39-03 · Accident/ Incident Notification and Documentation

On December 12th, 2023, the provider failed to inform parents and provider written report of a physical incident their child was involved in. Provider stated the child was visually looked over and no physical injury was observed.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. At the time of inspection, the provider contacted the parent to inform them of the on December incident their child was involved in

Corrected Corrected by Dec 14, 2023

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

04-01 · Supervision

On December 12th, 2023, A child was injured resulting in physical markings that the child care staff had no knowledge of occurring. When the child's parent arrived to pick up the child the parent observed scratches and a raised area on her child's face. When asked about the injuries the staff was unable to identify when, where or how the physical injuries occurred to the child. It was later determined during an incident earlier in the day that the child may had been injured by another student while the teacher was assisting classmates wash their hands. The teacher was not able to visually see the child get injured by another student. 2.4 Supervision 2.4.1 General Supervision Requirements. 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. 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. The provider was advised to have staff position themselves where all children may be visual when assisting with others or to have another staff positioned to assist with monitoring the class while in the hall or assisting with washing their hands

Corrected Corrected by Dec 14, 2023

Category: supervision. Marked corrected in the state record.

09-03 · Planned Activities

Counselor observed that a daily activity schedule was not posted in the 3-year-old classroom. Completed at time of inspection when director posted the daily activity schedule on the classroom wall. Counselor provided the following technical assistance: Each group or class must have a written and followed plan of scheduled activities posted in an easily seen location accessible to parents/guardians. The written plan must meet the needs of the children being served and must include alternate activities in case of bad weather. The written plan shall include a variety of activities that range from structured to unstructured activities that encourage a childs developmental growth. The written plan also must include scheduled activities that: A. Promote emotional, social, intellectual, and physical growth. B. Do not have children left in confining devices such as car seats as an alternative to active play or adult/child interaction, supervision, or discipline. C. Do not include the use of electronic media for children under two years of age. Electronic media may only be used for educational purposes or physical activity for children 2 years of age and older for no more than 1 to 2 hours per day. D. Include both active and quiet play. Active play includes outdoor activities a minimum of twice per day, weather permitting. E. Include meals, snacks, and nap times, if appropriate for the age and the times children are in care. F. Provide adequate time and space for infants, birth to 12 months, in care to engage in activities that promote development of movement skills (tummy time, crawling, turning over, sitting, etc.). Infant seats (swings, bouncers, etc.) must be used only for short periods of time, no more than 15 to 30-minute intervals per infant and no more than two times per day that the child is in care. Infants in care shall be provided opportunities for outdoor time each day that weather permits. G. An appropriate daily schedule provides flexibility and contains transition periods that help children move smoothly from one activity to another. H. Providers are encouraged to inform parents and legal guardians of their childs activities on a daily basis. I. Providers must implement program practices that promote consistency and continuity of care for infants and toddlers. Early care and education programs must provide opportunities for each child to build emotionally secure relationships with a limited number of child care personnel. Efforts to promote consistency and continuity of care are shown through following daily routines and communicating consistently with parents/guardians. J. The program must make reasonable accommodations to the environment, planned activities and schedule so that children with special needs may participate

Corrected Corrected by Mar 24, 2023

Category: supervision. Marked corrected in the state record.

