23-05 · Fire Drills

Counselor observed the fire extinguisher was last inspected and tagged on: January 2023. Fire extinguisher expired on: January 2024 3.8 Fire Safety and Emergency Preparedness B. Fire extinguishers with a minimum rating of 2A:10BC must be properly installed, serviced and maintained with current inspection tags at all times. Facility is not in compliance with Fire Drills/Emergency Preparedness: Fire Extinguisher Not Serviced/Tagged

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

45-09 · Background Screening Documents

Counselor observed a background screening roster with 3 child care personnel listed as current employees. Facility has a total of 13 current staff members. Provider has not been updating the employee roaster in the clearinghouse. Counselor has given provider until 10/11/2023 to bring this standard back into compliance by updating the roaster. Technical Assistance from Child Care Facility Handbook: The employer/owner/operator must add child care personnel to their Employee/Contractor Roster in the Clearinghouse within 10 days of when the individual has received a child care eligible result and has been hired at the facility. Employer/owner/operator must add an end date for individuals on the Employee/Contractor Roster in the Clearinghouse within 10 days of the employment termination

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

40-05 · Medication

Counselor observed an EpiPen without the name and contact information of the physician and/or pharmacy, childs name, name of the medication, and medication directions. The facility has been given until 6/15/2023 to bring this standard back into compliance by locating who the EpiPen belongs to and either returning it to the custodial parents or having the parents accurately label the medication and fill out a medication authorization form. Technical Assistance from the Child Care Facility Handbook: C. Prescription and non-prescription medication brought to the child care facility by the custodial parent or legal guardian must be in the original container. Prescription medication must have a label stating the name and contact information of the physician and/or pharmacy, childs name, name of the medication, and medication directions. All prescription and non-prescription medication must be dispensed according to written directions on the prescription label or printed manufacturers label and maintained at the appropriate temperature

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

40-11 · Medication

Counselor observed a basket full of medication without authorization forms. The facility has been given until 6/15/2023 to bring this standard back into compliance by going through all the medication and returning the medication to the parents of the children who no longer attend the facility and to have parents fill out authorization forms for the medication of the children still enrolled. Technical Assistance from the Child Care Facility Handbook: F. The facility must maintain a record for each child receiving any medications that documents the full name of the child, the name of the medication, the date and time the medication was given, the amount and dosage, and the name and signature of the person who gave the medication. This record must be initialed or signed by the program personnel who gave the medication. The record must be maintained for a minimum of 12 months after the last day the child received the dosage

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

41-01 · Immunization Records

Counselor checked all children's files. Counselor observed three children's file who were missing a Florida Certification of Immunization (DH Form 680). The facility has been given until 6/15/2023 to bring this standard back into compliance by providing documentation for the missing/expired Florida Certification of Immunization (DH Form 680). Technical Assistance 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. 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Student Health and Records

Counselor checked all children's files Counselor observed four children's files who had missing/expired Student Health Examination form on file. The facility has been given until 6/15/2023 to bring this standard back into compliance by providing documentation for the missing Student Health Examination/DH (Form 3040). Technical Assistance from the Child Care Facility Handbook: 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.

45-02 · Background Screening Documents

Counselor observed J.B in the three-year-old classroom shadowing the lead teacher. The classroom was in ratio even without J.B being present When checking files counselor observed that J. B's background screening had become not eligible the day prior to the on-site inspection (6//6/2023) This standard came back into compliance by having the in individual with a not eligible background screening leave the facility until further notice. Technical Assistance from the Child Care Facility Handbook: A screening must be conducted as a condition of employment. The employer/owner/operator must review each employment application to assess the relevancy of any issue uncovered by the complete background screening, including any arrest, pending criminal charge, or conviction, and must use this information in employment decisions in accordance with state laws

Corrected Corrected by Jun 7, 2023

Category: ratio. Marked corrected in the state record.

