This case study documents the journey of Umeed Child Development Centre- that works in the domain of developmental disabilities among children. It is partly the story of Vibha Krishnamurthy, a developmental paediatrician along with her team at Umeed to wean developmental disabilities and design interventions and create awareness and solutions about them. It also shows what it means to build and sustain a culture that must deal with multiple interventions and on which such a practice can stand.