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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393616060
Report Date: 02/27/2025
Date Signed: 02/27/2025 03:27:35 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/26/2024 and conducted by Evaluator Carla Polanco Rivera
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20241126104731
FACILITY NAME:ZION CHILD CARE CENTERFACILITY NUMBER:
393616060
ADMINISTRATOR:SAWYER, JENNIFERFACILITY TYPE:
830
ADDRESS:105 SOUTH HAM LANETELEPHONE:
(209) 369-1919
CITY:LODISTATE: CAZIP CODE:
95242
CAPACITY:36CENSUS: 15DATE:
02/27/2025
UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Director Jennifer SawyerTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Infant left sleeping in swing.
INVESTIGATION FINDINGS:
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On 2/27/25, Licensing Program Analyst Carla Polanco met with Director, Jennifer Sawyer, to follow up on the above complaint allegation. During today's visit the facility was toured. During today's visit there were 9 children present in the toddler class, and 12 children in the infant classrooms. There were 6 staff present.
During the investigation, LPA observed the facility, conducted interviews, and obtained pertinent information.
It was alleged that staff allowed an infant to remain asleep in infant swing. Records reviewed and staff interviews corroborated that while in care, an infant was left asleep on a baby swing and not moved to a crib in a timely matter. Based on a preponderance of evidence obtained the complaint regarding the above allegation was SUBSTANTIATED.

Report continues on LIC9099-C....
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Carla Polanco Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 53-CC-20241126104731
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: ZION CHILD CARE CENTER
FACILITY NUMBER: 393616060
VISIT DATE: 02/27/2025
NARRATIVE
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During today’s visit, Director was notified that this report documents a Type A deficiency, which was cited on the subsequent page (LIC9099-D) of this report.

Upon receipt of Type A citations, the Director shall post and provide copies of the LIC9099-D for parents/guardians of children in care and for parents/guardians of newly enrolled children for the next 12 months. Director must also keep the signed LIC9224, Acknowledging Receipt of LIC9099-D in each child's file.

An Exit interview was conducted, and the report was reviewed and discussed with Director. Appeal Rights and a copy of the report was printed and provided to the Director. A Notice of Site Visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Carla Polanco Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 53-CC-20241126104731
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: ZION CHILD CARE CENTER
FACILITY NUMBER: 393616060
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/03/2025
Section Cited
CCR
101430(a)(3)(e)
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101430 infant care activities (a) notwithstanding... the following shall apply: (3) All infants shall... sleep without distraction... (e) if infant falls asleep... staff... move the infant to a crib as soon as possible. This requirement was not met as evidenced by:
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Director states that staff will review infant safe sleep regulations and sign an agreement stating they will abide by the department safe sleep regulations.
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An infant was left sleeping in a swing and was not moved to a crib in a timely matter.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Carla Polanco Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3