33-03 · Training Requirements

Counselor observed one staff member with child care industry and facility employment start date of 4/15/2024 did not begin the 40 hour Introductory Child Care Training Courses within 90 days of employment in the child care industry. The one staff member began training during inspection, on 9/9/2024. Counselor gave technical assistance from the Child Care Facility 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. 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. Corrective Action: The one staff member began training during inspection. Therefore, the standard was completed at time of inspection

Corrected Corrected by Sep 9, 2024

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

45-07 · Background Screening Documents

Counselor observed one staff member with employment date at the facility of 2/1/2024, and a child care industry start date of 9/13/2016 that had a background screening clearance eligibility letter on file for 1/31/2022. Counselor observed per 5 year employment history check conducted by provider, that the one staff member's last date in the child care industry was on 12/21/2022 until employment date at the facility on 2/1/2024. Therefore, the one staff member had a 90 day break in-service with their background screening clearance letter. Counselor gave technical assistance during inspection from the Child Care Facility Handbook: 5.2 Re-Screening A screening conducted under this rule is valid for five years, at which time a re-screen must be conducted in the same manner as the initial screening. C. Child care personnel must be re-screened following a break in employment in the child care industry that exceeds 90 days. Child care personnel/individual with a break in service that exceeds 90 days are considered unscreened child care personnel/individuals until completion of re-screening. These child care personnel/individuals shall not have unsupervised contact with children in care. Corrective Action: Provider initiated a resubmission for the one staff member's background screening clearance letter during inspection. Therefore, standard was completed at time of inspection

Corrected Corrected by May 17, 2024

Category: supervision. Marked corrected in the state record.

33-03 · Training Requirements

Counselor observed one personnel with employment date at the facility of 8/21/2023 that has not started the 40 hour introductory child care training course as of inspection date. Counselor gave technical assistance from the Child Care Facility 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. 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. Corrective Action: The personnel started the 40 hour introductory child care training courses during inspection. Therefore, standard was completed at time of inspection

Corrected Corrected by Jan 5, 2024

Category: recordkeeping. Marked corrected in the state record.

33-03 · Training Requirements

Counselor observed one staff members training transcript during inspection that had not begun the 40 hours introductory child care training courses within 90 days of employment in child care industry. Staff member started in the child care industry on 11/10/2022 and became employed with the facility on 6/27/2023. Counselor gave technical assistance from the Child Care Facility 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. 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. Corrective Action: Staff member began the 40 hours Introductory child care training courses during inspection. Therefore, standard was completed at time of inspection

Corrected Corrected by Sep 8, 2023

Category: recordkeeping. Marked corrected in the state record.

33-13 · Training Requirements

Counselor observed one staff member with employment date at the facility of 4/24/2023 that did not complete the school readiness training as of inspection date. Counselor gave technical assistance from the School Readiness Handbook for Licensed, License-Exempt, and School-Age Center-based Programs: 18.1 Pre-service Timeframe All pre-service training requirements listed below must be completed by all program personnel, volunteers and substitutes, each as defined in this handbook, within 90 days of initial employment with any provider participating in the school readiness program. This timeframe does not start over if personnel change employment to another school readiness provider within this 90 days. Personnel who have not completed all pre-service training requirements may not be allowed any unsupervised contact with or care of children in a school readiness program. Corrective Action: Staff member is to complete the school readiness training and provider is to submit proof of completion to counselor via e-mail

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

40-06 · Medication

Counselor observed 2 medications during inspection that did not follow the manufacturer's label or prescription label from the child's doctor for dispensing prescription or non-prescription medication. One child had an Albuterol Inhaler present that not in original container and medication form had different directions than the prescription label. A second child had the medication Wal-Dryl present during inspection, however according to the manufacturing label children 2 to 5 years- do not use unless directed by a doctor. Counselor did not observe a prescription present during inspection. Counselor gave technical assistance from Child Care Facility Handbook: 6.5 Medication C. Prescription and non-prescription medication brought to the child care facility by the custodial parent or legal guardian must be in the original container. Prescription medication must have a label stating the name and contact information of the physician and/or pharmacy, childs name, name of the medication, and medication directions. All prescription and non-prescription medication must be dispensed according to written directions on the prescription label or printed manufacturers label and maintained at the appropriate temperature. Corrective Action: Provider sent home the medication during inspection, therefore the standard was completed at time of inspection

