Evergreen House - Extended Care
231 15th St E, North Vancouver BC V7L 2L7 · Extended Care
Inspection summary
Evergreen House - Extended Care has been inspected 14 times by Vancouver Coastal Health since April 10, 2021. The most recent inspection, on June 9, 2026, recorded 3 infractions.
1 of 14 inspections on record found no infractions at all. In the past 12 months there was 1 inspection with 3 infractions recorded. The higher-risk findings here relate to: Food temperature control and Pests.
Recent inspections have recorded fewer infractions than earlier ones, so the record is improving.
What these findings mean
Health authorities word their findings differently, so we group them by what they mean for your health. Higher-risk findings are the ones inspectors treat as critical, because they can directly make someone sick.
Food temperature controlHigher risk
Inspectors check that anything that has to be kept at a set temperature, such as chilled or hot food, or equipment like sterilizers, stays in its safe range and that accurate thermometers are on hand. With food, temperature problems are one of the most common causes of food poisoning.
Recorded 7 times across 7 separate inspections, most recently on November 18, 2024. For example:
Water accessible to a person in care is not heated to more than 49°C
PestsHigher risk
Signs of mice, rats, cockroaches or flies, or gaps and clutter that let them get in or hide. Pests carry bacteria and can contaminate food, supplies and surfaces, so evidence of activity is treated seriously and usually triggers a follow-up visit.
Recorded 3 times across 3 separate inspections, most recently on December 17, 2024. For example:
Free of pest infestations – IPM program in place
Permits, records and postingLower risk
Operating permits, required signage, written procedures and logs. These findings are administrative: the documentation was missing or out of date at the time of inspection.
Recorded 18 times across 11 separate inspections, most recently on June 9, 2026. For example:
Care plan(s) is reviewed and, if necessary, modified if there is a substantial change in the circumstances of the person in care or at least once a year [RCR Sec 81(4)(b)]
Food safety training and certificationLower risk
Many jurisdictions require a trained or certified person on site, such as a certified food handler. These findings mean the training record or the trained person was missing at the time. They do not by themselves mean anything was handled unsafely.
Recorded 6 times across 5 separate inspections, most recently on September 18, 2024. For example:
Persons in care have at all times immediate access to an employee who is certified in first aid and CPR, knowledgeable about their medical condition and able to communicate with emergency personnel [RCR Sec 43(1);DOLSOP Preventing Opioid Overdose]
Building, plumbing and upkeepLower risk
Floors, walls and ceilings must be clean and in good repair, with working lighting, ventilation, plumbing, hot and cold water, and washrooms. These are rarely an immediate health risk on their own, but persistent problems can lead to pest or sanitation issues.
Recorded 3 times across 3 separate inspections, most recently on June 9, 2026. For example:
Rooms and common areas are well ventilated, in a good state of repair, safe and clean condition [RCR Sec 22(1)]
About this data
These results come from Vancouver Coastal Health, which inspects food premises and other public facilities in this area. We republish the authority's public disclosure data and refresh it regularly; the official record is the final word.
14 inspections
- Routine
3 infractions
- Care plan(s) is reviewed and, if necessary, modified if there is a substantial change in the circumstances of the person in care or at least once a year [RCR Sec 81(4)(b)]
- Care plan(s) are not reviewed at least once a year.
- Reportable incidents have been reported to the Medical Health Officer in the form and manner required. [RCR Sec 77(2)(c)]
- Rooms and common areas are well ventilated, in a good state of repair, safe and clean condition [RCR Sec 22(1)]
- Care plan(s) is reviewed and, if necessary, modified if there is a substantial change in the circumstances of the person in care or at least once a year [RCR Sec 81(4)(b)]
- Routine
2 infractions
- The care plan(s) contains all items that must be recorded under this regulation [RCR Sec 81(3)]
- Does not include an oral health care plan.
- Reportable incidents have been reported with appropriate notifications [RCR Sec 77(2)(a)(b)(d);DOLSOP Preventing Opioid Overdose]
- The care plan(s) contains all items that must be recorded under this regulation [RCR Sec 81(3)]
- Routine Follow-up
2 infractions
- Free of pest infestations – IPM program in place
- Best practices are being followed (Follow checklists used for applicable personal services procedures)
- Routine Follow-up
3 infractions
- Water accessible to a person in care is not heated to more than 49°C
- Free of pest infestations – IPM program in place
- Best practices are being followed (Follow checklists used for applicable personal services procedures)
- Routine
4 infractions
- Water accessible to a person in care is not heated to more than 49°C
- Free of pest infestations – IPM program in place
- Outbreak procedures established and in place (Recommendation: if no, have the operator contact the CD Team to help develop one)
- Best practices are being followed (Follow checklists used for applicable personal services procedures)
- Routine
5 infractions
- The care plan(s) contains all items that must be recorded under this regulation [RCR Sec 81(3)]
- Care plan(s) is reviewed and, if necessary, modified if there is a substantial change in the circumstances of the person in care or at least once a year [RCR Sec 81(4)(b)]
- Care plan(s) are not reviewed at least once a year.
- If needed, ongoing room tray service is available if indicated in the care plan [RCR Sec 63(3)(c)(i)(ii)]
- Water accessible to a person in care, from any source, is not to exceed 49° Celsius [RCR Sec 17]
- Persons in care have at all times immediate access to an employee who is certified in first aid and CPR, knowledgeable about their medical condition and able to communicate with emergency personnel [RCR Sec 43(1);DOLSOP Preventing Opioid Overdose]
- Routine
3 infractions
- Water accessible to a person in care, from any source, is not to exceed 49° Celsius [RCR Sec 17]
- Emergency exits are not obstructed or secured in a manner that may hinder exit in an emergency [RCR Sec 22(2)]
- Persons in care have at all times immediate access to an employee who is certified in first aid and CPR, knowledgeable about their medical condition and able to communicate with emergency personnel [RCR Sec 43(1);DOLSOP Preventing Opioid Overdose]
- Routine
1 infraction
- A restraint may be used if the restraint is necessary to protect the person in care or others from imminent serious physical harm, or there is agreement as per the regulation [RCR Sec 74 (1)]
- There was no agreement in writing from the person in care or their representative.
