12-02 · Facility Environment

During the inspection, Licensing Specialist observed in the front room a broken electrical cover(owner fixed the cover when he came in) and in the bathroom in the front room the vent is hanging down from the ceiling(the owner screwed the vent back up into the ceiling). The owner brought this standard back in compliance at the time of inspection. During the inspection, Licensing Specialist provided technical assistance, CCF Handbook Section 3.1 A.- General Health and Safety Requirements. A. All child care facilities must be clean, in good repair, free from health and safety hazards and from evidence of, or presence of, vermin infestation. Indoor play areas must be inspected daily for basic health and safety and documented on a daily inspection log. Outdoor play areas must be inspected daily for basic health and safety. Any problems must be corrected before the play area is used by children. Documentation of the indoor play area inspection must be maintained for 12 months

Corrected Corrected by Dec 2, 2024

Category: health medication. Marked corrected in the state record.

17-01 · Outdoor Play Area/Fencing

During the inspection, Licensing Specialist observed on the playground there is screws sticking out of the fence(left side) by the wooden gate. The owner brought this standard back in compliance at the time of inspection by removing the screws that were sticking out. During the inspection, Licensing Specialist provided technical assistance, CCF Handbook Section 3.5 A- Outdoor Play Area. A. The outdoor play area must be clean and free from litter, nails, glass and other hazards

Corrected Corrected by Dec 2, 2024

Category: health medication. Marked corrected in the state record.

18-06 · Bedding and Linens

• During the inspection, Licensing Specialist observed in the front room and in the School Age classroom there is mats that were ripped and exposing the foam. • The director was given until January 2, 2025, to come into compliance with this standard. • During the inspection, Licensing Specialist provided technical assistance, CCF Handbook Section 3.6.1,D- Bedding and Linens. Each child in care must be provided safe and sanitary bedding to be used when napping or sleeping. Nap bedding is not required for school-age children; however, the program must provide an area for children that choose to rest. D. Floor mats must be at least one-inch thick and covered with an impermeable surface

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

41-01 · Immunization Records

During the time of the inspection, the Director advised the Licensing Specialist that there are currently 36 children enrolled. During the time of the inspection, the Licensing Specialist monitored 36 of the 36 childrens records. Licensing specialist observed two children who had missing immunization form. One of the two children did not have the correct form. It was not put on the DH Form 680. The director was given until January 2, 2025, to come into compliance with this standard. During the inspection, Licensing Specialist provided technical assistance, CCF Handbook, Section 7.1 B Immunization Records The child care facility is responsible for obtaining for each child in care a current, complete and properly executed Florida Certification of Immunization form Part A-1, B, or C, DH 680, which is incorporated by reference in 65C-22.001(7)(o), F.A.C., or the Religious Exemption from Immunization form, DH 681, which is incorporated by reference in 65C22.001(7)(p), F.A.C., from the custodial parent or legal guardian. DH Form 680 and DH Form 681 may be obtained from the local county health department. Specific immunization requirements are included and detailed in the most current edition of the Immunization Guidelines-Florida Schools, Child Care Facilities and Family Day Care Homes as promulgated by the Florida Department of Health. B. If the custodial parents or legal guardians fail to provide the documentation required above within 30 days of enrollment, the facility shall not allow the child to remain in the program. The parent/guardian of a child who has not received the age-appropriate immunizations prior to enrollment and who does not have documented medical or religious exemptions from routine childhood immunizations must provide documentation of a scheduled appointment or arrangement to receive immunizations. Providers must include a general statement in parent handbook/policies to inform parents/guardians, at time of enrollment, that some children in care may not have current immunizations

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

41-02 · Immunization Records

During the time of the inspection, the Director advised the Licensing Specialist that there are currently 36 children enrolled. During the time of the inspection, the Licensing Specialist monitored 36 of the 36 childrens records. Licensing Specialist observed three children who had an expired immunization form. The director was given until January 2, 2025, to come into compliance with this standard. During the inspection, Licensing Specialist provided technical assistance, CCF Handbook, Section 7.1 F Immunization Records The child care facility is responsible for obtaining for each child in care a current, complete and properly executed Florida Certification of Immunization form Part A-1, B, or C, DH 680, which is incorporated by reference in 65C-22.001(7)(o), F.A.C., or the Religious Exemption from Immunization form, DH 681, which is incorporated by reference in 65C22.001(7)(p), F.A.C., from the custodial parent or legal guardian. DH Form 680 and DH Form 681 may be obtained from the local county health department. Specific immunization requirements are included and detailed in the most current edition of the Immunization Guidelines-Florida Schools, Child Care Facilities and Family Day Care Homes as promulgated by the Florida Department of Health. F. It is recommended that child care personnel are current with all immunizations routinely recommended for adults by the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC), as referenced in Caring for Our Children Basics Health and Safety Foundations for Early Care and Education, which is incorporated by in 65C-22.001(7)(v), F.A.C

