23-13 · Fire Drills

The provider stated that they do not have a written emergency preparedness plan. 3.8.5 Emergency Preparedness A. The operator must develop a written emergency preparedness plan that includes, at a minimum, procedures to be taken by the facility during a fire, evacuation, relocation, shelter in place, lockdown, and inclement weather (for example: hurricanes, tropical storms or tornadoes), and to facilitate parent/guardian reunification onsite and offsite. The plan must describe how the facility will notify and update parents/guardians, as well as, meet the needs of all children, including children with special needs or chronic medical conditions, during and following an emergency event. A current attendance record/classroom rosters and parent contact information must accompany child care personnel during the drill or actual emergency and must be used to account for all children. Daily classroom attendance rosters must be used to account for all children once gathered in a safe space after exit and upon return to the program. B. Lockdown and inclement weather drills shall be conducted a minimum of one time each per operating year when children are in care and the documentation of these drills must be maintained for 12 months from the date of the drill. A lockdown or inclement weather drill may substitute for one monthly fire drill. Substitutions for fire drills may not occur more than three times within the licensure year. Documentation of this substitution must be maintained for 12 months from the date of the drill. C. The operator must maintain and post in an easily seen location a written record of emergency preparedness drills showing the type of drill, date conducted, number of children and childcare personnel in attendance, and time taken for all individuals to complete the drill. D. Documentation of conducted fire and emergency preparedness drills must be available at the time of inspection. Documentation produced after the inspection will not be used to meet the licensing standard or corrective action requirements. E. The operator must prepare and post an emergency evacuation plan in each room of the facility, excluding restrooms, including a diagram of safe routes by which the personnel and children may exit in the event of fire or other emergency requiring evacuation

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-07 · Training Requirements

During the time of the inspection three staff members did not have 10 hours of in service training 4.2.7 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 | 43 9. 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 personnel supervision; 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

17-07 · Outdoor Play Area/Fencing

During the time of inspection, counselor observed parts of the fence were not at ground level, especially near the metal gate to the outside of the play area. Counselor provided the following technical assistance, "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 buildup 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." CCF handbook 3.5 F Counselor is giving 30 days for this standard to come into compliance by covering or fixing the gap under the fence

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

18-12 · Bedding and Linens

During the time of inspection, counselor observed blankets stacked on top of each other touching. Director advised they are sent home on Fridays. Counselor provided technical assistance, "Bedding and linens, when not in use, must be stored in a sanitary manner which prevents the spread of germs or lice from other linens. All bedding and linens must be thoroughly cleaned and sanitized at least once a week, and before use by another child." Facility Handbook 3.6.1 G. This is being marked complete at the time of inspection because Child Care Personnel moved the bedding into individual bags not touching once informed. During the time of inspection, counselor observed 3 ripped cots in the 4/5 year olds room. Counselor provided technical assistance, CCF Handbook 3.6.1 "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. A. Sleep bedding includes beds, cribs, or mattresses. Air and foam mattresses are prohibited. B. If children are sleeping overnight in the facility, child care personnel must ensure accepted bedtime routines are practiced, such as brushing teeth and washing face and hands. 1. Toothbrushes, towels, and wash cloths may not be shared. 2. Toothbrushes must be stored so that they cannot touch each other. C. Nap bedding includes sleep bedding, cots, playpens, play yards or floor mats. Air and foam mattresses are prohibited. D. Floor mats must be at least one-inch thick and covered with an impermeable surface. E. Bedding must be appropriate for the childs size. F. Linens, if used, must be washed at least once a week and more often if soiled or dirty. Linens used by more than one child must be washed in between usage. Linens must be provided when children are sleeping, and pillows and blankets must be available. For children under the age of one, please follow the requirements outlined in section 3.6.4. G. Bedding and linens, when not in use, must be stored in a sanitary manner which prevents the spread of germs or lice from other linens. All bedding and linens must be thoroughly cleaned and sanitized at least once a week, and before use by another child. H. Bedding and linens shall not be stored in the bathroom, unless stored in cabinets. I. No double or multi-deck cribs, cots, or beds may be used." Director advised she has cots in storage at home and would replace these cots before use. Counselor is giving 30 days to bring this standard into compliance by removing these cots and replacing them

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

21-11 · Restrooms and Bath Facilities

During the time of inspection, counselor observed a toilet in the bathroom near the 4/5 year old classroom to be out of order. Director advised they are getting a new toilet. The following technical assistance was provided, "Each toilet and sink must be maintained in good operating condition, cleaned and sanitized or disinfected as needed, but at least once per day. Sinks utilized for teeth brushing activities/procedures by the children must be sanitized prior to the activity occurring." CCF Handbook 3.7 I Counselor is giving 30 days for this standard to come into compliance by replacing or repairing this toilet

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

32-03 · Outdoor Equipment

During the time of inspection, counselor observed rust on the yellow play structure and the red and yellow circle bicycle structure. During the time of inspection, counselor observed nails sticking out of a wooden house-like play structure that was also unstable where a child could fit their hands into. Director advised they would be removing this structure. During the time of inspection, counselor observed a wooden balance beam adjacent to wooden house that was unstable, and the wood was beginning to split. Director advised they would be fixing or removing this beam. During the time of inspection, counselor observed a building connected to the playground that children could access was not in good repair in that there was a gap measuring at over 3 1/2 inches that lead to under the stairs, stairs were unstable and falling apart, and gaps in some of the wood and nails sticking out. Director advised this building was not used by the children. However, the children do have access to it as it is attached to the playground and there is nothing blocking it off. Counselor provided the following technical assistance, "All playground equipment must be securely anchored, unless portable or stationary by design, in good repair, maintained in safe and sanitary condition, and placed to ensure safe use by the children. Maintenance must include inspections conducted every month of all supports above and below the ground and of all connectors and moving parts. Documentation of maintenance inspections must be maintained for 12 months. All equipment, fences, and objects on the facilitys premises shall be free from sharp, broken and jagged edges, and properly placed to prevent overcrowding or safety hazards in any one area." CCF Handbook 3.12 B & C Counselor is giving 2 weeks for this standard to be brought back into compliance by fixing and/or removing the items not in good repair and by fixing or blocking off the attached building

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.