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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243801874
Report Date: 10/25/2022
Date Signed: 10/25/2022 12:39:26 PM

Document Has Been Signed on 10/25/2022 12:39 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:WALNUT CHILD DEVELOPMENT CENTERFACILITY NUMBER:
243801874
ADMINISTRATOR:KHOSLA, MANISHAFACILITY TYPE:
850
ADDRESS:2600 WALNUT AVENUETELEPHONE:
(209) 394-5440
CITY:LIVINGSTONSTATE: CAZIP CODE:
95334
CAPACITY: 96TOTAL ENROLLED CHILDREN: 96CENSUS: 41DATE:
10/25/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Manisha Khosla - DirectorTIME COMPLETED:
12:45 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 10/25/22 Licensing Program Analyst (LPA) Joseph Pacheco arrived at the facility to conduct an unannounced Case Management inspection. LPA met with Director, Manisha Khosla. LPA toured the facility and a census was taken. The purpose of today's inspection was regarding an unusual incident that was reported to the Fresno Childcare Regional Office on 9/29/22. On 9/28/22 Child #1 made an allegation that Staff #1 pulled their arm. During today’s inspection LPA conducted a file review of Staff #1 and Child #1 who were not present during today’s inspection. Staff and children were interviewed. LPA and Director discussed facilities policies and procedures. Director reported the allegations to Merced County CPS and they have not pursued the matter. Child #1 continues to attend the facility. There have been no further issues.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.

Exit interview conducted and report was reviewed with Director, Manisha Khosla.

This report shall be made available to the public upon request. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE: DATE: 10/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/25/2022
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