42-01 · Student Health and Records

Licensing Specialist reviewed all 27 actively enrolled student Health Examinations records. 14 of those children did not have a Health Exam on file. K.A. DOB: 3/27/23 Enrollment date: 2/16/23K.B. DOB: 1/28/21 Enrollment Date: 8/14/24K.C. DOB: 7/14/22 Enrollment Date: 08/12/21E.L. DOB: 7/20/21 Enrollment Date: UnavailableM.P. D.O.B 1/24/23 Enrollment Date: UnavailableL.T. D.O.B:2/15/23 Enrollment Date: 1/20/24O.W. D.O.B. 2/11/22 Enrollment Date:7/17/24A.C. D.O.B: 8/15/20 Enrollment Date:8/14/24G.L D.O.B. 1/12/20 Enrollment Date: unavailableL.J. D.O.B. 1/26/20 Enrollment Date:5/7/24J.K. D.O.B: 7/1/20 Enrollment Date: 8/19/24L.K. D.O.B. 1/14/20 Enrollment Date:8/12/24J.V D.O.B. 12/16/19 Enrollment Date: 5/16/24O.W. D.O.B. 1/24/20 Enrollment Date:7/17/24 Facility Director called all parents and advised them that without updated records they could not return. 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

34-04 · Credentialed Staff

Licensing Specialist reviewed the Director's Personnel Records. The Director's Credential expired on: 09/10/2024. A resubmission of her new courses and application were submitted on 10/22/24 and is currently pending. Action Plan: Renewal of Director's Credential was submitted. Application Pending. 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 CFFSP 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.

41-01 · Immunization Records

Licensing Specialist reviewed all 27 active children's Immunization records.14 of those children did not have Immunization Records or has been expired. K.A. DOB: 3/27/23 Enrollment date: 2/16/23 K.B. DOB: 1/28/21 Enrollment Date: 8/14/24 K.C. DOB: 7/14/22 Enrollment Date: 08/12/21 E.L. DOB: 7/20/21 Enrollment Date: Unavailable M.P. D.O.B 1/24/23 Enrollment Date: Unavailable L.T. D.O.B:2/15/23 Enrollment Date: 1/20/24 O.W. D.O.B. 2/11/22 Enrollment Date:7/17/24 A.C. D.O.B: 8/15/20 Enrollment Date:8/14/24 G.L D.O.B. 1/12/20 Enrollment Date: unavailable L.J. D.O.B. 1/26/20 Enrollment Date:5/7/24 J.K. D.O.B: 7/1/20 Enrollment Date: 8/19/24 L.K. D.O.B. 1/14/20 Enrollment Date:8/12/24 J.V D.O.B. 12/16/19 Enrollment Date: 5/16/24 O.W. D.O.B. 1/24/20 Enrollment Date:7/17/24 Provider called all the parents on the phone and advised them that they would have to bring in updated records before returning. 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 65C22.001(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. 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

04-32 · Supervision

Counselor observed an employee who did not have the required pre-service training completed, in a classroom alone with the children. (D.A.) This employee was not allowed to return to the classroom until the pre-service training is complete. Provider has until 10/16/2023, to bring standards back into compliance. 18.1 Pre-service Timeframe All pre-service training requirements listed below must be completed by all program personnel, volunteers and substitutes, each as defined in this handbook, within 90 days of initial employment with any provider participating in the school readiness program. This timeframe does not start over if personnel change employment to another school readiness provider within this 90 days. Personnel who have not completed all pre-service training requirements may not be allowed any unsupervised contact with or care of children in a school readiness program

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

17-02 · Outdoor Play Area/Fencing

Counselor observed several broken toys in the playground, standing water inside toys and nails sticking out of play toys. Counselor observed the provider take the items and discard them in the trash. This matter has been resolved and is back in compliance with standards. 3.5 Outdoor Play Area A. The outdoor play area must be clean and free from litter, nails, glass and other hazards

