12-03 · Facility Environment

FSC observed tv cord plugged in and accessible to children, The provider unplugged the television and placed outlet covers in the outlets to come in compliance at the time of inspection Strangulation hazards, strings, and cords long enough to encircle a childs neck such as those on toys and window coverings must not be accessible to children in care

Corrected Corrected by Jan 28, 2025

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

18-12 · Bedding and Linens

FSC observed Bedding and/or linens were not stored in a sanitary manner. 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. Bedding and linens shall not be stored in the bathroom, unless stored in cabinets

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

41-02 · Immunization Records

FSC observed expired immunization in children file. 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. 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. 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. School-aged children attending public or non-public schools are not required to have student health examination and immunization records on file at the child care facility as such records are on file at the school where the child is enrolled. If the custodial parents or legal guardians need assistance concerning these requirements, the facility shall refer them to the Department of Health or to the childs physician. Medical records in this section are the property of the custodial parent or legal guardian and must be returned to them when the child withdraws from the facility. The medical records are transferable if the child attends another facility. It is recommended that child care personnel are current with all immunizations routinely recommended for adults by the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC), as referenced in Caring for Our Children Basics Health and Safety Foundations for Early Care and Education, which is incorporated by in 65C-22.001(7)(v), F.A.C

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Student Health and Records

FSC observed child did not have Student Health Examination in the file. 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. The Student Health Examination shall be completed by a person given statutory authority to perform health examinations. 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. 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.

18-12 · Bedding and Linens

FSC observed bedding and/or linens were not stored in a sanitary manner. Provider has resolved the non-compliance at the time of the inspection by removing the blankets from the cots. 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. Bedding and linens shall not be stored in the bathroom, unless stored in cabinets

Corrected Corrected by Sep 18, 2024

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

20-06 · Crib Requirements

FSC observed blankets were in the infant cribs. Provider has resolved the non-compliance by removing the blankets. 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 22, 2024

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

24-23 · Food Preparation Area

TA: F. Refrigerators/freezers: 1. 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. The thermometer must be located in the center of the unit and be readily accessible. Thermometer temperature readings higher than specified above require further temperature testing of food samples stored in the unit using a probe type thermometer; and adjustments to the unit setting to reach and maintain the required readings must be made. The infant room did not have a thermometer inside the fridge at time of inspection. Provider has resolved the non-compliance at the time of the inspection, by placing a thermometer inside the fridge

Corrected Corrected by Feb 1, 2024

Category: ratio. Marked corrected in the state record.

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

TA: 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. TA: Provider has resolved the non-compliance at the time of the inspection, by adding the child's First and last names on the bottles

Corrected Corrected by Feb 1, 2024

Category: nutrition. Marked corrected in the state record.

33-09 · Training Requirements

TA: Fire Extinguisher Training All staff shall be trained in the use and operation of a fire extinguisher within 30 days of employment. The facility must maintain documentation that all staff have completed training. FSC came across 2 staff with no documentation of completing the fire extinguisher training

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

44-04 · Personnel Records

Provider has resolved the non-compliance at the time of the inspection by having the staff sign a new Child Abuse and Neglect. TA: 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 annually by all child care personnel

Corrected Corrected by Feb 1, 2024

Category: recordkeeping. Marked corrected in the state record.

75-70 · Violation

Influenza Virus, Guide to Parents, which is incorporated by reference in 65C-22.001(7)(n), F.A.C. and may be obtained from the Departments website at www.myflfamilies.com/childcare

Open Not marked corrected in the state record

Open / not marked corrected.

75-12 · Violation

brochure, which is incorporated by reference in 65C-22.001(7)(x), F.A.C. and may be obtained from the Departments website at www.myflfamilies.com

Open Not marked corrected in the state record

Open / not marked corrected.

04-01 · Technical assistance per CCF Handbook 2.4, A. Child care personnel must position themselves in the outdoor play area so that all children can be observed and directly supervised. B. Child care personnel must be assigned to provide direct supervision to a specific group of children and be with that group of children at all times. Children must never be left without child care personnel supervision inside or outside the facility, in a vehicle, or at a field trip location. C. Supervision standards apply at all times away from the child care facility, including during field trips, outdoor play, and when picking up or dropping off children at designated locations, such as bus stops, school, or a childs home. For school-age children, personnel must know where the children are and what they are doing at all times and capable of responding to emergencies including when children are separated from their group. D. At all times, lighting must allow child care personnel to see and supervise children while in care. E. A program is responsible for the supervision of a child until an authorized individual retrieves the child from the program. A child shall not be released to any person other than the person(s) authorized or in the manner authorized in writing by the custodial parent or legal guardians. All individuals authorized to pick up a child must be identified in writing prior to release by the custodial parent or legal guardian to the program, and the program must verify the individual picking up the child is authorized by using a picture form of identification. Each child transported must be dropped at the designated location as agreed upon by the provider and the custodial parent/legal guardian and released to an authorized individual. F. No person shall be an operator, owner, or employee of a child care facility while using or under the influence of narcotics, alcohol, or other drugs that impair a persons ability to provide safe care and supervision. G. In addition to the number of child care personnel required to meet the staff-to-child ratio, one additional adult must attend field trips away from the child care facility to help provide direct supervision. The individual could be a parent volunteer as long as that person is under direct and constant supervision of a screened and trained child care personnel. H. Children must receive supervision and care in accordance with their age and required needs and be accounted for at all times while bathing or toileting. I. When transporting children in a vehicle or on foot, a telephone or other means of instant communication must be available to child care personnel. Cellular phones, two-way radio devices, citizen band radios, and other means of instant communications are acceptable

