05-04 · Substitute FDCH/LFCCH Handbook

Licensing observed the substitute was not listed as a substitute in CARES systems. Provider did not report change of substitute. Counselor give technical assistant: Substitute The operator must have a written plan to provide at least one substitute, 18 years of age or older, to be available on a temporary/emergency basis. A. The substitutes information (including name, date of birth, telephone number, address, anticipated number of hours worked and whether or not this person substitutes for another home) must be provided on the CF-FSP Form 5133, Application to License a Family Child Care Home. B. The written plan must be kept current and include the name, address, telephone number of the substitute. C. Any changes to the plan must be reported to the licensing office within 5 working days. All hours worked by the substitute must be documented in writing and maintained for 12 months. D. Substitutes may not work for the operator more than 40 hours per month on average over a 6-month period in any single home for which they have been identified as the designated substitute. E. The operator must document the hours worked on a monthly basis. The operator must sign a statement attesting to the number of hours that the substitute works in the operators home. The statement must be placed in the substitutes file. F. The operator must keep written record of the number of hours worked by the substitute and this documentation must be maintained for a 12-month period. Provider has until 4/28/2025 to complete a written substitute plan

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

07-04 · Staff Training FDCH/LFCCH Handbook

Counselor observed substitute did not complete 6-hour training. Counselor give technical assistant: Substitutes Who Work Less Than 40 Hours/Month Substitutes who work less than 40 hours a month on average must complete: A. The departments six clock-hour Family Child Care Home Rules and Regulations training, as evidenced by successful completion of a competency-based examination offered by the department or its designated training representative prior to licensure and caring for children. Provider has until 4/28/2025 to complete 6 clock-hour Family Child Care Rules and Regulation course

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

07-05 · Staff Training FDCH/LFCCH Handbook

Counselor observed home did not have at least one person with CPR procedures and first aid training. Counselor give technical assistant: C. Have certificate(s) of course completion for pediatric cardiopulmonary resuscitation (CPR) procedures and first aid training, which must be current and valid at all times. Certificates of course completion are valid based on the time frames established by each first aid and CPR training program, not to exceed three years. CPR courses must include an on-site instructor-based skills assessment that shall be documented by the certified CPR instructor. Documentation of completion of the online course and on-site assessment must be maintained at the home and available for review by the licensing authority. Two years from the date of the adoption of this rule, large family child care home employees must also have current First Aid and pediatric cardiopulmonary resuscitation (CPR) training. Provider has until 4/28/2025 to complete CPR/ First aid training

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

05-04 · Substitute FDCH/LFCCH Handbook

Home failed to report changes to written substitute plan. Counselor give technical assistant: Substitute The operator must have a written plan to provide at least one substitute, 18 years of age or older, to be available on a temporary/emergency basis. A. The substitutes information (including name, date of birth, telephone number, address, anticipated number of hours worked and whether or not this person substitutes for another home) must be provided on the CF-FSP Form 5133, Application to License a Family Child Care Home. B. The written plan must be kept current and include the name, address, telephone number of the substitute. C. Any changes to the plan must be reported to the licensing office within 5 working days. All hours worked by the substitute must be documented in writing and maintained for 12 months. D. Substitutes may not work for the operator more than 40 hours per month on average over a 6-month period in any single home for which they have been identified as the designated substitute. E. The operator must document the hours worked on a monthly basis. The operator must sign a statement attesting to the number of hours that the substitute works in the operators home. The statement must be placed in the substitutes file. F. The operator must keep written record of the number of hours worked by the substitute and this documentation must be maintained for a 12-month period. Home is noncompliance with Florida Standards. Facility has to meet Florida Standards by 10/4/24

