17-02 · Outdoor Play Area/Fencing

17-2: During the inspection, Licensing Specialist observed that the chain link fence was not in good repair on the Preschool Playground in that there were sections of the fence were the chain link metal was sticking out and had sharp edges that could hurt a child. Also there were sections of the chain link fence where the metal wire was missing. During the inspection, Licensing Specialist provided technical assistance, The outdoor play area must be clean and free from litter, nails, glass and other hazards

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

17-07 · Outdoor Play Area/Fencing

17-7: During the inspection, Licensing Specialist observed that the chain link fence on the Preschool Playground was at ground level, however the chain link portion of the fence was not attached/anchored/tied to the metal poles in the ground, allowing for the bottom of the chain link fence to be pushed back, giving a child the opportunity to crawl under the fence. During the inspection, Licensing Specialist provided technical assistance, The outdoor play area must have adequate fencing or walls a minimum of 4 feet in height. Fencing, including gates, must be continuous and must not have gaps or opening larger than 3 inches that would allow children to exit the outdoor play area. The base of the fence must remain at ground level and be free from erosion or build[1] up to prevent inside and outside access by children or animals. These areas must have at least two exits, with at least one being remote from the buildings. If an outdoor play area was approved for usage by the Department prior to October 25, 2017, no new exits are required to be added to meet this standard. However, if outdoor play area fencing is changed then the standard would apply, and two exits must be provided

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

22-01 · Operable Phone

22-1: During the inspection, Licensing Specialist observed that the corded phone was not operational. During the inspection, Licensing Specialist provided technical assistance, 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.

23-04 · Fire Drills

The last fire drill was conducted on 4/18/2024. The fire extinguisher certification(s) are valid until 7/2024. The annual fire inspection was conducted on 8/16/2023. 23-4: During the inspection, Licensing Specialist observed that the fire extinguisher in the vehicle had a 1A:10BC fire extinguisher. During the inspection, Licensing Specialist provided technical assistance, Fire extinguishers with a minimum rating of 2A:10BC must be properly installed, serviced and maintained with current inspection tags at all times

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

24-23 · Food Preparation Area

During the inspection, Licensing Specialist observed that there was not a thermometer in the refrigerator. During the inspection, Licensing Specialist provided technical assistance, 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

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

39-03 · Accident/ Incident Notification and Documentation

During the investigation the director, SC, and the teachers, LC 1, and LC 2, stated they did not write an accident report up

Corrected Corrected by Mar 4, 2024

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

12-02 · Facility Environment

During the inspection, Licensing Counselor observed pipes sticking out from the wall on the big playground. The director was given until February 12, 2024, to come into compliance with this standard. During the inspection, Licensing Counselor provided technical assistance, CCF Handbook Section 3.1 A.- General Health and Safety Requirements. A. All child care facilities must be clean, in good repair, free from health and safety hazards and from evidence of, or presence of, vermin infestation. Indoor play areas must be inspected daily for basic health and safety and documented on a daily inspection log. Outdoor play areas must be inspected daily for basic health and safety. Any problems must be corrected before the play area is used by children. Documentation of the indoor play area inspection must be maintained for 12 months

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

32-07 · Outdoor Equipment

During the inspection, Licensing Counselor observed on the playground the mulch under the fall zones were not 6 inches in depth on the younger and older playground the mulch was in some parts an inch in depth and other places the ground was visible. The director was given until February 12, 2024, to come into compliance with this standard. During the inspection, Licensing Counselor provided technical assistance, CCF Handbook Section 3.12.D.1- Outdoor Equipment. D. Permanent or stationary playground equipment must have a fall/use zone that extends a minimum of 6 feet in all directions from the perimeter of the equipment. All types of ground cover must be maintained to provide resilience and reduce the incidence of injuries to children in the event of falls. Child Care Facility Handbook Page | 39 1. If the ground cover in place is loose ground cover (such as, but not limited to: mulch, shredded rubber chips, or sand) a minimum of 6 inches in depth is required in the use zone. Asphalt, concrete, hard packed dirt, hay, grass or leaves are unsuitable for use in the use zone area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

