03-01 · Ratio Sufficient

On 3/19/2025 at 11:56 A.M., Licensing Specialist arrived at the facility to commence a complaint received at the Office of Childcare Licensing. During the inspection, Licensing Specialist observed the following nap time ratios: Class 1: 6-1 yr. olds and 1 childcare personnel Class 2: 9-1 yr. olds and 2 childcare personnel Class 3: Mixed age group of 2's, 3's and 4 yr. olds: 20 children in total with 1 childcare personnel Class 4: 6 infants and 1 childcare personnel One additional staff was available at the time inspection. 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. 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 This was resolved at the time of inspection. Provider added an extra teacher into the Infant room. The classroom was back in compliance with standards. There were now 2 childcare personnel with 6 infants. Licensing Specialist returned to the facility on 3/20/35 at 2:55P.M. and observed the following ratios: Class 1: 3 Infants and 1 childcare personnel Class 2: 3 Infants and 1 childcare personnel Class 3: 10-2 yr. olds and 1 childcare personnel Class 4: 17 mixed age children (Ages: 6-5 yr. olds, 5-4 y. olds and 6-3 yr. olds), with 1 childcare personnel Class 5: 6-1 yr. olds and 2 childcare personnel Class 6: 6-1 yr. olds and 1 childcare personnel. 1 additional staff was available at the time of inspection. Facility was in compliance with Ratio Standards on this visit

Corrected Corrected by Mar 19, 2025

Category: supervision. Marked corrected in the state record.

04-18 · Supervision

Licensing Specialist interviewed childcare personnel that was working at the facility but has resigned. The former staff stated she worked in the classrooms for about two weeks before going through Background and Finger printing process. She had not had a Level II Background check completed before allowing to work alone with children. A second agent from the Department also interviewed the staff at the facility and stated they thought the former teacher resigned because she couldn't handle a class of just 10 children by herself. Former staff was hired on 3/3/25 and resigned on 3/14/25. Fingerprints and background screening was initiated on 3/13/25. At the time of inspection, results from her fingerprints and background screening were still in process. This has been resolved. The teacher resigned from her position and is no longer working at the facility. 5 Background Screening 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. A. Level 2 screening as outlined in s. 435.04, F.S., is required for all child care personnel and includes a criminal records check (both national and statewide), a sexual predator and sexual offender registry search, and child abuse and neglect history of any state in which an individual resided during the preceding 5 years. All fingerprints must be submitted and processed through the Background Screening Clearinghouse and therefore a LiveScan vendor that is Clearinghouse compatible must be used for submission of fingerprints. 5.2 Re-Screening A screening conducted under this rule is valid for five years, at which time a re-screen must be conducted in the same manner as the initial screening. C. Child care personnel must be re-screened following a break in employment in the child care industry that exceeds 90 days. Child care personnel/individual with a break in service that exceeds 90 days are considered unscreened child care personnel/individuals until completion of re-screening. These child care personnel/individuals shall not have unsupervised contact with children in care

Corrected Corrected by Mar 19, 2025

Category: supervision. Marked corrected in the state record.

15-03 · Licensed Capacity

Licensing Specialist observed the toddler 2's classroom being used for naptime with a combination of 2 or more classes in the same room. There is a capacity of 17 posted above the classroom door. Twenty children were observed in the room at the time of inspection. This was resolved when the facility Director moved 7 children into an empty classroom with 1 childcare personnel. 3.4.2 Indoor Square Footage/Usable Floor Space D. Each room routinely used as a classroom must provide the minimum 35 square footage of usable indoor floor space per child

Corrected Corrected by Mar 19, 2025

Category: ratio. Marked corrected in the state record.

