03-01 · Technical assistance: 2.3 Ratios The staff-to-child ratio, as established in Section 402.305(4), F.S., is based on primary responsibility for the direct supervision of children and applies at all times while children are in care. 2.3.1 Mixed Age Groups A. In groups of mixed age ranges, where children under one year of age are included, one childcare personnel must be responsible for no more than four children of any age group, at all times. B. In groups of mixed age ranges, where children one year of age but under two years of age are included, one childcare personnel must be responsible for no more than six children of any age group, at all times

FSC observed 15 children (1 to 5 years old) with 1 staff. This was resolved when the provider had two other employees come into work. The following ratio put the facility into compliance: • Infant: 4 children, 1 staff • Two-year-old: 5 children, 1 staff. • Three- five-year-old: 8 children, 1 staff

Corrected Corrected by Apr 16, 2024

Category: ratio. Marked corrected in the state record.

04-18 · Supervision

On 4/16/2024 at an onsite investigation FSC observed the following: An unscreened individual listed on the supplemental page was left alone with children in care. This issue was resolved when a trained and screen staff came into work to care for the infant in the infant room. This put the facility back into compliance. Technical Assistance: CCF Handbook, Section 5.2, C Childcare personnel must be re-screened following a break in employment in the childcare industry that exceeds 90 days. Childcare personnel/individual with a break in service that exceeds 90 days are considered unscreened childcare personnel/individuals until completion of re-screening. These childcare personnel/individuals shall not have unsupervised contact with children in care

Corrected Corrected by Apr 16, 2024

Category: supervision. Marked corrected in the state record.

04-01 · Technical assistance: 2.4 Supervision 2.4.1 General Supervision Requirements 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

The FSC observed 3 infants in the infant room with no staff and the door to the room was closed. The FSC also observed 7 (2-year-olds) in the two-year-old room with no staff. This was resolved during the inspection when two staff members came into work. One staff member went into the infant room and the other staff member went into the two-year-old room

Corrected Corrected by Apr 8, 2024

Category: supervision. Marked corrected in the state record.

06-01 · Technical assistance: 2.5.1Driver Requirements 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

A staff member transported a child in her personal vehicle without permission

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

06-02 · Technical assistance: 7.4 Personnel Records Records must be maintained and kept current on all child care personnel, as defined by Section 402.302(3), F.S. These records shall be on-site, available for review by the licensing authority and must include: E. For the driver only: Florida drivers license and driver physical examination documentation. A copy of the drivers license and the physician certification, or another form containing the same elements of the physician certification, granting medical approval to operate the vehicle, and valid certificate(s) of course completion for first aid training, pediatric cardiopulmonary resuscitation (CPR) procedures, and background screening must also be maintained in the drivers personnel file

The staff member who was transporting a child did not have an annual physical exam or a valid first aid/CPR course

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

41-01 · Technical assistance: 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. 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

A child in the facility did not have an immunization record on file

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Technical assistance: 7.2 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. 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

A child enrolled in the facility did not have a health exam on file

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

45-01 · Technical assistance: 7.4 .1 Background Screening Documents Background screening documentation must be maintained for all child care personnel as defined by Section 402.302(3), F.S., which includes household members if the facility is located in or adjacent to the home of the operator. Background screening documentation must be on-site and available for the licensing authority to review. A. Each personnel record must have a completed CF-FSP Form 5131, Background Screening and Personnel File Requirements, which is incorporated by reference in paragraph 65C-22.001(7)(b), F.A.C

A staff member did not have CF-FSP Form 5131 on file for review

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-02 · Technical assistance: 7.4.1 Background Screening Documents Background screening documentation must be maintained for all child care personnel as defined by Section 402.302(3), F.S., which includes household members if the facility is located in or adjacent to the home of the operator. Background screening documentation must be on-site and available for the licensing authority to review. C. A copy of the eligible results, for the Level 2 screening, generated from the Clearinghouse must be on record for each personnel. If awaiting Out-of-State criminal history results, a copy of the DCF email informing of the individuals eligibility for a provisional hire status must be in the personnel file

A staff member did not have a level 2 Clearinghouse screening on file

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

33-01 · Training Requirements

• Childcare personnel listed on supplemental did not complete the 40-hour Introductory childcare training requirement that was due for reinspection on 2/26/2024. This reinspection is extended until 5-1- 2024, due to no comprehensive exam dates. • CCF Handbook Section 4.2.1 • Childcare personnel including volunteers who work 10 hours or more per month did not complete the 40-hour Introductory Childcare Training requirement. CCF Handbook Section 4.2.1

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

03-01 · Technical assistance: 2.3 Ratios The staff-to-child ratio, as established in Section 402.305(4), F.S., is based on primary responsibility for the direct supervision of children and applies at all times while children are in care. 2.3.1 Mixed Age Groups A. In groups of mixed age ranges, where children under one year of age are included, one child care personnel must be responsible for no more than four children of any age group, at all times. B. In groups of mixed age ranges, where children one year of age but under two years of age are included, one child care personnel must be responsible for no more than six children of any age group, at all times

The ELC staff observed a staff member caring for 9 children, including 1 infant. This was resolved when the staff member had another employee come into work to care for the infant in the infant room. This put the facility back into ratio

Corrected Corrected by Feb 20, 2024

Category: ratio. Marked corrected in the state record.