23-06 · Fire Drills

During the inspection, CCR observed that the last fire drill was not conducted annually in that the last fire drill was conducted on 7/21/23. The provider brought this standard back into compliance at the time of the inspection by doing a fire drill with CCR. During the inspection, CCR provided technical assistance, CCF Handbook 3.8.4 A-C Fire Drills A. During the facilitys license year, fire drills utilizing the alarm system, approved by the local fire authority, must be conducted monthly at various dates and times when children are in care. Child Care Facility Handbook Page | 28 B. When the facilitys approved fire alarm alert system is activated or initiated, all adults and children must evacuate the facility. C. A current attendance record and parent contact information must accompany child care personnel out of the building during a drill or actual evacuation and be used to account for all children. The operator must maintain a written record of the fire drills showing the date, number of children and child care personnel in attendance, evacuation route used, and time taken for all individuals to evacuate the premises. Each fire drill record must be maintained for a minimum of 12 months from the date of the fire drill. The fire drills conducted must include, at a minimum: 1. One fire drill using an alternate evacuation route, 2. One fire drill during napping/sleeping times, and 3. One fire drill in the presence and at the request of the licensing authority. This drill will be coordinated with the operator or designee

Corrected Corrected by Sep 1, 2023

Category: recordkeeping. Marked corrected in the state record.

25-06 · Meals and Snacks

During the inspection, CCR observed the coleslaw was left out on the kitchen counter and it was reading at 64 degrees. The provider threw the coleslaw away at the time of the inspection. During the inspection, CCR provided technical assistance, CCF Handbook, Section 3.9.3, D.7 Food Safety D. If a facility chooses to provide food to children directly or by contract with an outside source, such as a caterer, the food must be free from spoilage and handled in a sanitary manner at all times. The facility must have adequate equipment available to maintain food safety. 7. To prevent food from becoming potentially hazardous, hot foods must be maintained at a temperature of 135 degrees Fahrenheit or above, and cold foods must be maintained at temperature of 41 degrees Fahrenheit, or below

Corrected Corrected by Sep 1, 2023

Category: nutrition. Marked corrected in the state record.

33-09 · Training Requirements

During the inspection, the director advised that there are currently 11 employees. CCR observed 11 of 11 employee records. CCR observed 3 personnel who did not have the fire extinguisher training within the 30 days of date of hire. The director was given until October 2, 2023, to come into compliance with this standard. During the inspection, CCR provided technical assistance, CCF Handbook Section 4.2.5 Fire Extinguisher Training. All child care personnel shall be trained in the use and operation of a fire extinguisher, at each facility they are employed, within 30 days of date of hire. The facility must maintain documentation that all child care personnel have completed training

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

41-02 · Immunization Records

During the inspection, the director advised that there are currently 70 children enrolled. During the inspection, CCR monitored 70 of the 70 children's records. CCR observed one child who had an expired immunization form. The director was given until October 2, 2023, to come into compliance with this standard. During the inspection, CCR provided technical assistance, CCF Handbook, Section 7.1 F Immunization Records 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. F. It is recommended that child care personnel are current with all immunizations routinely recommended for adults by the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC), as referenced in Caring for Our Children Basics Health and Safety Foundations for Early Care and Education, which is incorporated by in 65C-22.001(7)(v), F.A.C

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

06-01 · Driver's License, Physician Certification

During the inspection, CCR observed that one of the drivers had an expired Driver License and physical also she did not have the transportation training. Director advised CCR that the personnel will not drive anymore until she has everything brought back into standard. During the inspection, CCR provided technical assistance, CCF Handbook, Section 2.5.1 A-B Driver Requirements The driver of any vehicle used by a child care program to provide transportation must have the following: Child Care Facility Handbook Page | 15 A. A valid Florida drivers license including the proper endorsement; B. An annual physical examination which grants medical approval to drive, and valid certificate(s) of course completion for first aid training and pediatric cardiopulmonary resuscitation (CPR) procedures

Corrected Corrected by Apr 25, 2023

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

06-02 · Driver's License, Physician Certification

During the inspection, CCR observed that one of the drivers did not have first aid and pediatric CPR. The director was given until May 25, 2023, to come into compliance with this standard. During the inspection, CCR provided technical assistance, CCF Handbook, Section 2.5.1 B Driver Requirements The driver of any vehicle used by a child care program to provide transportation must have the following: Child Care Facility Handbook Page | 15 B. An annual physical examination which grants medical approval to drive, and valid certificate(s) of course completion for first aid training and pediatric cardiopulmonary resuscitation (CPR) procedures

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

07-04 · Vehicle Requirements

During the inspection, CCR observed that the facility did not have documentation of the vehicles inspection. The director was given until May 25, 2023, to come into compliance with this standard. During the inspection, CCR provided technical assistance, regarding the maintaining of the vehicle alarm. CCF Handbook, Section 2.5.4, A . A. All vehicles regularly used to transport children must be inspected annually by a mechanic to ensure that they are in proper working order. Documentation by the mechanic must be maintained in the vehicle