33-06 · Training Requirements

Licensing Specialist reviewed all Personnel Records. Childcare personnel A.M,, did not complete the Early Literacy 5 Hr. training, Industry start date was on 02/19/24. 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. Child care personnel must complete one of the following: A. One of the Departments online literacy courses available on the Departments website. B. One of the Departments approved literacy courses. A list of these courses can be obtained from the Departments website. (No additional courses will be approved by the Department.) C. One college level early literacy course (for credit or non-credit) if taken within the last five years. This has not been resolved

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-09 · Training Requirements

Licensing Specialist reviewed all Personnel Records. Licensing Specialist observed that the following childcare personnel did not complete the training in Safe Sleep practices and shaken baby syndrome: S.C. Hired date of 2/24/25. 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. For child care personnel to satisfy this requirement the training must be accomplished through one of following methods: Department's Health Safety and Nutrition course, Safe Sleep course, or the Early Learning Floridas Safe Sleep Practices. Documentation of training must be maintained on the Department's training transcript in the child care personnel record. This was resolved on 4/7/25. Provider sent an image text of the childcare personnel certificate showing completion of training

Corrected Corrected by Mar 19, 2025

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

45-09 · Background Screening Documents

Licensing Specialist reviewed the current Employee-Contractor Roster for all child care personnel in the Clearinghouse with the facility Director. Initial employment status and any changes in status must be reported within 5 business days. The following childcare personnel had not been added to the roster: L.E. A.G. S.C. L.L. N.F. A.M. A.T. The Director had to call the Regional Manager to get assistance with adding the employees. The center Director had difficulty getting into Background and Screening. She had been working with the Department and was just granted access recently. The person in charge of the Screening results and Background access failed to update the Clearinghouse roster. This was resolved at the time of inspection. Licensing Specialist observed the center's Director inputting the information and provided some assistance. The facility is now up to date on the Clearinghouse Roster

Corrected Corrected by Mar 19, 2025

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

13-03 · Toxic Substances, Hazardous Materials and Weapons

Licensing Specialist observed the infant room and the toddler 2 yr. old room had cleaning solution accessible to the children. Infant room had cleaning solution accessible at the bottom of the changing station, unlocked. This was resolved when the infant teachers locked the cabinets. The toddler two classroom had cleaning supplies accessible to the children, placed in the bottom of an unlocked long cabinet, right next to the restroom area. This was resolved when the teachers locked the cabinet. 3.2 Toxic/Hazardous Material/Firearms/Weapons 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

Corrected Corrected by Jan 10, 2025

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

15-03 · Licensed Capacity

Licensing Specialist observed the 3 yr. old classroom had a total of 19 children and 2 childcare personnel. The posted room capacity was set for only 16. This was resolved when 1 childcare personnel moved half of the children out of the classroom and into an empty room. 3.4.2 Indoor Square Footage/Usable Floor Space D. Each room routinely used as a classroom must provide the minimum 35 square footage of usable indoor floor space per child

Corrected Corrected by Jan 10, 2025

Category: ratio. Marked corrected in the state record.

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

Licensing Specialist observed infant formula in bottles that were not labeled with the child's first and last name. Technical Assistance was given to the provider for infant bottles and cereal feeding. This was resolved when the childcare personnel took a sharpie and labeled the infant's bottles. 3.9.5 Food Handling B. 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 Jan 10, 2025

Category: nutrition. Marked corrected in the state record.

33-03 · Training Requirements

Licensing Specialist reviewed all personnel records. The following childcare personnel did not have documentation of the introductory training being completed within 90 days of employment in the childcare industry. 1. J.G. Industry start date of: 1/22/24. 2. A.M. Industry start date of: 2/19/24. 3. C.D. Industry start date of: 8/30/21. 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. Action Plan: Provider stated new personnel will be required to complete the introduction courses before placing them in a classroom. This will be required at the time of hire

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-09 · Training Requirements

Licensing Specialist reviewed all childcare personnel records. The following childcare personnel did not complete the required Safe Sleep Practices and Baby Shaken Syndrome course within their first 30 days of hire. 1. J.G. Industry start date 1/22/24 Date of Hire: 7/22/24 This was resolved at the time of inspection. Facility Director sent the childcare personnel to complete the course. Childcare personnel was able to complete the course at the time of inspection. 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. For child care personnel to satisfy this requirement the training must be accomplished through one of following methods: Department's Health Safety and Nutrition course, Safe Sleep course, or the Early Learning Floridas Safe Sleep Practices. Documentation of training must be maintained on the Department's training transcript in the child care personnel record. Action Plan: A checklist will be placed in all personnel files. Safe sleep/Fire extinguisher training will be required to complete at the time of hire

Corrected Corrected by Sep 12, 2024

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

44-04 · Personnel Records

Licensing Specialist reviewed all active personnel records. Licensing Specialist observed the Child Abuse Reporting Form was missing for the following childcare personnel: 1.A.P. 2.E.O. 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 before hire date and annually thereafter by all child care personnel. Action Plan: Director will set a specific date for everyone to sign at the same time

