33-01 · Training Requirements

Counselor observed one staff member with employment date 12/13/2022, that started the 40 hour Introductory Child Care Training courses on 3/6/2023. As of inspection date the staff member has not completed the 40 hour Introductory Child Care Training courses. Counselor gave technical assistance from the Child Care Facility Handbook: 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. Corrective Action: The one staff member is to complete the 40 hour Introductory Child Care training courses. Provider is to submit to counselor via e-mail the staff members DCF Training Transcript showing completion of the 40 hours

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

03-01 · Ratio Sufficient

Counselor observed 5 infant children with 1 teacher. The teacher used her walkie talkie to call for assistance. It took the facility about 15 minutes to send second personnel to keep the ratio in compliance. This was resolved by a second staff member coming in the room to help. Counselor observed the following ratios:Classroom 1: 10 children to 1 teacher (ages: 1-2 yr. old, 4-3 yr. olds, 3-4 yr. olds, 1-5 yr. old, 1-6 yr. old)Classroom 2: 5 infants to 1 teacherClassroom 3: 11 children to 1 teacher (ages: 3-2 yr. olds, 3-4 yr. olds, 3-3 yr. olds, 2- 2yr. olds) Classroom 4: 6 children to 1 teacher (ages: 2-2 yr. olds and 4-1 yr. olds).Classroom 5: 6 children to 1 teacher (ages: 3-1 yr. olds and 3-2 yr. olds).Classroom 6: 6 children to 1 teacher (all 1's)There were a total of 8 staff members in the facility. This count includes the Director and other personnel. 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. (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

Corrected Corrected by Nov 29, 2023

Category: supervision. Marked corrected in the state record.

33-13 · Training Requirements

Counselor observed 15 employee files. Counselor observed staff that did not complete the School Readiness Pre-service training within the 90 days of employment. Staff were: 1. C.V. Has an industry start date of 12/13/2023. She is currently missing Child Growth and Development, Identifying and Reporting Child Abuse and Neglect. 2. C.J. Has an industry start date of 9/13/22. She is currently missing the Child Growth and Development and Behavioral Observation and Screening course to be completed in order to be in compliance with the School Readiness Preservice requirements. 3. D.L. Has completed her courses bur late. Has an industry date of 11/18/2021, started courses on 02/18/2021 and completed the training on :02/22/2023. 18 Training Requirements 18.1 Pre-service Timeframe All pre-service training requirements listed below must be completed by all program personnel, volunteers and substitutes, each as defined in this handbook, within 90 days of initial employment with any provider participating in the school readiness program. This timeframe does not start over if personnel change employment to another school readiness provider within this 90 days. Personnel who have not completed all pre-service training requirements may not be allowed any unsupervised contact with or care of children in a school readiness program

Open Not marked corrected in the state record

Category: supervision. 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

Corrected Corrected by Jul 28, 2023

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

41-01 · Immunization Records

Counselor reviewed 82 children's files. The following file did not have a Florida Certification of Immunization (DH Form 680) on file. Standard was resolved when the director asked the parents for a copy of the child's records at the time of pick up. Child A.D. was enrolled on 6/22/2023. 30 days or more has passed from the date of enrollment. 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 65C22.001(7)(p), F.A.C., from the custodial parent or legal guardian. DH Form 680 and DH Form 681 may be obtained from the local county health department. Specific immunization requirements are included and detailed in the most current edition of the Immunization Guidelines-Florida Schools, Child Care Facilities and Family Day Care Homes as promulgated by the Florida Department of Health. B. If the custodial parents or legal guardians fail to provide the documentation required above within 30 days of enrollment, the facility shall not allow the child to remain in the program. The parent/guardian of a child who has not received the age-appropriate immunizations prior to enrollment and who does not have documented medical or religious exemptions from routine childhood immunizations must provide documentation of a scheduled appointment or arrangement to receive immunizations. Providers must include a general statement in parent handbook/policies to inform parents/guardians, at time of enrollment, that some children in care may not have current immunizations

