Inspection Reports for Evergreen Life Care Homes – Visalia
3030 W. CALDWELL AVE, Visalia, CA 93277, CA, 93277
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, including recent allegations that staff hit a resident and concerns about emergency response and medication administration. The facility’s most recent report from September 16, 2025, was clean with no deficiencies cited. Earlier inspections identified some issues primarily related to documentation, medication management, and environmental safety such as unsecured chemicals, expired food, and water temperature warnings. There were no fines, enforcement actions, or severe harm-level findings reported. The facility appears to have improved over time, with the latest reports showing fewer and less serious deficiencies compared to prior years.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
3.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
20% better than California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
83% occupied
Based on a September 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 33
Capacity: 40
Deficiencies: 0
Sep 16, 2025
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging that staff hit a resident.
Findings
The investigation found that Resident 1 was involved in an altercation with Resident 2, who hit Resident 1 on the head. There was no evidence that facility staff hit the resident, and the allegation was unsubstantiated. No deficiencies were cited.
Complaint Details
The allegation that staff hit a resident was investigated and found unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 40
Census: 33
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Esmeralda Coronado | Administrator | Met with during investigation and exit interview |
| Sarah Hurt | Licensing Program Analyst | Conducted the complaint investigation |
| Brenda Chan | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 32
Capacity: 40
Deficiencies: 3
Aug 26, 2025
Visit Reason
The visit was an unannounced annual inspection conducted by Licensing Program Analyst J. Leffall to evaluate compliance with licensing requirements at Evergreen Residence Facility.
Findings
The inspection found the facility generally in good condition with clear pathways, clean kitchen, and operational safety equipment. However, deficiencies were cited including a missing Admission Agreement for one resident, a missing fire drill record, and incomplete staff health documentation.
Severity Breakdown
Type B: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| 1 out of 4 residents has a missing Admission Agreement. | Type B |
| 1 out of 1 facility fire drill record is missing. | Type B |
| 1 out of 4 staff is missing LIC-503 with TB test documentation. | Type B |
Report Facts
Census: 32
Total Capacity: 40
Deficiencies cited: 3
POC Due Date: Sep 9, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Esmeralda Coronado | Administrator | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Jacques Leffall | Licensing Program Analyst | Conducted the inspection and signed the report |
Inspection Report
Annual Inspection
Census: 30
Capacity: 40
Deficiencies: 4
Oct 8, 2024
Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate compliance with licensing requirements at Evergreen Residence Facility.
Findings
The inspection identified multiple deficiencies including unlocked and unlabeled medications, black mold in the ice machine, outdated medical assessments for residents with dementia, and improper medication storage practices. Plans of correction were agreed upon with due dates.
Severity Breakdown
Type A: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Ice machine had possible black mold and was in disrepair. | Type A |
| Unlocked medication pills without a label, Eye drops and Hydrogen Peroxide found in a cabinet in the dining area. | Type A |
| Three residents with dementia had medical assessments over a year old. | Type A |
| Medication pill count was off by 8 pills due to transferring medication between containers. | Type A |
Report Facts
Residents with outdated medical assessments: 3
Extra pills counted: 8
Facility capacity: 40
Current census: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Esmeralda Coronado | Administrator | Met with Licensing Program Analyst during inspection and involved in addressing deficiencies. |
| Kamaldeep Kaur | Licensing Program Analyst | Conducted the inspection and authored the report. |
Inspection Report
Complaint Investigation
Census: 25
Capacity: 40
Deficiencies: 0
Jan 16, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-08-25 regarding allegations including questionable death, resident injuries due to staff neglect, and delayed emergency response.
Findings
The investigation found that a resident had a fall and was found by staff who noticed shallow breathing and called 911. Based on interviews and records, the allegations were unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint involved allegations of questionable death, severe injuries due to staff neglect, staff not checking on residents timely, and delayed emergency services. The findings concluded the allegations were unsubstantiated.
Report Facts
Capacity: 40
Census: 25
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Esmeralda Coronado | Administrator | Met with Licensing Program Analyst during investigation and involved in findings discussion |
| Kamaldeep Kaur | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
Inspection Report
Complaint Investigation
Census: 25
Capacity: 40
Deficiencies: 0
Jan 16, 2024
Visit Reason
Unannounced visit/investigation of a complaint received on 2023-10-30 regarding allegations about resident call light operability, placement, medication administration, and medication safeguarding.
