Evergreen Senior Assisted Living
What is an RCFE with Memory Care?
A Residential Care Facility for the Elderly (RCFE) is a non-medical residential care home licensed by California CDSS under Health & Safety Code §1560. Residents receive help with daily living activities such as bathing, dressing, and medication management. An RCFE with a Memory Care designation is additionally required by California Title 22 (§87705 and §87706) to provide specialized staff training in dementia care, individualized care plans for residents with cognitive impairment, and appropriate supervision protocols — requirements that go beyond a standard RCFE license.
1710 Mt Diablo Way · Livermore, 94551
Record last updated April 20, 2026.
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Quick facts
Memory care context
Evergreen Senior Assisted Living is a California-licensed RCFE with 6 beds. The operator advertises memory care services, though CDSS licensing data does not show a formal dementia-care designation. California Title 22 requires all RCFEs serving residents with dementia to meet standards under §87705 and §87706, covering individualized care plans, staff training, and appropriate supervision. State records show no citations under these dementia-specific sections. However, CDSS records document 15 total deficiencies across 4 inspections, including 3 Type A citations (actual harm to residents) and 12 Type B citations (potential for harm). The most recent inspection was June 13, 2024. No complaints are on file with CDSS for this facility.
Questions to ask on your tour
Based on Evergreen Senior Assisted Living's state inspection record.
State records show 3 Type A deficiencies, meaning actual harm to residents was documented — what were the circumstances of each citation, and what changes were made afterward?
With 15 total deficiencies across 4 inspections, what systemic improvements has the facility implemented since the June 2024 inspection to reduce recurring compliance issues?
The facility advertises memory care but CDSS records show no formal dementia-care designation — can you explain what dementia-specific training staff receive and how you document compliance with Title 22 §87705 requirements?
With 6 licensed beds operated by Evergreen Island LLC, who provides direct care oversight when the primary caregiver is unavailable, and how is continuity maintained for residents with cognitive impairment?
State records
California CDSS · Community Care Licensing Division- License number
- 019200712
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Evergreen Island Llc
Inspections & citations
4
reports on file
15
total deficiencies
3
Type A (actual harm)
InspectionJune 13, 2024Type B2 deficiencies
Inspector notes
On 5/19/2025 at 9:45AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Remedios Manalang and explained the purpose of the visit. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, and outdoor area. Smoke and carbon monoxide detectors were observed. Sprinkler system observed. Fire extinguisher was observed to be full and last serviced on 6/5/2024. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 111 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mats in the bathrooms. Resident rooms were observed to be cleaned and fully furnished. First Aid kit is complete. LPA reviewed 5 residents and 4 staff files starting at 11:00AM. LPA reviewed a sample of resident's medications during inspection. LPA interviewed 2 residents and 2 staff during inspection. At 2:00PM, LPA observed R1's MAR states vitamin D3 was 5,000 units and the bottle shows vitamin D3 was 1,000 units. Doctor's order for R1's vitamin D3 was not on file. At 2:10PM, LPA observed R1's centrally stored medication and destruction records was incomplete and did not include some of R1's medications. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights were provided.
(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed.
Based on observation and record review, the licensee did not comply with the section cited above by not having a doctor's order for R1's vitamin D3 which poses a potential health and safety risk to persons in care. POC Due Date: 06/06/2025 Plan of Correction 1 2 3 4 Facility has agreed to obtain doctor's order for R1's vitamin D3 and submit the document to CCLD by POC date. Additionally, facility will update R1's MAR for future reviews.
(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrall…
Based on record review, the licensee did not comply with the section cited above by not completing R1's centrally stored records correctly which poses a potential health and safety risk to persons in care. POC Due Date: 06/06/2025 Plan of Correction 1 2 3 4 Facility has agreed to review R1's centrally stored records and update the document as needed. Facility will submit a copy to CCLD by POC date.
InspectionJune 20, 2023Type B2 deficiencies
Inspector: Grace Luk
Inspector notes
On 6/13/2024 at 2:15PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Remedios Manalang and explained the purpose of the visit. The facility’s fire clearance was approved for 6 bedridden residents, of which 4 residents may be under hospice care. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, and outdoor area. Smoke and carbon monoxide detectors were observed. Sprinkler system observed. Fire extinguisher was observed to be full and last serviced on 6/5/2024. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 105 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mats in the bathrooms. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. First Aid kit is complete. LPA reviewed 6 residents and 4 staff files starting at 3:15PM. LPA interviewed 2 residents and 2 staff starting at around 4:00PM. LPA reviewed a sample of resident's medications during inspection. At 3:45PM, LPA observed R1 does not have TB test on file. At 4:00PM, LPA observed facility did not complete the disaster drill every quarter (every 3 months). Last disaster drill was conducted on 2/1/2024. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and Health & Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights were provided.
