14-01 · Outdoor Time, Fencing and Play Area Requirements FDCH/LFCCH Handbook

Licensing Specialist observed hazardous items in the yard such as bricks, a water hose, a lose wooden board on the fence. Technical Assistance was provided. 7.6 Outdoor Time, Fencing and Play Area Requirements A. Outdoor Play areas shall be clean, in good repair and free from litter, nails, glass, and other hazards. L. All equipment, fences, and objects on the homes premises shall be free from sharp, broken and jagged edges and properly placed to prevent overcrowding or safety hazards in any one area. Per Provider she will hire someone to clean up the yard and removed all hazardous items from the yard

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

20-08 · Technical assistance was provided. 7:14 Food and Nutrition 7.14 Food and Nutrition A. Handling of food in a safe and careful manner prevents the spread of bacteria, viruses and fungi. Outbreaks of foodborne illnesses have occurred in many settings, including child care facilities. Children are at a higher risk for contracting food-borne illness, as their bodies are in the process of growing, developing, and building adequate immune systems to fight illness. While some food -borne illnesses originate at farms or food manufacturing plants, the majority are the result of poor food handling practices. Child care personnel, while working in the food preparation area, must use clean disposable gloves, utensils, or similar items in the food preparation area to prevent contact with ready-to-eat foods. If the operator chooses to supply food, the operator shall provide nutritious meals and snacks of a quantity and quality to meet the daily nutritional needs of the children. Weekly meal and snack menus shall be planned and written and must be available for review by licensing authority. Meals and snacks must contain, at a minimum, the meal and snack patterns shown for infants and children in the Child Care Food Program (CCFP) guidelines, incorporated by reference in 65C-22.001(7)(r) and (s), F.A.C

Licensing Specialist observed that there was no written weekly planned menu

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

14-01 · Technical assistance was provided was provided. 7.6 Outdoor Time, Fencing and Play Area Requirements A. Outdoor Play areas shall be clean, in good repair and free from litter, nails, glass, and other hazards

There is no separation of where the children play area is that leads to the remaining open area of the back yard where another separate building is located that has a broken window on the side of that building on the property

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

14-15 · Outdoor Time, Fencing and Play Area Requirements FDCH/LFCCH Handbook

Licensing Specialist observed that there was no documentation of routine safety inspections conducted in play area. Technical Assistance was provided. 7.6 Outdoor Time, Fencing and Play Area Requirements J. Maintenance shall include checks at least every month of all supports above and below the ground, all connectors, and moving parts. Documentation must be maintained for a 12-month period. Provider will submit to licensing specialist a copy of updated maintenance log

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

20-12 · Technical assistance was provided. 7.13 Food Preparation/Storage D. Refrigerators/freezers must have accurate food grade thermometers designed to measure cold storage temperature and these must be placed inside each refrigeration and freezer unit. Thermometers in refrigerators must show a reading of 41 degrees Fahrenheit or below, and thermometers in freezers must show a reading of 0 degrees Fahrenheit or below. The thermometer must be located in the center of the unit and be readily accessible. Thermometer temperature readings higher than specified above require further temperature testing of food samples stored in the unit using a probe type thermometer; and adjustments to the unit setting to reach and maintain the required readings must be made. Provider ordered a thermometer for the refrigerator and will have in place before reinspection

Licensing Specialist observed that Provider did not have a thermometer in the refrigerator

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

27-01 · Technical assistance was provided. 7.21 Fire Drills A. During the homes licensure year, fire drills utilizing the smoke detector(s) must be conducted monthly at various dates and times when children are in care. Provider will conduct a fire drill before reinspection and update all necessary documentation

The licensing Specialist observed that the Provider only conducted 2 fire drills within the past year, 1 in Aug. 2023 and 1 in April 2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

27-05 · Technical assistance was provided. 7.22 Emergency Preparedness A. The operator shall develop a written emergency preparedness plan to include, at a minimum, procedures to be taken by the family day care home during a fire, evacuation, relocation, shelter in place, lockdown, and inclement weather (tornadoes). The plan must describe how the home will notify and update parents/guardians. Daily attendance rosters must be used to account for all children once gathered in a safe space after exit and upon return to the home. Provider will have a written emergency preparedness plan and all updated documentation

Licensing Specialist observed that the provider did not have a written emergency preparedness plan

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

27-07 · Fire Drills/Emergency Preparedness FDCH/LFCCH Handbook

The Provider had only conducted 2 fire drills within the past year. Aug 2023 and April 2024 and no evacuation route posted. Technical assistance was provided. 7.22 Emergency Preparedness B. Emergency preparedness drills shall be conducted when children are in care. Each drill, excluding the fire drills, outlined in the emergency preparedness plan must be practiced a minimum of one time per year. Provider will conduct an emergency preparedness drill before reinspection and have all updated documentation

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

32-02 · Technical assistance was provided. 8.2 Student Health Records A. The operator is responsible for obtaining for each child in care a current, complete and properly executed DH 3040, Student Health Examination form, incorporated by reference in 65C-22.001(7)(q), F.A.C. and may be obtained from the local county health department, or a signed statement by an authorized professional that indicates the results of the components of the form are included in the health examination from the custodial parent or legal guardian, within 30 days of enrollment. B. The Student Health Examination shall be completed by a person given statutory authority to perform health examinations. C. The Student Health Examination form or signed statement is valid for two years from the date the physical was performed and must be on file as long as the child is in care. D. If the custodial parents or legal guardians fail to provide the above required documentation within 30 days of enrollment, the home shall not allow the child to remain in the program. E. School-aged children attending public or nonpublic schools are not required to have student health examination and immunization records on file at the home as such records are on file at the school where the child is enrolled. F. If the custodial parents or legal guardians need assistance concerning these requirements, the home shall refer them to the Department of Health or to the child's physician. G. Medical records in this section are the property of the custodial parent or legal guardian and must be returned when the child is no longer in care. The medical records are transferable if the child is placed in a different child care. H. Any child who has or is at an increased risk for a chronic physical, developmental, behavioral or emotional condition and require 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. Provider will have updated physicals on each child before reinspection

Licensing Specialist observed (3) children files with no updated health exam

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

33-02 · Technical assistance was provided. 8.3 Enrollment Information A. The operator shall obtain enrollment information from the childs custodial parent or legal guardian prior to accepting the child into care. This information shall be documented on CF-FSP Form 5219, Child Care Application for Enrollment, which is incorporated by reference in 65C-22.001(7)(f), F.A.C., or an equivalent that contains all the information required by the Departments form. CF-FSP Form 5219 may be obtained from the Departments website at www.myflfamilies.com/childcare. C. The enrollment information shall include, in writing, permission for the home to release the child to any person(s) authorized or in the manner authorized by the custodial parent or legal guardians. The name, address and phone number of authorized persons must be in the enrollment information. F. Enrollment information shall include parental/guardian consent for child care personnel to have access to childs records. Provider will all updated files with parent signatures before reinspection

Licensing Specialist observed that the provider did not have parent signatures for 3 children files

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.