State assisted-living licensing record · California CDSS · record as pulled September 18, 2026· Not the federal nursing home survey

Evergreen Care Home

4715 St. Andrews Avenue, Buena Park, CA 90621 · ORANGE County · 6 licensed beds

CDSS facility number 306003773 · licensed · first licensed November 2007

The licence

Licensed by CDSS · Residential Care Facility for the Elderly · managed by Evergreen Green Home

Licence details, as listed by CDSS
CDSS regional office
22
4
Citations on file
Since September 2021
8
CDSS visits
4 routine inspections
1
Type A
The serious level
1
Building-related
Physical plant · emergency

Position within California

4 citations — more than 82% of the 8,587 licensed assisted living facilities in California. Compared only within California: a citation from CDSS means what it means in California, and there is no national assisted living record to compare to. Counted over 5 years, which holds two or three routine inspections. How this is calculated

Not in this record

Fire and life safety. A Residential Care Facility for the Elderly needs a fire clearance from the local fire authority, and that inspection is not part of the CDSS record. What CDSS does cite about the building is here: maintenance and operation of the premises, the emergency and disaster plan, and the physical environment sections of Title 22.

Get an email about Evergreen Care Home

One email when it happens, from the CDSS record as it is pulled each month. No account; stop it any time with one click.

Which alerts

This is the state licensing record, not the federal nursing home survey. Your address is used for these alerts and nothing else.

Building-related citations

The citation about the building itself — physical plant and emergency management. Usually the maintenance side’s to fix.

  • CCR-87307 Personal Accommodations and ServicesNovember 8, 2021 · Type B · POC due November 22, 2021

How that compares

Citations on file over 5 years

Compared with the median licensed assisted living facility in California. Within-state only.

This facility4California median0
Citations on file over 5 years, compared
MeasureCitations
This facility4
Median facility in California0

Visit history

Citations at each CDSS visit
02021-1122021-1122021-1202022-1102024-1102024-1102025-1102025-12
Citations at each CDSS visit
VisitTypeCitations
November 4, 2021licensing inspection0
November 8, 2021other visit2
December 8, 2021other visit2
November 7, 2022licensing inspection0
November 6, 2024licensing inspection0
November 8, 2024other visit0
November 4, 2025licensing inspection0
December 2, 2025other visit0

What the citations cover

Citations by category (TagProof's grouping)
  • Resident care 2
  • Medication 1
  • Physical plant 1
Citations by category
CategoryCitations
Resident care2
Medication1
Physical plant1

Every visit on file since September 2021

As published by CDSS, newest first, including visits that cited nothing. The wording and the classes are CDSS’s own.

December 2, 2025 — other visit, nothing cited

November 4, 2025 — licensing inspection, nothing cited

November 8, 2024 — other visit, nothing cited

November 6, 2024 — licensing inspection, nothing cited

November 7, 2022 — licensing inspection, nothing cited

December 8, 2021 — other visit, 2 citations

Citations from the other visit on December 8, 2021
TagWhat CDSS checksTypePOC due
CCR-87465Incidental Medical and Dental CareType ADecember 9, 2021
CCR-87468Personal RightsType BDecember 22, 2021

November 8, 2021 — other visit, 2 citations

Citations from the other visit on November 8, 2021
TagWhat CDSS checksTypePOC due
CCR-87307Personal Accommodations and ServicesType BNovember 22, 2021
CCR-87705Care of Persons with DementiaType BNovember 22, 2021

November 4, 2021 — licensing inspection, nothing cited

Reflects the CDSS record as pulled September 18, 2026. A recent visit may not appear yet. This is the California state licensing record; it is not the federal nursing home survey and the two are never combined.