02-01 · Minimum Age Requirements

The Licensing Specialist was able to meet with three childcare personnel. Childcare personnel who reported was left in charge (D.D.), in the operator's absence did not meet the minimum age requirement of 21 years. 2.2 Minimum Age Requirements Child care personnel of at least 21 years of age must be in charge of the program and must be on the premises at all times during operating hours. Action Plan: Provider will choose someone that meets the age requirement of 21 years old to operate in her absence

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

13-03 · Toxic Substances, Hazardous Materials and Weapons

Licensing Specialist observed in the preschool room, on top of the half wall, aerosol sprays out in the reach of children, (A Lysol spray). Children were asleep on their mats. This was not resolved at the time of inspection. Action Plan: Provider will assign a space to store such products, that will not be accessible to the children in care. 3.2 Toxic/Hazardous Material/Firearms/Weapons A. All areas and surfaces accessible to children must be free from toxic substances, bio contaminants, and hazardous materials/equipment/tools, including power tools, plastic bags, matches, candles, lighters, etc. 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

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

15-05 · Licensed Capacity

Licensing Specialist observed the infant room did not have the room capacity posted. 3.4 Licensed Capacity 3.4.1 Licensed Capacity A. The capacity, as calculated by the licensing authority, must be posted in a conspicuous location within each room. Action Plan: Provider will post the capacity in a conspicuous location within each room. This will be monitored at the reinspection

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

21-14 · Restrooms and Bath Facilities

Licensing Specialist observed there was no soap and paper towels available by handwashing sinks or nearby children's toileting facilities. 3.7 Restrooms and Bath Facilities H. Running water, soap, trash receptacles, toilet paper, and disposable towels or hand drying machines that are properly installed and maintained must be available and within reach of children using the bathroom Action Plan: Provider will conduct a walk-through of the facility daily to ensure there is sufficient soap and or paper towels for handwashing. Supplies will be kept in the reach for children and accessible, childcare personnel will supervise the children closely and assist them if needed. Standard will be monitored at the reinspection

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

23-06 · Fire Drills

Licensing Specialist observed the fire drill log, posted on a wall, was missing a fire drill for the month of July 2024 .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. B. When the facilitys approved fire alarm alert system is activated or initiated, all adults and children must evacuate the facility. 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. The fire drills conducted must include, at a minimum: 1. One fire drill using an alternate evacuation route, 2. One fire drill during napping/sleeping times, and 3. One fire drill in the presence and at the request of the licensing authority. This drill will be coordinated with the operator or designee. Action Plan: Provider will conduct a fire drill and explain their emergency procedures to licensing specialist during their next visit. (Reinspection). This standard will be monitored, and assistance given to provider with training if needed

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

32-03 · Outdoor Equipment

Licensing Specialist observed the outdoor play structure has areas with broken plastic, sharp edges and areas that were covered with blue tape in which the tape also seemed to have rips and tears. This was not resolved at the time of inspection. Action Plan: Provider is to ensure the broken playground equipment is not accessible to the children by the due date. 3.12 Outdoor Equipment B. All playground equipment must be securely anchored, unless portable or stationary by design, in good repair, maintained in safe and sanitary condition, and placed to ensure safe use by the children. Maintenance must include inspections conducted every month of all supports above and below the ground and of all connectors and moving parts. Documentation of maintenance inspections must be maintained for 12 months. F. All equipment used in the outdoor play area must be constructed and maintained according to manufacturers recommendations and allow for water drainage. Any open containers with water must be emptied immediately after use, i.e. pots, toys, or other equipment that collects water

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

46-03 · Daily Attendance

Licensing Specialist walked into the Infant room and reviewed the Attendance log. Childcare Licensing Specialist observed that the Childcare personnel failed to record the arrival time for the two infants in attendance. Action Plan: Licensing Specialist will review and monitor all sign in sheets closely and assist the provider with training on documenting attendance and maintaining rosters. Arrival and Departure times will be monitored at the reinspection. 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. B. The custodial parent or guardian may document the time when his/her child enters and departs the child care facility or program. However, child care facility personnel are responsible for ensuring that attendance records are complete and accurate

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-01 · Training Requirements

Counselor verified with DCF Training website that one staff member has still not completed the 40 hour training requirement. Corrective action will be for the staff member to complete the 40 hour training requirement by the

Corrected Corrected by Jun 23, 2023

Category: recordkeeping. Marked corrected in the state record.

