44-04 · Technical assistance was provided that 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. All (6) child care personnel records in the system were reviewed of which 4 were updated for compliance. No new personnel were hired since the last inspection as per the director

Licensing specialist reviewed 6 staff files, 5 of which the Child Abuse and Neglect Reporting Requirements Form was over a year old, and one staff file had the form missing

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

28-05 · Technical assistance was provided that prepared bottles must be placed in the refrigerator immediately and used within 24 hours. Staff threw out the milk, and new bottles were prepared for snack time

FSC observed three bottles with milk stored in a cabinet. Director stated that they were prepared because snack time was about to start when children woke up from nap time. FSC observed the bottles at 12:56 p.m. Per staff, the bottles were prepared around 12:30 p.m

Corrected Corrected by Jun 19, 2024

Category: nutrition. Marked corrected in the state record.

03-01 · Technical assistance was provided that 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. Staff returned to classroom and two children were moved to another classroom to return to compliance at time of inspection. Compliant Ratio: Infants and 1-Year Old - 1:4 1-Year Old and 2-Years Old - 2:12 3-Years Old - 1:15 VPK - 1:9 This is the fourth occurrence of a non-compliance for this standard within a two year period, and it may result in the license being placed on Probationary status for a period of up to 6 months and a fine. Another non-compliance of this standard during the Probationary period may result in the license being suspended or revoked and/or renewal of the license being denied

Upon arrival to the facility, FSC observed the one-year and 2-years old mixed classroom with 2 staff and 14 children. FSC also observed upon entering the infants classroom, two infants and the staff had walked out. Ratio at Time of Arrival (non-compliant): Infants 0:2 1-Year and 2-Years Old - 2:14 3-Years Old - 1:15 VPK - 1:9

Corrected Corrected by Feb 9, 2024

Category: ratio. Marked corrected in the state record.

04-01 · Technical assistance was provided that 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. The staff was called to return to the classroom and the standard returned to compliance at time of inspection

FSC observed infants classroom with two children and the staff was not in the classroom. Per provider, she stepped out to the kitchen to get the lunch for children

Corrected Corrected by Feb 9, 2024

Category: supervision. Marked corrected in the state record.

12-02 · Technical assistance was provided that all child care facilities must be clean, in good repair, free from health and safety hazards and from evidence of, or presence of, vermin infestation. Indoor play areas must be inspected daily for basic health and safety and documented on a daily inspection log. Outdoor play areas must be inspected daily for basic health and safety. Any problems must be corrected before the play area is used by children. Documentation of the indoor play area inspection must be maintained for 12 months. Per provider, they are repairing various areas of the facility and will be repaired the weekend of 2/17-2/18

FSC observed an area of the wall/ floor frame missing in the hallway between 3-years old and infants classroom

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

23-06 · Technical assistance was provided that 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. 2 drills must be completed during February to return to compliance. Last fire drill was conducted on 12/26/2023. One fire drill using an alternate evacuation route was done on 12/26/2023. One fire drill during napping/sleeping times was done on 12/26/2023. One fire drill in the presence and at the request of the licensing authority has not been conducted during licensure year. One emergency LOCKDOWN drill has not been conducted during licensure year. One emergency INCLEMENT WEATHER drill was done on 11/16/2023. Fire inspection conducted on 6/23/2023. Fire extinguisher serviced on 06/2023. As technical assistance, the licensing counselor requested that a Fire Drill be done in the presence of licensing authority, and the provider requested that the fire drill be done at the next scheduled inspection

FSC reviewed fire drill log and a fire drill was not conducted during January 2024

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

30-07 · Technical assistance was provided that items unrelated to diaper changing shall not be stored in the diaper changing area nor shall they be placed on the diaper changing table. The staff removed all unrelated items and the standard returned to compliance at time of inspection

During initial walk through of the facility, FSC observed unrelated items (food, paper, cellphone, glue) in the diaper changing areas of the infants, 1/2 years old classroom, and 3-years old classroom. FSC let provider know that unrelated items cannot be in the diaper changing area. The items were removed from the area. When FSC returned to classrooms to observe naptime, FSC again observed cellphone/ papers in the 1/2 year old classroom's diaper changing area and yogurts in the infant classroom's diaper changing area. Additionally, FSC observed cereal in zip bags in the restroom of the infant classroom

