33-01 · Technical assistance provided from the Child Care Facility Handbook: 4.2 Training Requirements 4.2.1 Mandated Introductory Training Child care personnel must successfully complete 40 hours of child care training as evidenced by successful completion of competency examinations offered by the Department or its designated representative with a weighted score of 70 or better. Child care personnel who successfully completed the mandatory 40-hour Introductory Child Care Training prior to January 1, 2004 are not required to fulfill the competency examination requirement. A. Part I Courses (30 Hours) Child care personnel must complete all of the following: Child Care Facility Rules and Regulations, Health, Safety and Nutrition, Identifying and Reporting Child Abuse and Neglect, Child Growth and Development, Behavioral Observation and Screening B. Part II Courses (10 Hours) Child care personnel must also complete 10 hours of the following Part II courses: Special Needs Appropriate Practices (10 hours) or Understanding Developmentally Appropriate Practices (5 hours) and one of the following courses: 1. Infant and Toddler Appropriate Practices (5 hours) 2. Preschool Appropriate Practices (5 hours) 3. School- Age Appropriate Practices (5 hours) Corrective Action: Employee must retake and pass courses within 30-days

Licensing Specialist observed one staff member (PG) with an industry and employment date of 2/6/2023, working with children and have not completed the 40-hour Introductory Child Care Training requirement

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 the following ratio during walkthrough: Ones: 12 children to 2 staff Infants: 12 children to 3 staff Fours: 20 children to 1 staff VPK: 21 children to 1 staff Twos: 16 children to 1 staff During the inspection, Licensing Specialist observed three classrooms in noncompliance. Licensing Specialist observed the four-year-old classroom with 20 children (12: 2-year-olds, 2: 3-year-olds, 6: 4-year-olds) to one child care personnel, where as a ratio of 2 child care personnel are required. Licensing Specialist observed the VPK classroom with 21 children (3: 2-year-olds, 2: 3-year-olds, 12: 4-year-olds, 4: 5-year-olds) to one child care personnel, where as a ratio of 2 child care personnel are required. Licensing Specialist observed the two-year-old classroom with 16 children (12: 2-year-olds, 3: 3-year-olds) to one child care personnel, where as a ratio of 2 child care personnel are required. Completed at time of inspection when additional staff arrived from another facility and took the two-year-olds into another classroom along with the director

Corrected Corrected by Jan 24, 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 cover electrical box with temporary covering until missing panel could be replaced

Licensing Specialist observed an exposed electrical box on the playground area near attached to the building. The box was missing a cover which allowed the wires to be exposed

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

44-04 · Technical assistance was provided from the Child Care Facility Handbook: 7.4 Personnel Records 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. Corrective Action: Provider had staff member complete an updated form during inspection

Licensing Specialist observed one staff member (PG) without an updated Child Abuse and Neglect Reporting Form signed annually

Corrected Corrected by Jan 24, 2025

Category: recordkeeping. Marked corrected in the state record.

03-01 · Ratio Sufficient

Counselor observed the following ratio during inspection: Fours: 9 children to 1 staff Infants: 5 children to 2 staff Ones A: 6 children to 1 staff Ones B: 10 children to 2 staff VPK A: 11 children to 1 staff VPK B: 10 children to 2 staff Threes: 12 children to 1 staff Twos A: 13 children to 2 staff Twos B: 7 children to 1 staff (mixed with 4 ones) Additional staff present Counselor observed the two-year-old class with 1 staff to 7 children. Counselor verified that 4 of the children in the class were one-year- olds. The assistant director (SJ) moved one 2-year-old child during ratio inspection to the two-year-old classroom. This movement of one child brought the classroom into compliance with 4 one-year olds and 2 two-year-olds. Counselor gave technical assistance from the 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. (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: The assistant director (SJ) moved one 2-year-old child during ratio inspection to the two-year-old classroom. This movement of one child brought the classroom into compliance with 4 one-year olds and 2 two-year-olds

Corrected Corrected by May 16, 2024

Category: ratio. Marked corrected in the state record.