Corrected Corrected by Sep 8, 2023

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

40-11 · Medication

Counselor observed 3 medications during inspection, 1 for Ventolin and 2 for an Epi Pen that did not have a medication form on file for counselor to review during inspection .One Epi Pen expired 8/2023. The second Epi Pen, the child no longer attends. Counselor gave technical assistance from the Child Care Facility Handbook: 6.5 Medication F. The facility must maintain a record for each child receiving any medications that documents the full name of the child, the name of the medication, the date and time the medication was given, the amount and dosage, and the name and signature of the person who gave the medication. This record must be initialed or signed by the program personnel who gave the medication. The record must be maintained for a minimum of 12 months after the last day the child received the dosage. Corrective Action: Provider sent the medications home during inspection, therefore the standard was completed at time of inspection

Corrected Corrected by Sep 8, 2023

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

41-01 · Immunization Records

Counselor observed all 125 enrolled children's records records during inspection. Counselor observed the 113 immunization records during inspection that were on file. Counselor observed during inspection that 12 children's immunization records were not on file for review or had expired. Counselor gave technical assistance from the Child Care Facility Handbook: 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. 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. Corrective Action: Provider is to submit to counselor via e-mail the 12 children's current immunization records

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Student Health and Records

Counselor observed all 125 enrolled children's records records during inspection. Counselor observed the 113 health records during inspection that were on file. Counselor observed during inspection that 14 children's health records were not on file for review or had expired. Counselor gave technical assistance from the Child Care Facility Handbook: 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. Corrective Action: Provider is to obtain the 14 children's current health records and submit to counselor via e-mail

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

43-01 · Enrollment Information

Counselor observed that there were 125 children enrolled at the facility. Counselor observed all 123 children's records during the inspection. Counselor could not observe two children's records due to the record or copies not being maintained at the facility and available for review during inspection. Counselor gave technical assistance from the Child Care Facility Handbook: 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. Corrective Action: Provider is to submit via e-mail the two children's complete enrollment record to counselor

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

03-01 · Ratio Sufficient

Counselor observed the following ratio during inspection: -- Mixed age group of Infants and 1 years old- 2 staff; 6 children (There were 3- Infants and 3- 1 years old) --Infants- 1 staff; 3 children --4 years old- 1 staff; 15 children --3 years old- 1 staff; 16 children --Mixed age group of 4 and 5 year old- 2 staff; 16 children (There were 3- 4 years old and 13- 5 years old) --1 years old- 2 staff; 9 children --Mixed age group of 4 and 5 years old- 2 staff; 15 children (There were 1- 4 year old and 14- 5 years old) --1 years old- 2 staff; 10 children --Mixed age group of 2 and 3 years old- 2 staff; 18 children (There were 8- 2 years old and 10- 3 years old) --2 years old- 2 staff; 14 children --Mixed age group of 3 and 4 years old- 1 staff; 12 children (There were 11- 3 years old and 1- 4 year old) --3 additional staff members Counselor observed the 3 year old classroom with 1 staff member and 16 children from 9:05 AM until 10:21 AM. One staff member moved one child as counselor was entering the 3 year old classroom during inspection. The staff member moved the one child to the Mixed age group of 2 and 3 years old during inspection, therefore the facility was in ratio at time of inspection. Counselor gave technical assistance from the Florida Statutes: s.402.305(4), F.S. 402.305 Licensing standards; child care facilities. (4) STAFF-TO-CHILDREN RATIO. (a) Minimum standards for the care of children in a licensed child care facility as established by rule of the department must include: 1. For children from birth through 1 year of age, there must be one child care personnel for every four children. 2. For children 1 year of age or older, but under 2 years of age, there must be one child care personnel for every six children. 3. For children 2 years of age or older, but under 3 years of age, there must be one child care personnel for every 11 children. 4. For children 3 years of age or older, but under 4 years of age, there must be one child care personnel for every 15 children. 5. For children 4 years of age or older, but under 5 years of age, there must be one child care personnel for every 20 children. 6. For children 5 years of age or older, there must be one child care personnel for every 25 children. 7. When children 2 years of age and older are in care, the staff-to-children ratio shall be based on the age group with the largest number of children within the group. (b) This subsection does not apply to nonpublic schools and their integral programs as defined in s. 402.3025(2)(d)1. In addition, an individual participating in a community service program activity under s. 445.024(1)(e), or a work experience activity under s. 445.024(1) (f), at a child care facility may not be considered in calculating the staff-to-children ratio. Corrective Action: The staff member moved the one child to the Mixed age group of 2 and 3 years old during inspection giving the 3 years old- 1 staff member to 15 children. Therefore the facility came back in ratio at time of inspection

