41-01 · Immunization Records

Children listed on supplemental had either expired DH 680 or none on file. 7.1 Immunization Records The child care facility is responsible for obtaining for each child in care a current, complete and properly executed Florida Certification of Immunization form Part A-1, B, or C, DH 680, which is incorporated by reference in 65C-22.001(7)(o), F.A.C., or the Religious Exemption from Immunization form, DH 681, which is incorporated by reference in 65C-22.001(7)(p), F.A.C., from the custodial parent or legal guardian. DH Form 680 and DH Form 681 may be obtained from the local county health department. Specific immunization requirements are included and detailed in the most current edition of the Immunization Guidelines-Florida Schools, Child Care Facilities and Family Day Care Homes as promulgated by the Florida Department of Health. A. Immunizations received out-of-state are acceptable; however, immunizations must be documented on the Florida Certification of Immunization form and must be signed by a physician practicing in the State of Florida. B. If the custodial parents or legal guardians fail to provide the documentation required above within 30 days of enrollment, the facility shall not allow the child to remain in the program. The parent/guardian of a child who has not received the age-appropriate immunizations prior to enrollment and who does not have documented medical or religious exemptions from routine childhood immunizations must provide documentation of a scheduled appointment or arrangement to receive immunizations. Providers must include a general statement in parent handbook/policies to inform parents/guardians, at time of enrollment, that some children in care may not have current immunizations. C. School-aged children attending public or non-public schools are not required to have student health examination and immunization records on file at the child care facility as such records are on file at the school where the child is enrolled. D. If the custodial parents or legal guardians need assistance concerning these requirements, the facility shall refer them to the Department of Health or to the childs physician. E. Medical records in this section are the property of the custodial parent or legal guardian and must be returned to them when the child withdraws from the facility. The medical records are transferable if the child attends another facility. F. It is recommended that child care personnel are current with all immunizations 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

34-04 · Credentialed Staff

The director on site had expired Director Credential. The Director credentials expired on July 24,2024 4.7.2 Director Credential Renewal A. To maintain an active Director Credential at either level, candidates must complete the renewal section of the CF-FSP Form 5290, Florida Child Care and Education Program Director Credential and Renewal Application, which may be obtained from the Departments website at www.myflfamilies.com/childcare. B. A Director Credential renewal, as documented on the Departments training transcript is active for five years from the date of issuance. The completed renewal application, including all required documentation, may be submitted to the Department for review and issuance of a Florida Child Care and Education Program Director Credential no earlier than one year prior to the end of the active period of the Director Credential. The Director Credential renewal date is determined by the end date of the active period. C. If a renewal application is received after the end of the active period for the Director Credential, the Florida Child Care and Education Program Director Credential and Renewal Application will be reviewed and, if approved, a certificate will be issued with a renewal date of five years from the date the completed renewal application was processed

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

42-01 · Student Health and Records

Children list on supplemental did not have DH3040 on file. 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 authorizedprofessionals that indicate the results of the components of the Student Health Examination form are included in the health examination. A. The Student Health Examination shall be completed by a person given statutory authority to perform health examinations. B. The Student Health Examination or the signed statement is valid for two years from the date the physical was performed. An up-to-date version must be on file for as long as the child is enrolled at the facility. C. If the custodial parents or legal guardians fail to provide the documentation required above within 30 days of enrollment, the facility shall not allow the child to remain in the program. D. School-aged children attending public or non-public schools are not required to have student health examination and immunization records on file at the child care facility as such records are on file at the school where the child is enrolled. E. If the custodial parents or legal guardians need assistance concerning these requirements, the facility shall refer them to the Department of Health or to the childs physician. F. Medical records in this section are the property of the custodial parent or legal guardian and must be returned to them when the child withdraws from the facility. The medical records are transferable if the child attends another facility. G. Any child who has or is at an increased risk for a chronic physical, developmental, behavioral or emotional condition and requires additional services must have a current Emergency Care Plan, prepared by the parent/guardian or physician, included in the childs file and readily accessible for those caring for the child. Child care personnel caring for a child with an Emergency Care Plan must be trained to recognize and respond appropriately to a medical emergency

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

04-01 · Supervision

Counselor observed two (2) volunteer who was the Provider's daughter (A.L.) and granddaughter (A.L.) were alone supervising 3 infants that were in the infant classroom. Provider J.L. was not in the infant classroom when counselor arrived at the facility she was sitting in a chair in the classroom immediately at the entrance of the facility with staff member T.L.. This was corrected at the time of complaint, when the Provider J.L. went into the infant classroom. 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. 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 Oct 25, 2023

Category: supervision. Marked corrected in the state record.

