33-06 · Training Requirements

Specialist observed one Childcare staff has not completed five-year early literacy training within 12 months of hire date. 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. Provider has until 11/22/2024 to have childcare staff complete training and a send copy of transcripts

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

03-01 · Ratio Sufficient

Ratio observed Infant - 3 children- 1 staff 1's - 5 children- 1 staff 1's - 5 children- 1 staff 3's - 7 children- 1 staff 3's - 9 children- 1 staff 2's - 6 children- 2 staff 2's- 6 children- 1 staff VPK- 11 children- 1 staff Based on sign-in sheet provided by director, on 7/23/24 there was a mixed age classroom consisting of five 1 year-olds and four older children being supervised by one staff member. Action Plan: Director will ensure that staff is on time and receive the children from morning staff. 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 childcare personnel must be responsible for no more than four children of any age group, at all times

Corrected Corrected by Aug 15, 2024

Category: supervision. Marked corrected in the state record.

32-03 · Outdoor Equipment

Counselor observed on the outdoor toddler play equipment's has tears in the slides. 3.12 Outdoor Equipment 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. Provider has until 07/30/2024 to fix have play equipment

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-02 · Student Health and Records

Counselor reviewed all (66) children Student Health Records that are enrolled. Counselor observed 4 children Physical forms were expired. 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. Counselor has until 07/30/2024 to have completed Physical forms

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

33-09 · Training Requirements

Counselor observed 3 Child Care personal has not completed the Safe Sleep training. 4.2.3 Safe Sleep/ Shaken Baby Syndrome Training All child care personnel who work in a facility that offers care to infants must have training regarding guidance on safe sleep practices, preventing shaken baby syndrome and abusive head trauma; recognition of signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with crying, fussing, or distraught child and the development and vulnerabilities of the brain in infancy in early childhood within 30 days of hire at the facility. For child care personnel to satisfy this requirement the training must be accomplished through one of following methods: Department's Health Safety and Nutrition course, Safe Sleep course, or the Early Learning Floridas Safe Sleep Practices. Documentation of training must be maintained on the Department's training transcript in the child care personnel record. Provider has until 07/30/2024 to have Child Personal complete the Safe Sleep training

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

41-02 · Immunization Records

Counselor reviewed all (66) children Immunization records that are enrolled. Counselor observed 3 children Immunization records expired. 7.1 Immunization Records The childcare 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. Provider has until 07/30/2024 to have current Immunization records

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

44-04 · Personnel Records

Counselor observed that 2 Child Care Personal does not have a current Abuse and Neglect form. 7.4 Personnel Records Records must be maintained and kept current on all child care personnel, as defined by Section 402.302(3), F.S. These records shall be on-site, available for review by the licensing authority and must include: C. CF-FSP Form 5337, Child Abuse & Neglect Reporting Requirements, which is incorporated by reference in 65C-22.001(7)(l), F.A.C., must be signed on or before Child Care Facility Handbook Page | 62 hire date and annually thereafter by all child care personnel. Provider has until 07/30/2024 to have completed Abuse and Neglect forms

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

23-06 · Fire Drills

Child care facility failed to conduct a fire drill for the month of March 2024. Fire drill was not substituted for an Emergency Preparedness Drill. Counselor was awaiting copies of Complaint Documentation from the director and was standing next to the Fire Drill/Emergency Preparedness Log when the counselor saw the log was not in compliance. This was not resolved at the time of inspection. 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

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

39-04 · Accident/ Incident Notification and Documentation

Counselor commenced an investigation after receiving a complaint. Counselor asked to view the child's enrollment forms and documents. At this time the counselor observed documents missing information on the Accident/Incident reports and documentation. Counselor observed a few Accident/ Incident Forms that were missing the parent's signature, date and time. Child care failed to share with custodial parent/legal guardian or the individual authorized to pick up on the day the incident occurred. This was not resolved at the time of inspection. Child was not present at school on the day of the inspection. 6.4 Accident/Incident Notification B. This documentation must be shared with the custodial parent or legal guardian on the date of occurrence. 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

45-09 · Background Screening Documents

Counselor commenced an investigation on 4/8/24 where there were allegations of a teacher hitting a child on the back. During the interview process, counselor was told that the child gets removed often from her class and placed with other children and teachers in multiple rooms. While carefully reviewing the Employee Roster-Clearing house, the facility failed to remove an employee from their roster within 5 days of the employment termination. This was resolved when the provider went into the Clearinghouse roster and put a termination date for the employee. This was completed at the time of inspection. 5 Background Screening 5.1 Initial Screening A screening must be conducted as a condition of employment. The employer/owner/operator must review each employment application to assess the relevancy of any issue uncovered by the complete background screening, including any arrest, pending criminal charge, or conviction, and must use this information in employment decisions in accordance with state laws. K. The employer/owner/operator must add child care personnel to their Employee/Contractor Roster in the Clearinghouse within 5 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 5 days of the employment termination

