04-04 · Supervision

The LS spoke with N.L. on 3/13/2025 regarding the staff present on the ground at the time of the incident on 3/12/2025. N.L. stated she was the only staff present on the side of the playground C.N. and other older preschoolers were playing. When C.N. exited the playground area N.L. the only staff on the playground chased the child down the sidewalk. This left the children on the playground unsupervised during the retrieval of C.N. 2.4 Supervision 2.4.1 General Supervision Requirements 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. N.L. and C.N. returned to the playground area after he was retrieved

Corrected Corrected by Mar 13, 2025

Category: supervision. Marked corrected in the state record.

17-02 · Outdoor Play Area/Fencing

Per K.M. when she reviewed C.N.'s body at the car when she picked him up; she noticed scratches on his body. This prompted her to return to the facility and remove all the children's belongings. The LS inspected the fencing to the outdoor playground and found thorns/vines with sharp points along the edges. These vines were observed along the fencing and exit of the gate. 3.5 Outdoor Play Area A. The outdoor play area must be clean and free from litter, nails, glass and other hazards. B. The outdoor area must be designed to allow child care personnel to clearly see children while playing on all equipment. The provider cleared/removed vines from the fencing

Corrected Corrected by Mar 13, 2025

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

43-08 · Enrollment Information

Per statements from both the provider T.P. and the parent K.M. a verbal agreement to satisfy the physical, developmental, behavioral or emotional needs of C.N. a care/safety plan was derived by T.P. and K.M. to have additional staff accompany C.N. throughout his day in care. This agreement was verbal and not documented in C.N.'s file. 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. G. Any child who has or is at an increased risk for a chronic physical, developmental, behavioral or emotional condition and requires additional services must have a current Emergency Care Plan, prepared by the parent/guardian or physician, included in the childs file and readily accessible for those caring for the child. Child care personnel caring for a child with an Emergency Care Plan must be trained to recognize and respond appropriately to a medical emergency. C.N. has been disenrolled; Per K.M., C.N. is in the process of being evaluated by physicians to further assist with placement into a program designed to better assist him with his needs

Corrected Corrected by Mar 13, 2025

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

44-04 · Personnel Records

At the time of inspection, the LS reviewed nine (9) staff files. Six (6) staff files were missing the abuse and neglect reporting form. 7.4 Personnel Records 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: 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. All staff must annually update the abuse and neglect reporting form

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

40-17 · Medication

At the time of inspection, the LS observed two Ziplock bags with medications inside and student names written on the outside were observed. Per the office assistant the bags belonged to students that have been disenrolled. 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: H. Medication that has expired or that is no longer being dispensed must be returned to the custodial parent or legal guardian or discarded. 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. The provider must obtain medication authorization for all medications as well as document when medications are dispensed. If a medication is no longer used the provider must return medication to the parent or dispose of medication. The medications were removed from the medication box and discarded. All medications must be returned to parents/guardians or disposed of when no longer used

Corrected Corrected by Nov 25, 2024

Category: ratio. Marked corrected in the state record.

33-01 · Training Requirements

At the time of inspection the licensing staff reviewed all (14) staff files. When reviewing (2) staff files were missing required trainings. 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 Screening 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) 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

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

42-02 · Student Health and Records

At the time of inspection, the LS reviewed 35 student files. Two (2) student files did not contain the appropriate information on the student health forms. 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. 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. D. 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. E. 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. F. 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. G. Any child who has or is at an increased risk for a chronic physical, developmental, behavioral or emotional condition and requires additional services must have a current Emergency Care Plan, prepared by the parent/guardian or physician, included in the childs file and readily accessible for those caring for the child. Child care personnel caring for a child with an Emergency Care Plan must be trained to recognize and respond appropriately to a medical emergency. The provider will notify the parents to obtain the appropriate student health forms

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

04-01 · Supervision

At the time of inspection, the FSC observed a child from the two's classroom come from his classroom, past the front desk, and walked towards the infant room. The child stood at the gate crying until he was led back to his classroom, where his teacher was standing at the door looking. 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

Corrected Corrected by Mar 26, 2024

Category: supervision. Marked corrected in the state record.

