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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393616060
Report Date: 02/14/2023
Date Signed: 02/14/2023 10:47:46 AM


Document Has Been Signed on 02/14/2023 10:47 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833



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:
02/14/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Director, Jennifer SawyerTIME COMPLETED:
11:00 AM
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On February 14, 2023 Licensing Program Analysts (LPAs) Lauren Scott and Tobias Lake conducted an unannounced case management inspection at Zion Child Care Center . The purpose of the inspection is to verify that the required removal of the individual who was not cleared to work at the facility took place. LPA has confirmed Sari Lindsey has been removed and is not working at the facility. LPAs verified that all staff present today has a criminal record clearance. LPAs toured/inspected the facility inside and out.

Based on evidence obtained during today's inspection, the LPA has verified that the individual is not present, employed, or residing at the facility. LPA verified the individual has been separated from the facility's Guardian roster by the facility. LPA received an updated copy of the LIC500.

As a result of today’s inspection, no Title 22 deficiencies were cited. Report was reviewed with the director, Jennifer Sawyer. 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.

Verification of removal is complete.
SUPERVISOR'S NAME: Chayntel HunterTELEPHONE: (916) 917-8620
LICENSING EVALUATOR NAME: Lauren ScottTELEPHONE: (916) 926-9488
LICENSING EVALUATOR SIGNATURE:
DATE: 02/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/14/2023
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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