99-07 · Violation

00. If the previous state of residence participates in the National Fingerprint File (NFF) Program, then a request for criminal history records will not be required. A list of states participating in the NFF may be found at this link: https://www.fbi.gov/services/cjis/compact-council/interstate-identification-index-iii-national-fingerprint-file-nff.F. The employer/owner/operator must send a request for a search of each states child abuse and neglect registry if the individual has lived outside the state of Florida in the preceding five years. Visit www.myflfamilies.com/backgroundscreening, click on the National Records Request link to obtain the i

Corrected Corrected by Oct 25, 2023

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

04-01 · Supervision

Counselor asked the Director for the fire drill log as the one posted had not been updated. The Director left the classroom (A) and came out into the foyer and stated that someone had taken the current fire drill log from the board. The Director then asked the teacher from Class B to come watch class A while she searched for the fire drill log in the office. Teacher from Class B came and stood at the door of Class A leaving the children in Class B unattended. The counselor walked back to Class B to confirm that the children were left alone and observed the children, two were sitting at a table and one was in a high chair. The 16 year old individual was also in the classroom sitting in a chair. During the inspection, the counselor observed the Director leave class A unattended several times and each time redirected the Director to return to the class and explained that she could not leave the children unsupervised. Counselor provided the following technical assistance: 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. 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 Child Care Facility Handbook Page | 13 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. The standard was corrected at the time of inspection when the Director returned to Class A and the teacher returned to Class B

Corrected Corrected by Apr 12, 2023

Category: supervision. Marked corrected in the state record.

09-03 · Planned Activities

Counselor observed that classroom B did not have a planned schedule of activities posted. The Director stated that the playground was under renovation and that the children had not be out to play on the playground within the last month. The counselor asked the director about the schedule of activities for while the children were not able to play outdoors. The Director stated that they have activities to do. Counselor observed that the written plan of scheduled activities did not include alternate activities in case of inclement weather. Counselor provided the following technical assistance: 2.6 Planned Activities Each group or class must have a written and followed plan of scheduled activities posted in an easily seen location accessible to parents/guardians. The written plan must meet the needs of the children being served and must include alternate activities in case of bad weather. The written plan shall include a variety of activities that range from structured to unstructured activities that encourage a childs developmental growth. The written plan also must include scheduled activities that: A. Promote emotional, social, intellectual, and physical growth; Child Care Facility Handbook. B. Do not have children left in confining devices such as car seats as an alternative to active play or adult/child interaction, supervision, or discipline; C. Do not include the use of electronic media for children under two years of age. Electronic media may only be used for educational purposes or physical activity for children 2 years of age and older for no more than 1 to 2 hours per day. D. Include both active and quiet play. Active play includes outdoor activities a minimum of twice per day, weather permitting. E. Include meals, snacks, and nap times, if appropriate for the age and the times children are in care. F. Provide adequate time and space for infants, birth to 12 months, in care to engage in activities that promote development of movement skills (tummy time, crawling, turning over, sitting, etc.). Infant seats (swings, bouncers, etc.) must be used only for short periods of time, no more than 15 to 30-minute intervals per infant and no more than two times per day that the child is in care. Infants in care shall be provided opportunities for outdoor time each day that weather permits. G. An appropriate daily schedule provides flexibility and contains transition periods that help children move smoothly from one activity to another. H. Providers are encouraged to inform parents and legal guardians of their childs activities on a daily basis. I. Providers must implement program practices that promote consistency and continuity of care for infants and toddlers. Early care and education programs must provide opportunities for each child to build emotionally secure relationships with a limited number of child care personnel. Efforts to promote consistency and continuity of care are shown through following daily routines and communicating consistently with parents/guardians. J. The program must make reasonable accommodations to the environment, planned activities and schedule so that children with special needs may participate. As a corrective action, the provider will post the written plan of scheduled activities in classroom B. Also, the Director will add a plan of activities in the event the children can not access the playground to each posted plan of schedules activities. The schedule will be posted and ready for reinspection by April 28, 2023

