393616060-12-11-2023-53-CC-ESIA-CYEVSV-20231211154210

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 393616060
Report Date: 12/11/2023
Date Signed: 12/11/2023 03:42:15 PM

Document Has Been Signed on 12/11/2023 03:42 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
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

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: 22	DATE:	12/11/2023
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Ashley Benesh & Brenda Stiffler		TIME COMPLETED:	04:00 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 12/11/23, Licensing Program Analyst (LPA) Elvira Sierra met with Director's Assistants, Ashley Benesh and Brenda Stiffler for the purpose of an unannounced annual inspection. Facility representatives were reminded never to exceed the conditions, limitations and capacity specified on the license. The census included 22 infants being supervised by 6 staff members and one volunteer. Facility hours of operation are Monday through Friday from 07:00am to 05:30pm. Facility operates as a combination center with a preschool program on site. LPA toured the facility including all activity and classroom spaces, restrooms, food service, and outdoor play areas. Toxic and hazardous items are inaccessible to children. Age-appropriate furniture and play equipment were observed to be in good repair. Infant changing stations were observed clean with essential supplies to clean and disinfect the changing area. The floors appeared clean throughout the facility. The food preparation space is free of litter and all food is protected against contamination. LPA observed that storage containers for solid waste and diaper disposal have tight-fitting covers. Parents provide infant's bottles, and cups. Bottles are cleaned after every feeding. Per facility representatives formula and baby food for infants that are on solids, is provided by parents. Facility representatives stated that infant's blankets are provided by the center and washed every week. Toddler program blankets are provided by parents. Menus are posted for parents view by the check in/out area. Drinking water was readily available to children both indoors and outdoors. Facility uses Tadpoles for parents to electronic sign in/sign out children. LPA observed the infant's Needs and Services Plans are current and reviewed sleeping logs records. Per facility staff heating, ventilation and air conditioning systems are located outside, on the roof and there is no ignition source for carbon monoxide in the child care center. There is a carbon monoxide detector in the kitchen area that is located at the adjacent building by the church gym. Smoke detectors were observed throughout the facility. Outdoor play area is fenced for supervision. Playground equipment and surfaces were observed free of any hazards. 5 children’s file and 5 staff files were reviewed and are complete containing required licensing forms. At least one staff member present today has current Pediatric CPR and First Aid certification. Report continues on subsequent page 809C--

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 12/11/2023

NARRATIVE

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Facility representatives were reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.Incidental Medical Services (IMS) policy was discussed.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulations and Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.
Facility representatives were informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Facility Representative, Ashley Benesch.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2023

LIC809 (FAS) - (06/04)

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