Corrected Corrected by May 15, 2023

Category: ratio. Marked corrected in the state record.

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

Counselor observed one child with 3 breastmilk bags in the infant room that did not include their last name on all 3 breastmilk bags during inspection. Counselor observed a second child with 2 bottles in the infant that did not include the follow last name on the bottles. Provider wrote both children's first and last names on the breastmilk bags and bottles during inspection. Counselor gave technical assistance during inspection from the Child Care Facility 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. Corrective Action: Provider wrote both children's first and last names on the breastmilk bags and bottles during inspection. Therefore, standard was completed at time of inspection

Corrected Corrected by May 15, 2023

Category: nutrition. Marked corrected in the state record.

29-02 · Health and Sanitation

Counselor observed a one year old classroom that did not utilize their handwashing sink. The staff members stated that they utilize hand sanitizer and do not wash their hands. Counselor observed a 2 year old classroom that has a portable sink that did not have any water in the tank below. Counselor observed one staff member change a child's diaper and she did not wash her hands or the child's hands afterwards. The staff member went to change another child's diaper prior to washing her hands from the previous child's diaper change. Counselor observed the situation and gave technical assistance. The staff member stated that there was not any water in the portable sink the entire morning. The provider came to the classroom and filled the water during inspection. Counselor gave technical assistance from the Child Care Facility Handbook: 3.10.1 Handwashing Child care personnel and children must wash their hands thoroughly with soap and running water, dry, and follow personal hygiene procedures for themselves and while assisting others. Examples of activities when handwashing is required include but are not limited to: before and after eating, immediately following outdoor play, after toileting, following the use of any cleaners or toxic chemicals, before and after administering medication, and during food preparation and snack distribution. Corrective Action: Provider is to have all staff members sign that they will maintain and understand the responsibilities to wash their hands and each child's hands from the Child Care Facility Handbook, 3.10.1 . Provider is to submit documentation to counselor via e-mail

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

33-09 · Training Requirements

Counselor observed one staff member with employment date 3/21/2023 that did not have documented proof during inspection that they completed safe sleep practices and shaken baby syndrome within 30 days of hire. Counselor gave technical assistance from the Child Care Facility Handbook: 4.2.3 Safe Sleep/ Shaken Baby Syndrome Training All child care personnel who work in a facility that offers care to infants must have training regarding guidance on safe sleep practices, preventing shaken baby syndrome and abusive head trauma; recognition of signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with crying, fussing, or distraught child and the development and vulnerabilities of the brain in infancy in early childhood within 30 days of hire at the facility. For child care personnel to satisfy this requirement the training must be accomplished through one of following methods: Department's Health Safety and Nutrition course, Safe Sleep course, or the Early Learning Floridas Safe Sleep Practices. Documentation of training must be maintained on the Department's training transcript in the child care personnel record. Corrective Action: Staff member is to complete the safe sleep practices and shaken baby syndrome course and submit documentation of completion to counselor via e-mail

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

40-01 · Medication

Counselor observed one child with Desitin present in the one year old classroom that did not have a written authorization form present during inspection. Counselor gave technical assistance during inspection from the Child Care Facility Handbook: 6.5 Medication Child care programs are not required to give medication; however, if a program chooses to do so, it must comply with the following requirements: A. The child care program must have written authorization from the custodial parent or legal guardian to give prescription and non- prescription medications. This authorization must be dated and signed by the custodial parent or legal guardian and contain the childs name; the name of the medication to be given; and date, time and amount of the correct dosage to be given. Prescription and non- prescription medications that are used on an as needed basis require the parent/ legal guardian to provide additional documentation on the authorization form to describe symptoms that would require the medication to be given. The child care provider must never administer a medication that is prescribed for one child to another child. K. Use of diaper creams and insect repellant may only be utilized with written permission from parents/guardians. Manufacturer instructions must be followed. Corrective Action: Provider gave the Desitin back to the parent at the time of inspection, therefore the standard was completed at the time of inspection

