17-01 · Outdoor Play Area/Fencing

Specialist observed wood on the fence sticking out with nails. 3.5 Outdoor Play Area A. The outdoor play area must be clean and free from litter, nails, glass and other hazards. Provider has until 09/26/2024 to get fence repaired

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

41-02 · Immunization Records

Counselor reviewed all (5) new children Immunization records since last Inspection. Counselor observed a child (T.M) Immunization record expired on 05/05/2024. Provider has until 05/24/2024 to receive Immunization record from Parent. 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), F.A.C., or the Religious Exemption from Immunization form, DH 681, which is incorporated by reference in 65C22.001(7), 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

03-01 · Ratio Sufficient

At the time of inspection, counselor observed 6 children in the infant room with 1 staff member. There were 3 (one year old children) and 3 (infants). The teacher to child ratio in the infant room is 1 staff member to 4 infants. This was completed and brought to compliance at the time of inspection by removing the 3 (one year old) toddlers to their designated classroom. 2.3 Ratios The staff-to-child ratio, as established in Section 402.305(4), F.S., is based on primary responsibility for the direct supervision of children and applies at all times while children are in care.2.3.1 Mixed Age Groups A. In groups of mixed age ranges, where children under one year of age are included, one child care personnel must be responsible for no more than four children of any age group, at all times

Corrected Corrected by Jun 20, 2023

Category: supervision. Marked corrected in the state record.

04-01 · Supervision

Counselor arrived at 8:15am. Counselor observed the infant room out of ratio, with three one-year olds and three infants to one staff member. The one-year-old teacher was not in her classroom, once she realized DCF was in the building, counselor observed her take the 3 one year old children from the infant room and move them to the toddler room. At this time, there were children being dropped off, causing the toddler teacher to ask the infant teacher to stand between both doorways, so she could have access to the front door. This was corrected once the director arrived and was able to receive the incoming children and taking them to their designated areas. 2.4 Supervision 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

Corrected Corrected by Jun 20, 2023

Category: supervision. Marked corrected in the state record.

13-02 · Toxic Substances, Hazardous Materials and Weapons

Counselor entered the diaper /restroom area in the toddler 2's classroom and observed several cleaning agents accessible to children. 3.2 Toxic/Hazardous Material/Firearms/Weapons 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. This was corrected and brought back to compliance after the director and counselor did a walk through together and made sure the items were locked or put away from the reach of children. Teacher and director put a lock on the door where the cleaning agents were stored

Corrected Corrected by Jun 20, 2023

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

24-16 · Food Preparation Area

Counselor viewed 7 jugs of juice stored directly on the floor. In the front lobby as you enter the facility, counselor witnessed baby food and cans of infant formula stored directly on the floor underneath a table. 3.9.2 Food Storage Proper storage of food is essential to prevent food contamination, as well as, insect and rodent infestation. Correct handling and storage of all food is a key component in preventing food-borne illnesses. To prevent bacteria growth, cold food must be kept at or below 41 degrees Fahrenheit and hot foods at or above 135 degrees Fahrenheit. Facilities choosing to prepare food must have a designated space for food storage within the designated food preparation area or in a room not calculated as part of indoor floor space, and in an area not used for diapering. Off-site food storage is permissible only if the site of storage is a licensed child care facility under the same ownership that includes a food preparation area that meets licensing standards. A. Food containers, such as cans, plastic containers, boxes and bags must be stored above the floor on clean surfaces protected from splash and other contamination

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

41-01 · Immunization Records

Counselor observed 42 children's immunization records and 41 were in compliance. One child listed on supplemental did not have a current shot record. Technical Assistance given from the 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. A. 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. 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. 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 Page 5 of 8 Name: Chosen One's Learning Center LLC License #: C04DU1338 Address: 1523 Chaffee Rd S Unit 1 Jacksonville FL 32221 Type: Renewal Date: 01/31/2023 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

33-03 · Training Requirements

Staff members listed on the supplemental did not start the Introduction to Child Care Courses with in 90 days of employment. Technical Assistance given from the 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

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

42-01 · Student Health and Records

Licensing counselor reviewed 42 health records and 41 were in compliance. One child listed on supplemental did not have a physical in their file. Technical Assistance given from 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. 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.