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

07-06 · Vehicle Requirements

During the inspection, CCR observed that the program's vehicle(Dr. Seuss Bus) was monitored at time of inspection. The installed vehicle alarm was not in working condition in that it could not be heard from the distance of 500 feet from the vehicle. The director was given until May 25, 2023, to come into compliance with this standard. During the inspection, CCR provided technical assistance, regarding the maintaining of the vehicle alarm. CCF Handbook, Section 2.5.4, F - F. By January 1, 2022 all vehicles used by child care facilities to transport children must be equipped with a reliable alarm system approved by the Department which prompts the driver to inspect the vehicle for children before exiting the vehicle. 1. Approved alarm systems must meet the following criteria: a. The alarm system must be armed or activated automatically when the vehicles ignition is turned on. b. The alarm system must be designed and installed so that the vehicle horn, siren or other type of audio alarm will sound if the driver/staff member does not walk to the rear or, in the case of a passenger van, the side entry point of the vehicle, to manually shut off or deactivate the alarm. c. The time delay from the time the ignition is turned off after activation of the alarm system until the alarm sounds shall be no longer than one minute. d. The alarm must be audible from the distance of 500 feet from the vehicle. e. The alarm system must be installed so that the driver must walk to the back of the vehicle to reach the deactivation mechanism. Deactivation mechanisms installed in locations that do not require the driver to walk to the back of the vehicle and view all seating areas will not be acceptable. 2. List of approved alarm manufacturers may be found on the Departments website at www.myflfamilies.com/childcare. 3. Alarms must be installed and maintained according to the manufacturers recommendations. 4. Alarm systems installed according to the manufacturers instructions prior to October 1, 2021, will be deemed to satisfy this requirement if they meet the criteria set forth in 2.5.4.F.1. above. Under this allowance, the existing alarm system must always be properly maintained in working order. Should at any time the alarm system require replacement, the new system must be selected from the Departments approved list referenced in 2.5.4 F.2. above (p. 17)

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

41-02 · Immunization Records

During the inspection, the director advised that there are currently 76 children enrolled. During the inspection, CCR monitored 1 newly enrolled and 5 other of the 76 children's records. CCR found one child who has a expired immunization form. The director was given until May 25, 2023, to come into compliance with this standard. During the inspection, CCR provided technical assistance, CCF Handbook, Section 7.1 F Immunization Records 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. F. It is recommended that child care personnel are current with all immunizations routinely recommended for adults by the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC), as referenced in Caring for Our Children Basics Health and Safety Foundations for Early Care and Education, which is incorporated by in 65C-22.001(7)(v), F.A.C

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-02 · Student Health and Records

During the inspection, the director advised that there are currently 76 children enrolled. During the inspection, CCR monitored 1 newly enrolled and 5 other of the 76 children's records. CCR found one child who has a expired Health form. The director was given until May 25, 2023, to come into compliance with this standard. During the inspection, CCR provided technical assistance, CCF Handbook, Section 7.2 B Student Health Records The child care facility is responsible for obtaining for each child in care a current, complete and properly executed Student Health Examination form DH 3040, which is incorporated by reference in 65C-22.001(7)(q), F.A.C. and may be obtained from the local county health department, the parent or legal guardian, or a signed statement by authorized professionals that indicate the results of the components of the Student Health Examination form are included in the health examination. 1. 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

05-04 · Transportation

Child Care Regulation observed that the transportation log did not include the signature of the second staff that did the physical and visual sweep of the vehicle. "G. Upon arrival at the destination by vehicle, a second and different child care personnel must: 1. Conduct a physical inspection and visual sweep of the vehicle to ensure that no child is left in the vehicle; and 2. Sign, date and record the transportation log immediately, verifying that all children were accounted for, and that the log is complete." The staff confirmed that she did do the visual sweep and her time sheet shows that she was present

Corrected Corrected by Jan 18, 2023

Category: transportation. Marked corrected in the state record.