Corrected Corrected by May 15, 2023

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

40-06 · Medication

Counselor observed one child with cornstarch present in the 1 year old classroom during inspection. Counselor did not observe any directions on how to apply the cornstarch to a child during diaper changes. The counselor also observed that the cornstarch had expired on 12/9/2022. Counselor gave technical assistance during inspection from the Child Care Facility Handbook: 6.5 Medication Child care programs are not required to give medication; however, if a program chooses to do so, it must comply with the following requirements: C. Prescription and non-prescription medication brought to the child care facility by the custodial parent or legal guardian must be in the original container. Prescription medication must have a label stating the name and contact information of the physician and/or pharmacy, childs name, name of the medication, and medication directions. All prescription and non-prescription medication must be dispensed according to written directions on the prescription label or printed manufacturers label and maintained at the appropriate temperature. Corrective Action: Provider gave the cornstarch back to the parent at the time of inspection, therefore the standard was completed at the time of inspection

Corrected Corrected by May 15, 2023

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

45-05 · Background Screening Documents

Counselor observed 4 staff members employment history check that did not have checks completed for all of the required information during inspection. Counselor gave technical assistance from the Child Care Facility Handbook: 5.1 Initial Screening A screening must be conducted as a condition of employment. The employer/owner/operator must review each employment application to assess the relevancy of any issue uncovered by the complete background screening, including any arrest, pending criminal charge, or conviction, and must use this information in employment decisions in accordance with state laws. 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. Corrective Action: Provider is to submit all 4 staff members completed employment history checks to counselor via e-mail

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-07 · Background Screening Documents

5.2 Re-Screening A screening conducted under this rule is valid for five years, at which time a re-screen must be conducted in the same manner as the initial screening. A. The five-year re-screen is required for all child care personnel. B. The five-year re-screen must include, at a minimum, a criminal records check (both national and statewide), a sexual predator and sexual offender registry search, and child abuse and neglect history of any state in which an individual resided during the preceding 5 years. C. Child care personnel must be re-screened following a break in employment in the child care industry that exceeds 90 days. Child care personnel/individual with a break in service that exceeds 90 days are considered unscreened child care personnel/individuals until completion of re-screening. These child care personnel/individuals shall not have unsupervised contact with children in care. D. If child care personnel take a leave of absence, such as maternity leave, extended sick leave, migrant child care programs, etc. re- screening is not required unless the five-year re-screen comes due during the leave of absence. Corrective Action: Provider is to initiate a resubmission for the staff member's background screening and submit proof of the staff member's resubmission to counselor via e-mail

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

45-11 · Background Screening Documents

Counselor observed one staff member with employment date of 5/8/2023, Background Screening Clearance Eligibility date of 4/27/2023 that has lived in the state of Georgia within the past 5 years. Counselor did not observed a Sexual Offender/Predator search or a child abuse and neglect registry search for Georgia completed during inspection. Counselor observed a second staff member with employment date of 3/23/2023, Background Screening Clearance Eligibility date of 1/25/2023 that has lived in Maine within the past 5 years. Counselor did not observe the second staff member to have the criminal history search or the child abuse and neglect registry search for Maine completed during inspection. Counselor gave technical assistance from the Child Care Facility Handbook: 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. D. A copy of the DCF letter/email informing of search conducted of the Floridas child abuse and neglect registry must be on record for each personnel screened between July 1st and December 15th of 2016. E. A copy of each request made to out of state child abuse and neglect registries for individuals who lived outside the state of Florida in the preceding five years. F. A copy of each search conducted for out of state sexual offender/predator registries for individuals who lived outside the state of Florida in the preceding five years. Corrective Action: Provider is to submit the completed sexual offender/predator search for staff member one to counselor via e-mail. Provider is to submit documentation of submission of the two staff members child abuse and neglect registry searches via e-mail to counselor. Provider is to submit documentation of submission for the second staff members criminal history search via e-mail to counselor