Corrected Corrected by Oct 11, 2023

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

25-04 · Meals and Snacks

Counselor observed a tray of pears that was spoiled and kept inside the refrigerator. Counselor observed the provider throw the contents in the trash after the counselor brought it to their attention. 3.9.3 Food Safety 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. D. If a facility chooses to provide food to children directly or by contract with an outside source, such as a caterer, the food must be free from spoilage and handled in a sanitary manner at all times. The facility must have adequate equipment available to maintain food safety Provider threw the contents in the trash resulting in this matter to be resolved. This was brough back into compliance

Corrected Corrected by Oct 11, 2023

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

33-08 · Training Requirements

Counselor observed in service training hours through the providers cell phone as it was emailed to her. No CF-FSP Form 5268 was available with the required documentation to show completion of training on file. Provider has a

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

44-01 · Personnel Records

Counselor observed a new staff member did not have a complete file. (C.G.) was hired on 10/11/2023 and placed in the classroom without complete records on file. Counselor will do a reinspection on 10/16/2023 and ensure all is in compliance with standards. 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

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-02 · Background Screening Documents

Counselor observed new staff member alone in the 2 yr. old classroom without an Eligible reading on the background and screening. Provider removed employee from the classroom and sent them home. Counselor advised the provider to ensure the employee has a cleared background reading before returning. This matter was resolved at the time of inspection. 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

Corrected Corrected by Oct 11, 2023

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

45-09 · Background Screening Documents

Counselor observed the Employee/Contractor Roster had not been updated with new and terminated employees. Counselor observed the provider update the roster at the time of inspection. This has been resolved. Counselor has observed this to be resolved and is now back in compliance with standards. 5.1 Initial Screening 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. K. 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

Corrected Corrected by Oct 11, 2023

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

03-01 · Ratio Sufficient

RATIO observed at begining of inspection: 1 staff to 13 children (aged ones, twos & threes) 1 staff to 13 children (aged threes & fours) RATIO after corrections made: 2 staff to 12 children (aged ones, twos & threes) 1 staff to 14 children (aged threes & fours) Counselor observed 1 childcare personnel in a classroom with 13 children, who were ages one to three years old. The insufficient staff to children ratio was corrected at the time of inspection when another childcare personnel came into the classroom to assist, and the oldest child was moved to another room of older children. This corrective action brought the center back into compliance for this standard. (HANDBOOK) 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 Jul 13, 2023

Category: ratio. Marked corrected in the state record.

17-06 · Outdoor Play Area/Fencing

Counselor observed areas in fencing that could pose a threat opening or gaps greater than 3.5 inches in width, as well as hazardous ends or wiring and pole. 3.5 Outdoor Play Area 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

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

40-11 · Medication

Counselor observed medications in medicine designated container. Within the container I observed several medicines however administration documentation was not in medicine administration container nor student files. Via phone call I was informed that most of the observed medications were for students no longer enrolled at facility and the other medications were not being administered at this time. 6.5 Medication 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. TA was given, informed provider to discard or return medications to parents when no longer enrolled or being administered

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

01-40 · License Displayed/Citation Posted/Advertising

2.319. The right of entry and inspection shall also extend to any premises which the department or local licensing agency has reason to believe are being operated or maintained as a child care facility without a license, but no such entry or inspection of any premises shall be made without the permission of the person in charge thereof unless a warrant is first obtained from the circuit court authorizing such entry or inspection. Any application for a license or renewal made pursuant to this act or the advertisement to the public for the provision of child care as defined in s. 402.302 shall constitute permission for any entry or inspection of the premises for which the license is sought in order to facilitate verification of the information submitted on or in connection with the application. In the event a licensed facility refuses permission for entry or inspection to the department or local licensing agency, a warrant shall be obtained from the circuit court authorizing entry or inspection before such entry or inspection. The department or local licensing agency may institute disciplinary proceedings pursuant to s. 402.310 for such refusal

Corrected Corrected by Jun 23, 2023

Category: recordkeeping. Marked corrected in the state record.