16-20 · Indoor Floor Space

25) Page 1 of 11 Name: Gate Parkway KinderCare License #: C04DU1301 Address: 11526 Lake Mead Ave Ste 105 Jacksonville FL 32256 Type: Renewal Date: 05/15/2025 Licensing Specialist observed 7 infants with 1 childcare personnel. Licensing Specialist also observed 14 one-year olds with 2 childcare personnel. A ratio of 14 children with 3 childcare personnel is required. Technical assistance was provided from Florida Statues which states the following: S402.305(4), F.S. (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. Corrective Action: Day 1 - Completed at time of inspection when Director removed 2 children from the class and transitioned the 2 children to an open classroom. The Director remained with the class until staff arrived. Day 2 - Completed at time of inspection when another childcare personnel arrived and went into the infant room. The infant room was brought into compliance one the additional staff arrived. Completed at time of inspection when two children in the one-year-old classroom went home. Licensing Specialist remained with class until ratio was brought into compliance. Provider is to submit a staff schedule documenting the staff members arrivals and departures, working hours, and which classrooms they are assigned. Provider is also to submit a roster with children names, classrooms, and ages. Provider is to provide a written action plan to prevent ratio issues going forward. This information can be submitted via email to Licensing Specialist

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

17-06 · Technical assistance was provided from the CCF Handbook: 3.5 Outdoor Play Area 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

Licensing Specialist observed the back exit gate in the infant/toddler outside playground to have a gap of more than three and a half inches from the bottom. The exit gate leads to the main road. Provider advised Licensing Specialist that she would put in a maintenance request order to have the gate adjusted and covered

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

23-06 · Technical assistance provided from the CCF Handbook: 3.8.4 Fire Drills A. During the facilitys license year, fire drills utilizing the alarm system, approved by the local fire authority, must be conducted monthly at various dates and times when children are in care. Child Care Facility Handbook Page | 28 B. When the facilitys approved fire alarm alert system is activated or initiated, all adults and children must evacuate the facility. C. A current attendance record and parent contact information must accompany child care personnel out of the building during a drill or actual evacuation and be used to account for all children. The operator must maintain a written record of the fire drills showing the date, number of children and child care personnel in attendance, evacuation route used, and time taken for all individuals to evacuate the premises. Each fire drill record must be maintained for a minimum of 12 months from the date of the fire drill. The fire drills conducted must include, at a minimum: 1. One fire drill using an alternate evacuation route, 2. One fire drill during napping/sleeping times, and 3. One fire drill in the presence and at the request of the licensing authority. This drill will be coordinated with the operator or designee. Licensing Specialist conducted a fire drill during inspection

Licensing Specialist observed the fire drill log and noticed that fire drills were not conducted or documented since January 2025. Licensing Specialist was advised by the existing Director that had not run an actual fire drill since she was assigned to the center. Licensing Specialist conducted a fire drill during inspection. Licensing Specialist advised Director to make contact with fire marshal to examine the lack of sound in several classrooms when doors are closed. Licensing Specialist observed annual fire safety report was passed on 8-29- 24

Corrected Corrected by May 15, 2025

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

33-01 · Technical assistance provided from the CCF 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 Child Care Facility Handbook Page | 40 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

Licensing Specialist observed two child care personnel who has been in the child care industry over a year that has not completed the 40 hour Introductory Child Care Training requirement. Both child care personnel were terminated during inspection. This standard was completed at time of inspection

Corrected Corrected by May 15, 2025

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

33-03 · Technical assistance provided from the CCF 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 Child Care Facility Handbook Page | 40 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. The employee was terminated during inspection. Therefore, the standard was completed at time of inspection

Licensing Specialist observed one staff member with child care industry and facility employment who did not begin the 40-hour Introductory Child Care Training Courses within 90 day of employment in the Child Care industry

Corrected Corrected by May 15, 2025

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

33-06 · Technical assistance was provided from the CCF Handbook: 4.2.2 Early Literacy Training Pursuant to Section 402.305(2)(e)5., F.S., all child care personnel must complete a single course of training in early literacy and language development of children ages birth through five years that is a minimum of five clock hours or .5 CEUs. Early literacy training must be completed within 12 months of date of employment in the child care industry. Proof of completion may be documented on a certificate of course completion, classroom transcript, or diploma. Child care personnel must complete one of the following: A. One of the Departments online literacy courses available on the Departments website. Child Care Facility Handbook Page | 41 B. One of the Departments approved literacy courses. A list of these courses can be obtained from the Departments website. (No additional courses will be approved by the Department.) C. One college level early literacy course (for credit or non-credit) if taken within the last five years. Child Care Personnel was terminated during inspection. This standard was completed at time of inspection