Licensing authority and another agent of the Department observed generally inadequate supervision of this age group. Item was resolved when child was returned to the facility

Corrected Corrected by Jul 6, 2023

Category: supervision. Marked corrected in the state record.

04-03 · Technical assistance per CCF Handbook 2.4.1, B "Child care personnel must be assigned to provide direct supervision to a specific group of children and be with that group of children at all times. Children must never be left without child care personnel supervision inside or outside the facility, in a vehicle, or at a field trip location."

Licensing authority verified that [1] child left the facility without child care personnel supervision or knowledge. Child was escorted back to facility by police and child care personnel

Corrected Corrected by Jul 6, 2023

Category: supervision. Marked corrected in the state record.

47-03 · Technical assistance per CCF Handbook 8.2, 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."

Per provider, staff did not act according to their mandated reporter responsibilities as required in section 39.201, Florida Statutes. Provider submitted a call to the hotline

Corrected Corrected by Jul 6, 2023

Marked corrected in the state record.

33-03 · Technical assistance per CCF Handbook 4.1, "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 care 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 child care program is responsible for obtaining training documentation from child care personnel."

[8 of 8] personnel files reviewed and updated for compliance [1 of 8] has not completed introductory training requirements as evidenced by review of the DCF training transcript

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-07 · Technical assistance per CCF Handbook 4.2.7, "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; 9. Design and use of child-oriented space; Page 4 of 10 Name: A Rising Little Star Academy, LLC License #: C11MD3212 Address: 1800 W 68th St Hialeah FL 33014 Type: Complaint Date: 07/06/2023 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 CF-FSP 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 inservice training requirements

39-06 · Technical assistance per CCF Handbook 6.4, 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."

Accident or incident documentation was not maintained at the facility and available for review

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

75-12 · Violation

brochure, which is incorporated by reference in 65C-22.001(7)(x), F.A.C. and may be obtained from the Departments website at www.myflfamilies.com. D. Enrollment information shall include parental/guardian consent for child care personnel to have access to childs records

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

44-01 · Technical assistance per CCF Handbook 7.4, "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 and annually thereafter by all child care personnel. D. Copies of training information and credentials as applicable. E. For the driver only: Florida drivers license and driver physical examination documentation. A copy of the drivers license and the physician certification, or another form containing the same elements of the physician certification, granting medical approval to operate the vehicle, and valid certificate(s) of course completion for first aid training, pediatric cardiopulmonary resuscitation (CPR) procedures, and background screening must also be maintained in the drivers personnel file. F. Prior to beginning volunteering in a child care facility, a CF-FSP 5217, Volunteer Acknowledgment which is incorporated by reference in 65C-22.001(7)(e), F.A.C., and may be obtained from the Departments website www.myflfamilies.com/childcare, must be completed and on file at the child care facility for the volunteer. Written documentation of volunteer hours must be maintained at the facility for a minimum of 12 months and available for review by the licensing authority."

[7 of 8] personnel files reviewed and updated for compliance [3 of 8] personnel files were unavailable for review by licensing authority

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

45-02 · Technical assistance per 7.4.1, 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."

[3 of 8] personnel files were unavailable for review [2 of 3] personnel background screening was observed in the Clearinghouse. Additional background screening documents were completed at the time of inspection. [1 of 3] could not be verified by personnel file or search of the Clearinghouse. Personnel appears to be unscreened. Personnel departed from facility, bringing this item into compliance

Corrected Corrected by Jul 6, 2023

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

45-09 · Technical assistance per CCF 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."

Licensing authority observed the provider's Clearinghouse roster to be unmaintained

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

33-02 · Training Requirements

Missing Documentation of staff Training

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

36-01 · CPR Requirements

CPR certificate was expired

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

37-01 · First Aid Requirements

No Staff With Current Training

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

41-01 · Immunization Records

2 students were missing the Immunization Record, i and 3 were missing the influenzas document

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Student Health and Records

Missing the Health Examination

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.