39-40 · Accident/ Incident Notification and Documentation

that: 4.1 Beginning Training Child care personnel including volunteers who work 10 hours or more per month must begin training within 90 days of employment in the child care industry and successfully complete Departments training within 12 months from the date training begins. Training taken prior to employment in the child care industry does not constitute begin training. The begin training timeframes begin at the time of employment in the child care industry. Training completion may not exceed 15 months from the date of employment in the child care industry in any licensed Florida child care facility. This may be accomplished by classroom attendance in a Department-approved training course, acquiring an educational exemption from a Department-approved training course, beginning a Department-approved online child care training course, or by receiving results from a Department-approved competency examination. The child care program is responsible for obtaining training documentation from child care personnel

Corrected Corrected by Sep 12, 2024

Category: recordkeeping. Marked corrected in the state record.

33-17 · Training Requirements

There are currently 22 employees. All 22 employee records were reviewed. One employee, LM, did not complete the two new SR training requirements by the

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

24-17 · Food Preparation Area

During the inspection, Counselor observed sealed baby food and infant formula in a crate on the floor of a closet. The teacher in the room moved the food off the floor and put it on a top of a shelf in the closet. Counselor also observed an open bag of pretzels in the kitchen area that was not sealed or labeled with a date. The employee in charge of the kitchen stated it was snack from yesterday. The food was sealed and dated during the inspection. The Child Care Facility Handbook states on page 30 that: A. Food containers, such as cans, plastic containers, boxes and bags must be stored above the floor on clean surfaces protected from splash and other contamination. D. Opened packages of perishable or leftover food items must be properly covered or sealed in containers or bags, labeled with the date, and properly stored and discarded within seven calendar days

Corrected Corrected by Dec 18, 2023

Category: ratio. Marked corrected in the state record.

12-19 · Facility Environment

During the inspection on the small toddler playground, Counselor observed the ground to be covered in small round tree debris that were very hard and had spikes on them. This not only was a tripping hazard but could be hazardous if a child were to fall on them. Counselor will make another onsite visit for the re inspection. The Director stated she would have the playground cleaned and would have the debris removed prior to children going outside. The Child Care Facility Handbook states on page 20 that: 3 Physical Environment Children are much more susceptible to the adverse effects of environmental factors, materials and toxicants. It is imperative that the child care environment is conducive to the healthy development of children. 3.1 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.

30-06 · Diapering

During the inspection, Counselor observed two changing pads that were ripped. One was in the one-year-old class and the other was in the infant classroom. The Child Care Facility Handbooks states on page 37 that: E. When children in diapers are in care, there must be a diaper changing area with an impermeable surface that is cleaned and sanitized or disinfected after each use

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

32-02 · Outdoor Equipment

During the inspection, Counselor observed a metal boat that was required to be anchored and was not. The Child Care Facility Handbook states on page 38 that: B. 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: health medication. Open / not marked corrected.

04-01 · Supervision

On 11/14/2023, Counselor made an onsite visit to discuss the incident on 11/10/2023 involving a one-year-old child with the Director. Counselor was informed that on 11/10/2023, a one-year-old child fell off a table and hurt himself. The Director was informed by the teachers on 11/10/2023 that the child was fussy and probably should go home. The parents contacted the Owner of the facility on 11/11/2023 and informed him that their child was taken to the hospital and was found to have a fractured right arm. The Director met the parents on 11/11/2023 at the facility to watch the video of the child's class on 11/10/2023. The child is seen climbing on the lunch table and then falling off and landing on his right arm. There were two teachers in the classroom at the time of the accident. One of the teachers, CP, was terminated on 11/13/2023 and the other teacher AH remains as the teacher in the classroom. On 11/14/2023, Counselor observed the same video of the incident. The Early Learning Coalition/ ELC was contacted by Licensing to assist the facility with some quality training regarding supervision and classroom management. The facility and the teachers are currently receiving training and support from the ELC. The Child Care Facility Handbook states on page 12 that: 2.4 Supervision 2.4.1 General Supervision Requirements A. Child care personnel must position themselves in the outdoor play area so that all children can be observed and directly supervised. 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

Corrected Corrected by Nov 14, 2023

Category: supervision. Marked corrected in the state record.

31-02 · Indoor Equipment

On 11/14/2023, Counselor made an onsite visit to the facility. While in the one-year-old classroom, Counselor observed the children climbing on and off the lunch table. There were several empty wooden bookshelves and a small number of books and toys on the ground. Counselor also observed a soft climbing structure in the back of the classroom and suggested that it be moved to the middle of the room with proper fall zone material to give the children a safe climbing option. On 12/18/2023, Counselor made another onsite for a routine inspection. Counselor observed the one-year-old room to have several bookshelves removed, enough toys in the room for all the children and the soft climbing structure moved into the center of the classroom. Counselor did not observe children climbing on the table during the visit. The Child Care Facility Handbook states on page 38 that: 3.11 Indoor Equipment Equipment, materials, furnishings, and play areas should be sturdy, safe, and in good repair. Provider should monitor the Consumer Product Safety Commission (CPSC) recommendations for use of equipment. Walls, ceilings, floors, furnishings, equipment, toys, and other surfaces should be suitable to the location and the users. They should be maintained in good repair, free from visible soil and clean. Equipment and furnishings must be arranged to allow direct supervision of children by child care personnel from all areas within a room/play area. Bookshelves, televisions, and other heavy furnishings must be stable and secured as to not pose a threat of falling over. In efforts to prevent children from climbing to dangerous heights or enabling them to reach hazardous items, chairs and other furnishings must be placed away from cabinets and shelves. The program should make accommodations to the program environment and schedule so that children with special needs may participate. A. A child care facility must make available toys, equipment, and furnishings suitable to each childs age and development and of a quantity for each to be involved in activities

Corrected Corrected by Nov 14, 2023

Category: supervision. Marked corrected in the state record.

