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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191890433
Report Date: 10/24/2024
Date Signed: 10/24/2024 04:04:48 PM

Document Has Been Signed on 10/24/2024 04:04 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:MERIDIAN EARLY EDUCATION CENTERFACILITY NUMBER:
191890433
ADMINISTRATOR/
DIRECTOR:		VIVIANA LEDEZMAFACILITY TYPE:
850
ADDRESS:6124 RUBY PLACETELEPHONE:
(323) 254-6749
CITY:LOS ANGELESSTATE: CAZIP CODE:
90042
CAPACITY: 114TOTAL ENROLLED CHILDREN: 69CENSUS: 57DATE:
10/24/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:20 PM
MET WITH:Principal David Zendejas TIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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Licensing Program Analyst (LPA) Roxana Lopez conducted an unannounced Case Management inspection due to incident that was reported to the Department on March 7th, 2024. LPA met with Principal, David Zendejas who guided LPA on a tour of the facility. Census was taken.

On March 7th, 2024, an incident was self reported to the Department via email by the facility who reported that child was running toward the door and got hit by door knob.



The purpose of the inspection was to obtain additional information regarding the incident reported to the Department.

Interview was conducted incident was observed by staff- child was running towards a door they hit door knob on right side of forehead causing a cut. First aid was administered and parents were called. Child was taken to the doctor and received 2 stiches. Incident occur on a Thursday- child returned on Monday with no restrictions.

At this time, the licensee is in compliance with California Code of Regulations Title 22. No deficiencies cited.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with facility representative, David Zendejas.



END OF REPORT: PAGE 1 OF 1.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2024
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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