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Student Health and Records

During the time of the inspection, the Director advised the Licensing Specialist that there are currently 36 children enrolled. During the time of the inspection, the Licensing Specialist monitored 36 of the 36 childrens records. Licensing Specialist observed two children who had a missing physical form. The director was given until January 2, 2025, to come into compliance with this standard. During the inspection, Licensing Specialist provided technical assistance, CCF Handbook, Section 7.2 C Student Health Records The child care facility is responsible for obtaining for each child in care a current, complete and properly executed Student Health Examination form DH 3040, which is incorporated by reference in 65C-22.001(7)(q), F.A.C. and may be obtained from the local county health department, the parent or legal guardian, or a signed statement by authorized professionals that indicate the results of the components of the Student Health Examination form are included in the health examination C. If the custodial parents or legal guardians fail to provide the documentation required above within 30 days of enrollment, the facility shall not allow the child to remain in the program

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

30-06 · Diapering

During the time of the inspection, Licensing Specialist observed that the diaper changing mat had rips on it. The director brought this standard back in compliance at the time of inspection. During the inspection, Licensing Specialist provided technical assistance, CCF Handbook 3.10.2 Diapering Requirements G. Items unrelated to diaper changing shall not be stored in the diaper changing area nor shall they be placed on the diaper changing table

Corrected Corrected by Aug 21, 2024

Category: health medication. Marked corrected in the state record.

32-06 · Outdoor Equipment

During the inspection, Licensing Specialist observed on the playground the mulch under the fall zones were not 6 inches in depth. The director was given until September 23, 2024, to come into compliance with this standard. During the inspection, Licensing Specialist provided technical assistance, CCF Handbook Section 3.12.D.1- Outdoor Equipment. D. Permanent or stationary playground equipment must have a fall/use zone that extends a minimum of 6 feet in all directions from the perimeter of the equipment. All types of ground cover must be maintained to provide resilience and reduce the incidence of injuries to children in the event of falls. Child Care Facility Handbook Page | 39 1. If the ground cover in place is loose ground cover (such as, but not limited to: mulch, shredded rubber chips, or sand) a minimum of 6 inches in depth is required in the use zone. Asphalt, concrete, hard packed dirt, hay, grass or leaves are unsuitable for use in the use zone area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

33-05 · Training Requirements

During the time of inspection, the Owner/Operator/Director advised the Licensing Specialist that there 9 employees. During the time of the inspection, the Licensing Specialist monitored 9 of the 9 employee records. When the Licensing Specialist was reviewing the files the licensing counselor seen one personnel did not complete the School Readiness training that was due by June 30, 2024. The director was given until August 30, 2024 to come into compliance with this standard. During the inspection, Licensing Specialist provided technical assistance, CCF Handbook, Section 4.2.7 A-D Annual In-Service Training Upon successful completion of the 40-hour introductory training requirements, child care personnel must complete a minimum of 10 clock-hours or one CEU of in-service training annually during the states fiscal year beginning July 1 and ending June 30.A. The annual 10 clock-hours or one CEU of in-service training concentration on children ages birth through 12 must be completed in one or more of the following areas (college level courses will be accepted):1. Health and safety, including universal precautions, prevention of infectious diseases, sudden infant death syndrome, emergencies due to food and allergic reactions, shaken baby syndrome, use of safe sleep practices, administration of medicine, emergency preparedness, and handling of hazardous materials;2. Pediatric CPR;3. First Aid (may be taken to meet the in-service requirement only once every two years);4. Nutrition;5. Child development - typical and atypical;6. Child transportation and safety;7. Behavior management;8. Working with families; Child Care Facility Handbook Page | 439. Design and use of child-oriented space;10. Community, health and social service resources;11. Child abuse;12. Child care for multilingual children;13. Working with children with disabilities in child care;14. Safety in outdoor play;15. Literacy;16. Guidance and discipline;17. Computer technology;18. Leadership development/program management and child care personnelsupervision;19. Age-appropriate lesson planning;20. Homework assistance for school-age care;21. Food safety training;22. Developing special interest centers/spaces and environments;23. Other course areas relating to child care or child care management;24. Any of the online courses offered through the Departments child care website. B. Documentation of the in-service training requirement must be recorded on CFFSP Form 5268, Child Care In-Service Training Record, which is incorporated by reference in 65C-22.001(7)(i), F.A.C., and included in the child care facilitys personnel records. CF-FSP Form 5268 may be obtained from the Departments website at www.myflfamilies.com/childcare. A new in- service training record is required each fiscal year. The in-service training records for the previous two fiscal years must also be maintained at the child care facility for review by the licensing authority. C. All child care personnel employed in the industry beyond 15 months, who change employment from one child care program to another during the fiscal year must complete the annual in-service training requirement. D. Child care personnel not in compliance with the annual in-service training requirement described in this section must complete the remaining in-service training requirement within 30 days of the noncompliance finding by the licensing authority. These hours cannot be used to meet the current years in service training requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

