30-06 · Diapering

The changing mat in the infant room was torn on both sides leaving the mat impermeable. The person in charge and director/owner stated that they had a mat on order. A new mat will need to be replaced. 3.10.2 Diapering Requirements. When children in diapers are in care, there must be a diaper changing area with an impermeable surface that is cleaned and sanitized or disinfected after each use

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

44-04 · Personnel Records

Refer to the supplemental for the staff members who had expired forms on file during onsite inspection 7.4 Personnel Records. 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

33-17 · Training Requirements

Refer to the supplemental for the staff members who did not complete the training within the time frame. Item completed as staff completed training late

Corrected Corrected by Sep 30, 2024

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

33-09 · Training Requirements

Refer to the supplemental for the staff member who has not completed the required training within the time frame. 4.2.3 Safe Sleep/ Shaken Baby Syndrome Training All child care personnel who work in a facility that offers care to infants must have training regarding guidance on safe sleep practices, preventing shaken baby syndrome and abusive head trauma; recognition of signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with crying, fussing, or distraught child and the development and vulnerabilities of the brain in infancy in early childhood within 30 days of hire at the facility

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

41-01 · Immunization Records

Refer to the supplemental for the children who need updated records for their 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Student Health and Records

Refer to the supplemental for the child who needs a form for their file. 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. A. The Student Health Examination shall be completed by a person given statutory authority to perform health examinations. B. The Student Health Examination or the signed statement is valid for two years from the date the physical was performed. An up-to-date version must be on file for as long as the child is enrolled at the facility. 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. Counselor reviewed a total of 49 records for total enrollment at the childcare facility

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

45-02 · Background Screening Documents

Refer to the supplemental for the staff member who is missing background screening clearance. The staff member has until the end of business day to work to avoid ratio violations. 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.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: ratio. Open / not marked corrected.

46-02 · Daily Attendance

Counselor observed that attendance in the 1 year old room, VPK room and 4 year old class was not completed to show all children in care. 1 year old class had 8 present but only 6 signed in VPK class had 6 present but only 5 signed in 4 year old class had 10 but only 9 signed in Item corrected at the time of inspection as attendance log corrected. 7.5 Daily Attendance Daily attendance of children must be taken and recorded accurately by the child care personnel, documenting the time when each child enters and departs the program

Corrected Corrected by May 17, 2024

Category: recordkeeping. Marked corrected in the state record.

17-24 · Outdoor Play Area/Fencing

as the attendance log provided by the facility that there were 5 children with one staff member during the time frame of 6:30 am to 7:00 am. 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 A. In groups of mixed age ranges, where children under one year of age are included, one child care personnel must be responsible for no more than four children of any age group, at all times. 12- infants with 3 staff 6- 1 year old with 1 staff 11- 2 year old with 1 staff 17- VPK with 1 staff The counselor recommends that the facility create a safety plan on how they are going assure that there be no more propped bottles even if the children can hold their own bottles. An all-staff meeting is to be conducted discussing the importance of supervision and ratio. The staff must be made aware that they cannot provide supervision to any enrolled child in care if they are sleeping themselves. The staff must also be made aware of the correct ratio count. A staff member cannot leave a class and leave that classroom out of ratio. A copy of the meeting notes including all staff signature showing attendance and safety plan is to be provided to the counselor as corrective action

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

04-05 · Supervision

The facility is out of compliance with naptime supervision as video footage shows the 1 year old teacher sleeping instead of providing supervision to the children in care. 2.4.2 Nap time Supervision During nap time, child care personnel must be within sight and hearing of all the children. All other child care personnel required to meet the staff-to-child ratio must be within the building on the same floor and available to be summoned if needed to ensure the safety of the children. Nap time supervision does not apply to children up to 24 months of age, who must have direct supervision at all times. The counselor recommends that the facility create a safety plan on how they are going assure that there be no more propped bottles even if the children can hold their own bottles. An all-staff meeting is to be conducted discussing the importance of supervision and ratio. The staff must be made aware that they cannot provide supervision to any enrolled child in care if they are sleeping themselves. The staff must also be made aware of the correct ratio count. A staff member cannot leave a class and leave that classroom out of ratio. A copy of the meeting notes including all staff signature showing attendance and safety plan is to be provided to the counselor as corrective action