Licensing Specialist observed one child care personnel who did not take the approve five-hour literacy and language development course with 12 months of employment

Corrected Corrected by May 15, 2025

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

41-01 · Technical assistance was provided from the CCF Handbook: 7.1 Immunization Records 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 Child Care Facility Handbook Page | 60 documentation of a scheduled appointment or arrangement to receive immunizations. Providers must include a general statement in parent handbook/policies to inform parents/guardians, at time of enrollment, that some children in care may not have current immunizations. Provider can submit records via email

Licensing Specialist reviewed all (120) children files for all children enrolled. Licensing Specialist observed 47 child records missing a Florida Certification of Immunization (DH Form 680) or a Religious Exemption from Immunization (DH Form 681)

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Technical assistance provided from the CCF Handbook: 7.2 Student Health Records 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. Provider can send records via email

Licensing Specialist observed 34 Student Health Examination/DH (Form 3040) or equivalent health statement missing for child enrolled

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

75-70 · Violation

Influenza Virus, Guide to Parents, which is incorporated by reference in 65C-22.001(7)(n), F.A.C. and may be obtained from the Departments website at www.myflfamilies.com/childcare. 5. Annually, in the months of April and September, the child care facility must provide parents/guardians of the children enrolled in the facility with information regarding the potential for distracted adults to fail to drop off a child at the facility and instead leave them in the adults vehicle upon arrival at the adults destination.CF/PI 175- 12, brochure, which is incorporated by reference in 65C-22.001(7)(x), F.A.C. and may be obtained from the Departments website at www.myflfamilies.com . D. Enrollment information shall include parental/guardian consent for child care personnel to have access to childs records. Provider may submit records via email

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

44-01 · Technical assistance provided from the CCF Handbook: 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: A. A complete employment application with the required statement pursuant to Section 402.3055(1)(b), F.S. B. Documentation of position and date of employment. 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 Child Care Facility Handbook Page | 62 hire date and annually thereafter by all child care personnel. D. Copies of training information and credentials as applicable. E. For the driver only: Florida drivers license and driver physical examination documentation. A copy of the drivers license and the physician certification, or another form containing the same elements of the physician certification, granting medical approval to operate the vehicle, and valid certificate(s) of course completion for first aid training, pediatric cardiopulmonary resuscitation (CPR) procedures, and background screening must also be maintained in the drivers personnel file. F. Prior to beginning volunteering in a child care facility, a CF-FSP 5217, Volunteer Acknowledgment which is incorporated by reference in 65C-22.001(7)(e), F.A.C., and may be obtained from the Departments website www.myflfamilies.com/childcare, must be completed and on file at the child care facility for the volunteer. Written documentation of volunteer hours must be maintained at the facility for a minimum of 12 months and available for review by the licensing authority. Licensing Specialist will review missing child care staff records during reinspection

Licensing Specialist observed four child care personnel records missing and not available for review

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

45-01 · Technical assistance provided from the CCF 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. A. Each personnel record must have a completed CF-FSP Form 5131, Background Screening and Personnel File Requirements, which is incorporated by reference in paragraph 65C-22.001(7)(b), F.A.C. Provider can submit completed form via email

Licensing Specialist observed one child care personnel missing Form 5131, Background Screening and Personnel File Requirements

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-04 · Technical assistance provided from the CCF Handbook: 5 Background Screening 5.1 Initial Screening 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. Provider must complete and document an employment history verification on four child care personnel. Provider can submit verification via email

Licensing Specialist observed four child care personnel missing a documented employment history verification

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

30-20 · Diapering

24. Therefore there was a 90-day break in employment. Technical assistance provided from the CCF 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. Child Care Facility Handbook Page | 53 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 initiated a resubmission for background screening during inspection. This was completed at time of inspection

Corrected Corrected by May 15, 2025

Category: supervision. Marked corrected in the state record.

