04-01 · Supervision

Counselor and the agent determined through evidence and testimony that child #1 received a left femur fracture injury on 6/20/2024. The 2 teachers present did not observe the incident occur. The incident occurred at 4:47 PM on 6/20/2024 when child #1 fell on an object, on the floor in the classroom. The parents were never notified until child #1 was picked up at 6:37 PM. Counselor gave technical assistance from the Child Care Facility Handbook: 2.4 Supervision Corrective Action: Provider is to submit to counselor via e-mail, a written plan of action to ensure all staff members understand requirements for supervision and will maintain adequate supervision

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

39-01 · Accident/ Incident Notification and Documentation

Child #1 received a fractured left femur injury on 6/20/2024 at 4:47 PM while present at the facility. The facility failed to immediately contact emergency services and the child's custodial parents or legal guardians. The parents were notified upon picking up Child #1 from the facility at 6:37 PM that there was something wrong with Child #1's leg. Counselor gave technical assistance from the Child Care Handbook: 6.3 Emergency Telephone Numbers B. For life threatening injuries, the provider shall call 911 and then notify the parent. C. Custodial parents or legal guardians must be notified immediately if the event of any serious illness, accident, injury or emergency to their child, and their specific instructions regarding action to be taken under such circumstances must be obtained and followed. 2.5.3 Emergency Care Plans E. Child care personnel shall notify parents/guardians immediately of any suspected allergic reactions, as well as the ingestion of or contact with the problem allergen even if a reaction did not occur. Child care personnel shall contact 911 immediately whenever epinephrine has been administered. Corrective Action: Provider is to submit to counselor via e-mail, a signed document by all staff members, acknowledging that they understand and will maintain the requirement from Section 6.3, B & C and 2.5.3, E

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

39-03 · Accident/ Incident Notification and Documentation

Counselor did not observe documentation of an incident or accident report for child #1 due to an incident or accident report not being completed by the facility. Counselor gave technical assistance from the Child Care Facility Handbook: 6.4 Accident/Incident Notification A. All accidents and incidents or unusual occurrences that are threatening to the health, safety, or welfare of a child that occur while the child is in care must be documented on the same day they occur. Corrective Action: Provider is to submit via e-mail to counselor, a signed document by all staff members, acknowledging that they understand and will maintain the requirement from Section 6.4

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

40-59 · Medication

children must have two credentialed child care personnel, and so on. The licensing authority will calculate the number of credentialed personnel required based on daily attendance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

13-02 · Toxic Substances, Hazardous Materials and Weapons

Counselor observed two rooms in which the cabinets with cleaning supplies were not locked and at ground level, thus allowing children in care to access chemicals. This standard came back into compliance by having staff utilized a child lock for these cabinets. Technical Assistance: All potentially harmful items, including cleaning supplies, flammable products, poisonous, toxic, and hazardous materials, must be labeled and used according to manufacturers recommendation. These items, as well as knives, sharp tools, and other potentially dangerous hazards, must be stored in a locked area or must be inaccessible and out of a childs reach at all times

Corrected Corrected by Sep 20, 2023

Category: physical safety. Marked corrected in the state record.

18-12 · Bedding and Linens

Counselor observed a bathroom that was being utilized as storage, bedding and linens were included in the items being stored. This standard was brought back into compliance at the time of inspection by clearing out the bathroom. Technical Assistance: Bedding and linens shall not be stored in the bathroom, unless stored in cabinets

Corrected Corrected by Sep 20, 2023

Category: physical safety. Marked corrected in the state record.

31-03 · Indoor Equipment

Counselor observed that in two classrooms, there was a wooden toy oven with an acrylic/plastic pane with a significant crack that was sharp to the touch. This standard came back into compliance at time of inspection by removing the broken toys. Technical Assistance: 3.11 Indoor Equipment Equipment, materials, furnishings, and play areas should be sturdy, safe, and in good repair

Corrected Corrected by Sep 20, 2023

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

03-01 · Ratio Sufficient

Toddler A 1:8 Toddler B 2:9 Infants 3:11 2s 1:10 2s and 3s 1:9 3s and 4s 1:15 3s and 4s 1:9 4s 1:13 School age 1:10 Total: 94 Counselor observed a ratio of 1:8 in the toddler room. This standard was brought back into compliance at the time of inspection by having an additional child care personnel step into the room, thus changing the ratio to 2:8. Technical Assistance from The Child Care Facility Handbook: 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 B. In groups of mixed age ranges, where children one year of age but under two years of age are included, one child care personnel must be responsible for no more than six children of any age group, at all times

Corrected Corrected by Jun 21, 2023

Category: supervision. Marked corrected in the state record.

