19-03 · Smoke Detector, Fire Extinguisher, Telephone, Lighting, Temperature and Ventilation

At the time of the inspection, the fire extinguisher was dated March of 2023 and expired. TA was provided that fire extinguishers are required to be served annually

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

31-01 · Immunization Records FDCH/LFCCH Handbook

At the time of the inspection, the child listed in the supplemental had an expired immunization dated 4/26/24. TA was provided that the children must have a current immunization in their file

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

33-06 · Technical assistance was given to the provider as a reminder that daily attendance of children must be taken and recorded by child care personnel, documenting the time when each child enters and departs the home at time of arrival/departure

At the time of the reinspection, the home did not have a current daily attendance log for June 2024. (form was blank) There were 7 children observed in care. The provider stated there was an issue with printing the daily attendance sheets and had to create her own

Open Not marked corrected in the state record

Open / not marked corrected.

01-01 · Technical assistance was given to the provider as a reminder that the home is allowed a maximum of 3 children from birth to 12 months of age, and other children, for a maximum total of 6 children and a maximum of 6 preschool children if all are older than 12 months of age

At the time of the inspection, the CCR counselor observed 1 staff with 8 children total. There was (1) 1-year-old, (1) 2-year-old, (4) 4-year- old's, (2) 5- year-olds and (2) school-age. Four of the children left while the counselor was present placing the home back into compliance for this standard

Corrected Corrected by Apr 30, 2024

Category: ratio. Marked corrected in the state record.

33-01 · Enrollment Information/Daily Attendance FDCH/LFCCH Handbook

At the time of the reinspection, the children listed on the supplemental were onsite and did not have files available for review. Technical assistance was given to the provider to have all enrollment documents prior to the due date

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-02 · Technical assistance was given to the provider to complete prior to the due date

At the time of the reinspection, the CCR counselor reviewed all childrens files as the home was over ratio and observed the children listed on the supplemental was missing an enrollment date on their enrollment form

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

33-06 · Technical assistance was given to the provider as a reminder that daily attendance of children must be taken and recorded by child care personnel, documenting the time when each child enters and departs the home. The custodial parent or guardian may document the time when his/her child enters and departs the family day care home. However, the operator is responsible for ensuring that attendance records are complete and accurate

t the time of the reinspection, the CCR counselor reviewed the homes' daily attendance and observed only 2 children were signed in and 10 were onsite

Open Not marked corrected in the state record

Open / not marked corrected.

13-06 · Indoor Play Areas FDCH/LFCCH Handbook

At the time of inspection, the counselor observed missing outlet cover missing on outlet of within the kids play area. this was corrected at the time of inspection. T/A was provided to ensure all outlet plugs has covers at all times while children are in care. Provider was able to safely cover outlet with outlet cover at the time of inspection

Corrected Corrected by Mar 22, 2024

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

20-12 · Nutritious Meals and Snacks Provided FDCH/LFCCH Handbook, 7.13 and 7.14

At the time of inspection, the counselor observed the refrigerator is not good repair not staying cool, but the freezer is working in ok condition. The thermometer read 49 degrees Fahrenheit. T/A was given to the provider to have the refrigerator fix or removed. another option was to use the refrigerator in the home while kids are in care during operation hours. This needs to be done by the due date

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

23-04 · Diapering Area Clean and Sanitized FDCH/LFCCH Handbook

At the time of inspection, the counselor overserved the infant changing table had storage items such as blankets, a diaper, wipes, and a roll of toilet paper on top of the changing table. T/A was provided to have the changing table cleaned from all items such as blankets, a diaper, wipes, and a roll of toilet paper. Suggestions was given to the provider to move the changing table to a better location. This needs to be corrected by the due date

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

32-01 · Health Records FDCH/LFCCH Handbook

At the time of inspection, the counselor observed one child with the supplemental that has an expired Medical Evaluation form. T/A was provider to make sure that updated for needs to be updated by due date

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

32-02 · Health Records FDCH/LFCCH Handbook

At the time of inspection, the counselor observed one child with the supplemental that have a student that has an expired health examination. T/A was provided to obtain a student health exam for the child listed on the supplemental prior to the due date

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

08-01 · Technical assistance was provided to ensure all individuals who are left alone with children have a level 2 background through the Clearinghouse. • This standard was brought back into compliance when the unscreened individual left the Family Day Care Home

At the time of inspection, Counselor observed the unscreened individual listed on the supplemental alone with the 4 children in care

Corrected Corrected by Sep 15, 2023

Category: supervision. Marked corrected in the state record.