44-01 · Technical assistance was provided regarding maintaining an accurate file system for all child care personnel in the program; Per the CCF Handbook, Section 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: A. A complete employment application with the required statement pursuant to Section 402.3055(1)(b), F.S. B. Documentation of position and date of employment. 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. D. Copies of training information and credentials as applicable. Per the CCF Handbook, Section 7.4.1, Background Screening Documents... 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. A. Each personnel record must have a completed CF-FSP Form 5131, Background Screening and Personnel File Requirements, which is incorporated by reference in paragraph 65C-22.001(7)(b), F.A.C. B. CF Form 1649A, Child Care Attestation of Good Moral Character, which is incorporated by reference in 65C-22.001(7)(a), F.A.C., must be completed for all child care personnel at the time of initial screening or upon change in employers. CF Form 1649A may be obtained from the Departments website at www.myflfamilies.com/childcare. C. A copy of the eligible results, for the Level 2 screening, generated from the Clearinghouse must be on record for each personnel. If awaiting Out-of-State criminal history results, a copy of the DCF email informing of the individuals eligibility for a provisional hire status must be in the personnel file. 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. Per the CCF Handbook, Section 5.1, 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

Licensing Specialist reviewed all personnel files. There were four childcare personnel with incomplete records on site and available for review by the licensing authority. Of the four personnel, two personnel had no records to review. At time of inspection, Specialist worked with the director present in pulling core information such as training transcripts and background screenings. (Personnel ; P.G, K.Z, M.Q, and S.B)

Corrected Corrected by Jan 31, 2025

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

19-02 · Nap/Sleep Space Requirements

Licensing Specialist observed in the one yr. old classroom, with childcare personnel, (M.P.) and (K.P.), children napping/sleeping on cots that did not meet a minimum distance of 18 inches between each napping/sleeping space. This was immediately resolved when the Licensing Specialist asked the provider to spread the children apart so they could meet the 18- inch minimum requirement between each napping/sleeping space. Childcare personnel immediately moved the children apart, meeting all requirements. 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 Jan 31, 2025

Category: recordkeeping. Marked corrected in the state record.

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

Licensing Specialist observed sippy cups not labeled in the one-year-old classroom with childcare personnel, (T.H.). Licensing Specialist had walked in the classroom to take child to teacher ratio count and check attendance. Sippy cups were sitting on the counter next to the attendance roster. This was resolved when the provider was given a sharpie and labeled all sippy cups. 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

Corrected Corrected by Jan 31, 2025

Category: ratio. Marked corrected in the state record.

39-06 · Accident/ Incident Notification and Documentation

Licensing Specialist reviewed several Accident/Incident reports concerning biting incidents in the toddler 1 classroom. Licensing Specialist was made aware that incidents occurred on the dates of 1/24/25(twice),1/28/25 and 1/29/25. The facility was unable to locate the documentation for the incident that occurred on 1/29/25. 6.4 Accident/Incident Notification D. The documentation must be maintained for 12 months. If the parent or legal guardian does not pick up the child on the date of occurrence of the accident or incident, the individual authorized to pick up the child must sign and be provided a copy of the accident/incident form. This was resolved after the child was disenrolled from the facility. Licensing Specialist has reviewed all other Accident/Incident Notification documentation and has determined them to be in compliance with standards. A training has been provided to childcare personnel on record keeping and documentation on 2/11/25 at 1:45 P.M

Corrected Corrected by Jan 31, 2025

Category: recordkeeping. Marked corrected in the state record.

32-03 · Outdoor Equipment

Provider advised Licensing Specialist that the preschool and 2-year-old playgrounds were not in use due to the ground surface being torn and in need of repair, steppingstones were missing for children to access the play area structure, and play surface being unleveled due to obstruction from tree roots and water underneath. Child Care Facility Handbook states the following: 3.12 Outdoor Equipment A. A childcare facility must provide and maintain enough usable equipment suitable to each childs age and development and of a quantity for each to be involved in activities. 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

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

03-01 · Technical assistance was provided from Florida Statues which states the following: S402.305(4), F.S. (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

Licensing Specialist observed a mixed classroom in the VPK room. Licensing Specialist observed 23 children with one 1 child care personnel where a ratio of 1 child care personnel to 15 children is required. Licensing Specialist observed 1: 2-year-old, 13: three-year- olds, and 9: four-year-olds. Per the provider, the 2-year-old was a staff child. Completed at time of inspection when the two-year-old child was transitioned to the 2-year-old classroom and six children went home. Licensing Specialist remained in the classroom until 6 children were picked up by parents shortly afterwards

Corrected Corrected by Jan 10, 2025

Category: ratio. Marked corrected in the state record.

