30-05 · Diapering

The licensing specialist found a diaper pad in the two-year-old room that was unclean on the bottom of the pad, and the top of the pad had two holes. The director replaced the pad and will not be using the unclean one. The Child Care Facility Handbook states: 3.10.2 Diapering Requirements 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

Corrected Corrected by Jun 6, 2024

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

04-01 · Supervision

It was reported by a therapist visiting the facility that a three-year-old child was left alone in the restroom while the rest of her class went outside. The therapist reported the incident, and the child was returned to her class outside on the playground. The Child Care Facility Handbook states on page 12: 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 Apr 20, 2024

Category: supervision. Marked corrected in the state record.

04-18 · Supervision

Counselor saw video evidence of this facility leaving three children inside with a volunteer who has not been background screened on 4/18/2024. The children were all later escorted out to the playground where a screened and trained staff member was present. The Childcare Facility Handbook states: 5.1 Initial Screening A screening must be conducted as a condition of employment. The employer/owner/operator must review each employment application to assess the relevancy of any issue uncovered by the complete background screening, including any arrest, pending criminal charge, or conviction, and must use this information in employment decisions in accordance with state laws. A. Level 2 screening as outlined in s. 435.04, F.S., is required for all child care personnel and includes a criminal records check (both national and statewide), a sexual predator and sexual offender registry search, and child abuse and neglect history of any state in which an individual resided during the preceding 5 years. All fingerprints must be submitted and processed through the Background Screening Clearinghouse and therefore a LiveScan vendor that is Clearinghouse compatible must be used for submission of fingerprints

Corrected Corrected by Apr 20, 2024

Category: supervision. Marked corrected in the state record.

44-05 · Personnel Records

There was a volunteer at the facility who had not signed the Volunteer Acknowledgement Form prior to volunteering. The Childcare Facility Handbook states on page 62: 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: recordkeeping. Open / not marked corrected.

44-06 · Personnel Records

Volunteer hours were not being documented. The Childcare Facility Handbook states on page 62: • 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: recordkeeping. Open / not marked corrected.

30-02 · Diapering

During the inspection, Counselor observed a portable sink in the infant room that is supposed to be used to wash hands after diapering to not be working. The teacher reported that the handwashing sink has not been working for a while and that she is using the sink located in the bathroom. The Child Care Facility Handbook states on page 37 that: 3.10.2 Diapering Requirements A. When children in diapers are in care, a hand-washing station that includes a sink with running water, soap, trash receptacle, and disposable towels or hand drying machines that are properly installed and maintained shall be provided in the room or in an adjoining area which opens into the room

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

27-28 · Catered Food and Food Provided by Outside Sources

that: 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. 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

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

25-07 · Meals and Snacks

During the inspection, Counselor monitored a refrigerator in the infant classroom The thermometer read 55 degrees Fahrenheit. There was a child's bottle with milk in the refrigerator. The facility will need to use the kitchen refrigerator until the infant refrigerator can be fixed or replaced. The Child Care Facility Handbook states on page 30 that: 3.9.2 Food Storage/Proper storage of food is essential to prevent food contamination, as well as, insect and rodent infestation. Correct handling and storage of all food is a key component in preventing food-borne illnesses. To prevent bacteria growth, cold food must be kept at or below 41 degrees Fahrenheit and hot foods at or above 135 degrees Fahrenheit

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

28-02 · Bottles, Breastmilk, Formula and Infant Food

During the inspection, Counselor observed 2 full bottles one in the room and one in the refrigerator without a name on them. Four more used bottles were observed in the bathroom sink with no identification on them as well. The names were written on the bottles during the inspection. Counselor also observed two bottles of breast milk in the staff refrigerator with no identification on them. The staff was present who the milk belonged to and were dated and labeled during the inspection as well. The Child Care Facility Handbook states on page 35 that: B. Bottles and sippy cups brought from home shall be individually labeled with the childs first and last name and shall be returned to the custodial parent or legal guardian daily. 3.9.6 Breastmilk, Infant Formula, and Food A. Breastmilk and formula must be handled in a sanitary manner at all times and according to manufacturers instructions and instructions by parents/guardians. If instructions are not readily available, child care personnel must obtain information from the World Health Organizations Safe Preparation, Storage and Handling of Powdered Infant Formula Guidelines, 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. B. The provider must make sure all formula and food brought from home are labeled with the childs first and last name. The provider is responsible for the label; therefore, if the label is not completed by the parent, child care personnel must put the label on when the formula or food is received

Corrected Corrected by Feb 5, 2024

Category: ratio. Marked corrected in the state record.

