191890433-11-3-2023-33-CC-VMGA-CUQVAT-20230815161627

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191890433
Report Date: 08/15/2023
Date Signed: 11/03/2023 04:00:02 PM

Document Has Been Signed on 11/03/2023 04:00 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	MERIDIAN EARLY EDUCATION CENTER		FACILITY NUMBER:	191890433
ADMINISTRATOR:	VIVIANA LEDEZMA		FACILITY TYPE:	850
ADDRESS:	6124 RUBY PLACE		TELEPHONE:	(323) 254-6749
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90042
CAPACITY: 114	TOTAL ENROLLED CHILDREN: 114	CENSUS: 44	DATE:	08/15/2023
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	02:47 PM
MET WITH:	Office Manager Georgia Valencia		TIME COMPLETED:	04:25 PM

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***Amended Report***

Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced Case Management- Incident inspection at the above facility on 08/15/23 at 02:47 p.m. A COVID-19 risk assessment was conducted prior to entering the facility. LPA met with Office Manager, Georgia Valencia who guided LPA on a tour of the facility. Census was taken.

The purpose of this inspection is to follow up on an unusual incident report that occurred on 06/02/23 and was reported to the Department by the facility on 06/09/23, parent alleges that Child 1 (C1) sustained a fracture while in care.

During this investigation, LPA interviewed, Staff 1 (S1-2), Child 2 (C2), obtained a copy of facility roster, and a copy of the sign in sheet for the week of 06/05-06/09. C1 was not present at the facility during today's visit due to C1 transitioned to Kindergarten.

At this time, there were no deficiencies cited during today’s inspection.

The Notice of Site Visit (LIC 9213) must remain posted for 30 days during the hours of operation after each site visit by a licensing representative, a civil penalty of $100 can be assessed.

Exit Interview was conducted, and appeal rights were given, along with a copy of this report was provided to the Office Manager, Georgia Valencia.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Veronica Martinez-Garza
LICENSING EVALUATOR SIGNATURE:	DATE: 08/15/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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