40-06 · Medication

Child listed on supplemental was given over the counter medications on two occasions 01/17/2023 and 01/25/23. Both medications states for children under 2 must have a doctor's note. Child is 21 months old and there was no doctor's note on file. 6.5 MedicationChild 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.B. Any known allergies to medication or special restrictions must also be documented, maintained in the childs file, shared with child care personnel and posted with the childs stored medication.C. Prescription and non-prescription medication brought to the child care facility by the custodial parent or legal guardian must be in the original container. Prescription medication must have a label stating the name and contact information of the physician and/or pharmacy, childs name, name of the medication, and medication directions. All prescription and non-prescription medication must be dispensed according to written directions on the prescription label or printed manufacturers label and maintained at the appropriate temperature. D. In the event of an emergency, non-prescription medication that is not brought in by the parent or legal guardian can be dispensed only if the program has written permission from the parent or legal guardian to do so. E. Any medication given under these conditions must be documented in the childs file, and the custodial parent or legal guardian must be notified on the day of occurrence. F. The facility must maintain a record for each child receiving any medications that documents the full name of the child, the name of the medication, the date and time the medication was given, the amount and dosage, and the name and signature of the person who gave the medication. This record must be initialed or signed by the program personnel who gave the medication. The record must be maintained for a minimum of 12 months after the last day the child received the dosage. G. All medication must have child resistant caps, if applicable, and must either be stored in a locked area or must be out of any childs reach. If medication is stored in the food preparation area, it must be stored in a manner to prevent contamination of food, food contact surfaces, or medication. H. Medication that has expired or that is no longer being dispensed must be returned to the custodial parent or legal guardian or discarded. I. Prior to administering medication to children, child care personnel responsible for administering medication must be educated on proper administration procedures. Written documentation must be maintained in the personnel file that child care personnel administering medication have been educated on proper administration procedures. J. Child care personnel must ensure sun safety for themselves and children under their supervision. It is recommended that infants younger than six months of age are kept out of direct sunlight, limiting sun exposure when ultraviolet rays are strongest. Sunscreen may only be utilized with written permission from parents/guardians. Manufacturer instructions must be followed

Corrected Corrected by Feb 2, 2023

Category: supervision. Marked corrected in the state record.

41-01 · Immunization Records

Children listed on supplemental had either expired or no DH 680 Florida Immunizations 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.

22-28 · Operable Phone

95, emailed to: Background.screening@myflfamilies.com or mailed to: Department of Children and Families Background Screening Unit, 2415 N. Monroe Street, Suite 1176, Tallahassee, Florida 32303 . 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

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

34-04 · Credentialed Staff

The facility loss it's Director (J.B.) on 01/06/2023. 4.7 Director Credential Section 402.305(2)(g), F.S., requires a child care facility to have a credentialed director. Every applicant for a license to operate a child care facility or a license for a change of ownership of a child care facility must document that the facility director has an active Director Credential prior to issuance of the license. An applicant for the Director Credential must meet the requirements referenced in CF-FSP Form 5290, Florida Child Care and Education Program Director Credential and Renewal Application, which is incorporated by reference in 65C-22.001(7)(k), F.A.C. CF- FSP Form 5290 may be obtained from the Departments website at www.myflfamilies.com/childcare. All applications and documentation will be verified, and, if complete, the credential will be issued by the Department or its designated representative on CF-FSP Form 5252, Florida Child Care and Education Program Director Credential, which is incorporated by reference in 65C-22.001(7)(g), F.A.C. A. Each child care facility must have a credentialed director who is on-site a majority of hours, excluding weekends and evening hours that the facility is in operation. Documentation of majority of hours must be maintained and available for review by the licensing authority. B. CF-FSP Form 5252, Florida Child Care and Education Program Director Credential, must be maintained at the facility for review by the licensing authority. A Director Credential, as documented on CF-FSP Form 5252, Florida Child Care and Education Program Director Credential, is active for five years from the date of issuance. C. An individual may not be the director of child care facilities that overlap in the hours of operation. D. An individual with an inactive Director Credential is ineligible to be the director of a child care facility. E. Every applicant for a license to operate a child care facility or a license for a change of ownership of a child care facility must document that the facility director has an active Director Credential prior to issuance of the license. F. Child care facility owners must notify the licensing authority within five working days of when the facility loses a credentialed director or when there is a change of director. 1. The licensing authority will then issue a provisional license for a period not to exceed six months for any facility without a credentialed director. 2. The provisional license will have an effective date of the first day the facility was without a credentialed director

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.