30-06 · Diapering

During the inspection, Counselor observed the one-year-old room's diaper changing pad to have several rips in it. The Director removed a diaper pad from another room and replaced it during the inspection. The Child Care Facility Handbook 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

Corrected Corrected by Feb 5, 2024

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

30-10 · Diapering

During the inspection, Counselor observed the handwashing sink in the one-year-old room to have several soiled diapers and used baby wipes in it. There was a covered trash can in the room, but the teacher reported that she had not cleaned up the room yet as she was putting the children down for nap. The teacher cleaned the sink and threw away the dirty diapers during the inspection. The Child Care Facility Handbook states on page 37 that: I. When diapers, clothing or linens that are being used become soiled or wet, they are to be changed immediately, and properly disposed. J. Soiled or wet disposable diapers must be disposed of in a plastic lined, securely covered container that is not accessible to the children. The container must be emptied, cleaned and sanitized or disinfected, at least, daily

Corrected Corrected by Feb 5, 2024

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

32-05 · Outdoor Equipment

During the inspection, the Director was not able to show the Counselor that monthly inside and outside inspections were completed at the facility. The Director will need to conduct an inspection and document it on the Physical Environment form to submit to Counselor for review. The Child Care Facility Handbook states on page 38 that: 3.12 Outdoor Equipment A. A child care facility must provide and maintain enough usable equipment suitable to each childs age and development and of a quantity for each to be involved in activities. 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: recordkeeping. Open / not marked corrected.

33-09 · Training Requirements

There are currently 9 employees. Counselor reviewed all 9 employee records. Two newly hired employees (HT and MW) did not complete the fire extinguisher training within the first 30 days of employment. The Child Care Facility handbook states on page 42 that: 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. One employee, HT, did not have a signed statement showing that she was provided the facility's Shaken Baby Prevention policy. HT also did not complete the Safe Sleep training within the 30-day time requirement upon hire date. The Child Care Facility handbook states on page 41 that: 4.2.3 Safe Sleep/ Shaken Baby Syndrome Training All child care personnel who work in a facility that offers care to infants must have training regarding guidance on safe sleep practices, preventing shaken baby syndrome and abusive head trauma; recognition of signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with crying, fussing, or distraught child and the development and vulnerabilities of the brain in infancy in early childhood within 30 days of hire at the facility. For child care personnel to satisfy this requirement the training must be accomplished through one of following methods: Department's Health Safety and Nutrition course, Safe Sleep course, or the Early Learning Floridas Safe Sleep Practices. Documentation of training must be maintained on the Department's training transcript in the child care personnel record

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

35-12 · Communicable Disease Control

There are currently 9 employees. Counselor reviewed all 9 employee records. Two newly hired employees (HT and TM) did have documentation that they received the facility's written exposure plan upon employment. The Child Care Facility handbook states on page 53 that: 6 Health Requirements There are three common modes of transmission for the spread of microorganisms in child care settings: contact, droplet, and airborne. Many common infections encountered in the child care setting are transmitted by direct or indirect contact. Child care facilities shall develop a written exposure plan regarding universal safety precautions, recommended by the Centers for Disease Control and Prevention (CDC), to follow in the event there is exposure to blood and potentially infectious fluids. Personnel are required to be educated on the facilitys exposure plan regarding standard precautions before beginning to work and annually thereafter. Written documentation that child care personnel have participated in the facilitys annual refresher education for the exposure plan and understand the proper procedures in the event there is exposure to blood and potentially infectious fluids must be retained for 12 months and be available for licensing to review

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

17-01 · Outdoor Play Area/Fencing

During the playground inspection, Counselor observed many areas on the ground of exposed landscaping cloth. The exposed cloth could pose a tripping hazard to children on the playground. The Child Care Facility Handbook states on page 24 that: 3.5 Outdoor Play Area A. 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: physical safety. Open / not marked corrected.