31-03 · Indoor Equipment

During a complaint inspection, it was determined that a highchair used in a one-year-old classroom tipped over with a child in it, causing the child to fall and hit his head. The highchair used, was missing the four stabilizing pieces that are required to be attached at the bottom to ensure safety of the equipment. The child was leaning over the side of the chair when it occurred but not rocking back in forth as it was reported by staff. The current toddler teacher stated she threw the bottom pieces away over 3 years ago due to space issues. Counselor observed the accident and the chair on a recorded video, and it was missing the pieces. During a walkthrough of the facility, Counselor did observe the same type of highchair with the four pieces on it in the toddler classroom. The Owner and new Director reported that all the highchairs are being thrown out and replaced with lower to the ground ones. The Child Care Facility Handbook states on page 38 that: 3.11 Indoor Equipment Equipment, materials, furnishings, and play areas should be sturdy, safe, and in good repair. Provider should monitor the Consumer Product Safety Commission (CPSC) recommendations for use of equipment. Walls, ceilings, floors, furnishings, equipment, toys, and other surfaces should be suitable to the location and the users. They should be maintained in good repair, free from visible soil and clean. Equipment and furnishings must be arranged to allow direct supervision of children by child care personnel from all areas within a room/play area. Bookshelves, televisions, and other heavy furnishings must be stable and secured as to not pose a threat of falling over. In efforts to prevent children from climbing to dangerous heights or enabling them to reach hazardous items, chairs and other furnishings must be placed away from cabinets and shelves. The program should make accommodations to the program environment and schedule so that children with special needs may participate

Corrected Corrected by Sep 29, 2023

Category: supervision. Marked corrected in the state record.

55-56 · Violation

that: 6.4 Accident/Incident Notification 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/childcare 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. E. In the event of serious injury or death, the incident must immediately be reported to the licensing authority

Corrected Corrected by Sep 29, 2023

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

45-04 · Background Screening Documents

There are currently 22 employees. Counselor reviewed all 22 employee records. Three newly hired employees, did not have completed reference checks. The Child Care Facility Handbook states on page 51 that: D. The employer/owner/operator must conduct employment history checks, including documented attempts to contact each employer that employed the individual within the preceding five years, and documentation of the findings. Documentation must include the applicants job title and description of his/her regular duties, confirmation of employment dates, and level of job performance. The employer/owner/operator must make at least three attempts to obtain employment history information. Failed attempts to obtain employment history must be documented in the personnel file and include date, time, and the reason the information was not obtained

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-11 · Background Screening Documents

There are currently 22 employees. Counselor reviewed all 22 employee records. One employee, BD, did not have an out of state abuse hotline check completed prior to employment. The Child Care Facility Handbook states on page 62 that: E. A copy of each request made to out of state child abuse and neglect registries for individuals who lived outside the state of Florida in the preceding five years

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

14-15 · Lighting, Temperature, and Ventilation

that: 2.5.1 Driver Requirements The driver of any vehicle used by a childcare 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

39-40 · Accident/ Incident Notification and Documentation

that: 4.1 Beginning Training Child care personnel including volunteers who work 10 hours or more per month must begin training within 90 days of employment in the child care industry and successfully complete Departments training within 12 months from the date training begins. Training taken prior to employment in the child care industry does not constitute begin training. The begin training timeframes begin at the time of employment in the child care industry. Training completion may not exceed 15 months from the date of employment in the child Child Care Facility Handbook Page | 40 care industry in any licensed Florida child care facility. This may be accomplished by classroom attendance in a Department-approved training course, acquiring an educational exemption from a Department-approved training course, beginning a Department-approved online child care training course, or by receiving results from a Department-approved competency examination. The child care program is responsible for obtaining training documentation from child care personnel

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-05 · Training Requirements

There are currently 22 employees. Counselor reviewed all 22 employee records. One employee, EM, left the industry and did not complete the training requirements before returning. The Child Care Facility Handbook states on page 42 that: 4.3 Break in Service A. In the event an individual leaves the child care industry in compliance with training requirements and returns to the industry either at the same or a different child care facility, he or she will be given 90 days to comply with any new training requirements established during the gap in employment in the child care industry. B. In the event an individual leaves the child care industry not in compliance with the training requirements and returns to the industry either at the same or a different child care facility, he or she must comply with the training requirements described in this section, as well as any new training requirements that may have been added during the gap in employment in the child care industry prior to re-employment

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

45-06 · Background Screening Documents

There are currently 22 employee records. Counselor reviewed all 22 employee records. One employee, LI, signed the Attestation of Good Moral Character after her start date and her screening date. The Child Care Facility Handbook states on page 60 that: B. CF Form 1649A, Child Care Attestation of Good Moral Character, which is incorporated by reference in 65C-22.001(7)(a), F.A.C., must be completed for all child care personnel at the time of initial screening or upon change in employers. CF Form 1649A may be obtained from the Departments website at www.myflfamilies.com/childcare

Corrected Corrected by Jan 5, 2023

Category: background checks. Marked corrected in the state record.