11-03 · Technical assistance: • 2.8 Child Discipline B. The childcare facility operators, employees, and volunteers must comply with written disciplinary and expulsion policies

• Childcare personnel listed on the supplemental page did not comply with the facility's written disciplinary and expulsion policies. • The program held a training to review the facility's discipline policy and ensure that the policy is utilized with all children at all times. • CCF Handbook, Section 2.8, B •

Corrected Corrected by Apr 19, 2024

Category: recordkeeping. Marked corrected in the state record.

39-03 · Technical assistance: 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

There was no documents or incident written on the on the day that it occurred. The facility held a training for all staff on how to complete an incident report, The training included: completing the incident/accident form on the day of the incident/accident occurred and obtaining a signature from the caregiver at the time of pick-up. CCF Handbook, Section 6.4, A

Corrected Corrected by Apr 19, 2024

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

25-13 · Meals and Snacks

• The child listed on the supplemental was given milk after the facility was notified of a food allergy by the custodial parent or legal guardian. • The child no longer attends the daycare. • CCF Handbook, Section 3.9.3, G • G. If a special diet is required for a child by a physician, a copy of the physicians order, a copy of the diet, and a sample meal plan for the special diet must be maintained in the childs file and followed. If the custodial parent or legal guardian notifies the program of any known food allergies, written documentation must be maintained in the childs file for as long as the child is in care. Special food restrictions must be shared with childcare personnel posted in an easily seen location that is not readily visible by parents or non-childcare personnel and followed

Corrected Corrected by Mar 1, 2024

Category: nutrition. Marked corrected in the state record.

26-01 · Meal and Snack Menus

• The facility's menu did not have substitutions noted. • CCF Handbook, Section 3.9.3, H • H. Meal and snack menus must be planned, written, dated, and posted at the beginning of each week in an easily seen place, accessible to the parents/guardians. Any menu substitutions must be noted on the menu. A generalized menu of possible snack choices for programs that receive food donations is acceptable. All meals and snacks prepared outside of the facilitys kitchen or designated food preparation area, such as catered food, must be listed along with the source. Daily meal and snack menus must be maintained for a minimum of 12 months for licensing purposes. Operators who participate in the USDA Food Program must keep menus in accordance with the Department of Health and USDA requirements

Corrected Corrected by Mar 1, 2024

Category: ratio. Marked corrected in the state record.

24-23 · Food Preparation Area

• The facilitys refrigerator and freezer did not have a thermometer in them. Thermometers were placed in each refrigerator and freezer at the time of inspection. • CCF Handbook, Section 3.9.2, F.1 • F. Refrigerators/freezers: 1. An accurate 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

Corrected Corrected by Jan 12, 2024

Category: ratio. Marked corrected in the state record.

33-02 · Training Requirements

he facility did not have documentation of each child care training transcripts in each personnel's file. Training transcripts were printed at the time of inspection. 4.5 Documentation of Training ,CCF Handbook, Section 4.5 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

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. Marked corrected in the state record.

45-05 · Background Screening Documents

• Employment history check did not include all required information including applicants, job title, description of regular duties, confirmation of employment dates, and level of job performance. CCF Handbook, Section 5.1, D Two employees did not have a 5131 form. Anew complete5131 form was completed at the time of inspection

Corrected Corrected by Jan 12, 2024

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

41-01 · Immunization Records

The children listed on the supplemental did not have a Florida Certification of Immunization (DH Form 680) or a Religious Exemption from Immunization (DH Form 681), on file within 30 days of enrollment. CCF Handbook, Section 7.1, B 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 · Technical assistance: Handbook, Section 7.2, C Child Care Facility Handbook Page | 60 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. C. 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. D. 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. E. 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. F. 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. 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. 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

The students listed on the supplemental did not have a physical on file within 30 days of enrollment

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.