41-02 · Immunization Records

The child care facility is responsible for obtaining for each child in care a current, complete and properly executed Florida Certification of Immunization form Part A-1, B, or C, DH 680, which is incorporated by reference in 65C-22.001(7)(o), F.A.C., or the Religious Exemption from Immunization form, DH 681, which is incorporated by reference in 65C- 22.001(7)(p), F.A.C., from the custodial parent or legal guardian. DH Form 680 and DH Form 681 may be obtained from the local county health department. Specific immunization requirements are included and detailed in the most current edition of the Immunization Guidelines-Florida Schools, Child Care Facilities and Family Day Care Homes as promulgated by the Florida Department of Health

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

20-06 · Crib Requirements

he teacher in the 3rd room full of infants, had covers in the crib with the infants. This would be the 2nd time, I have came to the facility and seen covers in the cribs with the infants. I inform the teachers that. The cribs can absolutely have nothing in there when the infant is sleeping

Corrected Corrected by Jun 4, 2024

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

17-02 · Outdoor Play Area/Fencing

The outdoor play area must be clean and free from litter, nails, glass and other hazards

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

32-06 · Outdoor Equipment

Permanent or stationary playground equipment must have a fall/use zone that extends a minimum of 6 feet in all directions from the perimeter of the equipment. All types of ground cover must be maintained to provide resilience and reduce the incidence of injuries to children in the event of falls

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

14-04 · Lighting, Temperature, and Ventilation

An inside temperature of 65 to 82 degrees Fahrenheit must be maintained at all times

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

41-02 · Immunization Records

At time of inspection, FSC observed that ( 7 ) immunization records on file were expired. TA was provided to the provider explaining that all student health and immunization records must remain up to date at all times and available for review by licensing. Provider was given a corrective action date of 30 days

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

41-01 · Technical assistance per CCF Handbook 7.1.B, "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. 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 must 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."

Licensing authority is not in receipt of one properly documented Certification of Immunization (DH Form 680) or Religious Exemption from Immunization (DH Form 681) [1] enrollment file does not have a Florida Certification of Immunization (DH Form 680) or a Religious Exemption from Immunization (DH Form 681) Licensing authority observed Immunization History (DH Form 686)

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

03-01 · Technical assistance per s402.305(4) F.S, "(a) Minimum standards for the care of children in a licensed child care facility as established by rule of the department must include: 1. For children from birth through 1 year of age, there must be one child care personnel for every four children. 2. 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. 3. For children 2 years of age or older, but under 3 years of age, there must be one child care personnel for every 11 children. 4. For children 3 years of age or older, but under 4 years of age, there must be one child care personnel for every 15 children. 5. For children 4 years of age or older, but under 5 years of age, there must be one child care personnel for every 20 children. 6. For children 5 years of age or older, there must be one child care personnel for every 25 children. 7. When children 2 years of age and older are in care, the staff-to-children ratio shall be based on the age group with the largest number of children within the group

Total attendance at inspection 20 Playground (Mixed age 1yr-SA) 2:20, including one 1yr old Licensing authority in ratio until parent pickups and arrival of Director

Corrected Corrected by Feb 24, 2023

Category: ratio. Marked corrected in the state record.

04-16 · Technical assistance per CCF Handbook 3.10.2, F, "Children must be directly attended at all times when being diapered or when changing clothes. Child care personnel must not leave children unattended on a table or countertop. A safety strap or harness must not be used on the diaper changing table/surface."

Licensing authority observed a 1yr old child left unattended on a changing table. Provider resolved by returning to changing table and completing diaper change

Corrected Corrected by Feb 24, 2023

Category: supervision. Marked corrected in the state record.

19-04 · Technical assistance per CCF Handbook 3.6.2,D, "Napping and sleeping spaces must not be under furniture or against furniture that creates a hazard."

Licensing authority observed one child napping on a stack of cots Provider resolved by relocating the child to a single cot

Corrected Corrected by Feb 23, 2023

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

03-01 · Technical assistance per s402.305(4), F.S., Minimum standards for the care of children in a licensed child care facility as established by rule of the department must include: 1. For children from birth through 1 year of age, there must be one child care personnel for every four children. 2. 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. 3. For children 2 years of age or older, but under 3 years of age, there must be one child care personnel for every 11 children. 4. For children 3 years of age or older, but under 4 years of age, there must be one child care personnel for every 15 children. 5. For children 4 years of age or older, but under 5 years of age, there must be one child care personnel for every 20 children. 6. For children 5 years of age or older, there must be one child care personnel for every 25 children. 7. When children 2 years of age and older are in care, the staff-to-children ratio shall be based on the age group with the largest number of children within the group

Total attendance at inspection 21 Mixed age (1yr-SA) 1:21 [with two 1yr olds] Resolution: Licensing authority in ratio with 1 personnel until Director and 2nd teacher arrive at facility and parent pickups

Corrected Corrected by Feb 23, 2023

Category: ratio. Marked corrected in the state record.

41-01 · Technical assistance per CCF Handbook 7.1.B, "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. 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 must 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."

[18 of 29] immunization records reviewed for compliance (Mixed sample across all classes) [1 of 18] does not have a Florida Certification of Immunization (DH Form 680) or a Religious Exemption from Immunization (DH Form 681) Licensing authority observed Immunization History (DH Form 686)

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.