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

45-04 · Background Screening Documents

Licensing Specialist reviewed all personnel records. The following personnel did not have a full 5 yr. history verification documented and on file: 1. L.E. 2. L.L. 3. A.S. 4. C.D. 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. D. The employer/owner/operator must conduct employment history checks, including documented attempts to contact each employer that employed the individual within the preceding five years, and documentation of the findings. Documentation must include the applicants job title and description of his/her regular duties, confirmation of employment dates, and level of job performance. The employer/owner/operator must make at least three attempts to obtain employment history information. Failed attempts to obtain employment history must be documented in the personnel file and include date, time, and the reason the information was not obtained. Action Plan: Provider stated they will ensure the 5 yr. history check is completed by completing a checklist. Will be completed at the time of hire

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

33-03 · Training Requirements

This reinspection was conducted off-site. No onsite inspection was conducted, no children were present, no childcare personnel or staff were present. All documentation and records were submitted via email submission from provider to counselor. Counselor had conducted an on-site inspection on 4/23/24. The facility failed to show documentation of 2 childcare personnel that did not begin taking the Introductory training within 90 days of employment in the childcare industry. The facility was given a

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-09 · Training Requirements

Facility failed to ensure that the following Childcare Personnel had training and knowledge in Safe Sleep Practices and Shaken Baby Syndrome within the 30 days of hire and after given an extension

Corrected Corrected by May 31, 2024

Category: recordkeeping. Marked corrected in the state record.

43-11 · Enrollment Information

Counselor reviewed 51 children's enrollment information. Many were missing the dates they were enrolled and parent's signature on forms. Some had no enrollment record on file. Names are listed on Supplemental page. Facility will be monitored closely by counselor. Counselor will do a reinspection no later than May 13th 2024, and will provide training and assist with the record keeping

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

29-16 · Health and Sanitation

Counselor observed the 2 yr. old classroom was missing Hand hygiene procedures poster. This was resolved at the time of inspection. Poster were printed and placed on the walls by the sink. 3.10 Sanitation 3.10.1 Handwashing Child care personnel and children must wash their hands thoroughly with soap and running water, dry, and follow personal hygiene procedures for themselves and while assisting others. Examples of activities when handwashing is required include but are not limited to: before and after eating, immediately following outdoor play, after toileting, following the use of any cleaners or toxic chemicals, before and after administering medication, and during food preparation and snack distribution. A. Child care personnel and children must follow the Centers for Disease Control guidelines for handwashing incorporated by reference in 65C-22.001(7)(u), F.A.C. B. The use of hand sanitizers does not substitute for handwashing. However, in areas away from the facility where no running water is available, hand sanitizers may be used. Examples of such places are field trips, nature trails or picnic areas where running water is not readily available. C. Child care personnel with open wounds and/or injury that inhibits handwashing, such as casts, bandages, or braces, must not prepare food. D. Situations or times that children, child care personnel, and/or volunteers must perform hand hygiene must be posted in all food preparation, diapering, and toileting areas

Corrected Corrected by Apr 23, 2024

Category: ratio. Marked corrected in the state record.

33-03 · Training Requirements

Counselor reviewed child care personnel record that were missing documentation showing child care personnel had begun the introductory training within 90 days of employment in the child care industry. Staff: J.F. Date of hire: 01/09/2024. Staff: J.J. Date of hire: 3/05/2024. This was not completed at the time of inspection. 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 childcare 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.

33-09 · Training Requirements

Counselor reviewed 3 personnel records showing they were not trained and knowledgeable within 30 days of hire in Safe Sleep practices and baby shaken syndrome. Staff 1: J.J. Staff 2: A.M. Staff 3: J.F. This was resolved at the time of inspection when the provider had the childcare personnel sign up and begin the course. 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. For child care personnel to satisfy this requirement the training must be accomplished through one of following methods: Department's Health Safety and Nutrition course, Safe Sleep course, or the Early Learning Floridas Safe Sleep Practices. Documentation of training must be maintained on the Department's training transcript in the child care personnel record

