23-08 · Fire Drills

Specialist observed Fire drill log not completed since June 2024. Provider hasn't completed a fire drill since June 2024. 3.8.4 Fire Drills C. A current attendance record and parent contact information must accompany child care personnel out of the building during a drill or actual evacuation and be used to account for all children. The operator must maintain a written record of the fire drills showing the date, number of children and child care personnel in attendance, evacuation route used, and time taken for all individuals to evacuate the premises. Each fire drill record must be maintained for a minimum of 12 months from the date of the fire drill. Specialist completed a fire drill with provider and inform provider to make sure she completed fire drill Record every month

Corrected Corrected by Aug 29, 2024

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

46-07 · Daily Attendance

Counselor observed the classroom with 9 children and 2 staff members. It is an open room with mixed age children. Teachers in the classroom were unable to provide a Daily attendance sheet for the children present. This was resolved when the counselor asked the teachers to write down all the children's names and create a sign in sheet for the day. 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. A. Attendance devices used for the purposes of tracking attendance may be used, but personnel must ensure the accuracy of the documented attendance. Each classroom must have an attendance sheet/class roster for the group of children occupying that space. Attendance sheet/class roster must accompany the child care personnel and the group of children throughout the day should they leave the classroom

Corrected Corrected by Jan 3, 2024

Category: recordkeeping. Marked corrected in the state record.

04-05 · Supervision

Family Services Counselor reviewed 5 camera footage clips that were sent to the counselor from the facility's director in helps of understanding the complaint and allegations. Throughout the video footage, staff is seen leaving children unattended during nap hours. No teacher was within sight and hearing of the children. This was resolved as the staff member is no longer working there. 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 Dec 1, 2023

Category: supervision. Marked corrected in the state record.

11-03 · Child Discipline

Counselor observed through video footage, a child care personnel using a ruler to hit children. Child care facility Director stated she had given the former employee a verbal warning after witnessing such acts with a pointer instead. The facility's Discipline policy, does not state the use of objects in using a s a form of discipline. 2.8 Child Discipline B. The child care facility operators, employees, and volunteers must comply with written disciplinary and expulsion policies. This how been resolved as the employee is no longer there

Corrected Corrected by Dec 1, 2023

Category: recordkeeping. Marked corrected in the state record.

12-07 · Facility Environment

Child care personnel was observed in a video footage, leaving children unattended. On the rug area was a vacuum plugged in the wall with cords laying in front of a child. A staff member was seen walking into the classroom from the outside parking lot area and trying to vacuum under the child's legs as if to make the child move. The child never moved. Staff continued vacuuming under the child's legs and around the child. The other staff member in the room didn't seem to notice or pay attention to the vacuum on the rug area. Her attention was on the opposite side of the classroom. This was resolved as the activity ended a few minutes later. Vacuum was put away. 3.1 General Health and Safety Requirements A. All child care facilities must be clean, in good repair, free from health and safety hazards and from evidence of, or presence of, vermin infestation. Indoor play areas must be inspected daily for basic health and safety and documented on a daily inspection log. Outdoor play areas must be inspected daily for basic health and safety. Any problems must be corrected before the play area is used by children. Documentation of the indoor play area inspection must be maintained for 12 months. B. It is the responsibility of the director/operator to ensure all areas and equipment of the facility are free from fire hazards, such as lint build up in heating and air vents, filters, exhaust fans, ceiling fans, and dryer vents. This includes grease build-up in ovens, stoves and food equipment. D. Strangulation hazards, strings, and cords long enough to encircle a childs neck such as those on toys and window coverings must not be accessible to children in care. G. Cleaning must not take place while rooms are occupied by children except for general clean-up activities that are part of the daily routine. General cleaning refers to cleaning necessary to maintain a sanitary environment but that does not pose a hazard to children, such as wiping the table after lunch, soaking toys in a tub on the countertop, or sweeping