Corrected Corrected by Feb 9, 2024

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

33-03 · Technical assistance was provided that child care personnel including volunteers who work 10 hours or more per month must begin training within 90 days of employment in the child care industry and successfully complete Departments training within 12 months from the date training begins. Training taken prior to employment in the child care industry does not constitute begin training. The begin training timeframes begin at the time of employment in the child care industry. Training completion may not exceed 15 months from the date of employment in the child care industry in any licensed Florida child care facility. This may be accomplished by classroom attendance in a Department-approved training course, acquiring an educational exemption from a Department-approved training course, beginning a Department-approved online child care training course, or by receiving results from a Department-approved competency examination. The child care program is responsible for obtaining training documentation from child care personnel

FSC reviewed one staff's file and conducted a DCF transcript search and an account for the staff was not found

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

22-23 · Operable Phone

year. Staff completed 2 hours during July 1st, 2022 and June 30th, 2023. Technical assistance was provided that upon successful completion of the 40-hour introductory training requirements, child care personnel must complete a minimum of 10 clock-hours or one CEU of in-service training annually during the states fiscal year beginning July 1 and ending June 30. A. The annual 10 clock-hours or one CEU of in-service training concentration on children ages birth through 12 must be completed in one or more of the following areas (college level courses will be accepted): 1. Health and safety, including universal precautions, prevention of infectious diseases, sudden infant death syndrome, emergencies due to food and allergic reactions, shaken baby syndrome, use of safe sleep practices, administration of medicine, emergency preparedness, and handling of hazardous materials; 2. Pediatric CPR; Page 5 of 10 Name: Little Stars Preschool SAS, Corp License #: C11MD2984 Address: 12375 SW 42nd St Miami FL 33175 Type: Routine Date: 02/09/2024 3. First Aid (may be taken to meet the in-service requirement only once every two years); 4. Nutrition; 5. Child development - typical and atypical; 6. Child transportation and safety; 7. Behavior management; 8. Working with families; 9. Design and use of child-oriented space; 10. Community, health and social service resources; 11. Child abuse; 12. Child care for multilingual children; 13. Working with children with disabilities in child care; 14. Safety in outdoor play; 15. Literacy; 16. Guidance and discipline; 17. Computer technology; 18. Leadership development/program management and child care personnel supervision; 19. Age-appropriate lesson planning; 20. Homework assistance for school-age care; 21. Food safety training; 22. Developing special interest centers/spaces and environments; 23. Other course areas relating to child care or child care management; 24. Any of the online courses offered through the Departments child care website. B. Documentation of the in-service training requirement must be recorded on CF-FSP 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. C. All child care personnel employed in the industry beyond 15 months, who change employment from one child care program to another during the fiscal year must complete the annual in-service training requirement. D. Child care personnel not in compliance with the annual in-service training requirement described in this section must complete the remaining in-service training requirement within 30 days of the noncompliance finding by the licensing authority. These hours cannot be used to meet the current years in-service training requirements

33-09 · Technical assistance was provided that all child care personnel who work in a facility that offers care to infants must have training regarding guidance on safe sleep practices, preventing shaken baby syndrome and abusive head trauma; recognition of signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with crying, fussing, or distraught child and the development and vulnerabilities of the brain in infancy in early childhood within 30 days of hire at the facility. For child care personnel to satisfy this requirement the training must be accomplished through one of following methods: Department's Health Safety and Nutrition course, Safe Sleep course, or the Early Learning Floridas Safe Sleep Practices. Documentation of training must be maintained on the Department's training transcript in the child care personnel record. All child care personnel shall be trained in the use and operation of a fire extinguisher, at each facility they are employed, within 30 days of date of hire. The facility must maintain documentation that all child care personnel have completed training

FSC observed the staff in the infant classroom did not have safe sleep or fire extinguisher training. In addition, the rest of the staff did not have fire extinguisher training documentation

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

41-02 · Technical assistance was provided that 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. A. Immunizations received out-of-state are acceptable; however, immunizations must be documented on the Florida Certification of Immunization form and must be signed by a physician practicing in the State of Florida. 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

FSC reviewed 4 children files with expired immunization records

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

03-01 · Ratio Sufficient

1- and 2-year-olds 11:1 4- and 5-year-olds 5:1 3-year-olds 9:2 infants 4:1 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 childcare personnel must be responsible for no more than six children of any age group, at all times

Corrected Corrected by Nov 2, 2023

Category: supervision. Marked corrected in the state record.

04-01 · Supervision

Supervision of the children in age group 4&5 was inadequate because the teacher walked out of the briefly during the inspection, and also when fsc arrived a minor was observed standing in front of the front door left unattended in the lobby

Corrected Corrected by Nov 2, 2023

Category: supervision. Marked corrected in the state record.