13-02 · Toxic Substances, Hazardous Materials and Weapons

Counselor observed cleaning supplies and diaper cream at the reach of children. This standard was brought back into compliance at the time of inspection by removing these items and putting them where they are not accessible to the children. The counselor observed a small shed in the pathway leading to the outdoor play area. The shed was not locked and contained tools. The children had potential access to these tools. This standard was brought back to compliance at the time of inspection by locking the shed, making it inaccessible to the children. The following technical assistance was provided from the Child Care Facility Handbook: 3.2 Toxic/Hazardous Material/Firearms/Weapons A. All areas and surfaces accessible to children must be free from toxic substances, bio contaminants, and hazardous materials/equipment/tools, including power tools, plastic bags, matches, candles, lighters, etc. B. All potentially harmful items, including cleaning supplies, flammable products, poisonous, toxic, and hazardous materials, must be labeled and used according to manufacturers recommendation. These items, as well as knives, sharp tools, and other potentially dangerous hazards, must be stored in a locked area or must be inaccessible and out of a childs reach at all times. C. Firearms and weapons, as defined in section 790.001, F.S., are prohibited within any building or upon any person located on the premises, excluding federal, state or local law enforcement officers. D. Narcotics, alcohol, or other impairing drugs/paraphernalia must not be present on the premises or in vehicles used by childcare facility

Corrected Corrected by May 4, 2023

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

24-21 · Food Preparation Area

The counselor observed several cambro containers with juice in the refrigerator. These containers where not labeled with the date of opening or with what was inside of the containers. The provider has been given till 5/8/2023 to bring this standard back into compliance by properly labeling the containers in the fridge. The following technical assistance was provided from the Child Care Facility Handbook: Opened packages of perishable or leftover food items must be properly covered or sealed in containers or bags, labeled with the date, and properly stored and discarded within seven calendar days

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

28-02 · Bottles, Breastmilk, Formula and Infant Food

The counselor observed multiple bottles and zippy cups brought from home without the child's first and last name. The counselor also observed multiple bottles and zippy cups brought from home with only the child's first name and last name initial. This standard was brought back into compliance by having the staff label all bottles and zippy cups adequately. The following technical assistance was provided from the Child Care Facility Handbook: 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

Corrected Corrected by May 4, 2023

Category: nutrition. Marked corrected in the state record.

33-06 · Training Requirements

The counselor reviewed all 31 staff files. The counselor observed a child care personnel's transcript without the required five-hour Literacy and language course. The child care personnel's industry date is 9/20/2021, therefore she had surpassed the time frame allowed for this training to be done. This standard was brought back into compliance by having the child care personnel complete the training. The training was started on the day of the inspection 5/4/2023 and was complete the following day 5/5/2023. The provider emailed the counselor the updated transcripts on 5/5/2023. The following technical assistance was provided from the Child Care Facility Handbook: 4.2.2 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

Corrected Corrected by May 4, 2023

Category: recordkeeping. Marked corrected in the state record.

41-02 · Immunization Records

Counselor reviewed all currently enrolled children's files. There was a total of 166 currently enrolled children. Counselor observed an expired shot record. The expiration date being 3/5/23. This standard was brought back into compliance by receiving the child's updated shot records by email on 5/5/2023. The following technical assistance was provided from the Child Care Facility Handbook: 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

Corrected Corrected by May 4, 2023

Category: ratio. Marked corrected in the state record.

42-01 · Student Health and Records

Counselor reviewed all currently enrolled children's files. There was a total of 166 currently enrolled children. One of the children's files did not have a Student Health Examination form DH 3040. This standard was brought back into compliance by obtaining the Student Health Examination form DH 3040 by email on 5/5/2023. The following technical assistance was provided from the Child Care Facility Handbook: 7.2 Student Health RecordsThe 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

Corrected Corrected by May 4, 2023

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

39-04 · Accident/ Incident Notification and Documentation

Counselor observed that the incident report was not signed by the parent on the day that the incident occurred. Per director, the front desk personnel failed to share the incident report on the day it was written. Provider will obtain signature from parent and submit the signed report to counselor. Counselor provided the following technical assistance: A. All accidents and incidents or unusual occurrences that are threatening to the health, safety, or welfare of a child that occur while the child is in care must be documented on the same day they occur. B. This documentation must be shared with the custodial parent or legal guardian on the date of occurrence

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

33-03 · Training Requirements

Counselor observed 3child care personnel that have not begun the introductory training 90 days of employment in the child care industry. Provider will need to submit the staff members transcripts to show documentation of beginning the introductory training by 2/13/2023. 4.1 Beginning Training Child care personnel including volunteers who work 10 hours or more per month must begin training within 90 days of employment in the child care industry and successfully complete Departments training within 12 months from the date training begins. Training taken prior to employment in the child care industry does not constitute begin training. The begin training timeframes begin at the time of employment in the child care industry. Training completion may not exceed 15 months from the date of employment in the child care industry in any licensed Florida child care facility. This may be accomplished by classroom attendance in a Department-approved training course, acquiring an educational exemption from a Department-approved training course, beginning a Department-approved online child care training course, or by receiving results from a Department-approved competency examination. The child care program is responsible for obtaining training documentation from child care personnel

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

44-04 · Personnel Records

Counselor observed 3 staff members records missing an annually signed abuse and neglect reporting requirement form. Provider has until 2/13/2023 to submit the forms to counselor. 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 beforehire date and annually thereafter by all child care personnel

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.