39-03 · Accident/ Incident Notification and Documentation

The Director did admit she did not document the incident on the day of the incident. This was corrected at the time of incident, Director put in writing that she acknowledges she understands that all incident/accidents must be documented on the day of incident/accident. The provider is to have all staff review the rules regarding incident reporting and documentation. 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

Corrected Corrected by Jan 30, 2025

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

11-04 · Child Discipline

The facility's video showed staff member K.F. forcibly holding child A.T. on her sleeping mat, then when child A.T. was attempting to get up staff member K.F. grabbed child and slung her on the mat causing an injury to the child's lip. This was corrected at the time of incident in that, the video was being observed by the father of the child, Police Officer, Director, and Owner and once viewed the Police Officer arrested the staff member immediately. 2.8 Child DisciplineA. The child care facility shall adopt a discipline policy consistent with Section 402.305(12), F.S., including standards that prohibit children from being subjected to discipline which is severe, humiliating, frightening, or associated with food, rest, or toileting. Spanking or any other form of physical punishment is prohibited. B. The child care facility operators, employees, and volunteers must comply with written disciplinary and expulsion policies. C. Verification that the child care facility has provided the parent or guardian a written copy of the disciplinary and expulsion policies used by the program must be documented on the enrollment form with the signature of the custodial parent or legal guardian. D. Active play, both indoor and outdoor, must not be completely withheld from children who misbehave. For example, a child being left in the front office the entire time the rest of the children go outside to play would be unacceptable. Time-outs may be used during indoor or outdoor play provided an age appropriate time limit has been established. E. A copy of the current disciplinary and expulsion policies must be available for review by the parents or legal guardian and the licensing authority. Providers must have a comprehensive discipline policy that includes developmentally appropriate social-emotional and behavioral health promotion practices, as well as discipline and intervention procedures that provide specific guidance on what child care personnel should do to prevent and respond to challenging behaviors. Preventive and discipline practices should be used as learning opportunities to guide childrens appropriate behavioral development. F. The following discipline techniques shall be prohibited in the child care facility:1. The use of corporal punishment/including, but not limited to:a) Hitting, spanking, shaking, slapping, twisting, pulling, squeezing, or biting;b) Demanding excessive physical exercise, excessive rest, or strenuous or bizarre postures;c) Compelling a child to eat or have in his/her mouth soap, food, spices, or foreign substances;d) Exposing a child to extremes temperature;e) Rough or harsh handling of children, including but not limited to:1. lifting or jerking by one or both arms; pushing; forcing or restricting movement; lifting or moving by grasping clothing; covering a childs head.2. Isolating a child in an adjacent room, hallway, closet, darkened area, play area, or any other area where the child cannot be seen or supervised.3. Binding, tying or restrict movement, or taping the mouth;4. Using or withholding food or beverages as a punishment;5. Toilet learning/training methods that punish, demean, or humiliate a child;6. Any form of emotional abuse, including rejecting, terrorizing, extended ignoring, isolating, or corrupting a child;7. Any abuse or maltreatment of a child;8. Abusive, profane, or sarcastic language or verbal abuse, threats, or derogatory remarks in front of the child or about the child or childs family;9. Placing a child in a crib/portable crib for a time-out or for disciplinary reasons.G. All programs that care for infants must have a written policy and procedure to identify and prevent shaken baby syndrome and abusive head trauma. The policy and procedures must require completion of the safe sleep training by child care personnel, as outlined in section 4.2.3

Corrected Corrected by May 31, 2024

Category: supervision. Marked corrected in the state record.

39-04 · Accident/ Incident Notification and Documentation

The facility is being cited as they were not able to produce a copy of the incident/accident report because they stated it was given to the Police Officer, however the father of the child A.T. stated he did not receive an incident/accident report but a disenrollment report from the Director. This was corrected at the time of incident as child has disenrolled. Director is aware of the important of keeping a copy of all incident/accident forms. 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/childcare 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

Corrected Corrected by May 31, 2024

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

47-01 · Access/Child Safety

Staff member J.W. was observed inappropriately interacting with child C.A., in a matter in a matter that was aggressive, demeaning or intimidating when she picked up childs C.A. cot and drugged it across the room with the child still laying on it then slammed the cot down and sat in a chair next to cot and put her leg across the childs C.A. body so child could not move. This was corrected at the time of incident J.W. admitted to she could have done better and has taken two classes, to ensure it does not occur again. 8.2 Child Safety A. Acts or omissions that meet the definition of child abuse or neglect provided in Chapter 39, F.S. or Chapter 827, F.S., constitute a violation of the standards is section 402.301-.319, F.S., and will support imposition of a sanction, as provided in Section 402.310, F.S. B. Failure to perform the duties of a mandatory reporter pursuant to Section 39.201, F.S., constitutes a violation of the standards in Section 402.301-.319, F.S. 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

Corrected Corrected by May 31, 2024

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

33-01 · Training Requirements

Counselor observed a staff member (J.D.), had an industry starting date of: 06/28/21. Had not completed the required 40 hour introductory child care training. This was resolved when the facility director told the staff to return after completing the required training. 4.2.1 Mandated Introductory Training Child care personnel must successfully complete 40 hours of child care training as evidenced by successful completion of competency examinations offered by the Department or its designated representative with a weighted score of 70 or better. Child care personnel who successfully completed the mandatory 40-hour Introductory Child Care Training prior to January 1, 2004 are not required to fulfill the competency examination requirement. A. Part I Courses (30 Hours) Child care personnel must complete all of the following: Child Care Facility Rules and Regulations Health, Safety and Nutrition Identifying and Reporting Child Abuse and Neglect Child Growth and Development Behavioral Observation and Screening2. B. Part II Courses (10 Hours) Child care personnel must also complete 10 hours of the following Part II courses: Special Needs Appropriate Practices (10 hours), or Understanding Developmentally Appropriate Practices (5 hours) and one of the following courses: 1. Infant and Toddler Appropriate Practices (5 hours) 2. Preschool Appropriate Practices (5 hours) 3. School- Age Appropriate Practices (5 hours)

Corrected Corrected by Dec 22, 2023

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

33-03 · Training Requirements

Counselor reviewed a personnel file, (G.G.), had completed the 90 day preservice training after the required 90 days of employment This was resolved as the employee has since completed the required training. Employee has an industry start date of: 07/05/2023 Completed the 90 day introductory training on 12/13/2023. 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. Training completion may not exceed 15 months from the date of employment in the child are industry in any licensed Florida child care facility. This may be accomplished by classroom attendance in a Department-approved training course, acquiring an educational exemption from a Department-approved training course, beginning a Department-approved online child care training course, or by receiving results from a Department-approved competency examination. The childcare program is responsible for obtaining training documentation from child care personnel

Corrected Corrected by Dec 22, 2023

Category: recordkeeping. Marked corrected in the state record.

39-04 · Accident/ Incident Notification and Documentation

Accident/Incident Form was written on the day of the incident (3/28/23). Per provider, they forgot to give to the child's father at pick up on the day the incident occurred. This was brought back into compliance when the child's mother sign the form on 3/30/23. Counselor gave technical assistance during the inspection from the Child Care Facility Handbook: 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

Corrected Corrected by Apr 10, 2023

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