25-07 · Technical assistance per CCF Handbook 3.9.2, F.1, "An accurate thermometer designed to measure cold storage temperature must be placed inside each refrigeration and freezer unit. Thermometers in refrigerators must show a reading of 41 degrees Fahrenheit or below, and thermometers in freezers must show a reading of 0 degrees Fahrenheit or below. The thermometer must be located in the center of the unit and be readily accessible. Thermometer temperature readings higher than specified above require further temperature testing of food samples stored in the unit using a probe type thermometer; and adjustments to the unit setting to reach and maintain the required readings must be made." The following compliant thermometers were observed Infant fridge 40*, freezer 0*-------- Room 102 fridge 39* Room 103 fridge 41* ------------------Room 105 fridge 39* Room 107 fridge 39* ------------------Room 109 fridge 38* Room 203 fridge 39*-------------------Room 204 fridge 39* Kitchen Freezer 0* ----------------------Kitchen Walk-in Cooler 41*

Licensing authority observed the following refrigerators without a thermometer Room 104 Room 106 Room 108

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

33-01 · Technical assistance per CCF Handbook 4.2.1, "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 B. Part II Courses (10 Hours) Child care personnel must also complete 10 hours of the following Part II courses: Special Needs Appropriate Practices (10 hours), or Understanding Developmentally Appropriate Practices (5 hours) and one of the following courses: 1. Infant and Toddler Appropriate Practices (5 hours) 2. Preschool Appropriate Practices (5 hours) 3. School- Age Appropriate Practices (5 hours)

Licensing authority observed [3] personnel who had not completed the 40hour introductory child care training requirement

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

40-18 · Technical assistance per CCF Handbook 6.5, I, "Prior to administering medication to children, child care personnel responsible for administering medication must be educated on proper administration procedures. Written documentation must be maintained in the personnel file that child care personnel administering medication have been educated on proper administration procedures."

Licensing authority did not observe documentation of education on proper medication administration procedures. Per provider, medication is administered with authorization, as necessary

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

41-02 · Technical assistance per CCF Handbook 7.1, "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. "

[58 of 225] immunization records reviewed for compliance (N-Z) [1 of 58] immunization records was expired

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Technical assistance per CCF Handbook 7.2, C., "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."

[58 of 225] student health exams reviewed for compliance (N-Z) [2 of 58] files did not contain student health exams [1 of 58] student health exams was expired

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.