04-07 · Supervision

During the inspection licensing specialist observed and photographed a 1 yr old child drinking a bottle while laying on her mat during nap. Licensing specialist provided technical assistance in that children can not be lying down and drinking from a bottle. The staff sat with the child and held her as she drank her bottle bringing this back into compliance. During the inspection licensing specialist provided technical assistance CCF Handbook, Section 2.4.4 Meal time Supervision A. During feeding times, children must be individually fed and provided their own tableware. Children must be supervised appropriately for their ages and developmental abilities, to monitor the size of food and that children are eating accordingly. B. Infants must be held for bottle feedings until they are developmentally ready to sit in an age appropriate chair with good head control. Children must not be left in high chairs or other types of feeding chairs other than during feeding times. The use of safety straps is required to prevent children from falling out of the high chair. C. There must not be any propped bottles. If a child cannot hold the bottle, child care personnel must hold the bottle during feeding. There must be no automatic feeding devices unless prescribed by a doctor and documentation is available in the childs file

Corrected Corrected by Jul 29, 2024

Category: supervision. Marked corrected in the state record.

03-01 · Ratio Sufficient

10:1 mixed ages 3-school age 9:1 1-2 yrs (7 children were 1 yr) Staff in charge Karina Alfaro (in charge but was at lunch and arrived at 3:08pm) Ratios taken at 3:13pm 14:1 mixed ages 3-school age 6:1 1-2 yrs

Corrected Corrected by Jun 5, 2024

Category: ratio. Marked corrected in the state record.

04-01 · Supervision

During the inspection, Licensing Specialist observed, photographed and video recorded the children climbing the half wall at the entrance, sitting on the table and climbing on chairs attempting to open the 2 yr. old classroom door. Licensing specialist recorded a child being dragged by his ankles while on the floor to the back of the classroom by another child. The staff member in charge returned from her lunch break and the children were able to be seated and in control once again. During the inspection, Licensing Specialist provided technical assistance per CCF Handbook, Section 2.4, B. Childcare personnel must be assigned to provide direct supervision to a specific group of children and be with that group of children at all times. Children must never be left without childcare personnel supervision inside or outside the facility, in a vehicle, or at a field trip location. CCF Handbook, Section 1.2 Definitions, Direct supervision means actively watching and directing childrens activities within the same room or designated outdoor play area, during transportation, any activity outside of the facility, and responding to the needs of each child while in care

Corrected Corrected by Jun 5, 2024

Category: supervision. Marked corrected in the state record.

35-12 · Communicable Disease Control

• During the time of inspection, the staff member in charge advised the Licensing Specialist that there 6 employees. During the time of the inspection, the Licensing Specialist monitored 6 of the 6 employee records. When the Licensing Specialist was reviewing the files the Licensing Specialist seen the newly hired personnel did not have documentation noting training of the exposure plan regarding standard precautions before beginning to work. • During the inspection, Licensing Specialist provided technical assistance, CCF Handbook, Section 6 Health Requirements There are three common modes of transmission for the spread of microorganisms in child care settings: contact, droplet, and airborne. Many common infections encountered in the child care setting are transmitted by direct or indirect contact. Child care facilities shall develop a written exposure plan regarding universal safety precautions, recommended by the Centers for Disease Control and Prevention (CDC), to follow in the event there is exposure to blood and potentially infectious fluids. Personnel are required to be educated on the facilitys exposure plan regarding standard precautions before beginning to work and annually thereafter. Written documentation that child care personnel have participated in the facilitys annual refresher education for the exposure plan and understand the proper procedures in the event there is exposure to blood and potentially infectious fluids must be retained for 12 months and be available for licensing to review

