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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073407477
Report Date: 08/30/2023
Date Signed: 08/30/2023 04:05:34 PM


Document Has Been Signed on 08/30/2023 04:05 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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612



FACILITY NAME:SAFARI KID - WALNUT CREEKFACILITY NUMBER:
073407477
ADMINISTRATOR:NOURA HALABIFACILITY TYPE:
850
ADDRESS:2074 TREAT BLVD.TELEPHONE:
(925) 295-0761
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94598
CAPACITY:84CENSUS: 20DATE:
08/30/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Noura HalabiTIME COMPLETED:
04:30 PM
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On 8/30/23 Licensing Program Analyst (LPA) Monica Mathur conducted an unannounced Case Management inspection at Safari Kid Walnut Creek and met with Director, Noura Halabi. LPA explained purpose of today's inspection which is to follow up on an unusual incident self reported on 8/28/23 to Licensing Department by the facility about a parent alleging their child was inappropriately touched by another child.

LPA conducted interviews and obtained relevant information. No deficiency was cited during inspection today. Exit interview was conducted, this report reviewed with Director, Noura Halabi.

A NOTICE OF SITE VISIT WAS ISSUED, MUST BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Monica MathurTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 08/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/30/2023
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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