07-06 · Vehicle Requirements

Child Care Regulation observed that the alarm in both vehicles was not in working condition. "2.5.4 Vehicle Requirements For the purpose of this section, vehicles refer to those owned, operated or regularly used by the child care program, and vehicles that provide transportation through a contract or agreement with an outside entity. Parents/guardians personal vehicles used for transporting during field trips are excluded from meeting the requirements of this sub-section. A. All vehicles regularly used to transport children must be inspected annually by a mechanic to ensure that they are in proper working order. Documentation by the mechanic must be maintained in the vehicle. B. The maximum number of individuals transported in a vehicle may not exceed the manufacturers designated seating capacity or the number of factory installed seat belts. C. When transporting children, staff-to-child ratios must be maintained at all times. The driver may be included in the staff-to-child ratio if he or she meets screening and training requirements. D. All child care facilities must comply with the insurance requirements found in Section 316.615(4), F.S. Documentation shall be maintained at the facility. E. The interior of vehicles, when being used to transport children, must be maintained at a temperature comfortable to children (between 65- and 82- degrees Fahrenheit). The vehicle can be ventilated either by mechanical or natural means to maintain the temperature. F. By January 1, 2022 all vehicles used by child care facilities to transport children must be equipped with a reliable alarm system approved by the Department which prompts the driver to inspect the vehicle for children before exiting the vehicle. 1. Approved alarm systems must meet the following criteria: a. The alarm system must be armed or activated automatically when the vehicles ignition is turned on. b. The alarm system must be designed and installed so that the vehicle horn, siren or other type of audio alarm will sound if the driver/staff member does not walk to the rear or, in the case of a passenger van, the side entry point of the vehicle, to manually shut off or deactivate the alarm. c. The time delay from the time the ignition is turned off after activation of the alarm system until the alarm sounds shall be no longer than one minute. d. The alarm must be audible from the distance of 500 feet from the vehicle. e. The alarm system must be installed so that the driver must walk to the back of the vehicle to reach the deactivation mechanism. Deactivation mechanisms installed in locations that do not require the driver to walk to the back of the vehicle and view all seating areas will not be acceptable. 2. List of approved alarm manufacturers may be found on the Departments website at www.myflfamilies.com/childcare . 3. Alarms must be installed and maintained according to the manufacturers recommendations. 4. Alarm systems installed according to the manufacturers instructions prior to October 1, 2021, will be deemed to satisfy this requirement if they meet the criteria set forth in 2.5.4.F.1. above. Under this allowance, the existing alarm system must always be properly maintained in working order. Should at any time the alarm system require replacement, the new system must be selected from the Departments approved list referenced in 2.5.4 F.2. above." The facility will have the alarms in working condition no later than February 17, 2023. Child Care Regulation will return after this date to confirm compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

23-06 · Fire Drills

The last fire drill was conducted on September 6, 2022. The fire extinguishers are certified through June 2023. Child Care Regulation observed that the fire drill log does not include a fire drill for October, November, and December 2022. "3.8.4 Fire Drills A. During the facilitys license year, fire drills utilizing the alarm system, approved by the local fire authority, must be conducted monthly at various dates and times when children are in care." The director was flustered and asked Child Care Regulation to come back another day, because she did not want to make any mistakes during the fire drill. Child Care Regulation will return after February 17, 2023 to conduct a fire drill to return this standard to compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

33-06 · Training Requirements

Child Care Regulation observed that one staff did not have the approved five-hour early literacy and language development course completed within 12 months of date of employment. "4.2.2 Early Literacy Training Pursuant to Section 402.305(2)(e)5., F.S., all child care personnel must complete a single course of training in early literacy and language development of children ages birth through five years that is a minimum of five clock hours or .5 CEUs. Early literacy training must be completed within 12 months of date of employment in the child care industry. Proof of completion may be documented on a certificate of course completion, classroom transcript, or diploma. Child care personnel must complete one of the following: A. One of the Departments online literacy courses available on the Departments website. B. One of the Departments approved literacy courses. A list of these courses can be obtained from the Departments website. (No additional courses will be approved by the Department.) C. One college level early literacy course (for credit or non-credit) if taken within the last five years." "C. Early literacy courses and school-age training documentation must be uploaded into the Florida Pathways (Registry), which may be accessed from the Departments website at www.myflfamilies.com/childcare." The facility will provide evidence of completi0on of the early literacy and language development course no later than February 17, 2023

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

41-02 · Immunization Records

Child Care Regulation observed that one child did not have a current immunization in their file. "7.1 Immunization Records 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. C. School-aged children attending public or non-public schools are not required to have student health examination and immunization records on file at the child care facility as such records are on file at the school where the child is enrolled. D. If the custodial parents or legal guardians need assistance concerning these requirements, the facility shall refer them to the Department of Health or to the childs physician. E. Medical records in this section are the property of the custodial parent or legal guardian and must be returned to them when the child withdraws from the facility. The medical records are transferable if the child attends another facility. F. It is recommended that child care personnel are current with all immunizations routinely recommended for adults by the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC), as referenced in Caring for Our Children Basics Health and Safety Foundations for Early Care and Education, which is incorporated by in 65C-22.001(7)(v), F.A.C."

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.