27-01 · Fire Drills/Emergency Preparedness FDCH/LFCCH Handbook

LS observed Fire Drill log was not updated and was missing fire drills since February 2024- June 2024. TA was given refencing CCF Handbook, During the homes licensure year, fire drills utilizing the smoke detector(s) must be conducted monthly at various dates and times when children are in care

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

31-02 · Immunization Records FDCH/LFCCH Handbook

Observed 1/2 of the children files, and one was expired. TA was given refencing CCF Provider, The operator is responsible for obtaining for each child in care a current, complete and properly executed Florida Certification of Immunization form, Parts A-1, B, and/or C,DH 680 (July 2010), or the Religious Exemption from Immunization form, DH 681 (July 2008), which are incorporated herein by reference in 65C-22.001(7)(o) and (p), F.A.C., from the custodial parent or legal guardian, within 30 days of enrollment. DH Form 680 and DH Form 681 may be obtained from the local health department. 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 should provide documentation of ascheduled 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. If the custodial parents or legal guardians fail to provide the above required documentation within 30 days of enrollment, the home shall not allow the child to remain in the program

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

32-02 · Health Records FDCH/LFCCH Handbook

Observed 1/2 of the children files, and one was expired. TA was given to provider refencing the CCF Handbook, The operator is responsible for obtaining for each child in care a current, complete and properly executed DH 3040, Student Health form, incorporated by reference in 65C-22.001(7)(q), F.A.C. and may be obtained from the local county health department, or a signed statement by an authorized professional that indicates the results of the components of the form are included in the health examination from the custodial parent or legal guardian, within 30 days of enrollment. The Student Health Examination shall be completed by a person given statutory authority to perform health examinations. The Student Health Examination form or signed statement is valid for two years from the date the physical was performed and must be on file as long as the child is in care. If the custodial parents or legal guardians fail to provide the above required documentation within 30 days of enrollment, the home shall not allow the child to remain in the program. School-aged children attending public or nonpublic schools are not required to have student health examination and immunization records on file at the home as such records are on file at the school where the child is enrolled. If the custodial parents or legal guardians need assistance concerning these requirements, the home shall refer them to the Department of Health or to the child's physician. Medical records in this section are the property of the custodial parent or legal guardian and must be returned when the child is no longer in care. The medical records are transferable if the child is placed in a different childcare. Any child who has or is at an increased risk for a chronic physical, developmental, behavioral or emotional condition and require 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. Childcare personnel caring for a child with an Emergency Care Plan must be trained to recognize and respond appropriately to a medical emergency

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

06-10 · Technical assistance was given to provider per FDCH ""The employer/owner/operator must add substitutes, employees and household members to their Employee/Contractor Roster within ten days of when the individual has received a childcare eligible result. Employer/owner/operator must add an end date within ten days of termination for individuals on the Employee/Contractor Roster in the Clearinghouse when employment terminates, or a household member is no longer residing in the home."

Employee roaster was observed by FSC to not have been completed by provider

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

14-01 · Outdoor Time, Fencing and Play Area Requirements FDCH/LFCCH Handbook

In front of the Provider house, the driveway gravel is broken containing mini rocks, and uneven ground which makes it unsafe for the kids to ride their tricycles/bikes nor play in the front of the house. The front of the home is not properly fenced and should not be utilized for outdoor activities at this time. For the back of the house: Toys have mold/standing water, debris and floor tiles within outdoor "play area". The roof drain is not in good repair, it is leaning and leaking water. Provider has a wooden gate with a missing panel located in the rear play area. Technical Assistance: was given to Provider: "A. Outdoor Play areas shall be clean, in good repair and free from litter, nails, glass, and other hazards."

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

06-06 · Background Screening Requirements FDCH/LFCCH Handbook

Observed 1 personal files to be not in compliance. Provider did not conduct rescreening in a timely manner. TA was given to Provider per Florida Statue. "Childcare personnel in family day care homes shall be subject to the applicable screening provisions contained in ss. 402.305(2) and 402.3055. For purposes of screening in family day care homes, the term includes any member over the age of 12 years of a family day care home operators family, or persons over the age of 12 years residing with the operator in the family day care home. Members of the operators family, or persons residing with the operator, who are between the ages of 12 years and 18 years shall not be required to be fingerprinted but shall be screened for delinquency records."

