12-19 · Facility Environment

Licensing Specialist asked for the Physical Environment Log. None was available to review. 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

23-06 · Fire Drills

Licensing Specialist reviewed the Fire Drill log. Fire Drill were not conducted for the following months: July 2024, August 2024, September 2024 and October 2024. Provider was also reminded that they should conduct at least 1 nap time fire drill. 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: physical safety. Open / not marked corrected.

24-18 · Food Preparation Area

Licensing Specialist observed the refrigerator had expired milk cartons. Milk cartons were dated for 10/26/2024 and some for 10/30/2024. Stored food was not discarded on or before the expiration date listed by the manufacturer. 3.9.2 Food Storage B. Stored food must be consumed or discarded on or before the expiration dates listed by the manufacturer. This was resolved at the time of inspection. Provider discarded all expired milk cartons

Corrected Corrected by Nov 1, 2024

Category: ratio. Marked corrected in the state record.

41-01 · Immunization Records

Licensing Specialist reviewed 2 newly enrolled children's Immunization forms. Children did not have an Immunization form or a Religious Exemption from immunization on file within 30 days of enrollment. Children: C.S. DOB: 10/09/22 Enrollment date: 09/16/24 C.S.DOB:09/21/23 Enrollment date: 09/16/24 Children are siblings. This was resolved when the provider terminated the children from enrollment. 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 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 Nov 1, 2024

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

42-01 · Student Health and Records

Licensing Specialist reviewed 2 newly enrolled children's Student Health Examination records. Children did not have a Student Health Examination, or an equivalent health statement on file within 30 days of enrollment. Children: C.S. DOB: 10/09/22 Enrollment date: 09/16/24 C.S.DOB:09/21/23 Enrollment date: 09/16/24 Children are siblings. This was resolved when the provider terminated the children from enrollment. 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

Corrected Corrected by Nov 1, 2024

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

44-04 · Personnel Records

Licensing Specialist reviewed all 8 Personnel Records. Two records were missing an updated Child Abuse and Neglect Reporting Requirements form sign annually. Personnel: A.C. last signed on: 10/25/23 S.H. last signed on: 08/16/23 This was resolved at the time of inspection. Provider had the Personnel complete and sign a new one at the time of inspection. 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 hire date and annually thereafter by all child care personnel

Corrected Corrected by Nov 1, 2024

Category: recordkeeping. Marked corrected in the state record.

33-01 · Technical assistance was given to the provider on training requirements and timeline. Provider is to send the counselor a certificate of completion or a statement with a date for the employees that show when they will go for testing. Once the employees have completed all training and passed the exams, the facility will be placed in compliance with the standard. 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)

Counselor observed two employee files missing the required 40 hr. Introductory Child Care training. Counselor observed that employee 1: had an industry start date of 12/03/2020. This person started their training on 6/28/2020 and had to complete on or before 06/28/2021. This employee was hired on 06/23/2023 without having their 40 hr. Introductory Child Care training completed. Counselor observed that employee 2: had an industry start date of 01/18/2022. This person started their training on 06/17/2022 and had to complete on or before 01/18/2023. This person failed to start training within the 90 days of employment in the child care industry and successfully complete Departments training within 12 months from the date training begins

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-07 · Training Requirements

Counselor reviewed all 10 employee files during inspection. One of the employees did not have the required 10 hr. In Service training completed for the fiscal year July 1, 2022 to June 30, 2023. Counselor gave technical assistance from the Child Care Facility Handbook: 4.2.7 Annual In-Service Training Upon successful completion of the 40-hour introductory training requirements, child care personnel must complete a minimum of 10 clock-hours or one CEU of in-service training annually during the states fiscal year beginning July 1 and ending June 30. Corrective Action

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

44-01 · Personnel Records

Counselor arrived at the facility on 7/13/2023 for a routine inspection. During the inspection, counselor did not have access to files. The director was not present, and no one was able to assist. On 7/17/2023, the counselor returned to complete the inspection. Counselor noticed that the provider failed to provide some personnel records. Counselor asked the provider to submit the records via email to complete the inspection. The counselor reviewed 10 employee files in total. Provider has sent via email the remaining documents needed to complete the inspection. This was resolved on 7/17/2023. Counselor gave technical assistance from Child Care Facility 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 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. Facility's director has submitted documents via-email