Corrected Corrected by Apr 23, 2024

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

39-04 · Accident/ Incident Notification and Documentation

Counselor reviewed incident reports for 2024. 8 reports were missing the date parent/legal guardian received the report and signed. Counselor also observed 2 reports that child care personnel failed to share with the custodial guardian/parent on the day the incident occurred. Not resolved at the time of inspection. 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. B. This documentation must be shared with the custodial parent or legal guardian on the date of occurrence. C. 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 Child care personnel that witnessed the incident, who were involved in the incident, and/or responded to the childs needs. D. The documentation must be maintained for 12 months. If the parent or legal guardian does not pick up the child on the date of occurrence of the accident or incident, the individual authorized to pick up the child must sign and be provided a copy of the accident/incident form. E. In the event of serious injury or death, the incident must immediately be reported to the licensing authority

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

40-09 · Medication

Counselor observed baby Orajel in the Infant class. Provider did not obtain written authorization prior to administering non-prescription medication. This was resolved when the provider discarded the medication. 6.5 Medication Child care programs are not required to give medication; however, if a program chooses to do so, it must comply with the following requirements: 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. K. Use of diaper creams and insect repellant may only be utilized with written permission from parents/guardians. Manufacturer instructions must be followed

Corrected Corrected by Apr 23, 2024

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

41-01 · Immunization Records

Counselor reviewed all 51 actively enrolled children's Immunization records. 19 of those records were missing Immunization records and/or has an expired record. Names of the children are on the Supplemental page. This was not resolved at the time of inspection. 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.

42-01 · Student Health and Records

Counselor reviewed all 51 actively enrolled children's Student Health Examinations. 12 of those students did not have a Student Health Examination Form or it has been expired. Names of the children are listed on the supplemental page. This was not resolved at the time of inspection. 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

44-04 · Personnel Records

Counselor reviewed a childcare personnel (A.K.), record that was missing an annually signed Child Abuse Reporting Form. Expired on: 04/11/24. This was resolved at the time of inspection when the provider had her sign one. 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

Corrected Corrected by Apr 23, 2024

Category: recordkeeping. Marked corrected in the state record.

04-01 · Supervision

Counselor interviewed all 9 staff members during the commencement of an investigation and complaint allegations. During the interviews many areas of concerns and incidents were discovered. Staff and Director confessed that there was interaction between the director's son and children in the facility. Apparently, there was a child this unscreened individual said smelled. The individual then sprayed some type of cologne on the child causing the child to break out and have an allergic reaction to it. The parent complained and terminated their child's enrollment in the process. Multiple witnesses stated this individual would walk around the facility as he wished. Director was aware of the incident and failed to report and document. This was resolved when the parent terminated their child's enrollment. The staff member's employment was terminated. 2.4 Supervision 2.4.1 General Supervision Requirements A. Child care personnel must position themselves in the outdoor play area so that all children can be observed and directly supervised. B. Child care personnel must be assigned to provide direct supervision to a specific group of children and be with that group of children at all times. Children must never be left without child care personnel supervision inside or outside the facility, in a vehicle, or at a field trip location. C. Supervision standards apply at all times away from the child care facility, including during field trips, outdoor play, and when picking up or dropping off children at designated locations, such as bus stops, school, or a childs home. For school-age children, personnel must know where the children are and what they are doing at all times and capable of responding to emergencies including when children are separated from their group. D. At all times, lighting must allow child care personnel to see and supervise children while in care. E. A program is responsible for the supervision of a child until an authorized individual retrieves the child from the program. A child shall not be released to any person other than the person(s) authorized or in the manner authorized in writing by the custodial parent or legal guardians. All individuals authorized to pick up a child must be identified in writing prior to release by the custodial parent or legal guardian to the program, and the program must verify the individual picking up the child is authorized by using a picture form of identification. Each child transported must be dropped at the designated location as agreed upon by the provider and the custodial parent/legal guardian and released to an authorized individual. F. No person shall be an operator, owner, or employee of a child care facility while using or under the influence of narcotics, alcohol, or other drugs that impair a persons ability to provide safe care and supervision. G. In addition to the number of child care personnel required to meet the staff-to child ratio, one additional adult must attend field trips away from the child care facility to help provide direct supervision. The individual could be a parent volunteer as long as that person is under direct and constant supervision of a screened and trained child care personnel. H. Children must receive supervision and care in accordance with their age and required needs and be accounted for at all times while bathing or toileting. I. When transporting children in a vehicle or on foot, a telephone or other means of instant communication must be available to child care personnel. Cellular phones, two-way radio devices, citizen band radios, and other means of instant communications are acceptable

Corrected Corrected by Feb 19, 2024

Category: supervision. Marked corrected in the state record.

