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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604123
Report Date: 05/24/2022
Date Signed: 05/24/2022 02:00:07 PM

Document Has Been Signed on 05/24/2022 02:00 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
CCLD Regional Office,
, CA
FACILITY NAME:MERAKEY - WYNDEMEREFACILITY NUMBER:
374604123
ADMINISTRATOR:ANN MARIE STANTONFACILITY TYPE:
737
ADDRESS:26184 WYNDEMERE CTTELEPHONE:
(267) 326-7436
CITY:ESCONDIDOSTATE: CAZIP CODE:
92026
CAPACITY: 4CENSUS: 4DATE:
05/24/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:18 PM
MET WITH:Administrator, Ann Marie StantonTIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA), Sabel Martinez, conducted a Case Management visit to gather signatures for amended reports, and deliver a cleared Plan of Correction letter.

An exit interview was conducted with Administrator, Ann Marie Stanton, to who a copy of this report and Licensee rights were provided to.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Sabel Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 05/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/24/2022
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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