11-03 · Child Discipline

The facility did not follow their written disciplinary policy, in that a child received a scratched on her shoulder/neck area because the teacher grabbed her to put her in another area of the classroom. This was corrected at the time as the child is no longer attending the childcare facility. 2.8 Child Discipline A. The child care facility shall adopt a discipline policy consistent with Section 402.305(12), F.S., including standards that prohibit children from being subjected to discipline which is severe, humiliating, frightening, or associated with food, rest, or toileting. Spanking or any other form of physical punishment is prohibited. F. 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

Corrected Corrected by Jun 13, 2023

Category: nutrition. Marked corrected in the state record.

39-05 · Accident/ Incident Notification and Documentation

The facility failed to complete the accident/incident report in that there was no signature from the parent or director was missing. This was corrected at the time of inspection as the child no longer is attending the facility so no signatures can be obtained. 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 care personnel that witnessed the incident, who were involved in the incident, and/or responded to the childs needs

Corrected Corrected by Jun 13, 2023

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

11-03 · Child Discipline

A 3 year old child stated that the teacher punched him in the eye and scratched his nose because he would not stop crying during nap time. A preliminary medical assessment found that bruising around the child's eye was consistent with being punched in the eye as the child described and not with being injured on the playground playing with bean bags and football as the day care alleged. The counselor is providing technical assistance on written disciplinary and expulsion policies: The child care facility operators, employees, and volunteers must comply with written disciplinary and expulsion policies. 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. As a corrective action, the owner/director and all child care staff/volunteers will take the online training course Basic Guidance and Discipline (BGD). The director and staff have until August 1, 2023 to complete the course and submit the certificates to the counselor via email at cassandra.virgo@myflfamilies.com or karen.mccants@myflfamilies.com

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

03-01 · Technical assistance was given to the provider regarding ratio: 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

Counselor observed ratio in the classroom with a mixed aged group of children consisting of ages 3, 4, 5, and a 1 year old that was being held by a staff member. Counselor informed the staff that the presence of the 1 year old in the group was putting the classroom out of ratio. In order to bring the classroom back into compliance, the staff member took the 1 year old child to the infant classroom. The standard was corrected at the time of inspection. Ratio during non-compliance: Infants - 1:3 Twos and Threes - 1:10 Threes, Fours, Fives and a One year old 1:13 Ratio was corrected at the time of inspection to: Infants - 1:4 Twos and Threes - 1:10 Threes, Fours, and Fives - 1:12

Corrected Corrected by May 9, 2023

Category: ratio. Marked corrected in the state record.

04-02 · Supervision

A 5 year old child was served peanut butter crackers as a snack by a 13 year old child. The 5 year old ingested the peanut butter crackers which resulted in the child going into anaphylactic shock and being treated at the hospital. The 13 year old should not have been passing out snack to other enrolled children at the facility without adult supervision. The lack of supervision resulted in the 13 year old giving a child food that they had a known allergy to and was easily preventable with the proper supervision. The standard was completed at the time of inspection due the child being disenrolled from the facility. Counselor is providing technical assistance on 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

Corrected Corrected by May 9, 2023

Category: supervision. Marked corrected in the state record.