11-03 · Child Discipline

Counselor received a complaint stating a child was injured at the facility. During the investigation, another agent with Department of Children and Families did a well visit on the child and did confirm bruising like marks on their arm. Child stated a staff member from the facility caused the bruising while attempting to get him to nap at nap time. This caused law enforcement officers to commence and investigation. Jacksonville Sherriff's Office did arrest the staff due to the allegations. This is currently an active criminal investigation. During the interviews the counselor conducted with the staff, other allegations of mistreatment of children were exposed. There were other staff members that did not follow the discipline policy. The director gave the counselor a copy of a Coaching Form dated for 10/02/2023, validating the claims made of inappropriate Discipline practices. This was resolved when the Personnel responsible for the inappropriate Discipline was placed on administrative leave and eventually terminated. B. The child care facility operators, employees, and volunteers must comply with written disciplinary and expulsion policies

Corrected Corrected by Feb 19, 2024

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

33-09 · Training Requirements

Counselor observed that a childcare personnel was missing a completion on the Safe Sleep/Shaken Baby Syndrome Training. Child care personnel has a hired date of: 08/28/2023. 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. For child care personnel to satisfy this requirement the training must be accomplished through one of following methods: Department's Health Safety and Nutrition course, Safe Sleep course, or the Early Learning Floridas Safe Sleep Practices. Documentation of training must be maintained on the Department's training transcript in the child care personnel record

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

44-01 · Personnel Records

Counselor returned to the facility for a follow up visit after commencing the investigation. On the third visit to the facility, the counselor was met by two representatives for the company that were taking charge of the facility. There were staff present in the facility that was unknown to the counselor. The counselor asked for their Personnel Records. Records were unable to counselor and were kept elsewhere. Counselor received Personnel Information and records via email submission by the Quality Business Partner/Representative on 02/22/2024. This was resolved after email submission of all personnel records on 2/22/2024. 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

Corrected Corrected by Feb 19, 2024

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

45-02 · Background Screening Documents

Counselor was met by 2 individuals that were sent from another state to help with the transitioning of the Director being on administrative leave following the complaint. The Representatives/Quality Business Partners did not have a Level II clearance for the state of Florida. Employee records were unavailable for counselor. This was resolved when a new Director was hired to oversee the day-to-day operations. 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. Each personnel record must have a completed CF-FSP Form 5131, Background Screening and Personnel File Requirements, which is incorporated by reference in paragraph 65C-22.001(7)(b), F.A.C. B. CF Form 1649A, Child Care Attestation of Good Moral Character, which is incorporated by reference in 65C-22.001(7)(a), F.A.C., must be completed for all child care personnel at the time of initial screening or upon change in employers. CF Form 1649A may be obtained from the Departments website at www.myflfamilies.com/childcare. 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. D. A copy of the DCF letter/email informing of search conducted of the Floridas child abuse and neglect registry must be on record for each personnel screened between July 1st and December 15th of 2016. E. A copy of each request made to out of state child abuse and neglect registries for individuals who lived outside the state of Florida in the preceding five years. F. A copy of each search conducted for out of state sexual offender/predator registries for individuals who lived outside the state of Florida in the preceding five years. G. A copy of all background screening clearance documents for the director and owner must be included in the Departments official licensing file or in accordance with the appropriate local licensing agency requirements

Corrected Corrected by Feb 19, 2024

Category: ratio. Marked corrected in the state record.

