemicals, open patios without railings or lighting, and maintenance concerns. The most recent report from May 31, 2025, cited serious problems including an outdated hospice care plan posing immediate risk, unauthorized staff presence, locked fire exit doors, and failure to report incidents, resulting in immediate civil penalties. Earlier reports also noted medication administration issues and incomplete resident records, while several complaint investigations were not listed or addressed. There has been no clear improvement trend, as deficiencies have persisted across inspections, with some issues recurring over time. No license suspensions or fines beyond the May 2025 penalties were noted in the available reports.
Deficiencies per Year
12
9
6
3
0
High
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Census: 6
Capacity: 6
Deficiencies: 4
May 31, 2025
Visit Reason
The visit was an unannounced case management inspection conducted due to observations related to resident records, unusual incident reports, and concerns about staff association and medication administration.
Findings
The inspection found multiple deficiencies including an outdated hospice care plan, a staff member not associated with the facility posing immediate risk, medication administration issues, fire exit doors locked preventing egress, and failure to report incidents. Immediate civil penalties of $500 each were assessed for criminal record transfer and fire clearance violations.
Severity Breakdown
Type A: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Outdated hospice care plan for resident R1, posing immediate health and safety risk. | Type A |
| Staff member on Guardian Roster not associated with the facility, posing immediate risk. | Type A |
| Fire clearance violation due to locked exit doors preventing residents from exiting. | Type A |
| Failure to submit required incident reports related to resident R1's head wound treatment. | Type A |
Report Facts
Civil penalty amount: 500
Civil penalty amount: 500
Residents present: 6
Facility capacity: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Steve Patel | Administrator | Named in relation to findings including outdated hospice care plan and medication administration |
| Mary Garza | Licensing Program Analyst | Conducted the inspection and authored the report |
Inspection Report
Census: 6
Capacity: 6
Deficiencies: 4
Jan 27, 2025
Visit Reason
The visit was an unannounced office meeting conducted to discuss concerns regarding the facility, including deficiencies cited during prior visits such as the annual inspection on 10/22/2024 and a case management visit on 01/08/2025.
Findings
Deficiencies were cited related to personal accommodations, oxygen administration, and resident records. The facility declined Technical Support services and was reminded of the importance of compliance with Title 22 regulations. A new Plan of Correction due date was set for 02/07/2025 for unresolved issues including an open patio without hand railing or lighting and incomplete resident records.
Severity Breakdown
Type B: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Personal Accommodations and Services: storage area accessible through bedroom | — |
| Oxygen Administration - Gas and Liquid: signs posting and reporting to Fire Department | — |
| Resident Records: pre-admission, reappraisals, medical assessments, TB, etc. incomplete or missing | Type B |
| Personal Accommodations and Services: Open patio area without railing/lighting | — |
Report Facts
Capacity: 6
Census: 6
Plan of Correction due date: Feb 7, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Minakshi Roychoudhury | Administrator | Met with during inspection and named in relation to facility operations and deficiencies |
| Rajat Roychoudhury | Licensee | Present during informal meeting and named in relation to facility operations and deficiencies |
| See Moua | Licensing Program Manager | Named in relation to inspection and deficiency findings |
| Mary Garza | Licensing Program Analyst | Named in relation to inspection and deficiency findings |
Inspection Report
Follow-Up
Census: 5
Capacity: 6
Deficiencies: 8
Jan 8, 2025
Visit Reason
The visit was an unannounced case management inspection conducted to review and clear plans of correction (POCs) from a previously conducted visit.
Findings
Several deficiencies were observed including unlocked chemicals posing danger, improperly stored food, inadequate air circulation in freezer, a resident bedroom used as a passageway, lack of hand railings and lighting on patio, insufficient towels for residents, missing physician orders for postural supports, and maintenance issues such as dirty attic door, hanging vents, and non-self-latching gates.
