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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393616059
Report Date: 04/11/2024
Date Signed: 04/11/2024 02:31:26 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
03/05/2024 and conducted by Evaluator Katy Velazquez
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20240305094231
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: 51DATE:
04/11/2024
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Jennifer SawyerTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff did not adequately supervise a daycare child while using the restroom.
Facility is out of ratio.
INVESTIGATION FINDINGS:
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On 04/11/2024, Licensing Program Analyst Katy Velazquez (LPA) and Licensing Program Manager Bettina Engelman (LPM) conducted an unannounced complaint investigation to deliver the findings for the above allegations. LPA and LPM met with Director Jennifer Sawyer (D1). Throughout the course of the investigation, LPA conducted physical plant inspections, on-site observations, interviews, reviewed and collected documentation.
It was alleged that staff did not adequately supervise a daycare child while using the restroom. A staff member admitted to taking a child to an adult bathroom with stalls and allowed the child to close the stall door on or about February 2024. Without visual supervision, the child removed the tank of the toilet and broke it. It was alleged that the facility is out of ratio. LPA learned from a staff member that on 03/07/2024, a classroom had more than 12 preschool aged children under the supervision of 1 staff member.

CONTINUED ON 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Katy Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024
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 5
Control Number 53-CC-20240305094231
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: 393616059
VISIT DATE: 04/11/2024
NARRATIVE
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Based on interviews, file reviews, and observations conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. 2 Type-A deficiencies were cited on a subsequent 9099-D page. D1 acknowledges, that FOR TYPE A DEFICIENCIES ONLY upon receipt, licensee shall post LIC 9099-D with Type A deficiencies for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC 9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the licensee.
An exit interview was conducted, and the report was reviewed with Director Sawyer. LPA provided Licensee Appeal Rights to D1. A Notice of Site visit was posted by LPA and must remain posted on, or immediately adjacent to, the interior side of the main door 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: Katy Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 53-CC-20240305094231
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: 393616059
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/11/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/12/2024
Section Cited
CCR
101229(a)(1)
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Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time...Supervision shall include visual observation.
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Director Sawyer will create a Supervision Policy which will include bathroom use, and review this policy with staff members at April 24, 2024 staff meeting.
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This regulation was not met as evidenced by a child breaking a toilet, while not having visual supervision, behind a closed bathroom stall door on or about February 2024.
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Type A
04/12/2024
Section Cited
CCR
101216.3(a)
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Teacher-Child Ratio (a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance… This regulation was not met as evidenced by 1 staff member supervising a classroom with more than 12 preschool aged children on 03/07/2024.
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Director Sawyer will conduct training on ratio and supervision at monthly staff meeting. LPA will conduct an inspection to clear the POC.
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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: Katy Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
03/05/2024 and conducted by Evaluator Katy Velazquez
COMPLAINT CONTROL NUMBER: 53-CC-20240305094231

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: 51DATE:
04/11/2024
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Jennifer SawyerTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff are not following accurate reporting requirements.
Staff inappropriately handled a daycare child causing injuries.
Facility staff are not qualified.
Facility does not provide daycare children adequate shade during outside time.
INVESTIGATION FINDINGS:
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On 04/11/2024, Licensing Program Analyst Katy Velazquez (LPA) and Licensing Program Manager Bettina Engelman (LPM) conducted an unannounced complaint investigation to deliver the findings for the above allegations. LPA and LPM met with Director Jennifer Sawyer (D1). Throughout the course of the investigation, LPA conducted physical plant inspections, on-site observations, interviews, reviewed and collected documentation.
It was alleged that staff are not following accurate reporting requirements. LPA observed reporting procedures and reviewed documents related to incidents and injuries. Interviews with staff did not reveal corroboration for the allegation. It was alleged that staff inappropriately handled a daycare child causing injuries. It was not determined that the reported injuries to a child occurred while at daycare. LPA did not discover any evidence to support the allegation, and interviews did not reveal corroboration for the allegation.

CONTINUED ON 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Katy Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 53-CC-20240305094231
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: 393616059
VISIT DATE: 04/11/2024
NARRATIVE
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It was alleged that facility staff are not qualified. LPA reviewed qualifications for current staff members and determined that the staff are fully qualified. It was alleged that the facility does not provide daycare children adequate shade during outside time. LPA observed several trees and a wooden arbor available for shade on the playground.
Based on interviews, observations, documentation, and other information gathered, there was not a preponderance of evidence to prove or negate the allegations, therefore the allegations listed above are UNSUBSTANTIATED. In the areas that were evaluated for these complaint allegations on 04/11/2024, no deficiencies were cited during today's inspection. An exit interview was conducted with Director Sawyer. LPA provided Appeal Rights to D1. A Notice of Site visit was posted by LPA and must remain posted on, or immediately adjacent to, the interior side of the main door 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: Katy Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5