Corrected Corrected by Apr 8, 2024

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

46-03 · Daily Attendance

Counselor observed and reviewed the attendance record for the toddler 2 class during the inspection. The clipboard had 8 children signed in and there were only 4 children present. When the counselor asked the childcare personnel where the other 4 children were, she stated her Director told her not to sign them out. The children were going to return to the childcare personnel in the afternoon some time. Children were in other room with another childcare personnel. Counselor explained the importance of maintaining Daily rosters and documenting children's departures and arrival times. Counselor showed the childcare personnel how she could document when children leave her room and return later. Director was also given a lesson on the importance of knowing and documenting the whereabouts of children in care. This was resolved at the time of inspection. Counselor showed the staff how to document the children's arrivals and departures. 7.5 Daily Attendance B. The custodial parent or guardian may document the time when his/her child enters and departs the child care facility or program. However, child care facility personnel are responsible for ensuring that attendance records are complete and accurate

Corrected Corrected by Apr 8, 2024

Category: recordkeeping. Marked corrected in the state record.

33-01 · Training Requirements

Counselor observed a child care personnel with an industry date of 6/20/2022 who did not complete the 40-hour Introductory Child Care Training. This standard was brought back into compliance by having child care personnel leave the classroom and be moved to a role of other personnel until she is able to test out. Technical Assistance from Child Care Facility Handbook: Child care personnel must successfully complete 40 hours of child care training as evidenced by successful completion of competency examinations offered by the Department or its designated representative with a weighted score of 70 or better. Child care personnel who successfully completed the mandatory 40-hour Introductory Child Care Training prior to January 1, 2004 are not required to fulfill the competency examination requirement. A. Part I Courses (30 Hours) Child care personnel must complete all of the following: ? Child Care Facility Rules and Regulations ? Health, Safety and Nutrition ? Identifying and Reporting Child Abuse and Neglect ? Child Growth and Development ? Behavioral Observation and Screening B. Part II Courses (10 Hours) Child care personnel must also complete 10 hours of the following Part II courses: ? Special Needs Appropriate Practices (10 hours), or ? Understanding Developmentally Appropriate Practices (5 hours) and one of the following courses: 1. Infant and Toddler Appropriate Practices (5 hours) 2. Preschool Appropriate Practices (5 hours) 3. School- Age Appropriate Practices (5 hours)

Corrected Corrected by Nov 14, 2023

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

33-13 · Training Requirements

Counselor observed 2 staff members, (Y.C.) and (N.W.), personnel records that did not complete the required pre-service training before supervising children. (Y.C.) that had a starting industry date of: 10/29/22. Staff member did not complete the required training prior to unsupervised contact with children within the 90 days of beginning employment or service with the program. Staff member (Y.C.) did complete the training on 2/27/2023. Staff member (N.W.) has an industry start date of: 9/26/22. Staff completed the required training on 1/26/2023. Both staff members have completed the required training and are now in compliance with standards. 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

Corrected Corrected by Aug 11, 2023

Category: supervision. Marked corrected in the state record.

40-01 · Medication

Counselor had observed multiple medications in buckets and zip lock bags. Counselor asked the provider for the medication logs. Providers did not have written permission or logs for the medications. Counselor gave the medications to the facility director. The facility director gave the medication back to the child's guardian. This was resolved at the time of inspection. 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

Corrected Corrected by Jul 27, 2023

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

40-11 · Medication

Counselor observed multiple medications in buckets and zip lock bags that were not labeled and had no trace of documentation to support it. Provider did not have parents fill out a written permission prior to administering medication. Counselor gave all the medication found to the director. The director discarded all medications that were not labeled. Returned all medication with names to the parents/legal guardians. This was resolved at the time of inspection. 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

Corrected Corrected by Jul 27, 2023

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

04-15 · Supervision

A child was left unattended and naked while diapering. Facility was to provide the counselor with meeting notes with all staff signature acknowledging that they understand the diapering procedures.2.4 Supervision. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

30-09 · Diapering

The child had a poopy diaper when getting picked up by the parent. The teacher admitted that she did not change the child prior to the child being picked up When diapers, clothing or linens that are being used become soiled or wet, they are to be changed immediately, and properly disposed

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

30-09 · Diapering

The parent reported that the child had a poopy diaper when picking his child up for the day. The teacher admitted to not changing the child prior to child being picked up for the day by the parent. 3.10.2 Diapering Requirements. When diapers, clothing or linens that are being used become soiled or wet, they are to be changed immediately, and properly disposed

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

04-15 · Supervision

Video footage shows a child left unattended and naked when diapering when the teacher left child to go take a book from another child. 2.4 Supervision. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.