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

36-01 · CPR Requirements

At the time of inspection Licensing Specialist observed that there were no child care personnel present with a valid CPR certification. Be sure to have someone on site at all times with CPR certification. During the inspection, Licensing Specialist provided technical assistance, CCF Handbook, Section 4.2.4 First Aid and Cardiopulmonary Resuscitation (CPR) B. By December 31, 2021, the facility shall maintain the following number of child care personnel with the CPR certification and first aid training that are on site at the facility at all times children are in care. For child care personnel to count to meet requirement in the below chart, they shall be child care personnel assigned to provide direct supervision of children in care: Total number of child care personnel in direct supervision of children to meet staff to child operating ratios: 51- 75 Total minimum number of child care personnel with Pediatric CPR certification on site when children are present :5 Total minimum number of child care personnel with first aid training on site when children are present: 5. A Director, on site when children are present, with pediatric CPR certification and first aid training may qualify as one of the child care personnel for purposes of meeting the above requirements. Documentation of pediatric cardiopulmonary resuscitation (CPR) certification and first aid training must be kept on file and available for licensing to review. Child care personnel satisfying the certification and training requirements shall Child Care Facility Handbook Page | 42 be present at all times that children are in care at the facility, and at least one child care personnel with the CPR certification and first aid training on field trips which includes all activities away from the program, and during all transportation activities

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

37-01 · First Aid Requirements

At the time of inspection, Licensing Specialist observed that there were no staff members on site that were trained in first aid. Be sure to have at least one staff member always on site with first aid training by due date. During the inspection, Licensing Specialist provided technical assistance, CCF Handbook, Section 4.2.4 First Aid and Cardiopulmonary Resuscitation (CPR) B. By December 31, 2021, the facility shall maintain the following number of child care personnel with the CPR certification and first aid training that are on site at the facility at all times children are in care. For child care personnel to count to meet requirement in the below chart, they shall be child care personnel assigned to provide direct supervision of children in care: Total number of child care personnel in direct supervision of children to meet staff to child operating ratios: 51- 75 Total minimum number of child care personnel with Pediatric CPR certification on site when children are present :5 Total minimum number of child care personnel with first aid training on site when children are present: 5. A Director, on site when children are present, with pediatric CPR certification and first aid training may qualify as one of the child care personnel for purposes of meeting the above requirements. Documentation of pediatric cardiopulmonary resuscitation (CPR) certification and first aid training must be kept on file and available for licensing to review. Child care personnel satisfying the certification and training requirements shall Child Care Facility Handbook Page | 42 be present at all times that children are in care at the facility, and at least one child care personnel with the CPR certification and first aid training on field trips which includes all activities away from the program, and during all transportation activities

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

39-05 · Accident/ Incident Notification and Documentation

• During the inspection, Licensing Specialist observed 3 accident/incident forms were missing both signature and date of the parent and staff member in charge. Be sure to have the accident/incident forms signed and dated on the day of the occurrence. • During the inspection, Licensing Specialist provided technical assistance, CCF Handbook, Section 6.4 C Accident/Incident Notification - C. Documentation must include the name of the affected party, date and time of the occurrence, description of the occurrence, actions taken and by whom, and appropriate signatures of program child care personnel and the custodial parent or legal guardian. Program child care personnel signatures may include the director/child care personnel that witnessed the incident, who were involved in the incident, and/or responded to the childs needs

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

44-04 · Personnel Records

When the Licensing Specialist was reviewing the files the licensing counselor observed and photographed 1 personnel that did not have a Child Abuse and Neglect Reporting Requirements Form signed. During the inspection, Licensing Specialist provided technical assistance, CCF Handbook, Section 7.4 C Personnel Records C. CF-FSP Form 5337, Child Abuse & Neglect Reporting Requirements, which is incorporated by reference in 65C-22.001(7)(l), F.A.C., must be signed on or before Child Care Facility Handbook Page | 62 hire date and annually thereafter by all child care personnel

Corrected Corrected by Jun 5, 2024

Category: recordkeeping. Marked corrected in the state record.