Findings
The investigation found that the resident's call light was operable and within reach, medication was administered as per doctor's orders, and the allegations were unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint investigation was unsubstantiated as there was insufficient evidence to prove the alleged violations occurred.
Report Facts
Facility capacity: 40
Census: 25
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kamaldeep Kaur | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Esmeralda Coronado | Administrator | Facility administrator met during investigation |
Inspection Report
Annual Inspection
Census: 25
Capacity: 40
Deficiencies: 6
Jan 11, 2024
Visit Reason
The inspection was an unannounced Continuation Annual Inspection conducted to evaluate the facility's compliance with regulatory requirements.
Findings
The inspection identified multiple deficiencies including unsecured disinfectants accessible to residents, broken/chipped tile in the memory care shower, water temperatures exceeding regulatory limits without warning signs, expired food, and an ice machine with brown buildup. Plans of correction were requested with due dates.
Severity Breakdown
Type A: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Laundry room door was propped open and disinfectants, bleach, and laundry soap were accessible to residents. | Type A |
| Broken/chipped tile and black-like substance observed in memory care shower. | Type A |
| Hot water temperatures in resident rooms tested above regulatory limits (126.2 and 132.5 degrees F) without warning signs. | Type A |
| Disinfectants, bleach, and laundry soap accessible to residents. | Type A |
| Expired food observed in the facility. | Type A |
| Ice machine had brown buildup underneath the door lift area. | Type A |
Report Facts
Deficiencies cited: 6
Capacity: 40
Census: 25
Water temperature: 126.2
Water temperature: 132.5
Water temperature: 104.8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Esmeralda Coronado | Administrator | Met with Licensing Program Analyst during inspection and participated in exit interview. |
| Kamaldeep Kaur | Licensing Program Analyst | Conducted the inspection and authored the report. |
| See Moua | Licensing Program Manager | Supervisor overseeing the inspection. |
Inspection Report
Annual Inspection
Census: 30
Capacity: 40
Deficiencies: 0
Nov 8, 2023
Visit Reason
The visit was an unannounced annual inspection conducted by Licensing Program Analyst K. Kaur to evaluate the facility's compliance with licensing requirements.
Findings
The Licensing Program Analyst conducted a tour of the facility and met with the Administrator. Due to time constraints, the inspection will continue at a later date. The analyst requested submission of several documents by 11/15/2023.
Report Facts
Document submission deadline: Nov 15, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Esmeralda Coronado | Administrator | Met with Licensing Program Analyst during the inspection and participated in the exit interview |
| Kamaldeep Kaur | Licensing Program Analyst | Conducted the annual inspection visit |
Inspection Report
Complaint Investigation
Census: 26
Capacity: 40
Deficiencies: 1
Aug 26, 2023
Visit Reason
The visit occurred due to a complaint inspection combined with case management to investigate alleged deficiencies.
Findings
The Licensing Program Analyst observed unlocked bleach and laundry detergent in the laundry room of Building A (Assisted Living) and unlocked chemicals and cleaning supplies in the dining room cabinet of Building B (Memory Care), resulting in a cited deficiency.
Complaint Details
The visit was complaint-related and included case management. The deficiency was substantiated and cited with a Plan of Correction due by 09/08/2023.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Unsecured storage of bleach, laundry detergent, chemicals, and cleaning supplies accessible to clients. | Type A |
Report Facts
Capacity: 40
Census: 26
Plan of Correction Due Date: Sep 8, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Esmeralda Coronado | Administrator | Met with Licensing Program Analyst during inspection and discussed plan of corrections |
| Kamaldeep Kaur | Licensing Program Analyst | Conducted complaint inspection and cited deficiencies |
Inspection Report
Annual Inspection
Census: 27
Capacity: 40
Deficiencies: 1
Oct 4, 2022
Visit Reason
The visit was an unannounced annual inspection focused on infection control conducted by the Licensing Program Analyst to evaluate compliance with applicable regulations.
