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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393616059
Report Date: 02/15/2023
Date Signed: 02/15/2023 04:05:47 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/07/2022 and conducted by Evaluator Tiffanie Diep
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20221207093554
FACILITY NAME:ZION CHILD CARE CENTERFACILITY NUMBER:
393616059
ADMINISTRATOR:JENNIFER SAWYERFACILITY TYPE:
850
ADDRESS:105 SOUTH HAM LANETELEPHONE:
(209) 369-1910
CITY:LODISTATE: CAZIP CODE:
95242
CAPACITY:84CENSUS: 30DATE:
02/15/2023
UNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Jennifer SawyerTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Neglect/Lack of Supervision - Due to a lack of supervision a child was bitten by another child
INVESTIGATION FINDINGS:
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On 02/15/2023 at 3:15 PM, Licensing Program Analyst (LPA) Tiffanie Diep met with Director, Jennifer Sawyer, to conduct an unannounced visit to deliver the findings of a complaint investigation regarding the above allegation. There were five staff present supervising 30 children.

During the course of the investigation, LPA conducted interviews with the reporting party, Director, staff, day care children, and multiple parents and obtained relevant documents. It was alleged that due to a lack of supervision a child was bitten by another child. Interviews conducted and information obtained revealed that staff were present at the time of the incident.

Continues on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:

DATE: 02/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2023
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 2
Control Number 53-CC-20221207093554
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		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 CENTER
FACILITY NUMBER: 393616059
VISIT DATE: 02/15/2023
NARRATIVE
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Based on the information obtained throughout the course of this investigation, the above allegation could not be substantiated or dismissed. Although the allegation might have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted and report was reviewed with the director, Jennifer Sawyer. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:

DATE: 02/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2