45-01 · Background Screening Documents

Durning the inspection, Licensing Specialist observed that a new staff member did not have a CF-FSP Form 5131 on file. Be sure to have a completed form on file by due date. During the inspection, Licensing Specialist provided technical assistance, CCF Handbook, Section 7.4.1 Personnel Records A. Each personnel record must have a completed CF-FSP Form 5131, Background Screening and Personnel File Requirements, which is incorporated by reference in paragraph 65C-22.001(7)(b), F.A.C

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-09 · Background Screening Documents

At the time of inspection, Licensing Specialist observed that the Employee Roster for all childcare personnel was not current. Be sure to update the Clearinghouse Employee Roster by due date. During the inspection, Licensing Specialist provided technical assistance per CCF Handbook, Section 5.1, K. The employer/owner/operator must add child care personnel to their Employee/Contractor Roster in the Clearinghouse within 10 days of when the individual has received a child care eligible result and has been hired at the facility. Employer/owner/operator must add an end date for individuals on the Employee/Contractor Roster in the Clearinghouse within 10 days of the employment termination

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

46-03 · Daily Attendance

Durning the inspection, Licensing Specialist observed the daily attendance was not accurate. Be sure to have an accurate attendance record with arrival and departure times noted by due date. During the inspection, Licensing Specialist provided technical assistance, CCF Handbook, Section 7.5Attendance Daily attendance of children must be taken and recorded accurately by the child care personnel, documenting the time when each child enters and departs the program

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

38-02 · Emergency Telephone Numbers

At the time of reinspection, staff in charge stated that the emergency numbers are in the attic due to the recent painting that occurred. Be sure to post the emergency numbers by due date. During the reinspection, Licensing Specialist provided technical assistance CCF Handbook, Section 6.3 A Emergency service telephone numbers must be posted on or near all telephones, including 911, ambulance, fire, police, poison control center, Florida Abuse Hotline, and the county public health department. Additionally, the address and directions to the facility must be posted with descriptions of major intersections and local landmarks

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

34-04 · Credentialed Staff

At the time of inspection Licensing Specialist observed that the facility does not have a director with an active Director Credential on site. Staff in charge stated that she is working on obtaining a Director Credential by the Provisional License expiration date of 6/24/24. During the reinspection Licensing Specialist provided technical assistance per CCF Handbook, Section 4.7, Section 402.305(2)(g), F.S., requires a child care facility to have a credentialed director. Every applicant for a license to operate a child care facility or a license for a change of ownership of a child care facility must document that the facility director has an active Director Credential prior to issuance of the license

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

13-03 · Toxic Substances, Hazardous Materials and Weapons

At the time of inspection licensing specialist observed and photographed cleaning supplies stored under the restroom cabinet with no child lock on the cabinet. Spray bottle of cleaner was removed from under the cabinet at the time of inspection bringing this standard back into compliance. TA All potentially harmful items, including cleaning supplies, flammable products, poisonous, toxic, and hazardous materials, must be labeled and used according to manufacturers recommendation. These items, as well as knives, sharp tools, and other potentially dangerous hazards, must be stored in a locked area or must be inaccessible and out of a childs reach at all times

Corrected Corrected by Apr 22, 2024

Category: nutrition. Marked corrected in the state record.

17-07 · Outdoor Play Area/Fencing

At the time of inspection licensing specialist observed and photographed a gap at the base of the fence where a wooden fence slat was broken off making the fence not at ground level. Please be sure to fix the broken fence slat by due date. TA The outdoor play area must have adequate fencing or walls a minimum of 4 feet in height. Fencing, including gates, must be continuous and must not have gaps or opening larger than 3 inches that would allow children to exit the outdoor play area. The base of the fence must remain at ground level and be free from erosion or build-up to prevent inside and outside access by children or animals. These areas must have at least two exits, with at least one being remote from the buildings. If an outdoor play area was approved for usage by the Department prior to October 25, 2017, no new exits are required to be added to meet this standard. However, if outdoor play area fencing is changed then the standard would apply, and two exits must be provided

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

21-14 · Restrooms and Bath Facilities

At the time of inspection licensing specialist observed the restroom off the preschool front area did not have paper towels. Staff were able to refill the paper towels bringing this back into compliance. TA Running water, soap, trash receptacles, toilet paper, and disposable towels or hand drying machines that are properly installed and maintained must be available and within reach of children using the bathroom

Corrected Corrected by Apr 22, 2024

Category: physical safety. Marked corrected in the state record.

30-14 · Diapering

At the time of inspection diapering procedures were not posted in the one-year-old classroom. Staff stated the building was recently painted and it must not have been hung up yet. A copy of the diaper changing procedures was posted in the classroom bringing this back into compliance at the time of inspection. TA Diaper changing procedure must be posted in the changing area and followed to protect the health and safety of children and childcare personnel

Corrected Corrected by Apr 22, 2024

Category: health medication. Marked corrected in the state record.