17-02 · Technical assistance was provided from the Child Care Facility Handbook: 3.5 Outdoor Play Area A. The outdoor play area must be clean and free from litter, nails, glass and other hazards. Corrective Action: Licensing Specialist advised Provider to have lock replaced to door and extra supervision on playground when in use. Licensing Specialist advised provider to tape the door shut until lock is replaced

Licensing Specialist observed on the Soccer Playground an unlocked door which exposes insulation. Until the lock is fixed on the door leading to exposed insulation, there must be an extra child care personnel on the playground for extra supervision. Licensing Specialist will conduct an onsite reinspection to monitor for compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

24-16 · Food Preparation Area

Licensing Specialist observed cartons of milk and cans of vegetables stored on the floor in the kitchen area. Child Care Facility Handbook states the following: 3.9.2 Food Storage 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. Corrective Action: Licensing Specialist advised provider to relocate additional food items to a shelf in storage area

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

28-02 · Technical assistance was provided for 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 had staff label sippy cups with tape and maker

Licensing Specialist observed several sippy cups in classrooms in the ones, twos and VPK classrooms not labeled with child's first and last name

Corrected Corrected by Jan 10, 2025

Category: nutrition. Marked corrected in the state record.

45-09 · Technical assistance was provided from the Child Care Handbook: 5.1 Initial Screening 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

Provider failed to maintain a current employee roster for all child care personnel in the Clearinghouse

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

25-12 · Technical assistance was provided from the Child Care Handbook: 3.9.3 Food Safety G. If a special diet is required for a child by a physician, a copy of the physicians order, a copy of the diet, and a sample meal plan for the special diet must be maintained in the childs file and followed. If the custodial parent or legal guardian notifies the program of any known food allergies, written documentation must be maintained in the childs file for as long as the child is in care. Special food restrictions must be shared with child care personnel posted in an easily seen location that is not readily visible by parents or non-childcare personnel and followed. Corrective Action: Director printed and posted child's known allergy lists to all classrooms. Director held staff meeting to educate all staff on allergy protocols for children. Director is maintaining updated list as allergies are reported. The program will be cited

Counselor was advised by director that child was served oranges, after mom advised verbally to not serve. Child participated in festivities during Valentine Day's and had oranges, as well as candies, food and snacks. Child became sick and vomited as parent was picking up. Director failed to gain written documentation from parent to not serve oranges to child. Teacher was not aware that child was allergic to oranges

Corrected Corrected by May 9, 2024

Category: nutrition. Marked corrected in the state record.

25-13 · Technical assistance was provided from the Child Care Handbook: 3.9.3 Food Safety G. If a special diet is required for a child by a physician, a copy of the physicians order, a copy of the diet, and a sample meal plan for the special diet must be maintained in the childs file and followed. If the custodial parent or legal guardian notifies the program of any known food allergies, written documentation must be maintained in the childs file for as long as the child is in care. Special food restrictions must be shared with child care personnel posted in an easily seen location that is not readily visible by parents or non-childcare personnel and followed. Corrective Action: Director only received a verbal mention of child to not be served oranges. Director obtained a new enrollment packet from parent with written statements of known allergies for child, which included oranges. Program will be cited. Program will be cited

It was reported that 2 children in the toddler room was served dairy products by staff two days in a row during the Valentine's Day activities. Director provided additional staff in classrooms to assist with activities. Additional staff was not aware of known allergies for children. Staff failed to notify director children being served diary

Corrected Corrected by May 9, 2024

Category: nutrition. Marked corrected in the state record.

25-14 · Technical assistance was provided from the Child Care Handbook: 3.9.3 Food Safety G. If a special diet is required for a child by a physician, a copy of the physicians order, a copy of the diet, and a sample meal plan for the special diet must be maintained in the childs file and followed. If the custodial parent or legal guardian notifies the program of any known food allergies, written documentation must be maintained in the childs file for as long as the child is in care. Special food restrictions must be shared with child care personnel posted in an easily seen location that is not readily visible by parents or non-childcare personnel and followed. Corrective Action: Director posted allergy list in all classrooms as well as parent board in front office. Staff attended a staff meeting to discuss allergy protocols after incident. The program will be cited

Counselor was advised by director that when a child is enrolled and known allergies are written, the director is responsible for notifying staff through teacher portal. The teacher is to create an allergy list and follow for classroom. Counselor found no posted allergy list in classrooms during inspection

Corrected Corrected by May 9, 2024

Category: nutrition. Marked corrected in the state record.