(b) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the physician's primary diagnosis and secondary diagnosis, if any and results of an examination for communicable tuberculosis, other contagious/infectious or contagious diseases or other medical conditions which would preclude car…
Based on record review, the licensee did not comply with the section cited above by not have TB test for R1 which poses a potential health and safety risk to persons in care. POC Due Date: 07/01/2024 Plan of Correction 1 2 3 4 Facility has agreed to obtain TB test for R1 and submit a copy to CCLD by POC date.
(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,…
Based on record review, the licensee did not comply with the section cited above by not conducting a disaster drill every quarter which poses a potential health and safety risk to persons in care. POC Due Date: 07/01/2024 Plan of Correction 1 2 3 4 Facility has agreed to conduct disaster drill and submit log to CCLD by POC date.
InspectionJune 10, 2022Type A5 deficiencies
Inspector: Grace Luk
Inspector notes
On 6/20/2023 at 9:30AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Remedios Manalang and explained the purpose of the visit. The facility’s fire clearance was approved for 6 bedridden residents, of which 4 residents may be under hospice care. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, and outdoor area. Smoke and carbon monoxide detectors were observed. Sprinkler system observed. Fire extinguisher was observed to be full and last serviced on 7/5/2022. One week of nonperishable and 2-day of perishable food supplies were available. LPA observed grab bars and non-skid mats in the bathrooms. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. First Aid kit is complete. The facility has a written emergency disaster plan. LPA reviewed 5 resident and 4 staff files starting at 11:00AM. LPA interviewed 2 residents and 2 staff starting at 1:30PM. At 10:15AM, LPA observed unlocked cleaning supplies in the laundry area. LPA also observed unlocked paints in the back yard. Staff locked up all the items during inspection. At 11:10AM, LPA observed R1 did not have a signed complete admission agreement on file. (Continue on LIC809C...) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 At 11:15AM, LPA observed R2's needs and service plan (ANS) is not signed and R5 does not have a reappraisal/needs and service plan. At 11:20AM, LPA observed R3 and R5 has incomplete medical assessments on file. Also, R5 does not have TB test on file. At 12:43PM, LPA checked Administrator Certification Program (ACP) website and observed Administrator does not have a current Administrator Certificate which expired on 7/31/22. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights were provided.
(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients.
Based on observation, the licensee did not comply with the section cited above by having unlocked cleaning supplies in laundry area and paint in the backyard which poses an immediate health and safety risk to persons in care. POC Due Date: 06/21/2023 Plan of Correction 1 2 3 4 Staff locked up the cleaning supplies and paint during inspection. Deficiency cleared.
(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.
Based on record review, the licensee did not comply with the section cited above by not having an administrator with current administrator certificate which poses a potential health and safety risk to persons in care. POC Due Date: 07/07/2023 Plan of Correction 1 2 3 4 Facility has agreed to obtain current administrator certificate or documentation proof of active administrator certificate from ACP. Facility will submit current administrator certificate or documentation to CCLD by POC date.
(b) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the physician's primary diagnosis and secondary diagnosis, if any and results of an examination for communicable tuberculosis, other contagious/infectious or contagious diseases or other medical conditions which would preclude car…
Based on record review, the licensee did not comply with the section cited above by not having complete medical assessment for R3 & R5 and no TB test results for R5 which poses a potential health and safety risk to persons in care. POC Due Date: 07/07/2023 Plan of Correction 1 2 3 4 Facility has agreed to obtain complete medical assessment for R3 & R5 and TB test results for R5. Facility will submit medical assessments and TB test results to CCLD by POC date.
(a) The pre-admission appraisal shall be updated, in writing as frequently as necessary 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. Significant changes shall include but not be limited to:
Based on record review, the licensee did not comply with the section cited above by not having current/complete reappraisal/needs and service plans for R2 and R5 which poses a potential health and safety risk to persons in care. POC Due Date: 07/07/2023 Plan of Correction 1 2 3 4 Facility has agreed to obtain signed needs and service plans for R2 and R5. Facility will submit the signed needs and service plans to CCLD by POC date.
(d) The licensee shall retain in the resident's file the original signed and dated admission agreement and all subsequent signed and dated modifications. This does not apply to rate increases which have specific notification requirements as specified in Health and Safety Code section 1569.655.
Based on record review, the licensee did not comply with the section cited above by not having the complete admission agreement on file for R1 which poses a potential health and safety risk to persons in care. POC Due Date: 07/07/2023 Plan of Correction 1 2 3 4 Facility has agreed to obtain R1's full admission agreement and submit a copy to CCLD by POC date.