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

12-03 · Facility Environment

Counselor observed in the one year old classroom, one table that children utilize to eat from during meals and snacks, stored in one of the bathrooms. Counselor observed in the one year old classroom, an arch shaped soft climber and 2 bouncy balls stored in the second bathroom. Counselor observed the 3 compartment sink in the kitchen during inspection that was holding water in all 3 sinks and would not drain. Counselor gave technical assistance from the Child Care Facility Handbook: 3.1 General Health and Safety Requirements Corrective Action: The staff member removed the items above from the bathrooms back into the classroom and disinfected and sanitized the table, clumber and 2 bouncy balls during inspection. Therefore, standard was completed during inspection. Provider made an appointment with a professional service to have the 3 compartment sink in the kitchen fixed. Counselor will reinspect on -site

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

12-06 · Facility Environment

Counselor observed one ceiling tile in the one year classroom that was sagging and had several brown strains on the ceiling tile. Counselor gave technical assistance from the Child Care Facility Handbook: 3.1 General Health and Safety Requirements Corrective Action: Provider is to repair area and replace ceiling tile. Counselor will re-inspect

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

Counselor observed two bottles during inspection that had the child's first name, however the child's last name was missing on the two bottles. Counselor gave technical assistance during inspection from the Child Care Facility 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. Corrective Action: Staff member wrote the child's last name on the two bottles during inspection. Therefore, standard was completed at time of inspection

Corrected Corrected by Jan 17, 2023

Category: nutrition. Marked corrected in the state record.

33-13 · Training Requirements

Counselor observed one staff member with child care industry start date and employment date at the facility of 9/6/2022 start school readiness training on 9/12/2022. As of inspection date, staff member has not completed the school readiness training. Counselor gave technical assistance from the School Readiness for licensed, licensed exempt and school age based center programs Handbook: 18.1 Pre-service Timeframe All pre-service training requirements listed below must be completed by all program personnel, volunteers and substitutes, each as defined in this handbook, within 90 days of initial employment with any provider participating in the school readiness program. This timeframe does not start over if personnel change employment to another school readiness provider within this 90 days. Personnel who have not completed all pre-service training requirements may not be allowed any unsupervised contact with or care of children in a school readiness program. Corrective Action: Staff member is to complete the school readiness training and submit to counselor via e-mail documentation of training completion from transcript or training certificates

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

40-06 · Medication

Counselor observed a medication that was administered to a child on 1/17/2023. The prescription stated that the child was to take 1.5 mL twice a day by oral route as directed for 30 days. Counselor observed the medication form that stated the incorrect name of the medication and the dosage to be given stated 2 mL. Counselor observed that the staff member gave the child the medication on 1/17/2023 at 10:00 AM for 2 mL, however the prescription for the medication stated the dosage to be 1.5 mL. Counselor gave technical assistance from the Child Care Facility Handbook: 6.5 Medication C. Prescription and non-prescription medication brought to the child care facility by the custodial parent or legal guardian must be in the original container. Prescription medication must have a label stating the name and contact information of the physician and/or pharmacy, childs name, name of the medication, and medication directions. All prescription and non-prescription medication must be dispensed according to written directions on the prescription label or printed manufacturers label and maintained at the appropriate temperature. Corrective Action: Provider immediately removed the medication from the classroom during inspection. Provider received a doctor's note during inspection with the 2mL listed as the dosage. Provider returned the medication to the parent during inspection and stated to them that they may not bring the medication back to the facility. Therefore, standard was completed during time of inspection

Corrected Corrected by Jan 17, 2023

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

40-18 · Medication

Staff member administered medication to a child and counselor did not observe documentation of education on proper administration procedures on file during inspection. Counselor gave technical assistance from the Child Care Facility Handbook: 6.5 Medication I. Prior to administering medication to children, child care personnel responsible for administering medication must be educated on proper administration procedures. Written documentation must be maintained in the personnel file that child care personnel administering medication have been educated on proper administration procedures. Corrective Action: All staff members are to sign their understanding of maintaining CCF Handbook, Section 6.5, I. Provider is to submit to counselor via e- mail the documentation of all staff members signatures

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.