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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306002887
Report Date: 11/13/2024
Date Signed: 03/20/2025 12:28:01 PM

Document Has Been Signed on 03/20/2025 12:28 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
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:MEADOWLARK GARDENS IIFACILITY NUMBER:
306002887
ADMINISTRATOR/
DIRECTOR:		CHRISTINE WILKESFACILITY TYPE:
740
ADDRESS:16412 WISHINGWELL LANETELEPHONE:
(714) 840-1776
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92647
CAPACITY: 6CENSUS: DATE:
11/13/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
07:20 AM
MET WITH:TIME VISIT/
INSPECTION COMPLETED:
07:49 AM
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Licensing Program Analyst (LPA) made attempted visit to facility for annual inspection. Upon knocking on front door, LPA was greeted by a female tenant (who did not disclose name). Tenant stated that home had not been an active facility for a couple of years and that they were residing there as a tenant. LPA confirmed with tenant that Licensee's Christine and Ron Wilkes are the landlords and owners of home, Tenant confirmed "yes".
LPA did not observe any residents at entry way of home. Tenant did not allow LPA access into home.

LPA verified licensing fee's are current for facility. No Staff were available for signature of attempted visit.
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jenifer Tirre
LICENSING EVALUATOR SIGNATURE: DATE: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/13/2024
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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