20-03 · Crib Requirements

During the inspection the family service counselors observed three cribs at the facility used cribs that did not meet current federal guidelines for construction regulations as outlined in Title 16, Parts 1219,1220 & 1221 Code of Federal Regulations. Technical support that was given to the provider stated that children up to one year of age must be in a crib or playpen/play yard with sides for napping. Crib sides must be secured while there is an infant in the crib. Bar spacing must not exceed two and three-eighths inches. Cribs or playpen/play yards must meet the regulations as outlined in Title 16, Parts 1219, 1220 & 1221 Code of Federal Regulations, 2014, which is incorporated by reference in 65C22.001(7)(w), F.A.C

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

41-01 · Immunization Records

During the inspection the family service counselor observed five students at the school Florida Certificate of immunization was not acceptable in that: [The form was not current (expired)]. Technical support that was given to the provider The Student Health Examination or the signed statement is valid for two years from the date the physical was performed. An up-to-date version must be on file for as long as the child is enrolled at the facility. During the inspection the provider sent an email to the family service counselor stating that the two-student won't return to the day care until their immunization records are up to date

Corrected Corrected by Jun 12, 2024

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

17-03 · Outdoor Play Area/Fencing

FSC noted at the time of the playground inspection that it had no shade. TA was given: (The outdoor play area must provide shade. Shade may be provided by trees, buildings, or structures). The provider resolved this at the time of inspection by putting up a tent

Corrected Corrected by Jun 12, 2023

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

20-04 · Crib Requirements

FSC noted at the time of inspection a 7 month old baby was sleeping on its stomach. TA was given to the provider: ( When napping or sleeping, young infants who are not able to roll over must be positioned on their backs and on a firm surface to reduce the risk of Sudden Infant Death Syndrome, unless an alternate position is authorized by a physician. Sleep sacks that fit according to manufacturers recommendations, do not restrict the infants arms, and will not slide up around the infants face may be used for the comfort of the sleeping infant; however, swaddling shall not be used unless authorized in writing by the childs physician. Written documentation of a physicians authorization must be on file at the facility. Documentation must include the childs name, childs date of birth, description of sleep position required, instructions for the use of any equipment needed, and length of time authorization is valid). The provider resolved this at the time of inspection by placing the infant on its back

Corrected Corrected by Jun 12, 2023

Category: recordkeeping. Marked corrected in the state record.

22-01 · Operable Phone

FSC noted at the time of the inspection that the facility does not have an activated phone line. TA was given to the provider: (There must be at least one 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.

32-04 · Outdoor Equipment

FSC noted at the time of the inspection that the provider did not have up-to-date outdoor equipment documentation. TA was given to the provider: (All playground equipment must be securely anchored, unless portable or stationary by design, in good repair, maintained in safe and sanitary condition, and placed to ensure safe use by the children. Maintenance must include inspections conducted every month of all supports above and below the ground and of all connectors and moving parts. Documentation of maintenance inspections must be maintained for 12 months)

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

41-01 · Immunization Records

(6 of 6) childrens enrollment/health records were reviewed for compliance. 4 of the 6 children enrolled did not have the documents on file. 1newly enrolled children since the last inspection. TA was given to the provider: (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)

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Student Health and Records

FSC noted at the time of the inspection, 2 of the 6 children enrolled did not have the documents on file. TA was given to the provider: (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)

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.