393616060-5-20-2021-53-CC-JLDN-C37TF8-20210520144107

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 393616060
Report Date: 04/30/2021
Date Signed: 05/20/2021 02:41:31 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME:	ZION CHILD CARE CENTER		FACILITY NUMBER:	393616060
ADMINISTRATOR:	SAWYER, JENNIFER		FACILITY TYPE:	830
ADDRESS:	105 SOUTH HAM LANE		TELEPHONE:	(209) 369-1919
CITY:	LODI	STATE: CA	ZIP CODE:	95242
CAPACITY:	36	CENSUS: 13	DATE:	04/30/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Jennifer Sawyer		TIME COMPLETED:	02:30 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	Licensing Program Analyst (LPA) Justin Denton conducted an inspection to convert a room for use by the toddler option. LPA met with Director Jennifer Sawyer over FaceTime. The facility operates Monday through Friday 7:00 A.M. to 5:30 P.M. This facility operates an infant license and is adding a toddler option program to a single classroom. The above census count is for 13 infants present in the facility. The facility also has a separate day care license. This meeting was conducted over video-chat due to the COVID-19 pandemic. The facility has a copy of the following documents posted on a board outside the door of the classroom: Parent's Rights, Personal Rights, Earthquake Preparedness Checklist, Emergency Disaster Plan, and Car Seat Law information. INDOOR ACTIVITY SPACE: The room is equipped with child size furnishings. There are individual cubbies for storing children's personal belongings and properly stored napping equipment. LPA observed 5 cots for napping. Director Sawyer said the other 9 cots are in use in another classroom while this one is being inspected, making 14 total. LPA observed a complete first aid kit. Sawyer stated water will be accessible to infants. Parents are instructed to provide "sippy cups" with the children's names. LPA observed a diaper changing station and two child-size toilets. There is a separate staff restroom in the hallway. Individual measurements will be verified during a future on-site visit.

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Justin L Denton	TELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2021

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: ZION CHILD CARE CENTER	FACILITY NUMBER: 393616060
	VISIT DATE: 04/30/2021

NARRATIVE

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Toddlers who become ill during the day will be isolated in the office and will use a separate "sick-room" restroom if necessary.

The facility will provide morning and afternoon snack for the toddler component. Snack will be prepared in an on-site kitchen attached to the church gym.

OUTDOOR ACTIVITY SPACE:

The outdoor play space is fenced and is equipped with age-appropriate equipment. There is sufficient shade. LPA did not measure during today's visit due to the remote nature of the inspection. LPA observed there was plenty of outdoor play space to meet the requested capacity. LPA will return to measure the play space in order to document the square footage.

No deficiencies were cited at this time. As of today, 4/30/2019, LPA Denton is approving the facility to add the toddler component for a maximum capacity of 12 toddlers.

A copy of this report was provided to the facility via email. Director Sawyer agreed to send a signed copy of the report back to licensing.

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Justin L Denton	TELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2021

LIC809 (FAS) - (06/04)

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