36-03 · CPR Requirements

During inspection, 3 staff were needed to meet ratio, therefore, 3 certified staff were required. There was 1 certified staff present. Provider will ensure at least one additional staff member acquires CPR certification to ensure that adequate coverage is maintained at all times. Provider will submit copies of at least one additional staff member's current CPR certification by email to the licensing office on or before 6/17/2025

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

37-02 · First Aid Requirements

During inspection, 3 staff were needed to meet ratio, therefore, 3 certified staff were required. There was 1 certified staff present. Provider will ensure at least one additional staff member acquires First Aid certification to ensure that adequate coverage is maintained at all times. Provider will submit copies of at least one additional staff member's current First Aid certification by email to the licensing office on or before 6/17/2025

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

15-05 · Licensed Capacity

None of the rooms occupied by children had the room capacity posted. Facility Handbook 3.4.1 Licensed Capacity A. The capacity, as calculated by the licensing authority, must be posted in a conspicuous location within each room. The provider will post signs in all classrooms showing maximum capacity. The capacity calculator dated 7/2023 assigns a capacity of 11 to the current infant room, of 23 to the three-fives room, and of 7 to the ones room. Provider will take pictures of posted capacity showing context to identify room and email them to the licensing office on or before 3/13/2025

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

18-03 · Bedding and Linens

Blankets provided by the facility were folded and stacked all together on a shelf. Per teacher they are laundered once a week and used by children who did not bring their own blankets. The stacked blankets had been used during the week before and were stored touching each other without having been laundered before being re-used by different children. Teacher was instructed to store blankets in the cubby of the child currently using the blanket, and to not store used blankets touching each other so that transfer of germs can be avoided

Corrected Corrected by Feb 13, 2025

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

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

Bottles in the infant room were labeled correctly. However, drinking bottles and sippy cups brought from home in the one-year-old room and in the two-to-four-year-old room were not labeled with each child's first and last name. Facility Handbook 3.9.5, B. Bottles and sippy cups brought from home shall be individually labeled with the childs first and last name [...]. Teachers in classrooms will remind parents to label children's bottles and cups with each child's first and last name on a daily basis. Provider will supply rooms with masking tape and permanent markers to facilitate the labeling of bottles and cups which come to the center insufficiently labeled. Teachers will take responsibility to ensure all labeling is done as required and/or label bottles appropriately themselves every day at drop off. Provider will email a picture of bottles and cups in each classroom that are properly labeled to the licensing office on or before 2/20/2025

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

33-01 · Training Requirements

A staff member who completed one 40 hour training course and exam and received in-service credit for taking two additional 40 hour courses during high school prior to employment in the childcare industry, re-started her 40 hour training on 1/24/2024 upon being hired by this facility, As of 2/13/2025 the staff member has not completed her 40 hour training. Facility Handbook 4.1 Child care personnel [...] must [...] successfully complete Departments training within 12 months from the date training begins. The staff member was suspended from working until all competency exams have been passed. Provider will inform the licensing office once the staff member returns to work and email a copy of the staff member's training transcript showing completion of Part I and Part II of the 40 hour Introductory Child Care Training to the licensing office

Corrected Corrected by Feb 13, 2025

Category: recordkeeping. Marked corrected in the state record.

33-05 · Training Requirements

Staff member left the facility with a discrepancy in her training (she had not taken the required UDAP course/exam to pair with either the PSPR or the SAPR course she did take; only in combination with the UDAP course are the required 10 hours of Part II training awarded). She had not remedied the discrepancy at the time she was rehired by the facility in November of 2024. Facility Handbook 4.3, B. In the event an individual leaves the child care industry not in compliance with the training requirements and returns to the industry either at the same or a different child care facility, he or she must comply with the training requirements described in this section, as well as any new training requirements that may have been added during the gap in employment in the child care industry prior to re-employment. Staff Member will take the competency exam for the UDAP course as soon as possible. Upon successfully passing the exam, the provider will email a copy of the staff member's training transcript showing passage of the UDAP exam to the licensing office. This will occur no later than the

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-06 · Training Requirements

One staff member did not complete the required literacy course within 12 months of the date of employment in the child care industry. 4.2.2 Early Literacy Training 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. Staff member will complete one of the department's online literacy courses and the provider will email a copy of the staff member's training transcript showing completion of a literacy course to the licensing office on or before 3/13/2025

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

37-06 · First Aid Requirements

During inspection the facility's first aid kit was incomplete, as it did not contain Tweezers or a digital thermometer. Since this is a recurring issue, licensing counselor suggests keeping an additional complete first aid kit in the office to have at least one complete kit on premises at all times. The provider will add the missing items to the first aid kit and email a picture of the complete kit showing tweezers and thermometer to the licensing office on or before 3/13/2025

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

44-01 · Personnel Records

A returning staff member's and a new substitute's files were not available for the licensing authority to review at the time of inspection. Some of the returning staff member's file was re-created by the provider during the inspection with assistance by the licensing specialist. Facility Handbook 7.4 Personnel Records Records must be maintained and kept current on all child care personnel, as defined by Section 402.302(3), F.S. These records shall be on-site, available for review by the licensing authority and must include: A. A complete employment application with the required statement pursuant to Section 402.3055(1)(b), F.S. B. Documentation of position and date of employment. 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 hire date hire date and annually thereafter by all child care personnel. D. Copies of training information and credentials as applicable. Provider will email photocopies of all required documents to the licensing office on or before 3/13/2025

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

45-09 · Background Screening Documents

There were 10 employees listed on the roster that had left the facility throughout the last two years. Facility Handbook 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. Provider will enter end dates in the clearinghouse for the 10 employees to remove them from the roster and email a copy of the updated roster showing end dates for the 10 former employees to the licensing office on or before 3/13/2025

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

04-31 · Supervision

One new staff member was in the classroom on her own, even though she had not completed the School Readiness Pre-Service Training. Director took over classroom and rearranged other staff members

Corrected Corrected by Sep 30, 2024

Category: supervision. Marked corrected in the state record.

36-01 · CPR Requirements

The facility had only one staff member with current First Aid and CPR certification present during the inspection. Four personnel were required for ratio, therefore three certified personnel were required. Facility will ensure two additional staff members take the training to obtain current First Aid and CPR certification and will email copies of the certificates to the licensing office by 10/14/2024. Facility Handbook: 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 [...], 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: 0-25, total minimum number of child care personnel with Pediatric CPR certification on site when children are present: 3, total minimum number of child care personnel with first aid training on site when children are present: 3

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

37-01 · First Aid Requirements

The facility had only one staff member with current First Aid and CPR certification present during the inspection. Four personnel were required for ratio, therefore three certified personnel were required. Facility will ensure two additional staff members take the training to obtain current First Aid and CPR certification and will email copies of the certificates to the licensing office by 10/14/2024. Facility Handbook: 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 [...], 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: 0-25, total minimum number of child care personnel with Pediatric CPR certification on site when children are present: 3, total minimum number of child care personnel with first aid training on site when children are present: 3

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

04-07 · Supervision

An infant was observed lying down in a pack-and-play drinking a bottle. The child was not individually attended by a caregiver and was not in a sitting position. Per DCF Handbook, 2.4.4 Meal time Supervision A. During feeding times, children must be individually fed [...]. Children must be supervised appropriately for their ages and developmental abilities [...]. 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. [...] C. There must not be any propped bottles. [...]

Corrected Corrected by Jul 9, 2024

Category: supervision. Marked corrected in the state record.

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

5 Bottles in the Infant room refrigerator were not labeled with the child's first and last name. Provider will conduct training with all staff on appropriate labeling of bottles and sippy cups and email the agenda and sign-in sheet of the training to the licensing office on or before 8/9/2024. CCF Handbook 3.9.5 Food Handling B. Bottles and sippy cups brought from home shall be individually labeled with the childs first and last name and shall be returned to the custodial parent or legal guardian daily

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

33-03 · Training Requirements

Two new staff members did not start introductory training within 90 days of employment. Provider will have staff members enroll in and start a 40-hr class and email a copy of the staff members' training transcripts, showing enrollment in the class, to the licensing office on or before 8/9/2024. Per DCF Handbook, 4.1 Beginning Training Child care personnel including volunteers who work 10 hours or more per month must begin training within 90 days of employment in the child care industry and successfully complete Departments training within 12 months from the date training begins. Training taken prior to employment in the child care industry does not constitute begin training. The begin training timeframes begin at the time of employment in the child care industry

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-04 · Training Requirements

One new staff member left a previous employment in the industry in compliance with training requirements. She did not complete her 40- hr training within 90 days of employment at this center. Provider will have staff member to complete her training requirements and email a copy of the staff member's training transcript showing completion of Part I, Part II, and Early Literacy Training to the licensing office on or before 8/9/2024. Per DCF Handbook, 4.3 Break in Service A. In the event an individual leaves the child care industry in compliance with training requirements and returns to the industry either at the same or a different child care facility, he or she will be given 90 days to comply with any new training requirements established during the gap in employment in the child care industry. B. In the event an individual leaves the child care industry not in compliance with the training requirements and returns to the industry either at the same or a different child care facility, he or she must comply with the training requirements described in this section, as well as any new training requirements that may have been added during the gap in employment in the child care industry prior to re-employment

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

23-20 · Fire Drills

24 fiscal year was completed, it was not recorded on the required form. Provider will acquire form online, fill it in for each staff member, who is not within their first year of employment with the program, and email a copy of the forms to the licensing office by 8/9/2024

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

37-06 · First Aid Requirements

Provider will restock the First Aid Kit and email a picture of the fully restocked kit to the licensing office on or before 8/9/2024. CCF Handbook, 6.2 First Aid Kit Minimum Requirements A. At least one first aid kit must be maintained on the premises at all times. The kit(s) must be accessible to the child care personnel at all times and kept out of the reach of children. [...] First aid kits or supplies must be restocked after each use. [...] C. Each kit must be kept in a closed container and labeled First Aid and must, at a minimum, include: 1. Soap and hand sanitizer (to be used with supervision if hands are not visibly soiled and if no water is present), 2. Adhesive bandages, 3. Disposable, non-porous gloves, 4. Cotton balls or applicators, 5. Sterile gauze pads or rolls, 6. Adhesive tape, 7. Digital thermometer, 8. Tweezers, 9. Pre-moistened wipes, 10. Scissors, 11. Bottled water (for cleaning wounds or eyes), and 12. A current resource guide on first aid and CPR procedures

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

41-01 · Immunization Records

6 Children did not have a current Florida Certification of Immunization on file. Provider will obtain current Immunization Certificates for these children from parents and email a copy of them to the licensing office on or before 8/9/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Student Health and Records

4 students did not have valid Student Health Examinations on file. Provider will get current health examinations from parents and email a copy of them to the licensing office on or before 8/9/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

44-04 · Personnel Records

3 staff members did not have a form 5337 on file or the form on file was expired. The provider will have these 3 staff members complete a new form 5337 and email a copy to the licensing office on or before 8/9/2024. CCF Handbook, Section 7.4, 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 hire date and annually thereafter by all child care personnel

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

45-01 · Background Screening Documents

Several of the personnel files did not contain a complete CF-FSP Form 5131. Please check all files for form 5131s, place form in files missing the form and complete forms that are not filled in correctly. Email a copy of filled-in forms 5131 for all staff to the licensing office on or before 8/9/2024

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-04 · Background Screening Documents

There was no employment history verification in the files of two new staff members. Provider will complete the verifications and email a copy to the licensing office on or before 8/9/2024

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

31-03 · Indoor Equipment

Upon on-site inspection, there was still a TV sitting on top of the kitchenette set in the two-four year old room. The spot that the TV was sitting on was narrow and the TV was not anchored to the top of this furniture. [Teacher A & B] reported that the TV was brought in for a lesson plan activity and has not been used before or after that activity. [Teacher A & B] removed the TV from the classroom. Turtle tank was no longer in the classroom. [Teacher A & B] reported that this was also brought in for a lesson plan activity, for one day, and was taken home by staff member that day. Counselor discussed with [Teacher A & B] safe vs. unsafe spaces to put items such as these. It was recommended to place things like this on the top of a lower shelf in the classroom, with more surface area to safely sit on. Toys are not kept on shelves in the classroom. Toys are kept in buckets that are put behind a gate when it is not free-play time. [Teachers A & B] explained that during AM and PM free play time, toys are put out in the classroom and then they are cleaned up and put away during outside, lunch, snack and sleep times. Counselor observed toys

Corrected Corrected by Apr 22, 2024

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

09-01 · Planned Activities

The infant and one year old classrooms did not have a written plan of scheduled activities (lesson plans) posted. Director should email counselor copies of lesson plans for these two groups no later than 2/23/2024

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

12-06 · Facility Environment

Three fridges which had children's items stored in them did not have working thermometers. The fridges were in the infant, one and two year old rooms. Director should place working thermometers in them and compliance will be verified with an on-site re-inspection

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

13-02 · Toxic Substances, Hazardous Materials and Weapons

Cleaning supplies are being stored on top of the washing machine and by the door by the bathrooms. Person in charge moved cleaning supplies out of the reach of children while counselor was on-site

Corrected Corrected by Sep 28, 2023

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

23-06 · Fire Drills

There were 4 months within the last licensing year that fire/emergency drills were not conducted (Nov 2022, Jan 2023, May 2023 & Aug 2023). Additional drills have been done to make up for three of those missed months. One more fire drill should be conducted to make up for August 2023 missed drill. Drill should be completed and director should email counselor completed fire drill no later than 10/13/23. Fire drill was observed during this inspection. Fire extinguishers were tagged 10/2022

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

36-03 · CPR Requirements

During the inspection, 3 childcare personnel were required to meet ratio, therefore 3 certified childcare personnel must be present. There were 0 certified personnel present. Director should have more employees CPR/First aid certified and email counselor updated certifications no later than 10/13/23

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

37-02 · First Aid Requirements

During the inspection, 3 childcare personnel were required to meet ratio, therefore 3 certified childcare personnel must be present. There were 0 certified personnel present. Director should have more employees CPR/First aid certified and email counselor updated certifications no later than 10/13/23

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

41-01 · Immunization Records

3 children who have been enrolled for longer than 30 days do not have current immunization records in their files. Director should email counselor current immunizations records no later than 10/20/23

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

41-02 · Immunization Records

5 children did not have current immunization records in their files. Director should email counselor updated immunization records no late than 10/20/23

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Student Health and Records

4 children who have been enrolled for longer than 30 days do not have current health physicals in their files. Director should email counselor current health physicals no later than 10/20/23

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

03-01 · Ratio Sufficient

One employee from the one year old classroom left the classroom to go to the infant room to get a child's lunch box out of the fridge, leaving the one year old class with one teacher and 7 one year olds. Teacher got child's lunch box and returned to classroom. Infant-Ones 1:3 Ones 2:7 Twos-Fours 1:9

Corrected Corrected by Jun 30, 2023

Category: ratio. Marked corrected in the state record.

33-01 · Training Requirements

3 employees who have been working in the childcare industry for longer than 15 months have not completed required DCF 40 hour training. One employee is currently out on medical leave and should complete all required training before returning to work. These two employees should complete all training and director should email counselor updated transcripts no later than 7/21/23

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

41-02 · Immunization Records

5 children had expired immunization records in their files. Director should obtain current immunization records and email to counselor no later than 7/21/23

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

03-01 · Ratio Sufficient

Infants-Ones 1:3 Ones 1:6 Ones-Fours 2:11 **See below During onsite inspection, counselor observed one of the teachers leave the one-four year old group 3 times. First, one teacher stepped into the hallway when counselor arrived. Second, one teacher left the classroom and went out the front door. Third, one teacher brought two children to the bathroom located outside the room. The 2 teachers in this group reported to counselor that all children were 2 years or older. Counselor confirmed with director that one of the children was 1 year old

Corrected Corrected by Jun 8, 2023

Category: ratio. Marked corrected in the state record.

12-18 · Facility Environment

Electrical outlets in multiple rooms were observed without outlet covers in them. Compliance will be monitored with an on-site reinspection on or around 6/23/23

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

13-03 · Toxic Substances, Hazardous Materials and Weapons

Counselor observed a bottle of cleaner under the changing table in the hallway bathrooms, a bottle of clorox, without a lid, sitting on top of the washer in the hallway next to the bathrooms, and a bottle of Rostoleum in children's cubbies room of older classroom (cubbies room has a gate at doorway but gate is broken). All items were accessible to children. Director moved all items while counselor was on-site

Corrected Corrected by Jun 8, 2023

Category: nutrition. Marked corrected in the state record.

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

One infant bottle and many toddler cups were observed without child's first and last name. Director labeled cups while counselor was on-site

Corrected Corrected by Jun 8, 2023

Category: nutrition. Marked corrected in the state record.

33-01 · Training Requirements

3 employees who have been working in the childcare industry for longer than 15 months have not completed required DCF 40 hour training. These three employees should complete all training and director should email counselor updated transcripts no later than 6/30/23

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

36-03 · CPR Requirements

During the inspection, 4 childcare personnel were required to meet ratio, therefore 3 certified childcare personnel must be present. There was only 1 certified personnel present. Director should have more staff members CPR/First Aid certified, obtain current cards, and email to counselor no later than 6/23/23

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

37-02 · First Aid Requirements

During the inspection, 4 childcare personnel were required to meet ratio, therefore 3 certified childcare personnel must be present. There was only 1 certified personnel present. Director should have more staff members CPR/First Aid certified, obtain current cards, and email to counselor no later than 6/23/23

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

41-02 · Immunization Records

5 children had expired immunization records in their files. Director should obtain current immunization records and email to counselor no later than 6/30/23

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

45-02 · Background Screening Documents

Two employees did not have a copy of current background screening in their employee file. Counselor looked up both employees background screenings while on-site to verify compliance

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-04 · Background Screening Documents

3 new employees do not have completed employment history checks in their files. Director should complete employment history checks for these employees and email to counselor no later than 6/30/23

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-07 · Background Screening Documents

One employee who has been out of the field for longer than 90 days did not have a resubmitted background screening prior to working in a classroom

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-09 · Background Screening Documents

6 employees need to be removed from clearinghouse roster and 3 employees need to be added to the clearinghouse roster. Director should update and email counselor updated roster no later than 6/30/23

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

03-01 · Ratio Sufficient

Licensing counselor observed a 1:5 ratio in the infant room. The Provider took a staff member's infant (10 months old) out of the infant room and placed him with his mother in the one year old class. The infant room ratio is now 1:4 and a 2:8 one year old ratio. The Provider will ensure the staff to child ratio requirements are maintained at all times

Corrected Corrected by May 8, 2023

Category: ratio. Marked corrected in the state record.

20-06 · Crib Requirements

Licensing counselor observed a sleeping infant wrapped in a blanket and a blanket folded and propped under the child's head. The Provider removed the blankets at the time of inspection. Per DCF Handbook: 3.6.4 Safe Sleep A. All personnel that care for infants must follow safe sleep practices as recommended by the American Academy of Pediatrics (AAP) as referenced in Caring for Our Children Basics Health and Safety Foundations for Early Care and Education, which is incorporated by reference in 65C-22.001(7)(v), F.A.C. Cribs or playpens/play yards used for infants must have tight fitted sheets and no excess bedding, which includes but is not limited to: bumper pads, hanging mobiles, quilts, comforters, receiving blankets, pillows, stuffed animals and cushions

Corrected Corrected by May 8, 2023

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

03-01 · Ratio Sufficient

On the playground there were two classes combined: one-two year olds (1:5) & three-five year olds (1:10) for a total of 2 teachers and 15 one-five year olds. With these classes combining, the group on the playground was at a one year old ratio (1:6) therefore requiring 3 staff members for this group. Classes came inside and separated, bringing this into compliance. At lunchtime, these two groups combined again. At this point there were three staff members in the classroom; however, two of the staff members were taking turns leaving the room to gather and prep children's lunches. Counselor explained that all three staff members must stay within the classroom to count in ratio. It was suggested to prep all student lunches in the classroom or separate the classes during lunchtime so they only require one teacher each. Infants 1:3 Infants 1:3 Ones 2:9 Ones-Twos 1:5 Twos-Fours 1:10

Corrected Corrected by Mar 7, 2023

Category: ratio. Marked corrected in the state record.

