33-01 · Technical assistance was giver to the provider per the 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 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) "

LS observed that 1 of 2 personnel assigned to the (1-year-old) classroom has not competed the required 40-hour introductory training. This personnel was employed in the classroom when (RP) was attending the facility

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

44-04 · Personnel Records

One child care personnel observed to have CAN expired on 8/21/23. See confidential notes for details

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

43-10 · Enrollment Information

25 out of 70 enrolled children have files reviewed from letter M to Z. The vast majority of them have no updated Distracted Adults forms

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

45-09 · Background Screening Documents

The employer/owner/operator does not add childcare personnel to the Employee/Contractor Roster in the Clearinghouse

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

04-01 · Technical assistance, 2.4.1 B - 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. 2.4.1 H - Children must receive supervision and care in accordance with their age and required needs and be accounted for at all times while bathing or toileting

Please refer to complaint summary

Corrected Corrected by Feb 14, 2024

Category: supervision. Marked corrected in the state record.

13-04 · Technical assistance, 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

Child G known as Child M cut her lip with a pair of scissors. Provider came into compliance when scissors were removed from Child's hand. Please refer to complaint summary

Corrected Corrected by Feb 14, 2024

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

39-07 · Technical assistance, In the event of serious injury or death, the incident must immediately be reported to the licensing authority

Provider came into compliance when a call was received

Corrected Corrected by Feb 14, 2024

Category: recordkeeping. Marked corrected in the state record.

45-09 · Background Screening Documents

The employer/owner/operator must add child care personnel to their Employee/Contractor Roster in the Clearinghouse within five days of when the individual has received a child care eligible result and has been hired at the facility. Employer/owner/operator must add an end date for individuals on the Employee/Contractor Roster in the Clearinghouse within five days of the employment termination

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

46-03 · Technical assistance, The custodial parent or guardian may document the time when his/her child enters and departs the child care facility or program. However, child care facility personnel are responsible for ensuring that attendance records are complete and accurate

Attendance was filled out in the two and three years classroom at time of inspection

Corrected Corrected by Feb 14, 2024

Category: recordkeeping. Marked corrected in the state record.

43-06 · Enrollment Information

9 children in letter A to L have either expired and / no H1N1 forms in their files

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

43-10 · Enrollment Information

At least 9 out of 20 of 70 children reviewed have either outdated or no forms in their files

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

44-04 · Personnel Records

1 out 5 child care personnel file reviewed had expired CAN form. Staff updated form ati

Corrected Corrected by Dec 20, 2023

Category: recordkeeping. Marked corrected in the state record.

23-02 · Fire Drills

Fire inspection report expires as of 3/31/2023 (dated 3/31/2022). Fire extinguisher: 4/2023, primary drill: 4/21/23, alternate drill: 3/15/23, lockdown: 3/9/23, inclement weather: 12/19/2022. Violation issues for expired fire inspection report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

13-03 · Technical assistance was given to provider, per CCF handbook " 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."

FSC observed a bottle of bleach accessible to children in the bathroom of Room 5. Provider was able to correct at the time of inspection by removing the bleach and placing it supply closet in kitchen

Corrected Corrected by Jan 10, 2023

Category: nutrition. Marked corrected in the state record.

41-01 · 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. 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."

23 of 65 enrolled children letters A-L , of which 1 immunization record was monitored by FSC to be missing

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."

23 of 65 enrolled children letters A-L , of which 10 immunization record were monitored by FSC 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."

23 of 65 enrolled children's letters A-L, of which 2 health examination were monitored by FSC to be missing

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.