39-03 · Technical assistance was provided from the Child Care Handbook: 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. Director had parent sign an incident report for child that was served oranges, in which child became sick and vomited. This brought this standard into compliance

Child care personnel failed to document an incident of child who was allergic to oranges

Corrected Corrected by May 9, 2024

Category: recordkeeping. Marked corrected in the state record.

35-01 · Communicable Disease Control

Upon arrival, counselor observed 5 children strapped into a stroller. (4 one-year-olds and 1 VPK). Director advised that the VPK child was her daughter. Child was not in the VPK class due to her being sick the night before. Director advised that her daughter was vomiting and had diarrhea. Director stated that she was short staffed and had to bring her child with her to work. She kept the child with her for observation. Director advised that the one-year-old teacher walked out the day before. Counselor provided technical assistance regarding communicable disease and proper isolation from the Child Care Handbook: 6.1 Communicable Disease Control A. Children in care must be observed on a daily basis for signs of communicable disease. B. Any child, child care personnel, or other person in the child care facility suspected of having a communicable disease must be removed from the program or placed in an isolation area until removed. Such person may not return without medical authorization, or until the signs and symptoms of the disease are no longer present. If the local health department official or primary health care provider suspects that a child or child care personnel are contributing to the transmission of the illness, are not adequately immunized when there is an outbreak of a vaccine-preventable disease, or the circulating pathogen poses an increased risk to the individual. The child or child care personnel must not return until the health department or primary health care provider determines the risk of transmission is no longer present. Child care personnel who work in the food preparation area may not return until the signs and symptoms of the disease have not been present for 48 hours. Child Care Facility Handbook Page | 54 C. A childs condition must be reported to the custodial parent or legal guardian. For children whose symptoms do not require exclusion, verbal or written notification to the parent/guardian at the end of the day is acceptable. D. Signs and symptoms of suspected communicable disease include: 1. Severe coughing, causing a child to become red or blue in the face or to make a whooping sound; 2. Difficult or rapid breathing; 3. Stiff neck; 4. Diarrhea (more than one abnormally loose stool within a 24-hour period); 5. Temperature of 101 degrees Fahrenheit or higher in conjunction with any other signs of illness (Any infant younger than 2 months of age with fever should get immediate medical attention); 6. Pink eye; 7. Exposed, open skin lesions; 8. Unusually dark urine and/or gray or white stool; 9. Yellowish skin or eyes; or 10. Any other communicable disease symptoms. 6.1.1 Isolation Area A. Each facility must have a designated isolation area for a child who becomes ill while in care. B. Such space must be adequately ventilated, cooled, heated, and equipped with a bed, mat, or cot, and materials that can be cleaned and sanitized or disinfected easily. C. Linens are to be changed after each use and used linens must be kept in a closed container in the isolation area until cleaned. D. Disposable items must be kept in a closed container in the isolation area until thrown away. E. The isolated child must be within sight and hearing of child care personnel at all times. The child must be carefully observed at all times for worsening conditions. Corrective Action: Director returned the four-year-olds to the VPK classroom, except her daughter. Director had assistant director take the one-year-olds to a vacant classroom. Director posted a letter to parents notifying them of possible health outbreak and steps to follow if symptoms arrive. Director sent child to an isolated until relative could pick up

Corrected Corrected by Apr 30, 2024

Category: ratio. Marked corrected in the state record.

03-01 · Technical assistance was provided for Florida Statues: 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. Corrective Action: Director returned the four-year-olds to the VPK classroom. Director had assistant director open a vacant classroom and take the one-year- olds to the classroom. Standard 3-1, Insufficient Staff was brought into compliance

Counselor observed the following ratio: Infants A: 8 children to 2 staff Infants B: 8 children to 2 staff Ones A: 12 children to 2 staff Ones B: 12 children to 2 staff Ones C: Mixed (4 ones and 3 fours) to 1 staff Twos: 17 children to 2 staff Threes: 15 children to 2 staff Fours: 14 children to 1 staff VPK: 10 children to 1 staff Additional staff present Counselor observed 4 one-year-olds and 3 VPK children with director upon arrival. A ratio of 1 staff to 6 ones is required

Corrected Corrected by Apr 30, 2024

Category: ratio. Marked corrected in the state record.