19-02 · Nap/Sleep Space Requirements

At the time of inspection, the counselor observed children napping ion mats not separated 18 inches apart. During the time of inspection, the nap time concluded bringing the center back into compliance. 3.6.2 Nap/Sleep Space C. A minimum of 18 inches must be maintained around individual napping and sleeping spaces. A maximum of two sides of a napping or sleeping space may. be against a solid barrier, such as the wall. The solid side of a crib does not meet the requirements for a solid barrier

Corrected Corrected by Oct 31, 2023

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

29-09 · Health and Sanitation

Counselor observed food preparation area that did not contain proper dishwashing and sanitation equipment. Center had no area for sanitation of dishes after being washed. Center was brought into compliance at the time of inspection by placing a sanitizing basin in the food preparation area. 3.9.4 Dishwashing and Sanitization For facilities that prepare food, non-disposable food equipment, tableware, and utensils utilized for food preparation must be properly cleaned by pre-rinsing or scraping, washing, rinsing, sanitizing, and air drying. If the child care facility lacks adequate dishwashing and sanitation described in this section for dishes, equipment and utensils, only disposable single-use items may be used. All single service items must be discarded after each use. Food equipment, tableware and utensils used to prepare food must be washed and sanitized on- site except when a caterer is used, and the caterer is responsible for dishwashing as evidenced by a written agreement. B. An installed three compartment sink, or an installed two-compartment sink with a non-stationary or portable compartment receptacle.. Installed compartment sinks may be used to wash produce and to fill cooking pots and pans with water when not in use for dishwashing. 2. Sinks must be sanitized before and after each use. 3. The first compartment must be used for washing; the second compartment must be used for rinsing; and the third compartment must be used for sanitizing. 4. If only an installed two-compartment sink is available, the second compartment must be used for rinsing and a non-stationary or portable compartment receptacle must be available and used to sanitize

Corrected Corrected by Oct 31, 2023

Category: ratio. Marked corrected in the state record.

42-01 · Student Health and Records

At the time of inspection, the counselor reviewed seven newly enrolled student files. At that time the counselor observed one student file missing the student health physical. Student has been enrolled for more than thirty days. Student was sent home with parent to obtain physical. Student will not return until documentation has been received. 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

Corrected Corrected by Oct 31, 2023

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

12-01 · Facility Environment

Counselor observed microwave on the floor, boxes on the floor, corners of classrooms filled with different items. Counselor gave technical assistance during the inspection from the Child Care Facility Handbook: 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. B. It is the responsibility of the director/operator to ensure all areas and equipment of the facility are free from fire hazards, such as lint build up in heating and air vents, filters, exhaust fans, ceiling fans, and dryer vents. This includes grease build-up in ovens, stoves and food equipment. C. Animals must be properly vaccinated (if a vaccination is available for the specific animal), free from disease, and clean. Animals that are poisonous, venomous, aggressive, or pose a potential threat of harm to children in care are prohibited. Parents/guardians must be informed in writing of all animals on the premises. Notice may be provided by a conspicuously posted notice or bulletin, policy handbook, parent flier, or a statement included on the enrollment form. Current vaccinations records must be available for review by the licensing authority. No animal may freely roam the indoor/outdoor premises. Animals are prohibited in areas where food is prepared, stored, or served. If animals or birds are kept in classrooms, they shall be caged and cages must be kept clean. D. 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. E. Pursuant to Chapter 386.204, F.S., smoking is prohibited within the child care facility and in vehicles when being used to transport children. Smoking is prohibited in all outdoor areas, including on field trips, while children are in care. Owners/operators are to notify custodial parents and legal guardians, in writing, that smoking, including e-cigarettes and vaping, is prohibited on the premises of the child care facility. Facility corrected at the time of inspection; provider added a self to classroom for more storage space and took microwave off the kitchen floor. Facility was brought back into compliance at the time of the inspection

