Pebbles & Bam Bam Day Care Corp

18-12 · Technical assistance was provided that bedding and linens shall not be stored in the bathroom, unless stored in cabinets

FSC observed napping cots from the 3-year old classroom were placed in the bathroom

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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. Children woke up from nap time and standard returned to compliance at time of inspection

FSC observed children in the 3-year old classroom and in the infants/ 1-year old classroom were not 18 inches apart

Corrected by Feb 28, 2024

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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. One child's parent dropped off immunization record during the inspection. 4 children remain with expired immunization

FSC reviewed 5 children files with expired immunization records

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15-03 · Technical assistance was provided that each room routinely used as a classroom must provide the minimum 35 square footage of usable indoor floor space per child. Due to the center being out of ratio at time of inspection, some children were picked up early. After children were picked up, classrooms were re-arranged to meet classroom capacity at time of inspection

FSC observed capacity in each classroom and in the 2-years old classroom there is a capacity of 5 and there were 7 children in the classroom. In the classroom with 4-years and older, there is a capacity of 10 and there were 13 children in total

Corrected by Jul 27, 2023

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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. 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. Some children were picked up at time of inspection and an additional teacher arrived and the standard returned to compliance at time of inspection. Corrected Ratio: Infants and 1-Year Old - 2:6 1-Year and 2-Years Old - 1:5 3-Years Old - 1:9 4-Years Old, 5-Years Old and School Age - 1:10

Upon arrival at to the facility, FSC counted classroom ratio and there was one staff with six infants and one-year old in one classroom and in an other classroom, there was one staff with seven 1-year and 2-years old. Ratio at Time of Arrival: Infants and 1-Year Old - 1:6 1-Year Old and 2-Years Old - 1:7 3-Years Old - 1:11 4-Years Old, 5-Years Old and School Age - 1:13

Corrected by Jul 27, 2023

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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. Teacher re-arranged furniture and napping cots in the classroom to meet compliance at time of inspection

Children in the 3-year old room were not 18 inches apart while napping

Corrected by Jul 27, 2023

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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 65C22.001(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 6 children files with expired or missing immunization records

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23-02 · Fire Drills

FSC observed provider in possession of a fire inspection with an N.O.V report. Per provider, violations have been corrected and facility is pending reinspection to bring them back into compliance. The provider has been given a corrective action date of [ 4/27/2023 ] to come into compliance with the standard. Licensing staff will follow up with the provider at the end of the corrective action

Corrected by Apr 12, 2023

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23-06 · Technical assistance was provided reminding the provider that all facilities and homes are required to do monthly fire drills at various times as per rule. Once weather permits, provider will conduct drill and notify counselor to ensure compliance. Last fire drill was conducted on [2/16/2023], One fire drill using an alternate evacuation route was done on [2/16/2023], One fire drill during napping/sleeping times was done on [1/18/2023], and One fire drill in the presence and at the request of the licensing authority was done on [8/03/2022], One emergency LOCKDOWN drill was done on [12/14/2022], and One emergency INCLEMENT WEATHER drill was done on [10/12/2023] Fire Inspec: 12/12/22

FSC observed that the provider did not conduct a fire drill for the month of march

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39-04 · Technical assistance was provided that A. All accidents and incidents or unusual occurrences that are threatening to the health, safety, or welfare of a child that occur while the child is in care must be documented on the same day they occur. B. This documentation must be shared with the custodial parent or legal guardian on the date of occurrence. C. 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. D. The documentation must be maintained for 12 months. If the parent or legal guardian does not pick up the child on the date of occurrence of the accident or incident, the individual authorized to pick up the child must sign and be provided a copy of the accident/incident form. An incident report was conducted the same day after the child was picked up. Parent did not sign at that point and had called the school to complain about the incident (mark)

FSC spoke with director regarding complaint allegations. An incident report was not provided to adult picking child up the day incident occurred, in which child woke up with a mark on his face after naptime

Corrected by Apr 12, 2023

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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 GroupsA. 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. One staff arrived at the facility at 11:25AM and she went to the 1-year old and 2-year old classroom. Second staff arrived at 11:54AM. Ratio at Time of Arrival: Infants and 1-Year Old - 2:8 + 1 child entered at 11:18AM - 2:9 1-Year Old and 2-Years Old - 1:11. Upon arrival 1:8, then 1 staff entered with 3 additional children and one staff left. 3-Years Old - 1:11 VPK - 1:11 Corrected Ratio: Infants and 1-Year Old - 2:7 1-Year Old and 2-Years Old - 2:10 3-Years Old - 1:10 VPK - 1:10

Upon arrival to the facility, FSC observed that 1-year and 2-year old classroom had 8 children with 1 staff. FSC asked where the second staff was and she was in the playground, and she peeked inside as the window connecting the playground to the classroom was open. That staff then came inside with three additional children. And the staff that was in there originally, left the room. FSC stated that the second is pregnant and was at a medical appointment. As FSC continued to do ratio, the staff that was originally was in the 1-year old classroom was in the infant classroom. Per director, she (director) is the second staff in the infant classroom. At 11:18am, a 9th child entered the infant/ 1-year old classroom and FSC informed director a third staff was needed to meet ratio requirements

Corrected by Apr 6, 2023

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