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

06-06 · Background Screening Requirements FDCH/LFCCH Handbook

Observed two personal files to be not in compliance. Provider did not conduct rescreening in a timely manner. TA was given to Provider per Florida Statue. "(3) Childcare personnel in family day care homes shall be subject to the applicable screening provisions contained in ss. 402.305(2) and 402.3055. For purposes of screening in family day care homes, the term includes any member over the age of 12 years of a family day care home operators family, or persons over the age of 12 years residing with the operator in the family day care home. Members of the operators family, or persons residing with the operator, who are between the ages of 12 years and 18 years shall not be required to be fingerprinted but shall be screened for delinquency records."

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

06-10 · Background Screening Requirements FDCH/LFCCH Handbook

The licensing authority observed at the time of the inspection that the current employee roster in the clearinghouse is not up to date. Technical Assistance was provided: "The employer/owner/operator must add substitutes, employees and household members to their Employee/Contractor Roster within ten days of when the individual has received a childcare eligible result. Employer/owner/operator must add an end date within ten days of termination for individuals on the Employee/Contractor Roster in the Clearinghouse when employment terminates, or a household member is no longer residing in the home."

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

14-01 · Outdoor Time, Fencing and Play Area Requirements FDCH/LFCCH Handbook

In front of the Provider house, the driveway gravel is broken containing mini rocks, and uneven ground which makes it unsafe for the kids to ride their tricycles/bikes nor play in the front of the house. The front of the home is not properly fenced and should not be utilized for outdoor activities at this time. For the back of the house: Toys have mold/standing water, debris and floor tiles within outdoor "play area". The roof drain is not in good repair, it is leaning and leaking water. Provider has a wooden gate with a missing panel located in the rear play area. Technical Assistance: was given to Provider: "A. Outdoor Play areas shall be clean, in good repair and free from litter, nails, glass, and other hazards."

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

14-10 · Outdoor Time, Fencing and Play Area Requirements FDCH/LFCCH Handbook

It was observed that gate leading to the back of the home (side gate) is not at ground level. Technical Assistance was given to Provider: "F. Fencing, including gates, must be continuous, and shall not have opening or gaps larger than 3 1/2 inches that would allow children to exit the outdoor play area. The bottom or base of the fence must remain at ground level and free from erosion or buildup to prevent inside or outside access by children or animals."

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

20-11 · Nutritious Meals and Snacks Provided FDCH/LFCCH Handbook, 7.13 and 7.14 FDCH/LFCCH

It was observed that the provider did not have the appropriate thermometer in the fridge nor freezer. Technical Assistance was provided: "D. Refrigerators/freezers must have accurate food grade thermometers designed to measure cold storage temperature and these must be placed inside each refrigeration and freezer unit. Thermometers in refrigerators must show a reading of 41 degrees Fahrenheit or below, and thermometers in freezers must show a reading of 0 degrees Fahrenheit or below. The thermometer must be located in the center of the unit and be readily accessible. Thermometer temperature readings higher than specified above require further temperature testing of food samples stored in the unit using a probe type thermometer; and adjustments to the unit setting to reach and maintain the required readings must be made."

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

21-16 · Hygiene and Sanitation FDCH/LFCCH Handbook

Licensing Authority observed sippy cups were unlabeled, missing the first and last name for every child. Technical Assistance was given to Provider: "G. All bottles and sippy cups prepared and used continuously throughout the day shall be individually labeled with the childs first and last name. This does not limit any type of identification system in addition to names. Sippy cups or bottles brought from home shall be individually labeled with the childs first and last name and returned to the custodial parent or legal guardian daily."

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

31-02 · Immunization Records FDCH/LFCCH Handbook

Licensing Authority reviewed: 4 of 4 Childrens enrollment/health records. 3 out of 4 immunization records are expired. Technical Assistance was given to Provider: "A. The operator is responsible for obtaining for each child in care a current, complete and properly executed Florida Certification of Immunization form, Parts A-1, B, and/or C, DH 680 (July 2010), or the Religious Exemption from Immunization form, DH 681 (July 2008), which are incorporated herein by reference in 65C-22.001(7)(o) and (p), F.A.C., from the custodial parent or legal guardian, within 30 days of enrollment. DH Form 680 and DH Form 681 may be obtained from the local health department. 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 should 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. B. If the custodial parents or legal guardians fail to provide the above required documentation within 30 days of enrollment, the home shall not allow the child to remain in the program."

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.