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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423697
Report Date: 11/17/2022
Date Signed: 11/17/2022 04:46:18 PM

Document Has Been Signed on 11/17/2022 04:46 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
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:WALKER, MEGANFACILITY NUMBER:
013423697
ADMINISTRATOR:WALKER, MEGANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(602) 206-4522
CITY:OAKLANDSTATE: CAZIP CODE:
94619
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
11/17/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:48 PM
MET WITH:Megan WalkerTIME COMPLETED:
05:00 PM
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On Thursday, November 17, 2022 at 3:40 PM, Licensing Program Analyst (LPA) Caroline Colson met with Megan Walker and spouse, Harper Walker, for an unannounced Case Management inspection. There are four (4) infants, one (1) preschool child and one (1) school age child present. An incident occurred when one child bite another child during a meal. Documents were reviewed.

There were no deficiencies cited during this inspection.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE: DATE: 11/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/17/2022
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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