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

05-05 · Substitute FDCH/LFCCH Handbook

Counselor failed to maintain written documentation for the number of hours the substitute teacher worked. Counselor give technical assistance: Substitute The operator must have a written plan to provide at least one substitute, 18 years of age or older, to be available on a temporary/emergency basis. A. The substitutes information (including name, date of birth, telephone number, address, anticipated number of hours worked and whether or not this person substitutes for another home) must be provided on the CF-FSP Form 5133, Application to License a Family Child Care Home. B. The written plan must be kept current and include the name, address, telephone number of the substitute. C. Any changes to the plan must be reported to the licensing office within 5 working days. All hours worked by the substitute must be documented in writing and maintained for 12 months. D. Substitutes may not work for the operator more than 40 hours per month on average over a 6 month period in any single home for which they have been identified as the designated substitute. E. The operator must document the hours worked on a monthly basis. The operator must sign a statement attesting to the number of hours that the substitute works in the operators home. The statement must be placed in the substitutes file. F. The operator must keep written record of the number of hours worked by the substitute and this documentation must be maintained for a 12-month period. Home is noncompliance with Florida Standards. Facility has to meet Florida Standards by 10/4/24

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

07-04 · Staff Training FDCH/LFCCH Handbook

Substitutes who work less than 40 hours a month on average must complete: A. The departments six clock-hour Family Child Care Home Rules and Regulations training, as evidenced by successful completion of a competency based examination offered by the department or its designated training representative prior to licensure and caring for children. B. Substitutes who have successfully completed the three clock-hour Fundamentals of Child Care training or 30-clock-hour Family Child Care Home training are not required to complete the six clock-hour Family Child Care Home Rules and Regulations course. C. Have certificate(s) of course completion for pediatric cardiopulmonary resuscitation (CPR) procedures and first aid training, which must be current and valid at all times. Certificates of course completion are valid based on the time frames established by each first aid and CPR training program, not to exceed three years. CPR courses must include an on-site instructor-based skills assessment that shall be documented by the certified CPR instructor. Documentation of completion of the online course and on-site assessment must be maintained at the home and available for review by the licensing authority. Provider is noncompliance with Florida Standards. Facility has to meet Florida Standards by 10/4/24

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

07-05 · Staff Training FDCH/LFCCH Handbook

Counselor observed home did not include an on-site CPR instructor. Counselor give technical assistant: Have certificate(s) of course completion for pediatric cardiopulmonary resuscitation (CPR) procedures and first aid training, which must be current and valid at all times. Certificates of course completion are valid based on the time frames established by each first aid and CPR training program, not to exceed three years. CPR courses must include an on-site instructor-based skills assessment that shall be documented by the certified CPR instructor. Documentation of completion of the online course and on-site assessment must be maintained at the home and available for review by the licensing authority. Home is noncompliance with Florida Standards. Facility has to meet Florida Standards by 10/4/24

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

31-01 · Immunization Records FDCH/LFCCH Handbook

Counselor observed child care center did not have Health/Immunization Records on file. Counselor give technical assistant to provider: A. The operator is responsible for obtaining for each child in care a current, complete and properly executed Florida Certification of Immunization form, Parts A-1, B, and/or C, DH 680 (July 2010), or the Religious Exemption from Immunization form, DH 681 (July 2008), which are incorporated herein by reference in 65C-22.001(8)(o) and (p), F.A.C., from the custodial parent or legal guardian, within 30 days of enrollment. DH Form 680 and DH Form 681 may be obtained from the local health department. The parent/guardian of a child who has not received the age-appropriate immunizations prior to enrollment and who does not have documented medical, religious, or philosophical exemptions from routine childhood immunizations should provide documentation of a scheduled appointment or arrangement to receive immunizations. B. 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. C. Providers may receive additional information on immunization requirements by obtaining the most current edition of the Immunization Guidelines Florida Schools, Child Care Facilities and Family Day Care Homes as referenced in Rule 64D-3.011, F.A.C. D. 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. Home is noncompliance with Florida Standards. Facility has to meet Florida Standards by 10/4/24

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

32-01 · Health Records FDCH/LFCCH Handbook

Counselor observed students without health examination Student Health Records were not on file. Counselor give technical assistant: 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(8)(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. Home is noncompliance with Florida Standards. Home has to meet Florida Standards by 10/4/24

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.