47-01 · Access/Child Safety

Counselor received a complaint at the Office of Childcare Licensing. The allegation stated a child was left with bruising after interactions with a staff. Counselor interviewed all 9 staff members at the facility. One staff member was taken under custody by Jacksonville Sheriff Officers. Another agent with The Department of Children and Families did a home visit to the child and saw evidence of bruising. The child was verbal and spoke about the events that led to the bruising. During the staff interviews, there were also allegations of another staff member having inappropriate interaction with children in the toddler class. Staff alleged that a staff member was seen grabbing children by the ankles and swinging them upside down to get them to listen and lay down for naptime. A parent interviewed also stated they noticed their child had bruising around the ankles but did not know where the bruising was coming from. It is unclear if the bruising the parent spoke about was related to the incidents. Counselor expressed the importance of the Child Abuse and Neglect Reporting Requirements to all 9 staff members interviewed. This has resolved now that the staff members in question are no longer employed at the facility. 8.2 Child Safety C. Child care personnel must appropriately interact with children to foster a healthy, safe environment that will encourage the childs physical, intellectual, motor, and social development. Interactions with children that are aggressive, demeaning or intimidating in nature are strictly prohibited

Corrected Corrected by Feb 19, 2024

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

47-08 · Access/Child Safety

Counselor had interviewed all 9 staff members about the allegations made in the complaint and those allegations brought up during the interview process. During the interview with a specific staff member, it was evident that they withheld information and fraudulently lied about not knowing of facts and complaints brought to them expressing concerns for the welfare and safety of the children in care. The staff member also was fraudulent when indicating that they had documented a statement and met with another staff member concerning incidents in the classroom where other children were involved. The staff member was questioned about the write up and indicated that they had never seen it and never met about any incidents. The report of such meeting was given to the counselor with no signature of the staff that was supposedly spoken to and met with. The person then lied and stated that the staff refused to sign the document. The staff member in which the document was referring to was shown the document and stated they had never received it and was unaware of such document. Almost all the staff members stated that they complained to their superior about the safety and complaints that parents had been bringing up concerning the environment and children's safety. Their superior failed to take appropriate actions and ignored the complaints

Corrected Corrected by Feb 19, 2024

Category: recordkeeping. Marked corrected in the state record.

42-01 · Student Health and Records

Counselor observed 2 children's records that were missing the Student Health Examination Form. Child 1: L.K. DOB: 02/01/2023 Enrolled: 12/23/2023 Child 2: T.W. DOB: 05/12/2023 Enrolled: 07/20/2023 This was resolved when the parents were called, asked to pick the child up and or bring in an updated Student Health Examination form. 7.2 Student Health Records 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

Corrected Corrected by Jan 24, 2024

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

03-01 · Ratio Sufficient

Counselor observed the following ratios: 1st Ratio check (Not in compliance with standards) Class 1: VPK- 7 children (mixed group) to 1 staff ages: 2-3 yr. olds, 3-4- yr. olds and 2-5 yr. olds. Class 2: 8- 1 yr. olds and 2 staff Class 3: 12- 2's and 1 staff Class 4: 5 infants and 1 staff Class 5: 5 infants and 1 staff Ratios after children moved and corrected: Class 1: VPK 11 children and 2 teachers Class 2: 12- 1 yr. olds and 2 teachers Class 3: 11- 2 yr. olds and 1 teacher Class 4: 6 infants and 2 teachers Class 5: 4 infants and 1 teacher 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. 4 infants (less than one-year old): 1 caregiver 6 one-year olds: 1 caregiver 11 two-year olds: 1 caregiver 15 three-year olds: 1 caregiver 20 four-year olds: 1 caregiver 25 five-year olds and older: 1 caregiver

Corrected Corrected by Jan 24, 2024

Category: supervision. Marked corrected in the state record.

09-02 · Planned Activities

Counselor observed the VPK class go to the outdoor playground at around 9:00A.M. and return to the classroom at 9:55 A.M.. Scheduled activity for that time frame was: 8:45A.M. - 9:15A.M. Outside Time 9:15A.M. - 9:30 A.M. Breakfast Time/ Clean Up Time 9:30 A.M. - 10:00A.M. Circle Time/Early Foundations/ Visuals/Story Time (Large Group) 2.6 Planned Activities Resolved after the children came inside. Each group or class must have a written and followed plan of scheduled activities posted in an easily seen location accessible to parents/guardians. The written plan must meet the needs of the children being served and must include alternate activities in case of bad weather. The written plan shall include a variety of activities that range from structured to unstructured activities that encourage a childs developmental growth. The written plan also must include scheduled activities that: A. Promote emotional, social, intellectual, and physical growth

Corrected Corrected by Jan 24, 2024

Category: recordkeeping. Marked corrected in the state record.