35-12 · Communicable Disease Control

At the time of inspection, licensing specialist observed that employee did not have documentation exposure training at time of hire. Be sure to have documentation for all newly hired employees prior to the first day of working with children. TA There are three common modes of transmission for the spread of microorganisms in child care settings: contact, droplet, and airborne. Many common infections encountered in the child care setting are transmitted by direct or indirect contact. Child care facilities shall develop a written exposure plan regarding universal safety precautions, recommended by the Centers for Disease Control and Prevention (CDC), to follow in the event there is exposure to blood and potentially infectious fluids. Personnel are required to be educated on the facilitys exposure plan regarding standard precautions before beginning to work and annually thereafter. Written documentation that child care personnel have participated in the facilitys annual refresher education for the exposure plan and understand the proper procedures in the event there is exposure to blood and potentially infectious fluids must be retained for 12 months and be available for licensing to review

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

38-02 · Emergency Telephone Numbers

At the time of inspection licensing specialist observed there were no emergency phone numbers posted in the office area near the phone or anywhere else in the building. Staff stated that the building was recently painted, and it must not have been posted again. Be sure to post the emergency numbers by the due date. TA Emergency service telephone numbers must be posted on or near all telephones, including 911, ambulance, fire, police, poison control center, Florida Abuse Hotline, and the county public health department. Additionally, the address and directions to the facility must be posted with descriptions of major intersections and local landmarks

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

39-05 · Accident/ Incident Notification and Documentation

At the time of inspection, licensing specialist observed and photographed an incident report that did not have the parent signature, date/time and both the director and staff completing the form did not have the time written on the form. Staff stated that the mother was "mad" that day and wouldn't sign and the child no longer attends the facility. Be sure to have forms signed and dated on the day of the incident. TA All accidents and incidents or unusual occurrences that are threatening to the health, safety, or welfare of a child that occur while the child is in care must be documented on the same day they occur. B. This documentation must be shared with the custodial parent or legal guardian on the date of occurrence. C. Documentation must include the name of the affected party, date and time of the occurrence, description of the occurrence, actions taken and by whom, and appropriate signatures of program childcare personnel and the custodial parent or legal guardian. Program childcare personnel signatures may include the director/childcare personnel that witnessed the incident, who were involved in the incident, and/or responded to the childs needs. Childcare Facility Handbook Page | 56

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

23-06 · Fire Drills

At the time of inspection, licensing specialist reviewed fire drill log and noted that no drill was conducted in the month of November. A drill was conducted with licensing and now back in compliance. TA During the facilitys license year, fire drills utilizing the alarm system, approved by the local fire authority, must be conducted monthly at various dates and times when children are in care

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

33-06 · Training Requirements

At the time of inspection, one staff member did not have her early literacy course completed with-in one year of hire date. Be sure to have staff complete the ELC training by due date. TA Pursuant to Section 402.305(2)(e)5., F.S., all child care personnel must complete a single course of training in early literacy and language development of children ages birth through five years that is a minimum of five clock hours or .5 CEUs. Early literacy training must be completed within 12 months of date of employment in the child care industry. Proof of completion may be documented on a certificate of course completion, classroom transcript, or diploma

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

34-04 · Credentialed Staff

At the time of inspection facility did not have a credentialed director

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

34-07 · Credentialed Staff

Resolved at time of inspection

Corrected Corrected by Dec 4, 2023

Category: recordkeeping. Marked corrected in the state record.

36-03 · CPR Requirements

At the time of inspection, facility had only one staff member appropriately trained in CPR. Be sure to have a second staff member trained in CPR by due date. TA CPR courses must include on-site, instructor- based skill assessments by a certified CPR instructor. Documentation of completion of the online course and on-site assessment must be maintained at the facility and available for review by the licensing authority

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

36-04 · CPR Requirements

At the time of inspection, licensing specialist reviewed the staff files and the driver did not have documentation of on-site instructor-based skills assessment. Be sure to have skill assessment completed by due date

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

44-04 · Personnel Records

At time of inspection, licensing specialist reviewed staff files and found one file did not have CF-FSP 5337 in the file. Staff member signed the form at the time of inspection. Corrected at time of inspection. TA CF-FSP Form 5337, Child Abuse & Neglect Reporting Requirements, which is incorporated by reference in 65C-22.001(7)(l), F.A.C., must be signed on or before hire date and annually thereafter by all child care personnel

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

04-07 · Supervision

At time of inspection, counselor observed and took photos of children asleep with bottles in crib and on mat. TA was given to staff that children are not permitted to sleep with bottles. Teacher removed the bottles from the cribs at time of inspection

Corrected Corrected by Jul 26, 2023

Category: supervision. Marked corrected in the state record.

