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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604123
Report Date: 09/27/2024
Date Signed: 09/27/2024 11:23:47 AM

Document Has Been Signed on 09/27/2024 11:23 AM - 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:		BUCKINGHAM, ADELITAFACILITY TYPE:
737
ADDRESS:26184 WYNDEMERE CTTELEPHONE:
(442) 286-7548
CITY:ESCONDIDOSTATE: CAZIP CODE:
92026
CAPACITY: 4CENSUS: 4DATE:
09/27/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Administrator, Adelita BuckinghamTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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On 9/27/2024, Licensing Program Analyst (LPA) Janette Romero arrived to the facility unannounced to conduct a case management visit in relation to an incident that occurred at the facility on 03/08/2024. LPA met with Administrator, Adelita Buckingham who was informed of the purpose of the visit.

LPA toured the facility with Administrator Buckingham, conducted interviews and obtained records. No imminent health or safety concerns were observed. An exit interview was conducted where a copy of this report was reviewed and provided to Administrator Buckingham.

Note- LPA was off-site from 10:04 a.m. to 11:10 a.m.
SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE: DATE: 09/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/27/2024
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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