06-02 · Driver's License, Physician Certification

LS observed that a copy of a valid First Aid and CPR certificate was not in the drivers file for LS to review. Technical Assistance (TA) was provided to the director in reference to maintaining a valid First Aid and CPR certificate in the drivers file

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

25-07 · Meals and Snacks

LS observed that the refrigerator in the infant room was missing a thermometer. LS provided TA to the director and staff responsible reminding them that an accurate alcohol thermometer designed to measure cold storage temperature must be placed inside each refrigeration and freezer unit. Thermometers in refrigerators must show a reading of 41 degrees Fahrenheit or below, and thermometers in freezers must show a reading of 0 degrees Fahrenheit or below. A thermometer was placed inside the refrigerator at time of inspection, placing this standard back in compliance

Corrected Corrected by Feb 19, 2025

Category: ratio. Marked corrected in the state record.

28-14 · Bottles, Breastmilk, Formula and Infant Food

Licensing Specialist (LS) observed that a bottle of infant formula was not discarded after feeding. LS spoke to the teacher and director and the teacher explained that because the child had not finished all the formula, they were saving it to give to the infant after naptime. LS provided technical assistance to the director and staff explaining that all infant formula left in bottles after feedings must be discarded within one hour after serving an infant. Unused breastmilk may be returned to the parent in the bottle or container provided. The formula was discarded at time of inspection, placing this standard back in compliance

Corrected Corrected by Feb 19, 2025

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

28-16 · Bottles, Breastmilk, Formula and Infant Food

Licensing Specialist (LS) observed that a food jar that was previously used to feed the baby directly from the jar was being saved to be re- used. LS spoke to the teacher and director and the teacher explained that because the child had not finished all the food, they were saving it to give to the infant after naptime. LS provided technical assistance to the director and staff explaining that if food is fed directly from the jar by the caregiver, the jar can be used for only one feeding and the remainder discarded. The food was discarded at time of inspection, placing this standard back in compliance

Corrected Corrected by Feb 19, 2025

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

44-04 · Personnel Records

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. LS explained to the staff responsible that a current signed form must be kept in the personnel file. The staff member listed on the supplemental page did not have a current signed copy in the file

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

45-06 · Background Screening Documents

Child Care Attestation of Good Moral Character, which is incorporated by reference in 65C-22.001(7)(a), F.A.C., must be completed for all child care personnel at the time of initial screening or upon change in employers. CF Form 1649A may be obtained from the Departments website at www.myflfamilies.com/childcare. LS explained to the staff responsible that a current signed form must be kept in the personnel file. The staff member listed on the supplemental page did not have a current signed copy in the file

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-07 · Background Screening Documents

Child care personnel must be re-screened following a break in employment in the child care industry that exceeds 90 days. Child care personnel/individual with a break in service that exceeds 90 days are considered unscreened child care personnel/individuals until completion of re-screening. These child care personnel/individuals shall not have unsupervised contact with children in care. The staff member listed on the supplemental page did not have a current background screening in the file. TA was giving to the staff responsible

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

28-02 · Bottles, Breastmilk, Formula and Infant Food

Bottles and sippy cups brought from home shall be individually labeled with the child's first and last name and shall be returned to the custodial parent or legal guardian daily. Sippy cups brought from home were not labeled or only had a first name (Pictures were taken). The staff person and director were educated by the licensing counselor on the requirement for last and first names on cups and bottles brought from home. The staff person then correctly labeled the items, thus this regulation is marked back into compliance

Corrected Corrected by Oct 23, 2023

Category: nutrition. Marked corrected in the state record.

39-01 · Accident/ Incident Notification and Documentation

For life threatening injuries, the provider shall call 911 and then notify the parent. According to the incident report that was provided to the CCRC on 8/18/2023, the parent was notified first and then EMS was contacted. CCRC (Child Care Regulation Counselor) gave TA (Technical Assistance) in reference to this to the staff responsible

Corrected Corrected by Aug 7, 2023

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

39-03 · Accident/ Incident Notification and Documentation

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. CCRC gave TA in reference to this to the staff responsible

Corrected Corrected by Aug 7, 2023

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

39-07 · Accident/ Incident Notification and Documentation

In the event of serious injury or death, the incident must immediately be reported to the licensing authority. The facility failed to notify the licensing department of the incident. CCRC gave TA in reference to this to the staff responsible

Corrected Corrected by Aug 7, 2023

Category: recordkeeping. Marked corrected in the state record.

40-09 · Medication

In the event of an emergency, non-prescription medication that is not brought in by the parent or legal guardian can be dispensed only if the program has written permission from the parent or legal guardian to do so. CCRC gave TA in reference to this to the staff responsible

Corrected Corrected by Aug 7, 2023

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

40-18 · Medication

Prior to administering medication to children, child care personnel responsible for administering medication must be educated on proper administration procedures. Written documentation must be maintained in the personnel file that child care personnel administering medication have been educated on proper administration procedures. The staff member that provide the medication to the child listed on the supplemental page did not have the qualification to provide medication. CCRC gave TA in reference to this to the staff responsible. Staff member was notified by the CCRC that they are not allowed to provide medication until the proper training had been received

Corrected Corrected by Aug 7, 2023

Category: ratio. Marked corrected in the state record.

06-01 · Driver's License, Physician Certification

The driver of any vehicle used by a child care program to provide transportation must have the following: An annual physical examination which grants medical approval to drive, and valid certificate(s) of course completion for first aid training and pediatric cardiopulmonary resuscitation (CPR) procedures. Driver 1 listed on the supplemental page had an expired annual physical (picture was taken). CCRC advice the director that Driver 1 cannot drive until they have received a current annual physical. 2 drivers records reviewed during this inspection visit

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

18-06 · 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. Floor mats must be at least one inch thick, and covered with an impermeable surface that is cleaned and sanitized or disinfected after each use. Mats must not be torn or broken, mats in the 2 year old room were torn (Pictures were taken). Technical Assistance was given by Child Care Regulation Counselor to the director and staff

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.