18-12 · Bedding and Linens

3.6.1 Bedding and Linens Bedding and linens, when not in use, must be stored in a sanitary manner which prevents the spread of germs or lice from other linens. All bedding and linens must be thoroughly cleaned and sanitized at least once a week, and before use by another child. Fsc observed provider removing the linens off of the beds

Corrected Corrected by Nov 2, 2023

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

03-01 · Technical assistance was provided that 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. Compliant Ratio: 1-Year Old - 1:6 + 1 volunteer 1-Year and 2-Years Old - 2:10 3-Years and 4-Years Old - 1:14 + 1 volunteer 3-Years, 4-Years and School Age - 1:9

Upon arrival to the facility, FSC observed three teachers in the office area and they went to classrooms after FSC entered. FSC proceeded to count ratios per classroom. Classroom with 1-year and 2-years old children had one staff with 15 children. The infants classroom had one staff with 5 children. The director stated she was the second staff in that classroom. At time of arrival, the director was in the office area. Ratios at time of arrival (non-compliant): Infants - 1volunteer:5 1-Year and 2-Years Old - 1:15 3-Years and 4-Years Old - 1:16 + 1 volunteer 4-Years, 5-Years, and School Age Children - 1:14

Corrected Corrected by Jun 21, 2023

Category: ratio. Marked corrected in the state record.

04-05 · Technical assistance was provided that During nap time, child care personnel must be within sight and hearing of all the children. 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. Some children were picked up and classes rearranged to meet adequate supervision at time of inspection

FSC observed that there was not sufficient staff in the facility to meet nap time supervision

Corrected Corrected by Jun 21, 2023

Category: supervision. Marked corrected in the state record.

15-01 · Technical assistance was provided that the total number of children in care on-site and while on field trips may never exceed the facilitys licensed capacity. 9 children were picked up at time of inspection to meet facility capacity at time of inspection

FSC observed and counted 50 children in the facility, which is licensed for 41 children

Corrected Corrected by Jun 21, 2023

Category: ratio. Marked corrected in the state record.

19-02 · Technical assistance was provided that a minimum of 18 inches must be maintained around individual napping and sleeping spaces. A maximum of two sides of a napping or sleeping space may be against a solid barrier, such as the wall. The solid side of a crib does not meet the requirements for a solid barrier. As nap time was finishing, children woke up and 18 inches separation was met at time of inspection

FSC observed children in the 1-year and 2-years old classroom and the 3-years and 4-yeas old classroom were not meeting 18 inch separation while napping

Corrected Corrected by Jun 21, 2023

Category: ratio. Marked corrected in the state record.

23-02 · Technical assistance was provided that Unless statutorily exempted, all child care facilities must conform to state standards adopted by the State Fire Marshal, Chapter 69A-36, F.A.C., Uniform Standards for Life Safety and Fire Prevention in Child Care Facilities. A copy of the current and approved annual fire inspection report completed by a certified fire inspector must be on file with the licensing authority. If the program is granted a fire inspection exemption by the local fire inspection office, the exemption must be documented and maintained on file at the program. Last fire drill was conducted on 6/15/2023. One fire drill using an alternate evacuation route was done on 6/15/2023. One fire drill during napping/sleeping times was done on 6/6/2023. One fire drill in the presence and at the request of the licensing authority was done on 6/21/2023. One emergency LOCKDOWN drill was done on 9/29/2022. One emergency INCLEMENT WEATHER drill was done on 4/14/2023. Fire inspection conducted on 6/8/2023. Fire extinguisher serviced on 06/2023. As technical assistance, the licensing counselor requested that a Fire Drill be done in the presence of licensing authority, and the provider agreed to conduct the fire drill at time of inspection

FSC reviewed fire inspection from 6/8/2023 with results N.O.V

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

48-01 · Technical assistance was provided that for children age 1 year to 24 months of age, group size may not exceed twelve (12) children in a single classroom. For classrooms operating with 7 to 12 children, one of the two program personnel necessary to meet ratio requirements for this age group must possess at a minimum an active credential pursuant to s. 402.305(3), F.S., as recognized by the Department. An active credential is not required for the staff member assigned to a classroom operating with 6 or less children. Children were re-arranged in classrooms to meet group size requirement at time of inspection

FSC observed 15 children ages 1 and 2 years old

Corrected Corrected by Jun 21, 2023

Category: ratio. Marked corrected in the state record.

23-08 · Fire Drills

According to the Childcare handbook. 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

Corrected Corrected by Mar 16, 2023

Category: recordkeeping. Marked corrected in the state record.