12-18 · Facility Environment

Counselor observed the VPK classroom to be missing outlet covers. This was resolved after the counselor asked the staff to cover the outlets. 3.1 General Health and Safety Requirements I. All accessible electrical outlets must be tamper-resistant electrical outlets that contain internal shutter mechanisms to prevent children from sticking objects into receptacles. In settings that do not have tamper-resistant electrical outlets, outlets shall have safety covers

Corrected Corrected by Jan 24, 2024

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

13-02 · Toxic Substances, Hazardous Materials and Weapons

Counselor observed paint cans accessible to the children. Paint cans were placed in the front lobby underneath a table. This was resolved after the counselor asked the director to remove it and store it in a safe place. 3.2 Toxic/Hazardous Material/Firearms/Weapons 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

Corrected Corrected by Jan 24, 2024

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

22-20 · Operable Phone

23. During this timeframe, the following months did not have a practiced drill recorded or conducted while children were in care: June, July, August, November, December of 2023. This month of January 2024 has not been conducted. Counselor had the facility conduct a fire drill to bring back to compliance. This was resolved and completed at the time of inspection. 3.8.4 Fire Drills A. During the facilitys license year, fire drills utilizing the alarm system, approved by the local fire authority, must be conducted monthly at various dates and times when children are in care

Corrected Corrected by Jan 24, 2024

Category: recordkeeping. Marked corrected in the state record.

33-03 · Training Requirements

Counselor observed 2 child care personnel, working with children that had not begun the introductory training within 90 days of employment. This was resolved after the teachers enrolled into the courses at the time of inspection. 1. T.B. Industry start date: 08/28/23, date of hire: 08/28/2023. 2. S.A. Industry Start date: 12/12/2023, date of hire: 12/12/2023 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

Corrected Corrected by Jan 24, 2024

Category: recordkeeping. Marked corrected in the state record.

34-01 · Credentialed Staff

Counselor reviewed all personnel records and observed that only one staff member has credentials. There were a total of 44 children present at the time of inspection. There are a total of 50 children actively enrolled. The facility currently has some staff members currently in training for their credentials. Counselor has given the facility a

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

39-04 · Accident/ Incident Notification and Documentation

Counselor observed the 2 yr. old classroom had 2 incident reports taped to the wall dated 1/22/24. None of the incident reports were shared with the children's guardians and not signed. 6.4 Accident/Incident Notification B. This documentation must be shared with the custodial parent or legal guardian on the date of occurrence. D. The documentation must be maintained for 12 months. If the parent or legal guardian does not pick up the child on the date of occurrence of the accident or incident, the individual authorized to pick up the child must sign and be provided a copy of the accident/incident form. This was resolved when the counselor asked the staff to call the parents and notify them of the reports. Parents were asked to sign at pick up time

Corrected Corrected by Jan 24, 2024

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

40-17 · Medication

Counselor observed bins full of medications, lotions and diaper ointments that according to the director were left behind from the previous director. There are no records for the medication, etc. This was resolved when the counselor asked the staff to discard them. 6.5 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

Corrected Corrected by Jan 24, 2024

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

12-18 · Facility Environment

Counselor observed that several electrical outlets in the facility did not have child proof outlet covers in place. Counselor gave technical assistance. All accessible electrical outlets must be tamper-resistant electrical outlets that contain internal shutter mechanisms to prevent children from sticking objects into receptacles. In settings that do not have tamper-resistant electrical outlets, outlets shall have safety covers. As a corrective action the staff placed child proof covers in the outlets at the time of inspection

Corrected Corrected by May 24, 2023

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

41-01 · Immunization Records

Counselor observed the facility did not have several students' current immunization records on file. 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. As a corrective action, the provider will submit to the counselor the current immunization records for the students or documentation that the students will not return to the facility until they have update immunizations. This corrective action is due via email to the counselor at laquasha.lockett@myflfamilies.com by Tuesday, May 30, 2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Student Health and Records

Counselor observed the facility did not have several students' current health examinations on file. Counselor is providing technical assistance on 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. As a corrective action, the provider will submit the current health records for the children or documentation that the children will no longer attend the facility until the current records are received. This corrective action is due via email to the counselor at laquasha.lockett@myflfamilies.com by Tuesday, May 30, 2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.