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

04-08 · Supervision

The facility admitted that majority of the children in the infant room can hold their own bottles and they allow to lay on their boppy and drink their milk. However, this is a choking hazard and children should not be left laying down but sat upright or in highchairs when it come to being fed their bottles. 2.4.4 Meal time Supervision. There must not be any propped bottles. If a child cannot hold the bottle, child care personnel must hold the bottle during feeding. There must be no automatic feeding devices unless prescribed by a doctor and documentation is available in the childs file. The counselor recommends that the facility create a safety plan on how they are going assure that there be no more propped bottles even if the children can hold their own bottles. An all-staff meeting is to be conducted discussing the importance of supervision and ratio. The staff must be made aware that they cannot provide supervision to any enrolled child in care if they are sleeping themselves. The staff must also be made aware of the correct ratio count. A staff member cannot leave a class and leave that classroom out of ratio. A copy of the meeting notes including all staff signature showing attendance and safety plan is to be provided to the counselor as corrective action

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

11-03 · Child Discipline

The facility admitted that an enrolled child was taken into the kitchen to be "spoken to" on occasion due to his behavior to be re-directed. The teacher who took the child into the classroom said the child was her relative. However, even if the child is a relative of the teacher the child is still enrolled at the childcare and all rules still apply. 2.8 Child Discipline. The child care facility operators, employees, and volunteers must comply with written disciplinary and expulsion policies. The counselor recommends that the facility create a safety plan on how they are going assure that there be no more propped bottles even if the children can hold their own bottles. An all-staff meeting is to be conducted discussing the importance of supervision and ratio. The staff must be made aware that they cannot provide supervision to any enrolled child in care if they are sleeping themselves. The staff must also be made aware of the correct ratio count. A staff member cannot leave a class and leave that classroom out of ratio. A copy of the meeting notes including all staff signature showing attendance and safety plan is to be provided to the counselor as corrective action

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

24-01 · Food Preparation Area

The kitchen area was being used for re-directing an enrolled child behavior instead of preparing food. Children are never allowed to be in the kitchen area at any time The facility admitted on an occasion that a teacher took the child into the kitchen to re-direct his behavior. 3.9 Food Preparation/Food Service 3.9.1 Food Preparation Area A food preparation area is a designated room, such as a kitchen, or a designated space in a facility not normally used or accessible to the children in daily operations for indoor play, classroom, work or nap spaces, and not included when calculating usable indoor floor space. For safety, children must not be present in the food preparation area when meals and snacks are prepared unless being supervised or participating in a cooking activity. The counselor recommends that the facility create a safety plan on how they are going assure that there be no more propped bottles even if the children can hold their own bottles. An all-staff meeting is to be conducted discussing the importance of supervision and ratio. The staff must be made aware that they cannot provide supervision to any enrolled child in care if they are sleeping themselves. The staff must also be made aware of the correct ratio count. A staff member cannot leave a class and leave that classroom out of ratio. A copy of the meeting notes including all staff signature showing attendance and safety plan is to be provided to the counselor as corrective action

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

23-12 · Fire Drills

All drills were conducted for the renewal year. A drill was conducted with the counselor during onsite renewal. with 29 children with 8 adults. During onsite drill the infant room teacher failed to take attendance. Item was corrected when attendance was grabbed. 3.8.5 Emergency Preparedness A. The operator must develop a written emergency preparedness plan that includes, at a minimum, procedures to be taken by the facility during a fire, evacuation, relocation, shelter in place, lockdown, and inclement weather (for example: hurricanes, tropical storms or tornadoes), and to facilitate parent/guardian reunification onsite and offsite. The plan must describe how the facility will notify and update parents/guardians, as well as, meet the needs

Corrected Corrected by Sep 25, 2023

Category: recordkeeping. Marked corrected in the state record.

28-01 · Bottles, Breastmilk, Formula and Infant Food

The infant room teacher did not have bottle labeled with first and last name. Item corrected at the time of inspection . 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 Sep 25, 2023

Category: nutrition. Marked corrected in the state record.