24-09 · Food Preparation Area

The counselor observed that the food preparation area did not have a separate handwashing sink. The facility did have a sink labeled handwashing, however it was not an appropriate handwashing sink in that it was part of a double sink that was in the kitchen of the facility. The kitchen did have a dishwasher however it was not a commercial dishwasher and did not have a sanitizing mode. The counselor provided technical assistance on handwashing sinks in the kitchen area: A food preparation area is required for facilities that choose to prepare food in a manner consistent with the definition of preparation of food. Specific requirements for the food preparation area includes: 3.9.1 A 7. A separate handwashing station with hot running water, a minimum of 100 degrees Fahrenheit. The handwashing station must include a sink with running water and drainage, soap, trash can, and disposable towels or hand-drying machines that are properly installed and maintained. A handwashing sink shall not be used for any purpose other than handwashing. Handwashing stations must include posted signs visible to child care personnel and children demonstrating proper handwashing technique. Portable sinks may not be used for dishwashing or food preparation. If a portable sink is used for handwashing in the food preparation area, hot water must be provided. As a corrective action, the provider will have 6 months to bring the facility into compliance. The facility will be reinspected for this standard on 10/14/2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

01-04 · License Displayed/Citation Posted/Advertising

Counselors entered the facility to begin the routine inspection and noticed a 16 year old sitting in a chair that was place partially in the Director's office and partially in the classroom (Class A). Counselor asked the Director who the individual was. The Director informed counselor it was her grandchild. Counselor observed that the individual started walking around the facility. Counselor asked if the individual was volunteering and the Director stated no that she was a virtual student and was there because it is her grandchild. Later as the inspection was ending the Director stepped out of the classroom and informed the counselor that in actually the grandchild has behavior issues and is there until she placed elsewhere. Director stated that this should be the individual's last week at the facility. Counselor provided the following technical assistance: 2.1 License Application Process or Renewal E. The child care facility must not be used for any business or purpose unrelated to providing child care that can interfere with compliance with child care standards or permit the unsupervised presence of individuals who do not meet screening and training requirements (with the exception of parents or legal guardians of children in care) when children are present. A child care facility that utilizes any area that is subject to use by persons outside of the program must have exclusive control of such area when used by the program and provide effective measures to exclude individuals who do not meet screening and training requirements from that area. As a corrective action the provider will have the individual screened via the clearinghouse and a volunteer file or employee file that is available for the counselor to review at reinspection. The provider will have 14 days to complete the corrective action

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

12-06 · Facility Environment

During the routine inspection counselor entered the hallway leading to the back door that opens to the playground. Counselor had to move a stack of chairs out the way in order to get out the door. The wall to the left of the hallway was stacked floor to ceiling with random boxes, totes, toys, cribs, and other items. This posted a low potential for harm as if the area is bumped of if a child grabs something from the area the entire stack of items could potentially fall injuring a child. Also, the area is adjacent to the kitchen area and could possibly be a fire hazard. Counselor provided the following technical assistance: 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. As a corrective action, the Director will clean the area and make the area safer due to children having access to the area. The area will be cleared by April 28, 2023. The counselor will return to the facility to reinspect

