17-07 · Outdoor Play Area/Fencing

Specialist observed that the playground fence did not meet the ground along the north side of the fence and part of the east side. The Child Care Facility Handbook states on page 24: 3.5 Outdoor Play Area F. 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-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.

41-01 · Immunization Records

Specialist reviewed 20 children's files. One child did not have an immunization form. The Child Care Facility Handbook states on page 59: 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Student Health and Records

Specialist reviewed 20 children's files. One child did not have a Student Health Exam. The Child Care Facility Handbook states on page 60: 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

44-04 · Personnel Records

One staff member had a Child Abuse and Neglect Reporting Form that was more than a year old. The Child Care Facility Handbook states on page 61: 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: 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

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

41-01 · Immunization Records

4 children were missing immunization forms. The CCF Handbook states that immunization forms must be on file within 30 days of enrollment

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Student Health and Records

3 children do not have records on file. The CCF Handbook states that health records must be on file within 30 days of enrollment

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

43-02 · Enrollment Information

7 files were missing enrollment dates. The CCF Handbook states that all enrollment information must be completed by the parent or legal guardian prior to enrollment

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

17-03 · Outdoor Play Area/Fencing

Counselor spoke with the director on 7/17/2023 by phone. The shade structure has been ordered but not yet installed. Director will notify counselor as soon as either temporary shade is provided, or the shade structure is installed

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

17-03 · Outdoor Play Area/Fencing

Counselor observed that there was no shade provided on the playground. There are no trees, and the building has a less than a two-foot overhang that would not provide adequate shade for children that needed to cool down. The Child Care Facility Handbook states on page 24: C. The outdoor play area must provide shade. Shade may be provided by trees, buildings, or structures

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

24-21 · Food Preparation Area

There was an open package of hot dogs that had not been labeled with the date. The hot dogs were discarded during the inspection. The Child Care Facility Handbook states on page 30: 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 May 15, 2023

Category: ratio. Marked corrected in the state record.

13-02 · Toxic Substances, Hazardous Materials and Weapons

Bleach water was accessible to the children in the 1 and 2 year old classroom. This counselor removed the bleach water and stored it out of the reach of the children. The CCF Handbook states that all child care centers must be free from health and safety hazards

Corrected Corrected by Mar 28, 2023

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

33-01 · Training Requirements

The 1 staff member mentioned on the attached supplemental form has not completed training. This staff member began in this industry in 2015. The staff member will not work with children until this training is complete. The CCF Handbook states that child care personnel who work 10 hours or more per month must complete the 40 hour introductory training

Corrected Corrected by Mar 14, 2023

Category: recordkeeping. Marked corrected in the state record.

36-01 · CPR Requirements

Three staff members were present during this inspection. No staff were current in CPR. The CCF Handbook states that

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

37-01 · First Aid Requirements

3 staff members were available during this inspection. No staff were available with current First Aid. The CCF Handbook states that at least 1 person is requires to have current first aid

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

41-01 · Immunization Records

2 children mentioned on the supplemental form still do not have current immunizations on file. The CCF Handbook states that all enrolled children must have current immunizations within 30 days of enrollment. The children can not return to this facility without current immunizations

Corrected Corrected by Mar 14, 2023

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

42-01 · Student Health and Records

The 2 children mentioned on the attached supplemental form do not have current physical forms on file. The CCF Handbook states that all enrolled children must have current physical forms within 30 days of enrollment

Corrected Corrected by Mar 14, 2023

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

44-04 · Personnel Records

The staff member mentioned on the attached supplemental form, did not complete a child abuse and neglect reporting form. CCF Handbook states that this form must be completed annually by child care personnel

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

22-01 · Operable Phone

A corded phone was available at this facility but was not working. The CCF Handbook states that an operable corded phone must be available at each facility

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

23-06 · Fire Drills

One fire drill has been conducted at this facility in the month of November of 2022. The CCF Handbook states that every facility must perform drills/exercises to practice fire, inclement weather, and lockdown procedures

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

34-04 · Credentialed Staff

This facility is temporarily on a provisional license. There is no credentialed director assigned to this facility. The CCF Handbook states that each facility must have an active credentialed director that is responsible for the daily operation of the program

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

41-01 · Immunization Records

3 children mentioned on the attached supplemental form did not have immunization records on file. The CCF Handbook states that all children must have current immunization forms on files within 30 days of enrollment. Children may return to school when immunization forms are current

Corrected Corrected by Feb 28, 2023

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

41-02 · Immunization Records

4 children mentioned on the attached supplemental form have expired immunization forms on file. The CCF Handbook states that immunizations on file must be current. These children may return to school when immunization forms are current

Corrected Corrected by Feb 28, 2023

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

42-01 · Student Health and Records

A child mentioned on the attached supplemental form did not have a physical on file. The CCF Handbook states that each child must have a health form on file within 30 days of enrollment. The child may return when a health form is available

Corrected Corrected by Feb 28, 2023

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

42-02 · Student Health and Records

The child mentioned on the attached supplemntal form had an expired health form on file. The CCF Handbook states that a current health form must be on file. This child may return to school when a current health form is available

Corrected Corrected by Feb 28, 2023

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

45-02 · Background Screening Documents

The staff member without a current and complete background screening will not continue working at this facility until a cleared screening is on file. The CCF Handbook states that all employees must have documentation on file of a Level 2 Clearinghouse screening

Corrected Corrected by Feb 28, 2023

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

03-01 · Ratio Sufficient

1 staff member was present with 11 children. There were 2 children that were 1 year of age, There were 3 children that were 2 years of age. There were 2 children that were 3 years of age. There were 4 children that were 4 and 5 years of age. The CCF Handbook states that In groups of mixed age ranges, where children one year of age but under 2 years of age are included, one child care personnel must be responsible for no more than 6 children of any age group, at all times. A second staff member arrived at 10:10am to assist in the classroom

Corrected Corrected by Feb 23, 2023

Category: ratio. Marked corrected in the state record.