04-29 · Supervision

At the time of inspection, the windows in the infant room were covered by blankets and the lights were off. Photos were taken of blanket covering the window. TA was given to the teacher and the director that the room has to have enough lighting that the teacher can properly monitor the sleeping children. The teacher removed the blankets

Corrected Corrected by Jul 26, 2023

Category: supervision. Marked corrected in the state record.

12-01 · Facility Environment

At the time of inspection, the children's bathroom was found in need of cleaning. Pictures were taken by counselor of toilet with broken seat, handwashing sink with buildup of dirt around the sink fixture, dirt on the paper towel dispenser, dirt on the soap dispenser, dirt on the counter back splash, the base of the toilet had urine and toilet paper on the floor, and the door for the restroom has dirt all around the handle on the door. Be sure to clean the restroom by the

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

12-07 · Facility Environment

The director who was supervising the group at the time of inspection was given TA that the table blocking the area where older children were playing needed to be moved as children were standing on the table and jumping off. Photos were taken by counselor of child on the table. Director moved the table and told the children that standing on the table is not permitted. This was resolved at time of inspection

Corrected Corrected by Jul 26, 2023

Category: supervision. Marked corrected in the state record.

17-01 · Outdoor Play Area/Fencing

At time of inspection, counselor found garbage that was in the grass area of the playground. Photo was taken. The gate to the left side of the building was open which led to a section with trash, paint cans and a trailer with grass grown around it. A child could easily go through the broken gate into this area on the side of the building with the trash. More photos were taken. Please be sure to remove the trash by

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

17-06 · Outdoor Play Area/Fencing

At time of inspection, both exit gates on the playground had latches that did not lock. Photos were taken. Be sure to have the latches working so that children cannot exit the playground by

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

21-12 · Restrooms and Bath Facilities

At the time of inspection, counselor observed in the infant room a used diaper on the floor not in trash can, many items on the diapering table and the handwashing sinks were used to wash bottles. Photos were taken. TA was given to staff that the diapering area must remain free of any items other than diapering items, the handwashing sink can only be used for handwashing and no items can be in the cribs while children are sleeping. The children in the class were throwing a pillow into an unused crib. The teacher removed the items at the time of inspection

Corrected Corrected by Jul 26, 2023

Category: health medication. Marked corrected in the state record.

30-14 · Diapering

At time of inspection, no diapering procedures were posted in the classroom. Please be sure to have proper procedures posted in the classroom by

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

32-03 · Outdoor Equipment

At time of inspection, the stationary climber with double blue slides had the board above the sliding boards and the corner connector is in need of repair or replacing the wood is splintering and may cause children to have splinters or cuts. The handle as you begin to climb up the structure needs to be tightened as it is movable when using the handrail. Video was taken of the handrail moving. Also the one railroad tie was separated from the other railroad tie posing a tripping hazard. Be sure to repair by due date

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

32-07 · Outdoor Equipment

At time of inspection, counselor observed mulch was not maintained under the climber with the double blue sliding boards. Be sure to add mulch under the stationary climbing equipment by

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

03-01 · Ratio Sufficient

CCRC observed that there were 12 1-5 yr-old children to 1 childcare personnel in the mail VPK room. It was told to CCRC by the teacher that this is their daily routine in the morning. This was completed at time of inspection when the Director and another Teacher arrived. The children were then split up in the appropriate classrooms and back into ratio

Corrected Corrected by Feb 1, 2023

Category: ratio. Marked corrected in the state record.