32-04 · Outdoor Equipment

During the inspection the Director was not able to provide the Counselor with documented monthly inspections for outdoor or indoor equipment checks. The Director printed out the inspection log from the DCF website and will need to conduct an inspection inside and outside and send to Counselor for review. The Child Care Facility Handbook states on page 38 that: 3.12 Outdoor Equipment A. A child care facility must provide and maintain enough usable equipment suitable to each childs age and development and of a quantity for each to be involved in activities. 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: recordkeeping. Open / not marked corrected.

41-02 · Immunization Records

There are currently 20 children enrolled. Counselor reviewed all 20 children's records. One child, NO, had an expired shot record. The Child Care Facility Handbook states on page 59 that: 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

45-02 · Background Screening Documents

There are currently 8 employees. Counselor reviewed all 8 employee records. One employee, MW, was hired using a previous background screening without performing a five-year work history reference check. Counselor contacted the facility that the live scan was completed at and was informed that MW was never hired and never worked for them. The live scan is invalid since it was over a year old and MW has not worked in childcare. The employee it not allowed to work at the facility until a cleared live scan has been received. The employee will be allowed to finish the day with additional screened staff present at all times. The Child Care Facility Handbook states on page 62 that: 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. 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. 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. D. A copy of the DCF letter/email informing of search conducted of the Floridas child abuse and neglect registry must be on record for each personnel screened between July 1st and December 15th of 2016. 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. F. A copy of each search conducted for out of state sexual offender/predator registries for individuals who lived outside the state of Florida in the preceding five years. 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. H. A copy of the Juvenile Records Check with FDLE for any household members aged 12 to 17 years, if facility is located in or adjacent to home of the operator

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-05 · Background Screening Documents

There are currently 8 employees. Counselor reviewed all 8 employee records. Two newly hired employees, MW and YQ, did not have complete employee history checks on file for review by Counselor. 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.

30-06 · Diapering

Counselor observed the changing pad in the one-year-old classroom to have a large rip. The Child Care Facility Handbook 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.

32-07 · Outdoor Equipment

During the playground inspection, Counselor observed several areas on the playground that were not mulched leaving the Lanscaping material exposed. The exposed material is a tripping hazard and needs to be recovered. The Child Care Facility Handbook states on page 37: 3.12 Outdoor Equipment A. A child care facility must provide and maintain enough usable equipment suitable to each childs age and development and of a quantity for each to be involved in activities. 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. C. All equipment, fences, and objects on the facilitys premises shall be free from sharp, broken and jagged edges, and properly placed to prevent overcrowding or safety hazards in any one area. 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

33-09 · Training Requirements

There are currently 9 employees. Counselor reviewed all 9 employee records. One employee, PE, has been at the facility over 30 days and has not completed the Safe Sleep requirement. The Child Care Facility Handbook states on page 41 that: 4.2.3 Safe Sleep/ Shaken Baby Syndrome Training All child care personnel who work in a facility that offers care to infants must have training regarding guidance on safe sleep practices, preventing shaken baby syndrome and abusive head trauma; recognition of signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with crying, fussing, or distraught child and the development and vulnerabilities of the brain in infancy in early childhood within 30 days of hire at the facility. For child care personnel to satisfy this requirement the training must be accomplished through one of following methods: Department's Health Safety and Nutrition course, Safe Sleep course, or the Early Learning Floridas Safe Sleep Practices. Documentation of training must be maintained on the Department's training transcript in the child care personnel record

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

33-13 · Training Requirements

There are currently 9 employees. Counselor reviewed all 9 employee records. One employee, PE, has been at the facility for over 90 days and has not completed the SR pre service trainings. The OEL Health and Safety Handbook states that: All personnel and volunteers who work more than 10 hours per month must complete pre-service training within the prescribed 90- day timeframe. After this 90-day window, anyone who has not completed the pre-service training is ineligible to be in a classroom until they have completed the training, regardless of whether or not they are supervised

