41-01 · Immunization Records

There are currently 38 enrolled. Twelve newly enrolled children's records were reviewed since the last inspection on 5/22/2024. One child, CK, has been at the facility for over 30 days and does not have a current DH680 form on record. The Child Care Facility Handbook states on page 59 that: 7.1 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. A. Immunizations received out-of-state are acceptable; however, immunizations must be documented on the Florida Certification of Immunization form and must be signed by a physician practicing in the State of Florida

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

61-62 · Violation

that: 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.

25-02 · Meals and Snacks

During the inspection, Counselor observed a 6-month-old child in a highchair eating long carrots slices. The child was biting off large pieces of the carrots. Counselor observed several large pieces of carrots on the tray that the child had eaten. The teacher reported that the carrots were steamed. The teacher stated this is how the parent's give their child the food. The Counselor informed the teachers that the carrots as served were a choking hazard. The carrots were taken away from the child during the inspection. The Child Care Facility Handbook states on page 32 that: Child Care Facility Handbook Page | 32 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 May 22, 2024

Category: nutrition. Marked corrected in the state record.

33-34 · Training Requirements

that: 3.9.4 Dishwashing and Sanitization For facilities that prepare food, non-disposable food equipment, tableware, and utensils utilized for food preparation must be properly cleaned by pre-rinsing or scraping, washing, rinsing, sanitizing, and air drying. If the childcare facility lacks adequate dishwashing and sanitation described in this section for dishes, equipment and utensils, only disposable single-use items may be used. All single service items must be discarded after each use. Food equipment, tableware and utensils used to prepare food must be washed and sanitized on- site except when a caterer is used, and the caterer is responsible for dishwashing as evidenced by a written agreement. Dishwashing and sanitization must be accomplished by one of the following: A. A dishwasher with a sanitizing cycle. 1. The dishwasher must use heat or chemical injection for sanitization. 2. If chemical sanitization is used, the wash water temperature must be set at a minimum of 120 degrees Fahrenheit, and the rinse water must be maintained at 75 degrees Fahrenheit. 3. Automatic sanitizing dispenser must be properly installed and maintained. 4. A test kit or other device that accurately measures the concentration of the sanitizing solution must be available and used to confirm appropriate concentration of solution during one full cycle per day. 5. If hot water is used for sanitization, the dishwasher must achieve a temperature of 160 degrees Fahrenheit on the surface of the equipment/dishes/utensils being washed. 6. The facility must have a means for measuring the required temperature either by an irreversible registering temperature indicator (heat strip) or an external temperature display built into the machine. B. An installed three compartment sink, or an installed two-compartment sink with a non-stationary or portable compartment receptacle. 1. Installed compartment sinks may be used to wash produce and to fill cooking pots and pans with water when not in use for dishwashing. 2. Sinks must be sanitized before and after each use. 3. The first compartment must be used for washing; the second compartment must be used for rinsing; and the third compartment must be used for sanitizing. 4. If only an installed two-compartment sink is available, the second compartment must be used for rinsing and a non-stationary or portable compartment receptacle must be available and used to sanitize. C. Chemical Sanitization. 1. If chemical sanitization is used, an exposure time of at least 7 seconds is required for a chlorine solution of 50 mg/L that has a pH of 10 or less and a temperature of at least 75 degrees Fahrenheit. 2. If other sanitizers are used, the manufacturer instructions must be strictly followed. 3. A test kit or other device that accurately measures the concentration of the sanitizing solution must be available and used to confirm appropriate concentration of solution during each use. D. Hot water sanitization. If hot water is used for sanitizing, equipment/dishes/utensils must be immersed for a period of at least one-half minute in hot water at a temperature of 170 degrees Fahrenheit or above. A thermometer designed to measure the water temperature must be available and used to confirm the appropriate temperature of the hot water during each use

Corrected Corrected by May 22, 2024

Category: ratio. Marked corrected in the state record.

33-02 · Training Requirements

There are currently 10 employees. Three employees did not have training transcripts in their records. The Child Care Facility Handbook states on page 44 that: 4.5 Documentation of Training The Departments training transcript is the only acceptable verification of successful completion of the Departments training, early literacy courses and school-age training documentation. A. A copy of the Departments training transcript may be obtained from the Departments website at www.myflfamilies.com/childcare. B. A copy of the training transcript must be included in each child care personnels record maintained at the child care facility

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

55-56 · Violation

that: 6.4 Accident/Incident Notification A. 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 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. D. The documentation must be maintained for 12 months. If the parent or legal guardian does not pick up the child on the date of occurrence of the accident or incident, the individual authorized to pick up the child must sign and be provided a copy of the accident/incident form. E. In the event of serious injury or death, the incident must immediately be reported to the licensing authority

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

59-60 · Violation

that: 7.1 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 65C-22.001(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. A. Immunizations received out-of-state are acceptable; however, immunizations must be documented on the Florida Certification of Immunization form and must be signed by a physician practicing in the State of Florida. 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.

42-01 · Student Health and Records

There are currently 33 children enrolled. Counselor reviewed all 33 children's records. Two children did not have physicals in their records. The Child Care Facility Handbook states on page 60 that: 7.2 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. A. The Student Health Examination shall be completed by a person given statutory authority to perform health examinations. B. The Student Health Examination or the signed statement is valid for two years from the date the physical was performed. An up-to-date version must be on file for as long as the child is enrolled at the facility. 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.

43-02 · Enrollment Information

There are currently 33 children enrolled. Counselor reviewed all 33 children's records. Thirteen children did not have enrollment dates on their applications. Three children's parents did not sign the applications. The Child Care Facility Handbook states on page 61 that: 7.3 Enrollment Information The facility operator shall obtain enrollment information from the childs custodial parent or legal guardian prior to accepting a child in care. This information shall be documented on CF-FSP Form 5219, Child Care Application for Enrollment, which is incorporated by reference in 65C-22.001(7)(f), F.A.C., or an equivalent form that contains all the information required by the Department on CF-FSP Form 5219. CF- FSP Form 5219 may be obtained from the licensing authority or on the Departments website at www.myflfamilies.com/childcare. A. Enrollment information shall be kept on file, current and available for review by the licensing authority

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

44-03 · Personnel Records

There are currently 10 employees. Counselor reviewed all 10 employee records. Eight employees did not have the signed statement about previous work in child care. The Child Care Facility Handbook states on page 61 that: 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

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

45-01 · Background Screening Documents

There are currently 10 employees. Counselor reviewed all 10 employee records. Eight employees did not have completed 5131 forms in their records. The Child Care Facility Handbook states on page 62 that: 7.4.1 Background Screening Documents Background screening documentation must be maintained for all child care personnel as defined by Section 402.302(3), F.S., which includes household members if the facility is located in or adjacent to the home of the operator. Background screening documentation must be on-site and available for the licensing authority to review. 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.

45-02 · Background Screening Documents

There are currently 10 employees. Counselor reviewed all 10 employee records. Two employees did not have background screening clearances in their records. Counselor was able to obtain the screenings during the inspection. One of the employees, DV, screening was not valid. It required an "Agency Review". The other employee, KK, had a cleared screening. DV was present during the inspection but left before it was completed. The Owner has been informed that DV is not cleared and cannot return until a clearance has been obtained. The Child Care Facility Handbook states on page 62 that: C. A copy of the eligible results, for the Level 2 screening, generated from the Clearinghouse must be on record for each personnel. If awaiting Out-of-State criminal history results, a copy of the DCF email informing of the individuals eligibility for a provisional hire status must be in the personnel file

Corrected Corrected by May 22, 2024

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

45-04 · Background Screening Documents

There are currently 10 employees. Counselor reviewed all 10 employee records. Eight employees did not have completed five-year work history/reference checks on in their records. The Child Care Facility Handbook states on page 51 that: D. The employer/owner/operator must conduct employment history checks, including documented attempts to contact each employer that employed the individual within the preceding five years, and documentation of the findings. Documentation must include the applicants job title and description of his/her regular duties, confirmation of employment dates, and level of job performance. The employer/owner/operator must make at least three attempts to obtain employment history information. Failed attempts to obtain employment history must be documented in the personnel file and include date, time, and the reason the information was not obtained

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-06 · Background Screening Documents

There are currently 10 employees. Counselor reviewed all 10 employee records. Two employees did not have completed Attestation of Good Moral Characters in their records. The Child Care Facility Handbook states on page 62 that: B. CF Form 1649A, 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

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.