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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393616060
Report Date: 02/27/2025
Date Signed: 02/27/2025 03:31:39 PM

Document Has Been Signed on 02/27/2025 03:31 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 CENTERFACILITY NUMBER:
393616060
ADMINISTRATOR/
DIRECTOR:		SAWYER, JENNIFERFACILITY TYPE:
830
ADDRESS:105 SOUTH HAM LANETELEPHONE:
(209) 369-1919
CITY:LODISTATE: CAZIP CODE:
95242
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 15DATE:
02/27/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:15 PM
MET WITH:Director Jennifer SawyerTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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On 2/27/25, Licensing Program Analyst (LPA) Carla Polanco met with Director Jennifer Sawyer to follow up on an Unusual Incident Report (UIR) called into Community Care Licensing on 1/30/25. During today's inspection LPA conducted a tour of the facility.

LPA conducted interviews and obtained information pertinent to the incident.

Facility evaluation report was reviewed and discussed with Director. Exit interview was conducted. 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.



In the areas that were evaluated, no deficiencies were cited on this report.
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.

LIC809 (FAS) - (06/04)
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