42-01 · Technical assistance was given to provider per CCF handbook "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."

10 of 23 enrolled children files (PreK 3) were reviewed by LS for compliance. Of which 4 were monitored to not have a physical/ health examination form on file ready for review by licensing authority

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Technical assistance was given to provider per CCF handbook " 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."

FSC observed 1 enrolled student health examination to not be in the file

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

76-10 · Violation

0----101+ Total minimum number of child care personnel with Pediatric CPR certification on site when children are present:-------------3------------4----- ----------5-------------6--------------7 Total minimum number of child care personnel with first aid training on site when children are present:------------------------------3------------4--- ------------5------------6--------------7"

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Technical assistance was given to provider per CCF handbook "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."

FSC observed 1 enrolled student health examination to not be in the file

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

76-10 · Violation

0----101+ Total minimum number of child care personnel with Pediatric CPR certification on site when children are present:-------------3------------4----- ----------5-------------6--------------7 Total minimum number of child care personnel with first aid training on site when children are present:------------------------------3------------4--- ------------5------------6--------------7"

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

41-02 · Technical assistance was given to provider per CCF handbook "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."

FSC observed 2 enrolled children immunization records to be expired

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Technical assistance was given to provider per CCF handbook " 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."

FSC observed 1 enrolled student health examination to not be in the file

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

33-01 · Technical assistance was given to provider per CCF handbook " Mandated Introductory Training Child care personnel must successfully complete 40 hours of child care training as evidenced by successful completion of competency examinations offered by the Department or its designated representative with a weighted score of 70 or better. Child care personnel who successfully completed the mandatory 40-hour Introductory Child Care Training prior to January 1, 2004 are not required to fulfill the competency examination requirement. A. Part I Courses (30 Hours) Child care personnel must complete all of the following: ? Child Care Facility Rules and Regulations ? Health, Safety and Nutrition ? Identifying and Reporting Child Abuse and Neglect ? Child Growth and Development ? Behavioral Observation and Screening"

1 personnel file was observed to have not completed 40 introductory child care training

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-10 · Technical assistance was given to provider per CCF handbook "All child care personnel participating in the transportation of children must have training regarding guidance on safe transportation practices prior to participating in transportation of children. For child care personnel to satisfy this requirement the training must be accomplished through the Departments Transportation Safety course or the Early Learning Floridas Precautions in Transporting Children course. Child care personnel working at a facility currently providing transportation must complete training by April 1, 2020. Documentation of training must be maintained on the training transcript in the child care personnel file. "

FSC observed that personnel responsible for transporting children, did not have proof of completing safe transportation practices training

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

39-05 · Technical assistance was given to provider per CCF handbook " Documentation must include the name of the affected party, date and time of the occurrence, description of the occurrence, actions taken and by whom, and appropriate signatures of program child care personnel and the custodial parent or legal guardian. Program child care personnel signatures may include the director/child care personnel that witnessed the incident, who were involved in the incident, and/or responded to the childs needs. "

3 of 7 reviewed accident/incident reports by FSC were observed to be out of compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

33-01 · Training Requirements

Staff did not complete the 40 hours introductory training. Ta was given to the person in charge ( Child care personnel must successfully complete 40 hours of child care training as evidenced by successful completion of competency examinations offered by the department or its designated representative with a weighted score of 70 or better. Child care personnel who successfully completed the mandatory 40 hour Introductory Child Care Training prior to January 1, 2004 are not required to fulfill the competency examination requirement.) Person in charge requested two months to come into compliance due to the limit exam dates

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

13-02 · Toxic Substances, Hazardous Materials and Weapons

FSC observed that center's storage closet (keep cleaning products) door was close but not locked. TA was given to the director ( All potentially harmful items, including cleaning supplies, flammable products, poisonous, toxic, and hazardous materials, must be labeled and used according to manufacturers recommendation. These items, as well as knives, sharp tools, and other potentially dangerous hazards, must be stored in a locked area or must be inaccessible and out of a childs reach at all times

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

22-01 · Operable Phone

FSC observed that the center does not have an operable corded telephone. TA was given to the director ( There must be at least one dedicated operable corded telephone that is neither locked nor located at a pay station that is available to all child care personnel at all times during the hours of operation.)

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

29-11 · Health and Sanitation

The center does not have a kit to accurately measure the concentration of sanitizing solution used for ware washing. TA was given to the owner ( A test kit or other device that accurately measures the concentration of the sanitizing solution must be available and used to confirm appropriate concentration of solution during one full cycle per day)

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

30-01 · Diapering

The 2 year old classroom does not have a sink. TA was given to the owner (When children in diapers are in care, a hand-washing station that includes a sink with running water, soap, trash receptacle, and disposable towels or hand drying machines that are properly installed and maintained shall be provided in the room or in an adjoining area which opens into the room.)

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

33-01 · Training Requirements

A staff did not complete the 40 hour introductory child care training within the year. TA was given to the owner ( Child care personnel must successfully complete 40 hours of child care training as evidenced by successful completion of competency examinations offered by the department or its designated representative with a weighted score of 70 or better. Child care personnel who successfully completed the mandatory 40 hour Introductory Child Care Training prior to January 1, 2004 are not required to fulfill the competency examination requirement)

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-09 · Training Requirements

Multiple staff did not complete within the 30 days of employment the fire extinguishers training. TA was given to the owner ( All staff shall be trained in the use and operation of a fire extinguisher within 30 days of employment. The facility must maintain documentation that all staff have completed training

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

41-01 · Immunization Records

FSC check immunization records for the 1 and 2 year old classroom. Three children out of six did not have current immunization records. TA was given to the owner (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, religious, or philosophical exemptions from routine childhood immunizations must provide documentation of a scheduled appointment or arrangement to receive immunizations. Providers must include written notification to inform parents, at time of enrollment, that some children in care may not have current immunizations.)

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

44-01 · Personnel Records

FSC was unable to review a staff personnel file. TA was given to the owner ( Records must be maintained and kept current on all child care personnel, as defined by Section 402.302(3), F.S. These shall include: A. An employment application with the required statement pursuant to Section 402.3055(1)(b), F.S. B. 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 annually by all child care personnel. D. Copies of training information and credentials as applicable. E. For the driver only: 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 and available for review by the licensing authority.)

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-01 · Background Screening Documents

A staff did not have a copy of her background results in her file. TA was given to the owner (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.)

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.