04-01 · Technical assistance: 2.4 Supervision 2.4.1 General Supervision Requirements 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. 2.4.2 Nap time Supervision During nap time, child care personnel must be within sight and hearing of all the children. All other child care personnel required to meet the staff-to-child ratio must be within the building on the same floor and available to be summoned if needed to ensure the safety of the children. Nap time supervision does not apply to children up to 24 months of age, who must have direct supervision at all times

The voice audio from an anonymous parent contends that she saw the staff member deeply asleep on a childs mat while a six-year-old was caring for the other children in the classroom. This was resolved when the staff member woke up

Corrected Corrected by Feb 20, 2024

Category: supervision. Marked corrected in the state record.

32-04 · Outdoor Equipment

• Inspections were not conducted and documented monthly of all supports, above and below the ground, all connectors, and moving parts. CCF Handbook, Section 3.12, B • The provider did not complete the physical environment log for November. 2023. At the time of inspection, the physical environment log was completed. 3.12 Outdoor Equipment 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

Corrected Corrected by Dec 7, 2023

Category: recordkeeping. Marked corrected in the state record.

33-01 · Training Requirements

Childcare personnel including volunteers who work 10 hours or more per month did not complete the 40 hour Introductory Child Care Training requirement. CCF Handbook Section 4.2.1 The staff listed on the supplementary began the childcare industry in August 2019 and did not complete the 40-hour introductory training requirement. Tis reinspection was extended until February 26th, 2024, due to no comprehensive exam dates. 4.2.1 Mandated Introductory Training Childcare personnel must successfully complete 40 hours of childcare 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. Childcare personnel who successfully completed the mandatory 40-hour Introductory Childcare Training prior to January 26th, 2024, are not required to fulfill the competency examination requirement

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

44-01 · Personnel Records

Personnel records or copies of records were not being maintained at the facility and available for review by the licensing authority. CCF Handbook, Section 7.4 The provider did not have did not have a background screening available in staff file. Background screening was printed at the time of inspection. 7.4 Personnel Records Records must be maintained and kept current on all child care personnel, as defined by Section 402.302(3), F.S. These records shall be on-site, available for review by the licensing authority and must include: G. A copy of all background screening clearance documents for the director and owner must be included in the Departments official licensing file or in accordance with the appropriate local licensing agency requirements

Corrected Corrected by Dec 7, 2023

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

22-01 · Operable Phone

FSC noticed that the phone line for the facility was not operable, there was no dial tone and the staff stated that there had been an issue with the line. The director/owner will need to activate the line or replace the service provider in order to be brought back into compliance. *Technical Assistance Provided* 3.8.1 Operable Phone 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.

24-09 · Food Preparation Area

The provider did not have a monthly physical environment check to present to the FSC at the time of inspection. The provider will need to send proof of the monthly form to regain compliance. *Technical Assistance Provided* 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. D. Moveable or non-stationary indoor climbing structures require padding for landing. Permanent or stationary playground equipment installed indoors must meet the same requirements for installation and use as outlined in the Outdoor Equipment section 3.12 B, C, D, E, F and I

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

31-09 · Indoor Equipment

The provider did not have a monthly physical environment check to present to the FSC at the time of inspection. The provider will need to send proof of the monthly form to regain compliance. *Technical Assistance Provided* 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. D. Moveable or non-stationary indoor climbing structures require padding for landing. Permanent or stationary playground equipment installed indoors must meet the same requirements for installation and use as outlined in the Outdoor Equipment section 3.12 B, C, D, E, F and I

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

41-01 · Immunization Records

Records for 6 children enrolled were reviewed at the time of inspection.The 5 children listed in the confidential section did not have immunization and/or health records on file at the facility. The director will need to show proof they have received updated records for the children in care. *Technical Assistance Provided* 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. 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

44-01 · Personnel Records

Records for 2 staff were reviewed at the time of inspection. FSC observed a personnel file (staff member listed in the confidential) that did not have a verified 5-year Employment History or a CF-FSP 5131 form containing their start date or demographic information. The child care personnel was handed a form to complete, which the provider will need to show proof of completion to regain compliance. *Technical Assistance Provided* 7.4 Personnel Records Records must be maintained and kept current on all child care personnel, as defined by Section 402.302(3), F.S. These records shall be on-site, available for review by the licensing authority and must include: A. A complete employment application with the required statement pursuant to Section 402.3055(1)(b), F.S. B. Documentation of position and date of employment. C. CF-FSP Form 5337, Child Abuse & Neglect Reporting Requirements, which is incorporated by reference in 65C-22.001(7)(l), F.A.C., must be signed on or before hire date and annually thereafter by all child care personnel. D. Copies of training information and credentials as applicable. E. For the driver only: Florida drivers license and driver physical examination documentation. A copy of the drivers license and the physician certification, or another form containing the same elements of the physician certification, granting medical approval to operate the vehicle, and valid certificate(s) of course completion for first aid training, pediatric cardiopulmonary resuscitation (CPR) procedures, and background screening must also be maintained in the drivers personnel file. F. Prior to beginning volunteering in a child care facility, a CF-FSP 5217, Volunteer Acknowledgment which is incorporated by reference in 65C-22.001(7)(e), F.A.C., and may be obtained from the Departments website www.myflfamilies.com/childcare, must be completed and on file at the child care facility for the volunteer. Written documentation of volunteer hours must be maintained at the facility for a minimum of 12 months and available for review by the licensing authority

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.