InspectionJune 21, 2021Type A6 deficiencies
Inspector: Grace Luk
Inspector notes
On 6/10/2022 at 9:30AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct an Infection Control Inspection. LPA met with Caregiver, Remedios Manalang. LPA spoke with Administrator, Emily Garcia over the phone and was informed Administrator is unable to be at facility. Administrator authorized Caregiver, Remedios Manalang to sign CCLD report. Upon entry, caregiver did not conduct COVID-19 screening for LPA. LPA observed hand sanitizer at screening station. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common areas, and outdoor areas. LPA observed cough etiquette, signs & symptoms, and physical distancing are posted in the common areas. All hand washing stations were equipped with soap and paper towel. Hand washing posters were posted at sinks and bathrooms. During record review, LPA observed visitors log and temperature log for both residents and staff. LPA observed facility has a copy of Mitigation Plan on file. LPA observed PPE, food supplies, and paper supplies are sufficient. At 9:50AM, LPA observed unlocked laundry detergents in the linen closet. Caregiver locked up laundry detergents during inspection. At 9:55AM, LPA observed sliding glass door in the living rooms is broken and unable to be opened. LPA tried to open the sliding glass door and was not able to open it. (Continue on LIC809C...) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 At 10:00AM, LPA was informed that staff are using R1's room as an exit to the backyard. At 10:05AM, LPA observed R2's room has a locked storage cabinet for facility's PPEs. LPA was informed that the cabinet use to be in the living room, but was moved to R2's room recently. At 10:10AM, LPA observed medication cart was unlocked and refrigerator has unlocked medications. Staff locked medication cart and put medication in a lockbox in the refrigerator during inspection. At 10:30AM, LPA observed side yard where exit gate is located has many items (wheelchairs, bed frame, suitcases, broken appliances) stored along the side yard. At 11:00AM, LPA observed S1 does not have health screening during record review. LPA contacted licensee to obtain S1's health screening, but did not receive a copy prior to completing the inspection. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights was provided.
(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients.
Based on observation, the licensee did not comply with the section cited above by having unlocked laundry detergents which poses an immediate health and safety risk to persons in care. POC Due Date: 06/11/2022 Plan of Correction 1 2 3 4 Caregiver locked up laundry detergents during inspection. Deficiency cleared.
(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.
Based on observation, the licensee did not comply with the section cited above by having unlocked medication cart and unlocked medication in the refrigerator which poses an immediate health and safety risk to persons in care. POC Due Date: 06/11/2022 Plan of Correction 1 2 3 4 Caregiver locked up medication cart during inspection. Caregiver found a lockbox to put the medication from the refrigerator and lock it during inspection. Deficiency cleared.
(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after …
Based on record review, the licensee did not comply with the section cited above by not having health screening for S1 which poses a potential health and safety risk to persons in care. POC Due Date: 06/17/2022 Plan of Correction 1 2 3 4 Administrator has agreed to obtain S1's health screening and submit a copy to CCLD by POC date.
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.
Based on observation, the licensee did not comply with the section cited above by having inoperable sliding glass door in the living room and items stored along the side yard near exit gate which poses a potential health and safety risk to persons in care. POC Due Date: 06/27/2022 Plan of Correction 1 2 3 4 Administrator has agreed to repair sliding glass door in the living room and remove items along the side yard by POC date. Administrator will submit picture/video proof that both sliding gl…
Personal Accommodations and Services (2) Resident bedrooms shall be provided which meet, at a minimum, the following requirements: (C) No bedroom of a resident shall be used as a passageway to another room, bath or toilet.
Based on interview, the licensee did not comply with the section cited above by using R1's room as access to the backyard which poses a potential personal rights risk to persons in care. POC Due Date: 06/17/2022 Plan of Correction 1 2 3 4 Administrator has agreed to conduct training to staff regarding resident's bedrooms shall not be used as a passageway. Administrator will submit training material and staff sign-in sheet to CCLD by POC date.
Personal Rights (a) Residents in residential care facilities for the elderly shall have personal rights which include, but are not limited to, those listed in Sections 87468.1, Personal Rights of Residents in All Facilities, and 87468.2, Additional Personal Rights of Residents in Privately Operated Facilities, as applicable to the facility.
Based on observation, the licensee did not comply with the section cited above by having PPE storage cabinet stored in R2's room which poses a potential personal rights risk to persons in care. POC Due Date: 06/17/2022 Plan of Correction 1 2 3 4 Administrator has agreed to remove the PPE storage cabinet out of R2's room (room 5) and put it in a common area at the facility. Administrator will submit picture to CCLD by POC date.
Federal summary
CMS Care CompareNot a CMS-certified facility
California RCFEs (residential care facilities for the elderly) are licensed by the state, not by CMS. CMS data only applies to skilled nursing facilities or to CCRCs that operate a licensed SNF wing.
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