Corrected Corrected by Jul 28, 2023

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

41-02 · Immunization Records

Counselor observed 7 children's files that had an expired Certificate of Immunization form. Facility's director called the parents and/or legal guardians and told them that their child could not return until an update form is provided. Child 1: N.D. expiration date 7/14/2023. Child 2: B.E. expiration date 6/30/2023. Child 3: J.M. expiration date 6/15/2023. Child 4: A.S. expiration date 6/6/2023. Child 5: A.A. expiration date 6/22/2023. Child 6: C.G. expiration date 01/27/2023. Child 7: M.A. expiration date 06/30/2023. 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 65C22.001(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

Corrected Corrected by Jul 28, 2023

Category: ratio. Marked corrected in the state record.

11-03 · Child Discipline

Counselor received a copy of the facility's discipline policy. A complaint was made indicating a child was placed in the restroom area to calm down. Counselor reviewed the Discipline Policy provided. The Discipline policy does not state that staff will use restroom areas as an alternate area or used space for children to calm down. Counselor has determined that the facility failed to follow their own discipline policy handbook. 2.8 Child Discipline B. The child care facility operators, employees, and volunteers must comply with written disciplinary and expulsion policies. The teacher involved in the complaint is no longer employed at the facility, therefore, this standard has been resolved

Corrected Corrected by Jun 19, 2023

Category: recordkeeping. Marked corrected in the state record.

34-04 · Credentialed Staff

Counselor observed during inspection that the facility no longer has an active credentialed director. The facility was placed on a provisional license for 6 months to obtain an active credentialed director for the facility as of 5/18/2023. Counselor gave technical assistance from the Child Care Facility Handbook: 4.7 Director Credential Section 402.305(2)(g), F.S., requires a child care facility to have a credentialed director. Every applicant for a license to operate a child care facility or a license for a change of ownership of a child care facility must document that the facility director has an active Director Credential prior to issuance of the license. An applicant for the Director Credential must meet the requirements referenced in CFFSP Form 5290, Florida Child Care and Education Program Director Credential and Renewal Application, which is incorporated by reference in 65C- 22.001(7)(k), F.A.C. CF Child FSP Form 5290 may be obtained from the Departments website at www.myflfamilies.com/childcare. All applications and documentation will be verified, and, if complete, the credential will be issued by the Department or its designated representative on CF-FSP Form 5252, Florida Child Care and Education Program Director Credential, which is incorporated by reference in 65C-22.001(7)(g), F.A.C. Corrective Action: Facility is to obtain an active credentialed director and submit documentation via e-mail to the counselor of the credentialed directors personnel records file

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

17-01 · Outdoor Play Area/Fencing

FSC observed the playground to have a hole in the resilient surface material which is a potential tripping hazard and TA was provided

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

33-06 · Training Requirements

Staff member, SM, was hired on 2/17/2022. The

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-06 · Training Requirements

Staff member, SM, was hired on 2/17/2022. The

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

40-04 · Technical assistance was provided. Prescription and non-prescription medication brought to the child care facility by the custodial parent or legal guardian must be in the original container. Prescription medication must have a label stating the name and contact information of the physician and/or pharmacy, childs name, name of the medication, and medication directions. All prescription and non-prescription medication must be dispensed according to written directions on the prescription label or printed manufacturers label and maintained at the appropriate temperature

The licensing counselor observed the epinephrine not in the original box

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

12-02 · Technical assistance was provided. 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

There were 2 toilets that were not in good repair. One of the toilets' top was missing and the other one would not flush

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

17-01 · Outdoor Play Area/Fencing

The licensing counselor observed a hole in the resilient surface material, which is a potential tripping hazard. Technical Assistance was provided. The outdoor play area must be clean and free from litter, nails, glass and other hazards

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

28-02 · Technical assistance was provided. 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

The licensing counselor observed bottles without first and last names

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

40-01 · Technical assistance was provided. 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

The medical authorization was not on file

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.