Corrected Corrected by Jul 13, 2023

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

45-02 · Background Screening Documents

Counselor reviewed an employee file that was missing a Level II background and screening eligibility. Screening was completed on 03/31/2022. Determination states that an agency review is required. Provider will have to send documentation on or before 08/03/2023, via email submission to the counselor, showing a clearance for the Level II background and screening was done and employee has been cleared to work with children. 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. 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

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-07 · Technical assistance was given in regard to the background and screening process. 5.2 Re-Screening 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

Counselor reviewed three employee files that had a break in service and were not resubmitted to background and screening. Employee 1: Had a screening completed on 7/21/2020. This person worked outside the child care industry and had a gap of over 90 days before getting hired on 6/13/2023. Employee 2: Had a screening completion date of 07/22/2019. This person worked outside the child care industry and had a gap of over 90 days before getting hired on 01/10/2023. Employee 3: Had a screening completion date of 12/28/2021. This person worked outside the child care industry and had a gap of over 90 days before getting hired on 06/12/2023. Provider is to resubmit all employees that did not get a resubmission. Documentation that this was completed, must be sent to the counselor via email submission and a clearance for the employees by 8/3/2023

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

47-06 · Access/Child Safety

Counselor arrived on 7/13/2023 to perform a routine inspection. During the inspection, counselor did not have access to files. The director was not present, and no one had access to the files. On 7/17/2023, the counselor returned to complete the inspection. Counselor noticed that the provider failed to provide some personnel records. Counselor asked the provider to submit the records via email to complete the inspection. This was corrected on 07/19/2020 via email submission

Corrected Corrected by Jul 13, 2023

Category: recordkeeping. Marked corrected in the state record.

28-05 · Technical assistance was provided. This was corrected during the time of the renewal inspection. The milk was removed from the infant room by staff. Prepared bottles must be placed in the refrigerator immediately and used within 24 hours

The licensing counselor observed the baby bottles in buckets w/milk and no caps, improperly stored

Corrected Corrected by Mar 24, 2023

Category: nutrition. Marked corrected in the state record.

23-10 · Technical assistance was provided. This was corrected when staff posted the routes in all areas. The operator must prepare and post an emergency evacuation plan in each room of the facility, excluding restrooms, including a diagram of safe routes by which the personnel and children may exit in the event of fire or other emergency requiring evacuation

During the renewal inspection, all areas of the child care facility did not have the evacuation route posted

Corrected Corrected by Mar 24, 2023

Category: recordkeeping. Marked corrected in the state record.

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 the baby bottles, in the infant room and cups in the 2 year old class were not labeled with first and last name. This was completed during time of inspection, when staff member labeled the bottles and cups

Corrected Corrected by Mar 24, 2023

Category: nutrition. Marked corrected in the state record.

41-01 · Immunization Records

Immunization records were missing for four(4) children, who are listed on the supplemental sheet. Technical Assistance was provided. 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 total of 61 records were reviewed. During the 2009 legislative session, a new law was passed that requires child care facilities, family day care homes and large family child care homes provide parents with information detailing the causes, symptoms, and transmission of the influenza virus (the flu) every year during August and September. The Department of Children and Family Services in consultation with the Department of Health created a brochure for providers to give to parents/legal guardians to meet the new requirement. The brochure explains to parents/legal guardian the causes and symptoms of the flu, how the influenza virus may be transferred, and how it should be treated. The first page of the brochure contains an area for parents/legal guardians to sign and date to document that the brochure was received. Once signed the page should be removed, returned by the parent to the child care provider, and maintained on file at the child care facility, family day care home or large family child care home for review by the licensing authority. Please note: to obtain copies of the brochure, visit the Department's website, www.myflorida.com/childcare

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Student Health and Records

A total of 61 children's records were reviewed. One child, who is listed on the supplemental sheet, did not have a current physical on file. Technical Assistance was provided. 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.