10-01 · Technical assistance was provided to remove all toxic substance and/or harmful material out of reach from the children in care. • This standard was brought back into compliance when Operator removed the items from the sink

At the time of inspection, Counselor observed Power Stick body spray and Coppertone sunscreen on the counter in the bathroom used by the children in care

Corrected Corrected by Sep 15, 2023

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

20-12 · Technical assistance was provided that an accurate thermometer designed to measure cold storage temperature must be placed inside the refrigerator

At the time of inspection, Counselor observed the refrigerator in the daycare area without a thermometer

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

23-04 · Technical assistance was provided to ensure that only things associated with diaper changing are on the diapering area. • This standard was brought back into compliance when Operator removed the items

At the time of inspection, Counselor observed a binder and pair of shoes on the diaper changing table

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

07-06 · Technical assistance was given to the provider to ensure the course is completed prior to the due date

At the time of the reinspection, the staff listed on the supplemental still does not have a current instructor led CPR/1st aid card. The provider stated the staff is scheduled to take the course tomorrow

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

27-01 · Technical assistance was given to the provider to complete a fire drill prior to the due date

At the time of the reinspection, the provider stated she forgot to conduct a fire drill

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

04-01 · Technical assistance was given to the provider to add the license number prior to the due date

At the time of the inspection, the CCR counselor observed the sign located on the front of the home was missing the license number

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

06-03 · Technical assistance was given to the provider to complete prior to the due date. The provider was reminded that 5-year employment history's must include the following: 1. (3) attempts must be made and documented and 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 2. A complete 5 years' worth of prior employment must be documented and verified 3. The documentation must include the applicants job title and description of his/her regular duties, confirmation of employment dates, and level of job performance

At the time of the inspection, the CCR counselor reviewed all staff files and determined the staff listed on the supplemental had an incomplete 5-year work history in their file. (no verifications completed)

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

06-07 · Technical assistance was given to the provider to have the staff sign prior to the due date. The provider was reminded this form must be signed annually on or before the prior year's date. A staff file checklist was left with the provider on today's date for use/reference

At the time of the inspection, the CCR counselor reviewed all staff files and determined the staff listed on the supplemental had an expired Child Abuse & Neglect form in their file

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

07-06 · Technical assistance was given to the provider to obtain updated instructor led cards prior to the due date

At the time of the inspection, the CCR counselor observed both the provider and substitute had CPR/1st aid cards that were an online course

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

10-01 · Toxic Substances, Hazardous Materials and Hazardous FDCH/LFCCH Handbook

At the time of the inspection, the CCR counselor observed Round Up weed killer and a bug sprayer located in the bathroom the children use. The provider removed the items while the counselor was present placing them back into compliance

Corrected Corrected by Mar 28, 2023

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

14-14 · Technical assistance was given to the provider to remove or replace the wheels prior to the due date

At the time of the inspection, the CCR counselor observed the climbing equipment had multiple broken plastic wheels on the back side

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

18-05 · Toys, Furnishings, Equipment and Plumbing FDCH/LFCCH Handbook

At the time of the inspection, the CCR counselor observed multiple outdoor toys that were dirty (tree debris, green, etc.). Technical assistance was given to the provider to clean all of the toys prior to the due date

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

20-08 · Nutritious Meals and Snacks Provided FDCH/LFCCH Handbook, 7.13 and 7.14

At the time of the inspection, the CCR counselor observed the home's menu was dated for the week of 10/16/22 - 10/22/22. Technical assistance was given to the provider to update prior to the due date

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

27-01 · Technical assistance was given to the provider to complete a fire drill prior to the

At the time of the inspection, the CCR counselor reviewed the homes' fire drill log and observed the last fire drill was conducted on 1/23/23

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

31-02 · Technical assistance was given to the provider to obtain a current form from the parent/guardian prior to the due date. The records are attached to this inspection. Additional technical assistance was given regarding FL shots. The provider was shown & given the link to their website and how to register to view FL shot records. The link given was: www.flshotsusers.com and the provider was reminded to go to the bottom of page under schools & licensed child care providers to register

At the time of the inspection, the CCR counselor reviewed all 16 childrens and observed the children listed on the supplemental had expired immunization records in their file

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

32-01 · Technical assistance was given to the provider to obtain a current form from the parent/guardian prior to the due date. A children's file checklist was left with the provider on today's date for use/reference

At the time of the inspection, the CCR counselor reviewed all childrens files and observed the child listed on the supplemental was missing an immunization record in their file and had been enrolled more than 30 days

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

33-05 · Technical assistance was given to the provider as a reminder that the influenza brochure must be distributed annually only between August 1 and September 30. If the provider chooses to distribute the brochure during enrollment that is not during the month of August or September, it must also be signed for again by the parent/guardian during these months

At the time of the inspection, the CCR counselor reviewed all 16 childrens files and observed all of the children listed on the supplemental had influenza brochures that were signed by the parent/guardian during the wrong month (Nov 2022)

Corrected Corrected by Mar 28, 2023

Category: recordkeeping. Marked corrected in the state record.

33-06 · Technical assistance was given to the provider that daily attendance must be recorded and accurate daily

At the time of the inspection, the CCR counselor reviewed the homes' daily attendance sheets and observed none of the children have been signed in for the month of March 2023

Open Not marked corrected in the state record

Open / not marked corrected.

33-10 · Technical assistance was given to the provider as a reminder that the distracted adult brochure must be distributed twice annually only during the months of April & September. If the provider chooses to distribute the brochure during enrollment that is not during the month of August or September, it must also be signed for again by the parent/guardian during these months

At the time of the inspection, the provider did not have documentation of distributing the Distracted Adult brochure during the month of September 2022

Corrected Corrected by Mar 28, 2023

Category: recordkeeping. Marked corrected in the state record.