03-01 · Ratio Sufficient

Counselor observed the following ratios: Infants A: 9 children to 3 staff Infants B: 8 children to 2 staff Ones A: 11 children to 2 staff Ones B: closed Twos A: 11 children to 2 staff Twos B: 11 children to 2 staff Threes: 15 children to 1 staff Fours: 15 children to 1 staff VPK: 12 children to 1 staff Additional staff present It was reported by another agency of the department that the center was non-compliant with ratio as it related to the one-year-olds. Upon arrival the assistant director was in the office with three children strapped into a multi-seat stroller and two additional one-year olds walking around the office. It was verified by the agent and assistant director that one of children in the multi-seat stroller was only 11- months old. This would require the ratio to be 1 staff to 4 children. This was corrected when children left to go home in the infant and one year old classrooms. Assistant director stated the staff member did not return after lunch and caused for the center to be out of ratio. Florida Statutes states the following: s.402.305(4), F.S. (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: Standard #3 - Ratio Sufficient was brought into compliance when director placed the 11-month-old in the infant room. Additional staff was present to received child

Corrected Corrected by Apr 17, 2024

Category: ratio. Marked corrected in the state record.

04-01 · Supervision

Two children in the 2-year-old classroom released the lock to the playground exit door and was able to go on the playground unsupervised. Time on playground is unknown. Teacher was unaware that children had went outside. Assistant director noticed the children on the playground during our walkthrough and brought both children back into the classroom. Director has put in a request to have the locks changed on the exit doors. Director also provided additional staff in the classroom to maintain supervision until the locks are changed. TA was provided to have teacher wait to change children until other personnel arrives or move closer to exit door to secure door from being opened. Child Care Handbook states the following: 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. D. At all times, lighting must allow child care personnel to see and supervise children while in care. 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. Corrective Action: Supervision standard was brought into compliance when assistant director brought children back into the classroom. Director arrived and assigned an additional staff member to the classroom and to monitor door and help with children. Provider is to replace locking mechanism on playground exit door that does not allow for children to unlock. Provider is to submit to counselor an action plan for teacher to child ratio checklist by time

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

35-02 · Communicable Disease Control

There were 4 children in the infant room diagnosed with Hand, Foot and Mouth Disease. Director allowed three of the children to return without a doctor's note. Child Care Handbook states the following: 6.1 Communicable Disease Control A. Children in care must be observed on a daily basis for signs of communicable disease. B. Any child, child care personnel, or other person in the child care facility suspected of having a communicable disease must be removed from the program or placed in an isolation area until removed. Such person may not return without medical authorization, or until the signs and symptoms of the disease are no longer present. If the local health department official or primary health care provider suspects that a child or child care personnel are contributing to the transmission of the illness, are not adequately immunized when there is an outbreak of a vaccine-preventable disease, or the circulating pathogen poses an increased risk to the individual. The child or child care personnel must not return until the health department or primary health care provider determines the risk of transmission is no longer present. Child care personnel who work in the food preparation area may not return until the signs and symptoms of the disease have not been present for 48 hours. Corrective Action: Standard #35-2 was resolved when director provided counselor and parents with sick policy and guidelines that required doctor notes before return. Parents received this information via app and provider posted on parent board in the front office

Corrected Corrected by Apr 17, 2024

Category: ratio. Marked corrected in the state record.

35-10 · Communicable Disease Control

It was reported that 4 children were exposed to Hand, Foot and Mouth Disease in the childcare facility. Director notified the infants parents verbally of the outbreak upon child's pick up. There was no written notification posted or provided. Director failed to report outbreak to the local county health department. Child Care Handbook states the following: 6.1.2 Outbreaks A. Operators are required to notify the local county health department immediately upon any suspected outbreak of communicable disease and must follow the health departments direction. B. A suspected outbreak occurs when two or more children or child care personnel have the onset of similar signs or symptoms within a 72-hour period or when a case of a serious or reportable communicable disease is diagnosed or suspected in a child or employee. Some examples include shigella, salmonella, chicken pox, measles, pertussis, and hand, foot and mouth disease. Contact your local health department for a determination of whether reporting is required. Corrective Action: Provider is to notify the local county health department and obtain guidelines to report any suspected outbreak of communicable disease and must follow the health departments direction. Provider is to submit to counselor and add this information to its sick policy