Findings
The facility was generally clean with appropriate infection control measures observed, including facial coverings, hand sanitizer availability, and social distancing. However, five out of six fire extinguishers had expired service dates, posing an immediate health and safety risk.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Five out of six fire extinguishers had expired service dates, posing an immediate health and safety risk to residents. | Type A |
Report Facts
Fire extinguishers with expired service dates: 5
Deficiency count: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mai Yang | Licensing Program Analyst | Conducted the inspection and cited deficiencies. |
| Melinda Hoffmann | Licensing Program Manager | Supervised the inspection process. |
| Esmeralda Coronado | Administrator | Facility administrator referenced in the report. |
| Martha Brewer | Assistant Administrator | Met with Licensing Program Analyst during inspection. |
Inspection Report
Complaint Investigation
Census: 31
Capacity: 40
Deficiencies: 0
May 2, 2022
Visit Reason
The inspection visit was conducted as an unannounced complaint investigation following a complaint received on 2022-02-15 regarding an allegation that a resident assaulted another resident due to lack of care and supervision.
Findings
The Licensing Program Analyst conducted interviews and record reviews and found that the preponderance of evidence standard was not met; therefore, the allegation was found to be unsubstantiated.
Complaint Details
The complaint alleged that a resident assaulted another resident while in care as a result of lack of care and supervision. The investigation found the allegation to be unsubstantiated.
Report Facts
Capacity: 40
Census: 31
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mai Yang | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Martha Brewer | Assistant Administrator | Met with the Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 32
Capacity: 40
Deficiencies: 0
Jan 19, 2022
Visit Reason
Unannounced visit/investigation of a complaint received on 2021-11-18 regarding neglect and lack of care resulting in a resident sustaining a pressure injury and hospitalization for malnutrition.
Findings
The Department investigated the allegations and found that although the allegations may have happened or are valid, there was not a preponderance of evidence to prove they did or did not occur; therefore, the allegations are unsubstantiated. No deficiencies were issued.
Complaint Details
The complaint was unsubstantiated as there was insufficient evidence to prove the allegations of neglect resulting in pressure injury and hospitalization for malnutrition.
Report Facts
Capacity: 40
Census: 32
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mai Yang | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Esmeralda Coronado | Administrator | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 34
Capacity: 40
Deficiencies: 0
Oct 15, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2021-04-21 regarding allegations including resident injury and untimely changing of residents.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. The reported incident of a resident injury was not confirmed, and documentation for resident care was incomplete. Additional allegations regarding special diet and hygiene needs were found to be unfounded. No deficiencies were cited.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included a resident pushing another causing injury and residents not being changed timely. Additional allegations about staff not following special diets and residents' hygiene needs not being met were also investigated and found unfounded.
Report Facts
Capacity: 40
Census: 34
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melinda Medina | Licensing Program Analyst | Conducted the complaint investigation visit |
| Esmeralda Coronado | Administrator | Present during complaint visit and provided information |
| Melanie Tantingco | Licensee met with during complaint visit |
Inspection Report
Plan of Correction
Census: 34
Capacity: 40
Deficiencies: 0
Oct 7, 2021
Visit Reason
The visit was an unannounced Plan of Correction (POC) inspection conducted to follow up on a deficiency cited on 09/21/21.
Findings
The Licensing Program Analyst toured the facility with the Administrator and observed signal systems in each resident room. No deficiencies were issued during this visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Esmeralda Coronado | Administrator | Met with Licensing Program Analyst during the Plan of Correction visit. |
| Mai Yang | Licensing Program Analyst | Conducted the Plan of Correction visit. |
| Melinda Hoffmann | Licensing Program Manager | Named in the report header. |
Inspection Report
Annual Inspection
Census: 34
Capacity: 40
Deficiencies: 1
Sep 21, 2021
Visit Reason
The visit was an unannounced Annual Inspection focused on Infection Control conducted by Licensing Program Analysts to evaluate compliance with regulatory requirements.
Findings
The facility was generally clean with no fire clearance issues, social distancing was maintained, and infection control training was verified. However, a deficiency was cited for not having a signal system available for each resident's living unit, posing a potential health and safety risk.
Deficiencies (1)
| Description |
|---|
| The licensee did not have a signal system available for each resident in each room, posing a potential health, safety, or personal rights risk to persons in care. |
Report Facts
Capacity: 40
Census: 34
Plan of Correction Due Date: Oct 4, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Esmeralda Coronado | Administrator | Met with Licensing Program Analysts during inspection |
| Mai Yang | Licensing Program Analyst | Conducted inspection and signed report |
| Melinda Hoffmann | Licensing Program Manager | Supervised inspection and signed report |
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