39-05 · Accident/ Incident Notification and Documentation

Refer to the supplemental for the forms that need to be signed by parent or director. Documentation must include the name of the affected party, date and time of the occurrence, description of the occurrence, actions taken and by whom, and appropriate signatures of program child care personnel and the custodial parent or legal guardian. Program child care personnel signatures may include the director/child

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

41-01 · Immunization Records

Refer to the supplemental for the children who need updated records for their fileCounselor reviewed 29 records for total enrollment at the childcare facility.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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

11-06 · Child Discipline

Video footage shows a child a teacher inappropriately mishandling and disciplining a child while in care as the child sustained injuries and bruising to both her arms and on her stomach. 2.8 Child Discipline. The following discipline techniques shall be prohibited in the child care facility: 1. The use of corporal punishment/including, but not limited to: a) Hitting, spanking, shaking, slapping, twisting, pulling, squeezing, or biting; b) Demanding excessive physical exercise, excessive rest, or strenuous or bizarre postures; c) Compelling a child to eat or have in his/her mouth soap, food, spices, or foreign substances; d) Exposing a child to extremes temperature; e) Rough or harsh handling of children, including but not limited to: lifting or jerking by one or both arms; pushing; forcing or restricting movement; lifting or moving by grasping clothing; covering a childs head. The facility is to create a safety plan showing steps that will be taken to prevent anything of this nature from occurring again. A copy of the safety plan is to be signed by all staff acknowledging that they understand the safety plan. A copy of the safety is to be placed in their file folder. A copy of the safety plan is to also provided to the counselor as corrective action. The facility is conduct an all staff meeting discussing the discipline policy. The policy will need to be re-read by each staff member and signed and placed in their file folder that they understand the policy. A copy of the meeting notes showing all staff signature is to be provided to the counselor as corrective action. All staff is to complete the online training Trauma Informed. A copy of the completed training with certificate is be provided to the counselor as corrective action. A copy of the completed certificate is to be placed in each staff member file folder when they complete it

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

03-01 · Ratio Sufficient

During onsite inspection counselor observed 5 children in the the infant room. Four children were infants with a 3 year old. Item corrected at the time when the 3 year was moved back to his 3 year old classroom. 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 A. In groups of mixed age ranges, where children under one year of age are included, one child care personnel must be responsible for no more than four children of any age group, at all times

Corrected Corrected by May 25, 2023

Category: supervision. Marked corrected in the state record.

04-05 · Supervision

Counselor observed during onsite inspection counselor observed a teacher sitting in between classrooms one of the classrooms was a 1 year old room and a two year old room. The teacher for the 1 year old went to lunch. The item was brought back into compliance when the 1 year old teacher returned from lunch. 2.4.2 Nap time Supervision During nap time, child care personnel must be within sight and hearing of all the children. All other child care personnel required to meet the staff-to-child ratio must be within the building on the same floor and available to be summoned if needed to ensure the safety of the children. Nap time supervision does not apply to children up to 24 months of age, who must have direct supervision at all times

Corrected Corrected by May 25, 2023

Category: supervision. Marked corrected in the state record.

33-13 · Training Requirements

Refer to the supplemental for the staff member who needs to complete the training. Staff member has been in the industry and has not completed. 18 Training Requirements 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.

41-01 · Immunization Records

Refer to the supplemental for the child who needs an updated record for their 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. Counselor reviewed a total of 15 records for total enrolment at the child care facility. Rilya Wilson Act In efforts to meet House Bill 1435 requirements, the Office of Child Care Regulation has developed the Rilya Wilson Act flyer that will be included in all initial and renewal application packets. The flyer outlines the providers responsibilities for ensuring continuity of care and reporting absences of children in out-of-home placement that are enrolled at their facility/home. Please carefully review the Rilya Wilson Act flyer. Distracted Adult Flyer House Bill 1079 amended s. 402.305(9), F.S. requiring operators of child care facilities and homes to provide parents/guardians with information pertaining to the dangers of leaving a child in a vehicle, including tips for prevention, during the months of April and September. Documentation that the Distracted Adult flyer has been shared with parents/guardians must be kept by providers

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.