- There was no agreement in writing from the medical practitioner or nurse practitioner
- A restraint may be used if the restraint is necessary to protect the person in care or others from imminent serious physical harm, or there is agreement as per the regulation [RCR Sec 74 (1)]
- Routine Follow-up
0 infractions
- Routine Follow-up
4 infractions
- The facility is operated in a manner that promotes the health, safety and dignity of persons in care, and their rights [CCALA Sec 7(1)(b)(i); Bill of Rights 2(a)]
- A plan that ensures health and safety of persons in care during an investigation has been provided as requested [RCR Sec.12(2)]
- Water accessible to a person in care, from any source, is not to exceed 49° Celsius [RCR Sec 17]
- Employee performance is reviewed regularly to ensure that they continue to meet the requirements of this regulation and demonstrates the competence required for their duties [RCR Sec 40(1),(3)]
- Employee performance is not reviewed regularly.
- Routine
5 infractions
- The facility is operated in a manner that promotes the health, safety and dignity of persons in care, and their rights [CCALA Sec 7(1)(b)(i); Bill of Rights 2(a)]
- Ongoing tray service is reassessed every 30 days by the person in care's medical practitioner, nurse practitioner or dietician[RCR Sec 63(3)(c)(iv)]
- A plan that ensures health and safety of persons in care during an investigation has been provided as requested [RCR Sec.12(2)]
- Water accessible to a person in care, from any source, is not to exceed 49° Celsius [RCR Sec 17]
- Employee performance is reviewed regularly to ensure that they continue to meet the requirements of this regulation and demonstrates the competence required for their duties [RCR Sec 40(1),(3)]
- Employee performance is not reviewed regularly.
- Routine
7 infractions
- Employees on duty are sufficient in numbers, training, experience, and organized in an appropriate pattern to meet the needs of the persons in care and assist in activities of daily living. [RCR Sec 42(1);DOLSOP Opioid Overdose Prevention]
- The written policies and procedures are reviewed and revised if necessary at least once each year [RCR Sec 85(1)(b)]
- All persons admitted comply with the Province's immunization and TB control programs[RCR Sec 49(1); DOLSOP Immunization]
- If a person in care is restrained, the information required by the regulation is recorded in the care plan of the person in care [RCR Sec 84]
- When an incapable person in care expresses a desire to leave a community care facility, the licensee acted within a reasonable time of the expression as per the legislation [RCR Sec 50.1(2)]
- Did not obtain substitute consent to the continued accommodation if the person in care is assessed as incapable.
- If needed, ongoing room tray service is available if indicated in the care plan [RCR Sec 63(3)(c)(i)(ii)]
- Ongoing tray service is reassessed every 30 days by the person in care's medical practitioner, nurse practitioner or dietician[RCR Sec 63(3)(c)(iv)]
- Routine
7 infractions
- The written policies and procedures are reviewed and revised if necessary at least once each year [RCR Sec 85(1)(b)]
- Restraints are not used unless it is necessary to protect the person in care or others from serious physical harm, are minimal as possible; safety, physical, emotional dignity is monitored and the regulation is followed [RCR Sec 73(1),(2)]
- A restraint used under section 74(1)(b) that continues either continuously or intermittently for more than 24 hours is reassessed within the specified time consulting with those who agreed to the use of the restraint [RCR Sec 75(3)]
- All persons admitted comply with the Province's immunization and TB control programs[RCR Sec 49(1); DOLSOP Immunization]
- If a person in care is restrained, the information required by the regulation is recorded in the care plan of the person in care [RCR Sec 84]
- The duration of the restraint and the monitoring of the person in care during the restraint are not recorded.
- The most recent routine inspection record is displayed in a prominent place. [RCR Sec. 11(1) (b), (2); Bill of Rights 4(b)]
- There is consent in writing from the person in care or a parent or representative to call a medical practitioner, nurse practitioner or ambulance in case of accident or illness [RCR Sec 78(3)(a)]
- Routine
7 infractions
- A restraint used under section 74(1)(b) that continues either continuously or intermittently for more than 24 hours is reassessed within the specified time consulting with those who agreed to the use of the restraint [RCR Sec 75(3)]
- The restraint has not been reassessed in the time specified by the persons who agreed.
- All persons admitted comply with the Province's immunization and TB control programs[RCR Sec 49(1); DOLSOP Immunization]
- Noncompliance with the Provinces TB control program
- Reportable incidents have been reported with appropriate notifications [RCR Sec 77(2)(a)(b)(d);DOLSOP Preventing Opioid Overdose]
- Did not immediately inform the medical health officer.
- If a person in care is restrained, the information required by the regulation is recorded in the care plan of the person in care [RCR Sec 84]
- The duration of the restraint and the monitoring of the person in care during the restraint are not recorded.
- Ongoing tray service is reassessed every 30 days by the person in care's medical practitioner, nurse practitioner or dietician[RCR Sec 63(3)(c)(iv)]
- The care and supervision of a person in care is consistent with the terms and conditions of the care plan [RCR Sec 82]
- Water accessible to a person in care, from any source, is not to exceed 49° Celsius [RCR Sec 17]
- A restraint used under section 74(1)(b) that continues either continuously or intermittently for more than 24 hours is reassessed within the specified time consulting with those who agreed to the use of the restraint [RCR Sec 75(3)]
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