Corrected Corrected by Jun 28, 2023

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

20-04 · Crib Requirements

Counselor completed a walk-through of the facility and observe an infant sleeping with a receiving blanket swaddled around her in a crib. Counselor gave technical assistance during the inspection from the Child Care Facility Handbook: 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. B. When napping or sleeping, young infants who are not able to roll over must be positioned on their backs and on a firm surface to reduce the risk of Sudden Infant Death Syndrome, unless an alternate position is authorized by a physician. Sleep sacks that fit according to manufacturers recommendations, do not restrict the infants arms, and will not slide up around the infants face may be used for the comfort of the sleeping infant; however, swaddling shall not be used unless authorized in writing by the childs physician. Written documentation of a physicians authorization must be on file at the facility. Documentation must include the childs name, childs date of birth, description of sleep position required, instructions for the use of any equipment needed, and length of time authorization is valid. C. Children must not be placed in the cribs, playpens, play yards or other sleeping and napping bedding with items that could pose a strangulation or suffocation risk. Cribs, playpens, play yards, other napping and sleeping bedding being used by a child must be placed a minimum of 18 inches away from window blinds, draperies or any window treatment/cover that pose a strangulation hazard. Facility corrected during inspection provider took the receiving blanket that was swaddling around infant. Facility was brought back into compliance at the time of the inspection

Corrected Corrected by Jun 28, 2023

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

23-05 · Fire Drills

Counselor observed fire extinguishers had expired tag. Counselor gave technical assistance during the inspection from the Child Care Facility Handbook: Unless statutorily exempted, all child care facilities must conform to state standards adopted by the State Fire Marshal, Chapter 69A-36, F.A.C., Uniform Standards for Life Safety and Fire Prevention in Child Care Facilities. A copy of the current and approved annual fire inspection report completed by a certified fire inspector must be on file with the licensing authority. If the program is granted a fire inspection exemption by the local fire inspection office, the exemption must be documented and maintained on file at the program. B. Fire extinguishers with a minimum rating of 2A:10BC must be properly installed, serviced and maintained with current inspection tags at all times. C. The distance to the nearest extinguisher shall not be more than 75 feet from rooms occupied by children. A fire extinguisher must be present in vehicles used to transport children and areas where food is prepared. D. Automatic range-top fire suppression systems are required in the kitchen for facilities that deep fry food. Suppression hood systems must be maintained and inspected by a certified inspector. A copy of the current and approved annual inspection notating compliance with the Florida Fire Prevention Code as adopted in Chapter 69A-60, F.A.C, must be on file with the licensing authority. Counselor observed on 6/29/23 facility retagged fire extinguisher expiration dated for 6/2024. Facility was brought back into compliance at the time of the inspection

Corrected Corrected by Jun 28, 2023

Category: ratio. Marked corrected in the state record.

33-02 · Training Requirements

Counselor observed employee should have begun training by 6/13/23. 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. C. Early literacy courses and school-age training documentation must be uploaded into the Florida Pathways (Registry), which may be accessed from the Departments website at www.myflfamilies.com/childcare. D. Any course completion certificate not documented on the training transcript will be considered invalid, requiring that the course(s) be retaken. Until the coursework is retaken and completed, child care facilities will be out of compliance for the mandatory training standard

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

41-01 · Immunization Records

Counselor observed (1) children with missing immunization records. Counselor gave technical assistance during the inspection from the Child Care Facility Handbook: 28. Florida Certification of Immunization form or the Religious Exemption from Immunization form for each child in care. Facility has to 7/17/2023 to have children Immunizations or Religious Exemption from Immunization

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Student Health and Records

Counselor observed (3) children with missing Student Health Examination. Counselor gave technical assistance during the inspection from the Child Care Facility Handbook: 29. A Student Heath Examination form for each child in care. Facility has to 7/17/2023 to have children Student Health Examination

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

03-01 · Ratio Sufficient

While the director was picking up the school age children, Counselor observed 1 staff member with 25 children (ages from 2 yrs old to 4 yrs old, with the majority of children being 3 yr olds). The director returned from picking up the school age children, and took the 14 oldest children in her room. This brought both rooms into ratio and compliance. In addition, at the time the center was out of ratio, the classroom was also over the marked capacity for that space. RATIO OBSERVED: Counselor observed ratio at walk through of: 3 Infants to 1 staff 5 Ones to 1 staff 25 Twos/Threes/Fours/Fives to 1 staff After Corrective Action for Ratio, Counselor observed ratio of: 3 Infants to 1 staff 5 Ones to 1 staff 11 Twos/Threes to 1 staff 21 Fours & Older to 1 staff

Corrected Corrected by Feb 28, 2023

Category: ratio. Marked corrected in the state record.