25-02 · Meals and Snacks

During on-site inspection, counselor observed 3 one-three year old children eating Dorito chips at lunch time. Teachers put chips back in children's lunchboxes. It is recommended that the director sends a food safety letter home to each parent which includes the below handbook section verbiage. Ultimately, it is staff members responsibility to ensure that possible choking hazards are not fed to children in their care, even if it is sent, from home, in the child's lunch. Per Facility Handbook, Section 3.9.3 Food Safety: C. Foods that are associated with young childrens choking incidents must not be served to children under 4 years of age, such as, but not limited to, whole/round hot dogs, popcorn, chips, pretzel nuggets, whole grapes, nuts, cheese cubes/sticks and any food that is of similar shape and size of the trachea/windpipe. Food for infants must be cut into pieces inch or smaller, food for toddlers must be cut into pieces inch or smaller to prevent choking. This applies to all food, even food provided by parents/guardians

Corrected Corrected by Mar 7, 2023

Category: nutrition. Marked corrected in the state record.

41-01 · Immunization Records

During on-site reinspection 4 children did not have current immunization record on file. Director should obtain current records and email to counselor no later than 3/31/23

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Student Health and Records

During on-site reinspection 2 children did not have current health physical record on file. Director should obtain current records and email to counselor no later than 3/31/23

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

43-02 · Enrollment Information

During on-site reinspection 3 children did not complete enrollment form on file. Director should obtain complete enrollment forms and email to counselor no later than 3/31/23

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-02 · Training Requirements

During on-site reinspection 3 staff members did not have current transcript in personnel file. Director should update personnel files with current transcript and email pictures to counselor no later than 3/31/23

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

44-01 · Personnel Records

One employee did not have a personnel file on-site for review during on-site inspection. Director should complete this file and have it ready for review at follow up re-inspection

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

41-01 · Immunization Records

Most enrolled children did not have an immunization form in their file. Director should update all files. This will be monitored at follow up re-inspection report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Student Health and Records

Most children did not have a health physical in their file. Director should update all files. This will be monitored at follow up re-inspection report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

43-02 · Enrollment Information

5 children did not have complete enrollment applications. Director should have all enrollment forms updated by parents. This will be monitored at follow up re-inspection report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

13-02 · Toxic Substances, Hazardous Materials and Weapons

Diaper creams were stored in a basket under the changing table in the green bathroom, accessible to children. This bathroom is used by all children. Provider moved the diaper creams to a shelf outside the bathroom, out of reach of children, and plans to put a shelf up high in the bathroom for these items in the future

Corrected Corrected by Feb 2, 2023

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

19-02 · Nap/Sleep Space Requirements

12 children were sleeping on cots that were pushed right next to one another. Children woke up from nap and provider addressed with teachers that children must be spaced a minimum of 18 inches apart when napping

Corrected Corrected by Feb 2, 2023

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

21-14 · Restrooms and Bath Facilities

Both bathrooms were missing paper towels or hand drying machines. Director states paper towels must have just ran out. Director should stock paper towels in each bathroom. This will be monitored at a follow up re-inspection

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

30-06 · Diapering

Both changing mats in bathrooms had tears/holes in them. Provider should cover these with a plastic sleeve or replace with new ones, making them impermeable. This will be monitored at follow up re-inspection

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

33-02 · Training Requirements

8/9 employees did not have a transcript included in their personnel file. All training was monitored by counselor via training system. Provider should include current transcript in all personnel files. This will be monitored at follow up re-inspection

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

45-01 · Background Screening Documents

2 employees did not have 5131, Background Screening and Personnel File Requirements, on file. Director should complete these two forms for employees. This will be monitored at follow up re-inspection

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-02 · Background Screening Documents

No employees had documentation of level 2 clearinghouse screening in their files. Director should update all files. This will be monitored at follow up re-inspection report

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-03 · Background Screening Documents

One employee, who has been employed since 11/28/22, has an ineligible background screening and was working with a co-teacher in two -four year old classroom during on-site inspection. Director has been aware of this since the employees first date of employment. Employee and director have been in contact with background screening office in attempts to get the screening resolved to eligible status, but it has not been resolved as of this date. Employee was sent home and advised that she can not return to the facility until background screening shows "eligible"

Corrected Corrected by Feb 2, 2023

Category: background checks. Marked corrected in the state record.

45-04 · Background Screening Documents

9 employees were missing employment history verification. Director should update all files. This will be monitored at follow up re-inspection report

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.