32-03 · Outdoor Equipment

Counselor observed the following on the outdoor play area: the loose ground cover (mulch) in front of the slide was not a minimum of 6 inches in depth, there was standing water in the container that catches water from the drainpipe, and the paint is starting to peel on the handles of the tricycle structure. Provider will add or redistribute the mulch on the playground, empty the container of water, and re-paint the handles on the tricycle structure. Provider will send photos of the corrected areas once completed. Counselor provided the following technical assistance: B. All playground equipment must be securely anchored, unless portable or stationary by design, in good repair, maintained in safe and sanitary condition, and placed to ensure safe use by the children. Maintenance must include inspections conducted every month of all supports above and below the ground and of all connectors and moving parts. Documentation of maintenance inspections must be maintained for 12 months. C. All equipment, fences, and objects on the facilitys premises shall be free from sharp, broken and jagged edges, and properly placed to prevent overcrowding or safety hazards in any one area. D. Permanent or stationary playground equipment must have a fall/use zone that extends a minimum of 6 feet in all directions from the perimeter of the equipment. All types of ground cover must be maintained to provide resilience and reduce the incidence of injuries to children in the event of falls. 1. If the ground cover in place is loose ground cover (such as, but not limited to: mulch, shredded rubber chips, or sand) a minimum of 6 inches in depth is required in the use zone. Asphalt, concrete, hard packed dirt, hay, grass or leaves are unsuitable for use in the use zone area. 2. If the ground cover in place is a unitary playground surface, then the unitary surfacing materials must be installed, maintained, or replaced according to manufacturers instructions. Unitary surfaces must be tested to and comply with ASTM F1292; documentation of test data must be retained at the facility and available for licensing to review. 3. If the play area was approved by the Department prior to January 1, 2020 and does not meet the 6-foot fall/use zone requirement, then the facility must submit a written notification, including photographs and layout of the play area, to the Department prior to or on April 1, 2020, notifying its intention to continue to operate using the prior approved play area. However, if the permanent or stationary playground equipment is moved or replaced then the standard would apply, and 6 feet of use zone must be provided. Any new equipment added would be required to have the 6 feet of use zone in all directions from the perimeter of the equipment. E. Equipment used for climbing should not be placed over, or immediately next to, hard surfaces such as asphalt, concrete, dirt, grass, or flooring covered by carpet or gym mats not intended for use as surfacing for climbing equipment. F. All equipment used in the outdoor play area must be constructed and maintained according to manufacturers recommendations and allow for water drainage. Any open containers with water must be emptied immediately after use, i.e. pots, toys, or other equipment that collects water

12-02 · Facility Environment

Counselor observed staples in the wall within children's reach and the edge of the wall was peeling in the 2's classroom. Provider will remove the staples from the wall and replace with another safe option such as tape and repair the edge of the wall. Provider will submit photos of the repairs to counselor once completed. Counselor provided the following technical assistance: A. All child care facilities must be clean, in good repair, free from health and safety hazards and from evidence of, or presence of, vermin infestation. Indoor play areas must be inspected daily for basic health and safety and documented on a daily inspection log. Outdoor play areas must be inspected daily for basic health and safety. Any problems must be corrected before the play area is used by children. Documentation of the indoor play area inspection must be maintained for 12 months

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

12-18 · Facility Environment

Counselor observed that an electrical outlet cover was missing below the TV in the VPK classroom. Completed at time of inspection when the director placed an outlet cover in the outlet. Counselor provided the following technical assistance: I. All accessible electrical outlets must be tamper-resistant electrical outlets that contain internal shutter mechanisms to prevent children from sticking objects into receptacles. In settings that do not have tamper-resistant electrical outlets, outlets shall have safety covers

Corrected Corrected by Mar 24, 2023

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

13-01 · Toxic Substances, Hazardous Materials and Weapons

Counselor observed 3 bottles of bleach water that were not labeled. Completed at time of inspection when the teacher placed labels on the 3 bottles. Counselor observed that hand sanitizer was accessible to children in 2 classrooms. Completed at time of inspection when the director moved it out of the children's reach. Counselor provided the following technical assistance: B. All potentially harmful items, including cleaning supplies, flammable products, poisonous, toxic, and hazardous materials, must be labeled and used according to manufacturers recommendation. These items, as well as knives, sharp tools, and other potentially dangerous hazards, must be stored in a locked area or must be inaccessible and out of a childs reach at all times

Corrected Corrected by Mar 24, 2023

Category: nutrition. Marked corrected in the state record.

17-07 · Outdoor Play Area/Fencing

Counselor observed 2 gaps on the base of the fence on the outdoor play area. Provider will repair the gaps and send photo to counselor. Counselor provided the following technical assistance: F. The outdoor play area must have adequate fencing or walls a minimum of 4 feet in height. Fencing, including gates, must be continuous and must not have gaps or opening larger than 3 inches that would allow children to exit the outdoor play area. The base of the fence must remain at ground level and be free from erosion or buildup to prevent inside and outside access by children or animals. These areas must have at least two exits, with at least one being remote from the buildings. If an outdoor play area was approved for usage by the Department prior to October 25, 2017, no new exits are required to be added to meet this standard. However, if outdoor play area fencing is changed then the standard would apply, and two exits must be provided