Severity Breakdown
Type B: 8
Deficiencies (8)
| Description | Severity |
|---|---|
| Chemicals/items posing a danger on bathroom #3 countertop, in storage area in back yard and in storage shed all unlocked and accessible to residents. | Type B |
| Food in refrigerator was not properly stored/dated. | Type B |
| Freezer packed and not allowing for proper ventilation to maintain temperature. | Type B |
| Bedroom #6 observed with storage area only accessible through resident bedroom. | Type B |
| Open patio on back of facility without hand railings or lighting. | Type B |
| Facility has 7 towels for 5 residents, insufficient for adequate hygiene. | Type B |
| Residents beds with hand railing but no written physician order for postural support. | Type B |
| Attic space door dirty and in need of painting; vent in hallway near office hanging and in need of cleaning; AC/heating vents dirty and in need of cleaning; doorway from living room to sitting area in need of touch up paint; gates on right and left side of facility not self-latching. | Type B |
Report Facts
Residents present: 5
Facility capacity: 6
Plan of Correction due date: Jan 20, 2025
Number of towels: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mary Garza | Licensing Program Analyst | Conducted the inspection and signed the report |
| Minakshi Roychoudhury | Administrator | Facility administrator present during inspection and exit interview |
| Shailesh Patel | Designee | Facility designee met during inspection and exit interview |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 11
Oct 22, 2024
Visit Reason
The inspection was an unannounced annual inspection visit conducted to evaluate the health and safety conditions of the Evergreen Court facility.
Findings
The facility was generally clean, odor-free, and well-maintained with operational safety equipment; however, several deficiencies were noted including unlocked chemicals in restrooms and offices, vents needing dusting, improperly stored food, and safety hazards such as an open patio without railing and an unsecured gate.
Deficiencies (11)
| Description |
|---|
| Chemicals observed in 3 of 3 restrooms unlocked and accessible. |
| Vents in hallways in need of dusting/air filters. |
| Restroom #2 tub in need of cleaning. |
| Food in freezer not dated/stored properly. |
| Chemicals/items posing a harm in office unlocked and accessible. |
| Walls and doors in need of wiping down. |
| Chemical observed in resident #6 bedroom. |
| Storage area accessible through resident #6 bedroom. |
| Chemicals/items posing a harm next to storage shed and outside back door accessible and unlocked. |
| Open patio on back of facility observed without railing and lighting posing a hazard. |
| Left side gate not self-latching. |
Report Facts
Capacity: 6
Census: 5
Water temperature: 116.4
Fire extinguisher last serviced: Sep 18, 2024
Last fire drill: Jul 17, 2024
Plan of Correction Due Date: Nov 1, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Minakshi Roychoudhury | Administrator | Facility Administrator present during inspection and exit interview |
| Mary Garza | Licensing Program Analyst | Conducted the inspection and signed the report |
| Noelia Luna | Direct Care Staff | Met Licensing Program Analyst upon arrival |
Inspection Report
Original Licensing
Census: 5
Capacity: 6
Deficiencies: 0
Oct 17, 2023
Visit Reason
The inspection was an announced pre-licensing visit conducted as a change of ownership inspection for the Evergreen Court facility.
Findings
The facility met all pre-licensing requirements, including adequate furnishings, safety measures, and supplies. The Licensing Program Analyst found no deficiencies and will submit documentation for final license review.
Report Facts
Facility capacity: 6
Resident census: 5
Fire extinguisher service date: Apr 10, 2023
Hot water temperature range: 116
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Minakshi Roychoudhury | Administrator | Met with Licensing Program Analyst during inspection |
| Shailesh Patel | Administrator | Met with Licensing Program Analyst during inspection |
| Alexandria Walton | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Melinda Hoffmann | Licensing Program Manager | Named in report header |
Inspection Report
Original Licensing
Census: 6
Capacity: 6
Deficiencies: 0
Sep 14, 2023
Visit Reason
The visit was conducted as part of the original licensing process for Evergreen Court Facility, including verification of applicant and administrator identity and understanding of community care facility licensing laws.
Findings
The applicant and administrator demonstrated understanding of licensing laws, facility operation, staffing, training, and pre-licensing readiness during a telephone interview. Signed documentation and photo ID were obtained.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Minakshi Roychoudhury | Administrator | Named as applicant/administrator participating in licensing interview and verification |
| Rajat Roychoudhury | Named as participant in licensing interview | |
| Julia Kim | Licensing Program Manager | Named as Licensing Program Manager |
| Dianne Ramos | Licensing Program Analyst | Named as Licensing Program Analyst |
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