25-13 · Meals and Snacks

Based on evidence and information gathered during this complaint investigation, counselor determined that on May 8, 2023 a 5 year old child with a nut allergy was given a snack that consisted of peanut butter crackers. The child ate the snack and went into anaphylactic shock. The parent had informed the provider that the child had nut allergies, it was written on the child's enrollment form and the provider had the child's name and known allergies posted on two separate allergy lists, one being in a classroom and the other one being in the area where the snack was served. Staff were able to verify that the peanut butter crackers that were given to the child were from the same container of peanut butter crackers that the counselor photographed at the facility on May 9, 2023. Counselor also photographed allergy lists with child's name and allergies hand written on them. This standard was completed at the time of inspection as the child is no longer enrolled at the facility. Counselor is providing technical assistance: G. If a special diet is required for a child by a physician, a copy of the physicians order, a copy of the diet, and a sample meal plan for the special diet must be maintained in the childs file and followed. If the custodial parent or legal guardian notifies the program of any known food allergies, written documentation must be maintained in the childs file for as long as the child is in care. Special food restrictions must be shared with child care personnel posted in an easily seen location that is not readily visible by parents or nonchild care personnel and followed

Corrected Corrected by May 9, 2023

Category: nutrition. Marked corrected in the state record.

26-01 · Meal and Snack Menus

The posted meal and snack menu did not have a date and based on the date of the incident being Monday, May 8, 2023 the menu items listed on the posted menu for Monday did not have anything listed that would contain peanut butter, specifically peanut butter crackers were not listed on the menu as a substitute for snack. Goldfish and grape juice is the snack that was listed on the planned menu. The provider failed to date the menu and failed to note substitutions for snack. As a corrective action, the provider will submit all planned menus for the months of June and July within 10 days. Counselor is providing technical assistance: H. Meal and snack menus must be planned, written, dated, and posted at the beginning of each week in an easily seen place, accessible to the parents/guardians. Any menu substitutions must be noted on the menu. A generalized menu of possible snack choices for programs that receive food donations is acceptable. All meals and snacks prepared outside of the facilitys kitchen or designated food preparation area, such as catered food, must be listed along with the source. Daily meal and snack menus must be maintained for a minimum of 12 months for licensing purposes. Operators who participate in the USDA Food Program must keep menus in accordance with the Department of Health and USDA requirements. The provider will email the planned menus for June, July and August of 2023 to the counselor via email on or by July 31, 2023

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

39-01 · Accident/ Incident Notification and Documentation

Based on evidence and information gathered during this complaint investigation, counselor determined the provider did not immediately notify the child's parents or seek emergency services for a child that had a nut allergy and was given peanut butter crackers as a snack. The child ate the peanut butter crackers which caused his body to break out in hives and his throat to swell, the child to vomit, and have irregular breathing. The child went into anaphylactic shock. This standard was resolved at the time of inspection. The mother was made aware that something was wrong with her child when she arrived to pick him up at the end of the day. The child is no longer enrolled at the facility. Counselor is providing technical assistance: B. For life threatening injuries, the provider shall call 911 and then notify the parent. C. Custodial parents or legal guardians must be notified immediately if the event of any serious illness, accident, injury or emergency to their child, and their specific instructions regarding action to be taken under such circumstances must be obtained and followed. E. Child care personnel shall notify parents/guardians immediately of any suspected allergic reactions, as well as the ingestion of or contact with the problem allergen even if a reaction did not occur. Child care personnel shall contact 911 immediately whenever epinephrine has been administered

Corrected Corrected by May 9, 2023

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

40-07 · Medication

Based on evidence and information gathered during this complaint investigation, counselor determined the provider did not administer medication to a child when it was needed. The child had an epi pen on site when he was given and ate peanut butter crackers despite having a nut allergy. However, the staff did not administer the epi pen to the child and the child went into anaphylactic shock. This standard was resolved at the time of inspection, the mother arrived and got medical treatment for the child. The child is no longer enrolled at the facility. Counselor is providing technical assistance: 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: A. The child care program must have written authorization from the custodial parent or legal guardian to give prescription and non-prescription medications. This authorization must be dated and signed by the custodial parent or legal guardian and contain the childs name; the name of the medication to be given; and date, time and amount of the correct dosage to be given. Prescription and non-prescription medications that are used on an as needed basis require the parent/ legal guardian to provide additional documentation on the authorization form to describe symptoms that would require the medication to be given. The child care provider must never administer a medication that is prescribed for one child to another child

Corrected Corrected by May 9, 2023

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