<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604123
Report Date: 02/03/2025
Date Signed: 02/03/2025 02:28:50 PM

Document Has Been Signed on 02/03/2025 02:28 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
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:MERAKEY - WYNDEMEREFACILITY NUMBER:
374604123
ADMINISTRATOR/
DIRECTOR:		ADRIAN ARIASFACILITY TYPE:
737
ADDRESS:26184 WYNDEMERE CTTELEPHONE:
(442) 286-7548
CITY:ESCONDIDOSTATE: CAZIP CODE:
92026
CAPACITY: 4CENSUS: 4DATE:
02/03/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:10 PM
MET WITH:Regional Director, Dorothy WilliamsTIME VISIT/
INSPECTION COMPLETED:
02:35 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 2/3/2025, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced visit to the facility to follow up on an alleged incident reported by the facility involving Client 1 (C1) and Staff 1 (S1). Upon learning of the alleged incident, the facility met the reporting requirements in a timely manner. LPA met with Regional Director (PD), Dorothy Williams who was informed of the purpose of the visit. During today's visit there was four (4) clients and four (4) staff present.

LPA toured the facility with RD Williams, conducted interviews, and requested copies of pertinent records. The requested documentation will be provided to LPA by close of business on 2/4/2025. During today's visit, no imminent health or safety concerns were observed. An exit interview was conducted and a copy of this report was reviewed and provided to RD Williams.
SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE: DATE: 02/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/03/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1