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

25-01 · Meals and Snacks

Counselor observed the following served for lunch: rice with cut hotdogs, meatballs, barbeque chicken wings (older children), roll, and water. Counselor observed that the milk in the refrigerator expired on 3/19/23, therefore was not served to the children. Provider went and purchased 2 gallons of milk with an expiration date of 4/4/23 to serve during snack time. Counselor observed menu for the week which did not meet the daily nutritional needs of the children. Provider will modify and submit menus for the weeks of 3/27/23 and 4/3/23 to counselor for review. Counselor provided technical assistance regarding the serving of hotdogs to children under 4 years of age. Counselor emailed provider a copy of the USDA MyPlate and sample menu. Counselor provided the following technical assistance: B. If a childcare facility provides food to children in care, it must provide nutritious meals and snacks of a quantity and quality to help meet the daily nutritional needs of the children. The USDA MyPlate is to be used to determine which food groups to serve at each meal or snack serving size and age appropriateness of the selected foods for children. Copies of the USDA MyPlate dieting guidelines, incorporated by reference in 65C-22.001(7)(t), F.A.C. In addition, meals and snacks must contain at a minimum the meal and snack patterns shown for infants and children in the Child Care Food Program Meal Patterns which are incorporated by reference in 65C-22.001 (7)(r) and (s), F.A.C. 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. D. If a facility chooses to provide food to children directly or by contract with an outside source, such as a caterer, the food must be free from spoilage and handled in a sanitary manner at all times. The facility must have adequate equipment available to maintain food safety

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

29-03 · Health and Sanitation

Counselor observed that the handwashing sink in the 2's classroom was not in working condition. Counselor observed that personnel did not take the children to the bathroom to wash their hands after eating lunch. Counselor observed that personnel did not wash her hands after cleaning a child's nose. Provider will ensure that the sink in the classroom is in working condition for handwashing and/or take children to the bathroom to wash hands when required. Provider will submit a plan for proper handwashing for the 2's classroom. Counselor provided the following technical assistance: 3.10.1 Handwashing Childcare 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. D. Situations or times that children, childcare personnel, and/or volunteers must perform hand hygiene must be posted in all food preparation, diapering, and toileting areas. 3.10.2 Diapering Requirements A. When children in diapers are in care, a hand-washing station that includes a sink with running water, soap, trash receptacle, and disposable towels or hand drying machines that are properly installed and maintained shall be provided in the room or in an adjoining area which opens into the room. B. Hands must be washed and dried thoroughly after each diapering or toileting procedure, and all surfaces that have been touched must be cleaned and sanitized or disinfected to prevent the spread of germs

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

42-01 · Student Health and Records

Counselor reviewed 27 newly enrolled children's files. Counselor observed that there was no student health examination in file for child listed on the supplemental. Provider will obtain a current student health examination and submit to counselor. Counselor provided the following technical assistance: 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.

44-04 · Personnel Records

Counselor observed that personnel listed on the supplemental had expired Child Abuse and Neglect reporting forms. Completed at time of inspection when personnel signed new forms. Counselor provided the following technical assistance: Records must be maintained and kept current on all childcare 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: 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 childcare personnel

Corrected Corrected by Mar 24, 2023

Category: recordkeeping. Marked corrected in the state record.

45-07 · Background Screening Documents

Counselor observed that personnel listed on the supplemental had a 90-day break in service and their background screenings were not resubmitted prior to employment. Provider completed a resubmission in presence of counselor at time of inspection. Personnel will not have unsupervised contact with children until "childcare eligible" results are received by provider. Counselor provided the following technical assistance: C. Childcare personnel must be re-screened following a break in employment in the childcare industry that exceeds 90 days. Childcare personnel/individual with a break in service that exceeds 90 days are considered unscreened childcare personnel/individuals until completion of re-screening. These childcare personnel/individuals shall not have unsupervised contact with children in care

Corrected Corrected by Mar 24, 2023

Category: supervision. Marked corrected in the state record.

45-09 · Background Screening Documents

Counselor observed that the employee/contractor roster was not maintained. Provider will update the childcare personnel employee roster in the clearinghouse and inform counselor via email once completed. Counselor provided the following technical assistance: 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

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.