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

33-34 · Training Requirements

that: 3.9.4 Dishwashing and Sanitization For facilities that prepare food, non-disposable food equipment, tableware, and utensils utilized for food preparation must be properly cleaned by pre-rinsing or scraping, washing, rinsing, sanitizing, and air drying. If the child care facility lacks adequate dishwashing and sanitation described in this section for dishes, equipment and utensils, only disposable single-use items may be used. All single service items must be discarded after each use. Food equipment, tableware and utensils used to prepare food must be washed and sanitized on-site except when Child Care Facility Handbook Page | 34 a caterer is used, and the caterer is responsible for dishwashing as evidenced by a written agreement. Dishwashing and sanitization must be accomplished by one of the following: A. A dishwasher with a sanitizing cycle. 1. The dishwasher must use heat or chemical injection for sanitization. 2. If chemical sanitization is used, the wash water temperature must be set at a minimum of 120 degrees Fahrenheit, and the rinse water must be maintained at 75 degrees Fahrenheit. 3. Automatic sanitizing dispenser must be properly installed and maintained. 4. A test kit or other device that accurately measures the concentration of the sanitizing solution must be available and used to confirm appropriate concentration of solution during one full cycle per day. 5. If hot water is used for sanitization, the dishwasher must achieve a temperature of 160 degrees Fahrenheit on the surface of the equipment/dishes/utensils being washed. 6. The facility must have a means for measuring the required temperature either by an irreversible registering temperature indicator (heat strip) or an external temperature display built into the machine. B. An installed three compartment sink, or an installed two-compartment sink with a non-stationary or portable compartment receptacle. 1. Installed compartment sinks may be used to wash produce and to fill cooking pots and pans with water when not in use for dishwashing. 2. Sinks must be sanitized before and after each use. 3. The first compartment must be used for washing; the second compartment must be used for rinsing; and the third compartment must be used for sanitizing. 4. If only an installed two-compartment sink is available, the second compartment must be used for rinsing and a non-stationary or portable compartment receptacle must be available and used to sanitize. C. Chemical Sanitization. 1. If chemical sanitization is used, an exposure time of at least 7 seconds is required for a chlorine solution of 50 mg/L that has a pH of 10 or less and a temperature of at least 75 degrees Fahrenheit. 2. If other sanitizers are used, the manufacturer instructions must be strictly followed. 3. A test kit or other device that accurately measures the concentration of the sanitizing solution must be available and used to confirm appropriate concentration of solution during each use. D. Hot water sanitization. If hot water is used for sanitizing, equipment/dishes/utensils must be immersed for a period of at least one-half minute in hot water at a temperature of 170 degrees Fahrenheit or above. A thermometer designed to measure the water temperature must be available and used to confirm the appropriate temperature of the hot water during each use

Corrected Corrected by Jan 24, 2023

Category: ratio. Marked corrected in the state record.

33-09 · Training Requirements

There are currently 8 employees. Counselor reviewed all 8 employee records. One employee, JC, has been at the facility for over 30 days and has not completed a course in Safe Sleep practices or the fire extinguisher training. Two other employees, DL and BA, have been at the facility for over 30 days and have not completed the fire extinguisher training. The Child Care Facility Handbook states on page 41 and 42 that: 4.2.3 Safe Sleep/ Shaken Baby Syndrome Training All child care personnel who work in a facility that offers care to infants must have training regarding guidance on safe sleep practices, preventing shaken baby syndrome and abusive head trauma; recognition of signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with crying, fussing, or distraught child and the development and vulnerabilities of the brain in infancy in early childhood within 30 days of hire at the facility. For child care personnel to satisfy this requirement the training must be accomplished through one of following methods: Department's Health Safety and Nutrition course, Safe Sleep course, or the Early Learning Floridas Safe Sleep Practices. Documentation of training must be maintained on the Department's training transcript in the child care personnel record. 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.

33-13 · Training Requirements

There are currently 8 employees. Counselor reviewed all 8 employee records. One employee, JC, has been at the facility for over 90 days and has not completed the SR pre service training requirements. The OEL Health and Safety handbook states that Beginning April 1, 2017, federal Child Care Development Fund regulations required the following: All providers, program personnel and volunteers who work more than 10 hours per month must be in compliance with one of the preservice training options defined below (outlined in the Health and Safety Handbook), or within 90 days if hired after March 31, 2017. All personnel must be supervised in the classroom before completing pre-service training. All personnel and volunteers who work more than 10 hours per month must complete pre-service training within the prescribed 90- day timeframe. After this 90-day window, anyone who has not completed the pre-service training is ineligible to be in a classroom until they have completed the training, regardless of whether or not they are supervised

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

45-05 · Background Screening Documents

There are currently 8 employees. Counselor reviewed all 8 employee records. Three employees did not have a completed 5-year work history and reference checks for Counselor to review. 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.