26-01 · Technical assistance was provided regarding menu substitutions and how to record changes to menus properly. Menus were corrected and reposted for parent review

Counselor observed food substitutions were not noted on menu. Counselor observed children being served food items not listed on the menu. Counselor was advised by assistant director that menu was change for the week due to shortage of items. Child Care Facility Handbook states the following: 3.9.3 Food Safety H. Meal and snack menus must be planned, written, dated, and posted at the beginning of each week in an easily seen place, accessible to the parents/guardians. Any menu substitutions must be noted on the menu. A generalized menu of possible snack choices for programs that receive food donations is acceptable. All meals and snacks prepared outside of the facilitys kitchen or designated food preparation area, such as catered food, must be listed along with the source. Daily meal and snack menus must be maintained for a minimum of 12 months for licensing purposes. Operators who participate in the USDA Food Program must keep menus in accordance with the Department of Health and USDA requirements. Corrective Action

Corrected Corrected by May 16, 2024

Category: ratio. Marked corrected in the state record.

40-01 · Medication

Counselor found several diaper creams and diaper rash spray containers with no signed written authorization from parent to administer. Child Care Facility Handbook 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. Corrective Action: Assistant director removed all medications and brought to office. At parent pick up, assistant director will have parent sign medication form. Assistant director threw away all medications during inspection for children not enrolled

Corrected Corrected by May 16, 2024

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

41-02 · Immunization Records

Counselor reviewed all (116) children files for all children enrolled. Counselor observed an expire immunization record for child (BB). BB immunization record expired 5/8/2024. Counselor observed 3 shot record (HH, WG, SG) with incorrect expiration date. The children for these records are under two years old and record on file stated that were complete until 7th grade. Child Care Handbook states the following: 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. A. Immunizations received out-of-state are acceptable; however, immunizations must be documented on the Florida Certification of Immunization form and must be signed by a physician practicing in the State of Florida. B. If the custodial parents or legal guardians fail to provide the documentation required above within 30 days of enrollment, the facility shall not allow the child to remain in the program. The parent/guardian of a child who has not received the age-appropriate immunizations prior to enrollment and who does not have documented medical or religious exemptions from routine childhood immunizations must provide 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. C. School-aged children attending public or non-public schools are not required to have student health examination and immunization records on file at the child care facility as such records are on file at the school where the child is enrolled. D. If the custodial parents or legal guardians need assistance concerning these requirements, the facility shall refer them to the Department of Health or to the childs physician. E. Medical records in this section are the property of the custodial parent or legal guardian and must be returned to them when the child withdraws from the facility. The medical records are transferable if the child attends another facility. F. It is recommended that child care personnel are current with all immunizations routinely recommended for adults by the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC), as referenced in Caring for Our Children Basics Health and Safety Foundations for Early Care and Education, which is incorporated by in 65C-22.001(7)(v), F.A.C. Corrective Action: Provider is to receive updated immunization record for BB by due date. Provider is to have parents request updated expiration dates for children under two years old

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. Corrective Action: Provider will obtain parent signature on all enrollment forms

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

33-07 · Training Requirements

The in-service training requirement was not completed by 8 staff members. Please refer to CCF Handbook, Section 4.2.7 for requirements

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

76-10 · Violation

0 6 cpr staff present and 6 first aid staff present 101+ 7 cpr staff present and 7 first aid staff present Please note when there are less than 25 children in care, there needs to only be enough child care personnel, with the CPR certification and first aid training, to meet the ratio requirements. For instance, when the number of children present only requires two staff to meet ratio, then only two staff will be required to hold current CPR/First Aid; and when only one staff is needed to meet ratio, then only one staff will be required to hold current CPR/First Aid certification

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

45-04 · Background Screening Documents

Several staff members were missing employment history verification. CCF Handbook, Section 5.1, D 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

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

41-01 · Immunization Records

Counselor observed children records did not have a Florida Certification of Immunization (DH Form 680) or a Religious Exemption from Immunization (DH Form 681), on file within 30 days of enrollment. Provider is to submit updated records by the due date. 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. Counselor reviewed 125 children records for all children enrolled

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Student Health and Records

Counselor observed children records did not have a Student Health Examination/DH (Form 3040), or an equivalent health statement on file within 30 days of enrollment. The provider is to submit updated records by the due date. 7.2 Student Health Records The child care facility is responsible for obtaining for each child in care a current, complete and properly executed Student Health Examination form DH 3040, which is incorporated by reference in 65C-22.001(7)(q), F.A.C. and may be obtained from the local county health department, the parent or legal guardian, or a signed statement by authorized professionals that indicate the results of the components of the Student Health Examination form are included in the health examination. C. If the custodial parents or legal guardians fail to provide the documentation required above within 30 days of enrollment, the facility shall not allow the child to remain in the program Counselor reviewed 125 children records for all children enrolled

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.