Senior Care Records.

Facility Evaluation Report

Evergreen Care Home, Buena Park11/08/2024Licence 306003773

Capacity6
Census6
Date signed11/08/2024 12:16:02 PM
The inspector’s account

On 11/8/2024, LPA Mason arrived at the facility for the purpose of conducting a Plan of Corrections visit. LPA arrived at the facility and was greeted and granted entry by staff. LPA met with Administrator Haeryun Cho and explained the nature of the inspection.

On 11/6/2024, the facility received a deficiency for knives not being locked.

Based on observations today, LPA determined the facility had the knives locked in the garage. AD requested an extension to complete the training associated with the plan of correction. LPA stated the plan of correction will be due Monday 11/11/2024 by 5:00pm.

LPA provided Administrator with guidance on creating a report in Microsoft Word

Based on today's visit, no deficiencies are being issued. This report was reviewed with facility staff and provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction