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Home › FL › Leesburg › Lake Community Action Agency Inc.
2000 Park Cir, Leesburg FL 34748 · License #C05LA0065 · Center · Child Care Facility
When they operate
Ages served
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Generated from this facility's specific inspection record
Data synced from Florida DCF, Office of Child Care Regulation on Jul 8, 2026 · Source records · Report an error
35-12 · Communicable Disease Control
No documentation of exposure plan refresher (blood pathogen training) for staff listed on the supplemental. All staff is required to complete a refresher education every year and keep documentation for review
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
23-12 · Technical assistance provided that a current attendance record/classroom rosters and parent contact information must accompany child care personnel during the drill or actual emergency and must be used to account for all children. Another fire drill will be conducted at time of reinspection
Licensing specialist observed a fire drill during the inspection, child care personnel did bring their current attendance record but did not possess parent contact information
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
42-01 · Technical assistance provided that 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
Child(ren), listed on the supplemental, did not have a Student Health Examination/DH (Form 3040), or an equivalent health statement on file within 30 days of enrollment
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
44-01 · Technical assistance provided that 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. "Child care personnel means all owners, operators, employees, and volunteers working in a child care facility. The term does not include persons who work in a child care facility after hours when children are not present or parents of children in a child care facility. This will need to be on file by due date
Personnel records for child care personnel, listed on the supplemental, were not maintained at the facility and available for review
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
45-01 · Technical assistance provided that 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. This will need to be on file by due date
Licensing Specialist reviewed personnel files and observed personnel file, listed on the supplemental, did not include a completed CF- FSP Form 5131
Open Not marked corrected in the state record
Category: background checks. Open / not marked corrected.
45-02 · Technical assistance provided that 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. This will need to be on file by due date
Licensing Specialist reviewed personnel files and observed personnel file, listed on the supplemental, did not have a level 2 clearinghouse screening clearance on file
Open Not marked corrected in the state record
Category: background checks. Open / not marked corrected.
45-04 · Technical assistance provided that 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. This will need to be on file by due date
Licensing Specialist reviewed personnel files and observed personnel file, listed on the supplemental, did not have an employment history verification on file
Open Not marked corrected in the state record
Category: background checks. Open / not marked corrected.
45-06 · Technical assistance provided that a 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. This will need to be on file by due date
Licensing Specialist reviewed personnel files and observed personnel file, listed on the supplemental, did not have the Child Care Attestation of Good Moral Character on file
Open Not marked corrected in the state record
Category: background checks. Open / not marked corrected.
46-02 · Technical assistance provided that 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. Accurate attendance records will need to be done by due date
Licensing specialist observed missing arrival time for child, listed on the supplemental
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
03-01 · Technical assistance provided that 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 1 year old classroom with a total of 9 children with 1 child care personnel. This group included (3) 1 Year Old's. This was resolved by moving (3) 2 year old's to the 4 year old classroom
Corrected Corrected by Oct 18, 2024
Category: ratio. Marked corrected in the state record.
33-08 · Technical assistance provided Documentation of the in-service training requirement must be recorded on CFFSP Form 5268, Child Care In-Service Training Record, which is incorporated by reference in 65C-22.001(7)(i), F.A.C., and included in the child care facilitys personnel records. CF-FSP Form 5268 may be obtained from the Departments website at www.myflfamilies.com/childcare. A new in- service training record is required each fiscal year. The in-service training records for the previous two fiscal years must also be maintained at the child care facility for review by the licensing authority
Documentation of in-service training will need to be recorded on CF-FSP FORM 5268, Child Care In-Service Training Record by the due date
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
41-02 · Immunization Records
Children, listed on the supplemental, need to have a current immunization record on file by due date
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
42-01 · Student Health and Records
Child(ren) did not have a Student Health Examination/DH (Form 3040), or an equivalent health statement on file within 30 days of enrollment
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
44-04 · Technical assistance provided that a 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
Personnel, listed on the supplemental, will need to sign a CF-FSP 5337 Child Abuse and Neglect Reporting Requirements form by due date
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
42-01 · Student Health and Records
Child(ren), listed on the supplemental, did not have a form 3040 on file and will need one by the due date
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
45-01 · Background Screening Documents
Personnel listed on the supplemental did not have a 5131 on file. Completed at time of inspection
Corrected Corrected by Jun 3, 2024
Category: background checks. Marked corrected in the state record.
41-02 · Immunization Records
Child(ren), listed on the supplemental did not have a current immunization record on file
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
45-07 · Background Screening Documents
Child Care Personnel, listed on the supplemental, needs a New Screening. Per director, today is the last day of work of the child care personnel until they receive a eligible background screening result on file
Corrected Corrected by Jun 3, 2024
Category: background checks. Marked corrected in the state record.
04-20 · Technical assistance provided that 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
Director admitted she released child to another child parent who stated they were cousins with his dad
Corrected Corrected by Mar 15, 2024
Category: supervision. Marked corrected in the state record.
03-01 · Technical assistance provided that for children 1 year of age or older, but under 2 years of age, there must be one child care personnel for every six children
Ratio Observed: 1:12 (6) 1 Year Olds and (6) 4 Year Olds and 5 Year Olds 1:9 2 Year Olds 1:9 3 Year Olds Fixed Ratio: 1:6 1 Year Olds 1:11 Mixed 2s and 4s 1:13 Mixed 3s and 5s Family Services Counselor (FSC) upon entering facility witnessed only one child care personnel watching over both the 4s and 5s room and the 1s room. There were (6) 4 year olds and 5 year olds in the 4s and 5s room and (6) 1 year olds in the 1s room, observed napping. Children in the 4s and 5s room were split between the 2s room and 3s room to bring them into ratio. Child care personnel stayed in the 1s room until the substitute came. Ratio was corrected at time of inspection
Corrected Corrected by Feb 6, 2024
Category: ratio. Marked corrected in the state record.
04-01 · Technical assistance was provided that 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. CCF Handbook, Section 2.4.2
Family Services Counselor (FSC) upon entering facility witnessed child care personnel standing outside next to the door of the 1s room watching over both the 4s and 5s room and the separate 1s room. There were 6 children napping in the 4s and 5s room and 6 children napping in the 1s room. Child care personnel was not inside of the 1s room, and was not providing the direct supervision required for children under 24 months of age. Children in the 4s and 5s room were split between the 2s room and 3s room. Child care personnel was able to provide direct supervision for the 1s napping until substitute came into the facility at 12:59PM
Corrected Corrected by Feb 6, 2024
Category: supervision. Marked corrected in the state record.
41-01 · Immunization Records
Child(ren), listed on the supplemental, did not have DH form 680 on file. TA provided that DH form 680 will need to be on file by
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
41-02 · Immunization Records
Child(ren), listed on the supplemental, did not have a current immunization record. TA provided that a current copy of the immunization records will need to be on file by
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
13-04 · Toxic Substances, Hazardous Materials and Weapons
Knives and/or sharp tools were accessible to children in care. TA provided to ensure kitchen door is closed at all times
Corrected Corrected by Jan 26, 2024
Category: physical safety. Marked corrected in the state record.
41-01 · Immunization Records
Children, listed on the supplemental did not have DH form 680 on file. TA provided that DH form 680 will need to be on file by due date
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
41-02 · Immunization Records
Children, listed on the supplemental, did not have a current immunization record. TA provided that a current copy of the immunization records will need to be on file by due date
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
42-01 · Student Health and Records
Child, listed on the supplemental, did not have a DH Form 3040 on file. TA provided to have DH form 3040 on file by due date
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
03-01 · Ratio Sufficient
One staff with a mixed group of 14 including 1 year old ( 7 of 1 year old and 7 of 4 year old) was observed. 7 children of 1 year old were separated in other room with 2 staff that clocked at the time of inspection
Corrected Corrected by Oct 18, 2023
Category: ratio. Marked corrected in the state record.
13-04 · Toxic Substances, Hazardous Materials and Weapons
2 pair of adult scissors were accesible to children at the teacher's desk. Scissors were removed and put it away at the time of inspection
Corrected Corrected by Oct 18, 2023
Category: physical safety. Marked corrected in the state record.
33-03 · Training Requirements
Staff did not commenced training within 90 days of employment. Ta given on regards training requirement for childcare personnel and substitute personnel
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
33-09 · Training Requirements
No Fire extinguisher completed for new staff. Child Care personnel must to complete the fire extinguisher training within 30 days of employment
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
44-04 · Personnel Records
No signed Child abuse and Neglect. Staff is required to sign child Abuse and Neglect form every year and keep it available for review. Form signed at the time of inspection
Corrected Corrected by Jan 30, 2023
Category: recordkeeping. Marked corrected in the state record.
45-06 · Background Screening Documents
No Signed AGMC for staff. AMCG must to be signed before employment and available for review. Form signed at the time of inspection
Corrected Corrected by Jan 30, 2023
Category: background checks. Marked corrected in the state record.
45-07 · Background Screening Documents
BGS expired for an Administrative staff. Staff was not present at the time of inspection and cannot return until a new BGS is submitted and eligible results received. TA given to have the BGS current all time and follow up on the renewing notifications from CHL
Open Not marked corrected in the state record
Category: background checks. Open / not marked corrected.