04-01 · Supervision

CCRC observed that the only teacher in the Main VPK room holding a mixed age group of 1-5 yr-olds, had left the room to open the front door for CCRC as well as every time children were arriving. This was completed at time of inspection when the Director and another teacher arrived. TA: 2.4.1 General Supervision Requirements A. Child care personnel must position themselves in the outdoor play area so that all children can be observed and directly supervised. B. Child care personnel must be assigned to provide direct supervision to a specific group of children and be with that group of children at all times. Children must never be left without child care personnel supervision inside or outside the facility, in a vehicle, or at a field trip location. C. Supervision standards apply at all times away from the child care facility, including during field trips, outdoor play, and when picking up or dropping off children at designated locations, such as bus stops, school, or a childs home. For school-age children, personnel must know where the children are and what they are doing at all times and capable of responding to emergencies including when children are separated from their group. D. At all times, lighting must allow child care personnel to see and supervise children while in care. E. A program is responsible for the supervision of a child until an authorized individual retrieves the child from the program. A child shall not be released to any person other than the person(s) authorized or in the manner authorized in writing by the custodial parent or legal guardians. All individuals authorized to pick up a child must be identified in writing prior to release by the custodial parent or legal guardian to the program, and the program must verify the individual picking up the child is authorized by using a picture form of identification. Each child transported must be dropped at the designated location as agreed upon by the provider and the custodial parent/legal guardian and released to an authorized individuals F. No person shall be an operator, owner, or employee of a child care facility while using or under the influence of narcotics, alcohol, or other drugs that impair a persons ability to provide safe care and supervision. G. In addition to the number of child care personnel required to meet the staff-to-child ratio, one additional adult must attend field trips away from the child care facility to help provide direct supervision. The individual could be a parent volunteer as long as that person is under direct and constant supervision of a screened and trained child care personnel. H. Children must receive supervision and care in accordance with their age and required needs and be accounted for at all times while bathing or toileting. I. When transporting children in a vehicle or on foot, a telephone or other means of instant communication must be available to child care personnel. Cellular phones, two-way radio devices, citizen band radios, and other means of instant communications are acceptable

Corrected Corrected by Feb 1, 2023

Category: supervision. Marked corrected in the state record.

04-09 · Supervision

CCRC observed 3, 1-yr-old children confined the a crib in the middle of the Main VPK room. 1 of the children were eating inside the crib and the others were standing up against the railing. This was completed at time of inspection when Ratio came into compliance and the 1-yr-olds went back into their classroom and taken out of the crib. TA: infants must be held for bottle feedings until they are developmentally ready to sit in an age appropriate chair with good head control. Children must not be left in high chairs or other types of feeding chairs other than during feeding times. The use of safety straps is required to prevent children from falling out of the high chair

Corrected Corrected by Feb 1, 2023

Category: supervision. Marked corrected in the state record.

11-03 · Child Discipline

CCRC on 2/1/23 commenced investigation from the ELC based on class observation by the ELC on 1/30/23. It was noted that the discipline policy was not being followed as it was stated that they are using hands on physical discipline and blocking methods. This was confirmed by the Director and another teacher. TA: The child care facility operators, employees, and volunteers must comply with written disciplinary and expulsion policies

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

36-02 · CPR Requirements

CCRC observed that The Director KS did not have a valid CPR certification. It expired on 1/31/23. TA: A. One child care personnel with current and valid certificate(s) of course completion for first aid training and one child care personnel with current and valid certificate of course completion for pediatric cardiopulmonary resuscitation (CPR) procedures must be present at all times that children are in care. The same child care personnel may satisfy both requirements. Documentation of first aid training must be kept on file and available for licensing to review

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

37-07 · First Aid Requirements

CCRC observed that The Director KS did not have a valid First Aid certification. It expired on 1/31/23. TA: A. One child care personnel with current and valid certificate(s) of course completion for first aid training and one child care personnel with current and valid certificate of course completion for pediatric cardiopulmonary resuscitation (CPR) procedures must be present at all times that children are in care. The same child care personnel may satisfy both requirements. Documentation of first aid training must be kept on file and available for licensing to review

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

44-04 · Personnel Records

CCRC observed that The Director KS did not have an up dated Abuse & Neglect form signed. TA: CF-FSP Form 5337, Child Abuse & Neglect Reporting Requirements, which is incorporated by reference in 65C-22.001(7)(l), F.A.C., must be signed on or before Child Care Facility Handbook Page | 62 hire date and annually thereafter by all child care personnel

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

47-01 · Access/Child Safety

CCRC commenced a complaint on 2/1/23. With the commencement of the complaint it was observed that The Director and Teacher 2 did not interact with the children in an appropriate manner. Teacher 2 harshly told the students to go to the carpet and sit. she picked child up by the arms (1 hand upper arm, 1 hand near arm pit) and swung the child to the carpet. Teacher 2 put the child on the carpet and harshly said, I said sit. The child began to lay down and cry. Teacher 2 yelled Put on your shoe. The child threw his shoe and Teacher 2 approached the child, removed his other shoe, and placed both of his shoes up on a shelf. The child approached The Director crying and then they put their hand on the child's head and pushed the child away. The child laid down on the floor and cried. The child then stood up and attempted to reach for the shoes shoe's and The Director physically blocked his path. TA: C. Child care personnel must appropriately interact with children to foster a healthy, safe environment that will encourage the childs physical, intellectual, motor, and social development. Interactions with children that are aggressive, demeaning or intimidating in nature are strictly prohibited

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.