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

17-01 · Outdoor Play Area/Fencing

Counselor observed several hazards in the outdoor play area, there were planks missing from the fencing, while this was not an outlet for children to escape the play area, it did expose several nails and small gaps in which children could be injured. Play equipment was showing signs of rust and paint chipping, the wooden plank at the top of the slide was splintered and could potentially injure children. There were piles of toys stacked against the fence, there was a wooden swing structure which had no swings and was unsteady as it was not secured to the ground. Some of tunnels had standing water inside. The plastic equipment such as the slide are covered in mildew or mold and needs to be cleaned. The provider stated that she is remodeling the playground and the children had not been out on the playground for the last month. Counselor is providing technical assistance on the outdoor play area: 3.5 Outdoor Play Area A. The outdoor play area must be clean and free from litter, nails, glass and other hazards. B. The outdoor area must be designed to allow child care personnel to clearly see children while playing on all equipment. C. The outdoor play area must provide shade. Shade may be provided by trees, buildings, or structures. D. Children must not come into contact with any surface or equipment which poses a burn risk. E. The facilitys outdoor play area must be fenced as required by local ordinances to prevent access by children to all water hazards within or adjacent to outdoor play areas, such as pools, ditches, retention ponds, and fish ponds. 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. As a corrective action, the provider will have 3 months to bring the playground into compliance. Counselor will reinspect the playground on 7/14/2023

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

23-03 · Fire Drills

Counselor observed the fire extinguisher in the food prep area did not have a current tag. The tag on the extinguisher had expired in 2022. Counselor provided technical assistance on fire extinguisher in the food prep area: B. Fire extinguishers with a minimum rating of 2A:10BC must be properly installed, serviced and maintained with current inspection tags at all times. As a corrective action the provider will add the required appropriate fire extinguisher with a current tag to the food prep area by April 24, 2023. Counselor will reinspect the food prep area

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

25-01 · Meals and Snacks

Counselor observed that the meal that was served to the children during the routine inspection was not adequate in that it does not meet the USDA MyPlate guidelines. Counselor is providing technical assistance on nutritional needs. B. If a child care facility provides food to children in care, it must provide nutritious meals and snacks of a quantity and quality to help meet the daily nutritional needs of the children. The USDA MyPlate is to be used to determine which food groups to serve at each meal or snack serving size and age appropriateness of the selected foods for children. Copies of the USDA MyPlate dieting guidelines, incorporated by reference in 65C-22.001(7)(t), F.A.C. In addition, meals and snacks must contain at a minimum the meal and snack patterns shown for infants and children in the Child Care Food Program Meal Patterns which are incorporated by reference in 65C-22.001 (7)(r) and (s), F.A.C. As a corrective action the provider will prepare the appropriate meals, the counselor is providing the provider with the USDA MyPlate Guidelines at the time of inspection so that appropriate menus can be created and served. The provider will submit the updated menus to the counselor for the next two weeks along with grocery receipts showing that the children are being fed appropriately via email

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

26-01 · Meal and Snack Menus

Counselor observed that the menu did not have dates and was not properly planned in that it did not contain component for each meal served. The menu only showed lunch, and did not have breakfast or snacks listed. Director will send counselor a copy of the menu. Counselor provided the following technical assistance: 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. As a corrective action, the provider will submit the menu for the remainder of April and the following month (May) to the counselor via email or reinspection within 10 days

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

30-07 · Diapering

In classroom B the counselor observed items unrelated to diapering on the diaper changing table, there was a mac book, puzzles, and toys sitting on top of the changing pad. Counselor provided the following technical assistance: G. Items unrelated to diaper changing shall not be stored in the diaper changing area nor shall they be placed on the diaper changing table. As a corrective action the provider will remove all items from the diaper changing area and store them in an appropriate place. Counselor will reinspect the diapering area on 4/24/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

46-07 · Daily Attendance

Counselor observed that class A and B did not have an attendance roster completed. The director stated that she does not keep attendance for each classroom as they have a sign in binder in the front foyer area. Counselor provided the following technical assistance: 7.5 Daily Attendance Daily attendance of children must be taken and recorded accurately by the child care personnel, documenting the time when each child enters and departs the program. A. Attendance devices used for the purposes of tracking attendance may be used, but personnel must ensure the accuracy of the documented attendance. Each classroom must have an attendance sheet/class roster for the group of children occupying that space. Attendance sheet/class roster must accompany the child care personnel and the group of children throughout the day should they leave the classroom. As a corrective action, the provider will be sure every classroom has their own individual attendance sheet and the teachers in each classroom will accurately sign the children in and out on the classroom attendance roster with the appropriate times. The provider will submit the attendance records for the week to the counselor each Friday for the remainder of April and for the first two weeks in May. The last day for this corrective action will be 5/12/2023

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.