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

40-59 · Medication

children must have two credentialed child care personnel, and so on. The licensing authority will calculate the number of credentialed personnel required based on daily attendance. C. Child care personnel meeting the staff credential requirement must work at the facility a minimum of 20 hours per week, excluding naptime. A credentialed child care personnel must be on-site during all operational hours for those facilities that operate 20 hours or less per week. D. Volunteers who work at the facility a minimum of 20 hours per week and meet the credential requirement may be included in calculating the credential ratio. Child Care Facility Handbook Page | 46 E. Children who are five years old, and who are enrolled in and attend a kindergarten program or grades one and above are excluded from the credential ratio. F. An individual with an inactive credential is ineligible to be counted as a credentialed child care personnel until the credential is renewed or the individual meets one of the qualifications listed in above. The director has the only active credential

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

40-01 · Medication

Counselor observed several medications in the infant and toddler classrooms missing authorization to administer medication form from parent(s). CCF Handbook, Section 6.5, A and K states the following: 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

40-11 · Medication

CCF Handbook, Section 6.5, F states the following: 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: 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. Counselor observed medications with no authorization forms to administer in the infant and toddler classrooms. Office did not have medication logs completed prior to giving to staff

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

04-01 · Supervision

A one year old was able to get out of the class unnoticed and was found by the teacher standing outside the door on the playground. Completed at time of inspection; child was returned to classroom. 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

Corrected Corrected by Jul 19, 2023

Category: supervision. Marked corrected in the state record.

04-02 · Supervision

A toddler was left outside the playground unsupervised and was able to get out the fence. A Community person was driving by, saw the toddler and brought the child to the daycare. Parents picked up child. Child no longer attends this facility. 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. D. At all times, lighting must allow child care personnel to see and supervise children while in care. G. In addition to the number of child care personnel required to meet the staff-to child ratio, one additional adult must attend field trips away from the child care facility to help provide direct supervision. The individual could be a parent volunteer as long as that person is under direct and constant supervision of a screened and trained child care personnel. 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

Corrected Corrected by May 5, 2023

Category: supervision. Marked corrected in the state record.

12-07 · Facility Environment

The lock on the gate to the playground was damaged not secured and a toddler was left unsupervised, was able to get out the gate, off the property and wandered into the street. Child was returned to the daycare unharmed. Parents picked up child. Lock on gate has been repaired. 3.1 General Health and Safety Requirements 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

Corrected Corrected by May 5, 2023

Category: supervision. Marked corrected in the state record.

33-03 · Training Requirements

Counselor observed staff member did not have documentation to show child care personnel had begun the introductory training within 90 days of employment in the child care industry. The provider corrected the violation by having the staff member begin introductory training during inspection. 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

Corrected Corrected by May 5, 2023

Category: recordkeeping. Marked corrected in the state record.

04-01 · Supervision

A VPK child was left unsupervised on playground for approximately 10 minutes. Completed at time of inspection when teacher realized child was not on cot and brought child back to the classroom from outdoor play area. The teacher was subsequently terminated on 1/5/2023. 2.4 Supervision 2.4.1 General Supervision Requirements A. Childcare 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. D. At all times, lighting must allow child care personnel to see and supervise children while in care. E. A program is responsible for the supervision of a child until an authorized individual retrieves the child from the program. A child shall not be released to any person other than the person(s) authorized or in the manner authorized in writing by the custodial parent or legal guardians. All individuals authorized to pick up a child must be identified in writing prior to release by the custodial parent or legal guardian to the program, and the program must verify the individual picking up the child is authorized by using a picture form of identification. Each child transported must be dropped at the designated location as agreed upon by the provider and the custodial parent/legal guardian and released to an authorized individual. F. No person shall be an operator, owner, or employee of a child care facility while using or under the influence of narcotics, alcohol, or other drugs that impair a persons ability to provide safe care and supervision. G. In addition to the number of child care personnel required to meet the staff-to-child ratio, one additional adult must attend field trips away from the child care facility to help provide direct supervision. The individual could be a parent volunteer as long as that person is under direct and constant supervision of a screened and trained child care personnel. 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. I. When transporting children in a vehicle or on foot, a telephone or other means of instant communication must be available to child care personnel. Cellular phones, two-way radio devices, citizen band radios, and other means of instant communications are acceptable

Corrected Corrected by Jan 5, 2023

Category: supervision. Marked corrected in the state record.