Corrected Corrected by Dec 1, 2023

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

18-02 · Bedding and Linens

Counselor observed a child being placed in a portable crib or playpen for nap. The child was too big to be placed in the portable playpen and was observed climbing in and out of the playpen unattended which could have cause bodily harm to the child from a fall. This was resolved. Staff member is no longer employed. 3.6 Napping/Sleeping Requirements For the purposes of these requirements, sleeping refers to the normal night-time sleep cycle, while napping refers to a brief period of rest during daylight or early evening hours

Corrected Corrected by Dec 1, 2023

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

20-06 · Crib Requirements

Child was observed being placed in a portable playpen surrounded by multiple blankets and sleeping on top of multiple blankets. Blankets were being placed around the walls of the portable crib to prevent the child from looking out. Staff member is no longer employed with the facility. This is now resolved. 3.6.4 Safe Sleep A. All personnel that care for infants must follow safe sleep practices as recommended by the American Academy of Pediatrics (AAP) as referenced in Caring for Our Children Basics Health and Safety Foundations for Early Care and Education, which is incorporated by reference in 65C-22.001(7)(v), F.A.C. Cribs or playpens/play yards used for infants must have tight fitted sheets and no excess bedding, which includes but is not limited to: bumper pads, hanging mobiles, quilts, comforters, receiving blankets, pillows, stuffed animals and cushions

Corrected Corrected by Dec 1, 2023

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

03-01 · Ratio Sufficient

Counselor observed a mixed ratio 2:14 3 two-year-olds, 5 three-year-olds, 4 four-year-olds, 1 one year old and 1 five-year-old

Corrected Corrected by Sep 22, 2023

Category: ratio. Marked corrected in the state record.

30-14 · Diapering

Counselor observed that facility did not have diaper changing procedures posted. Facility came into compliance at time of inspection by posting diapering procedures. Technical Assistance L. Diaper changing procedure must be posted in the changing area and followed to protect the health and safety of children and child care personnel

Corrected Corrected by Sep 22, 2023

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

41-01 · Immunization Records

Counselor reviewed all 19 currently enrolled children's records. Counselor observed one expired shot record and one file with no shot records. This standard came back into compliance at time of inspection as provider disenrolled children in confidential page until they are able to provide shot documentation

Corrected Corrected by Sep 22, 2023

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

42-01 · Student Health and Records

Counselor reviewed all 19 currently enrolled children's records Counselor observed one file with no Student Health Examination This standard came back into compliance at time of inspection as provider disenrolled children in confidential page until they are able to provide shot documentation. Technical Assistance 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 Child Care Facility Handbook Page | 60 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. D. School-aged children attending public or non-public schools are not required to have student health examination and immunization records on file at the child care facility as such records are on file at the school where the child is enrolled. E. If the custodial parents or legal guardians need assistance concerning these requirements, the facility shall refer them to the Department of Health or to the childs physician. F. Medical records in this section are the property of the custodial parent or legal guardian and must be returned to them when the child withdraws from the facility. The medical records are transferable if the child attends another facility. G. Any child who has or is at an increased risk for a chronic physical, developmental, behavioral or emotional condition and requires additional services must have a current Emergency Care Plan, prepared by the parent/guardian or physician, included in the childs file and readily accessible for those caring for the child. Child care personnel caring for a child with an Emergency Care Plan must be trained to recognize and respond appropriately to a medical emergency

Corrected Corrected by Sep 22, 2023

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

23-06 · Fire Drills

Counselor observed a fire drill log, last completed on 3/1/2023. Fire drills are to be completed monthly. Provider will complete a fire drill for the month of June to be in compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

41-01 · Immunization Records

Counselor reviewed 16 children's files. Some files were missing immunization record. See the supplemental page for details. Please obtain immunization records by

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

44-05 · Personnel Records

Counselor reviewed the staff records. One staff member did not have popper documentation. See supplemental page for details. Please obtain volunteer record by due date

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

42-01 · Student Health and Records

Counselor reviewed 16 children's files. Some files were missing health record. See the supplemental page for details. Please obtain health records by

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

43-10 · Enrollment Information

Counselor reviewed 16 children's files. There were no record of the Distracted Adult signed by parents for the children in care. Please obtain parent signatures for the children in care by the due date

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.