41-02 · Immunization Records

Specialist reviewed all 23 children files. 4 children's shot records were expired. 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

59-60 · Violation

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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

24-21 · Food Preparation Area

Specialist observed several items in the refrigerator that were opened and not properly labeled with the date. Provider labeled items with date during 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 Aug 28, 2024

Category: ratio. Marked corrected in the state record.

24-23 · Food Preparation Area

There were no working thermometers in the refrigerator or chest freezer. Specailist provided two thermometers

Corrected Corrected by Aug 28, 2024

Category: ratio. Marked corrected in the state record.

26-01 · Meal and Snack Menus

The facility menu did not have date. Provider dated menu. The Child Care Facility Handbook states on page 33: H. Meal and snack menus must be planned, written, dated, and posted at the beginning of each week in an easily seen place, accessible to the parents/guardians. Any menu substitutions must be noted on the menu. A generalized menu of possible snack choices for programs that receive food donations is acceptable. All meals and snacks prepared outside of the facilitys kitchen or designated food preparation area, such as catered food, must be listed along with the source. Daily meal and snack menus must be maintained for a minimum of 12 months for licensing purposes. Operators who participate in the USDA Food Program must keep menus in accordance with the Department of Health and USDA requirements

Corrected Corrected by Aug 28, 2024

Category: ratio. Marked corrected in the state record.

42-02 · Student Health and Records

One child had an expired student health exam. The Child Care Facility Handbook states on page 60: B. 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.

75-24 · Violation

Know Your Child Care Facility, which is incorporated by reference in 65C- 22.001(7)(m), F.A.C. This brochure may be obtained from the Departments website at www.myflfamilies.com/childcare. Local licensing agencies may use an equivalent brochure approved by the Department

Open Not marked corrected in the state record

Open / not marked corrected.

17-01 · Outdoor Play Area/Fencing

Playground area is poorly maintained. The grass and weeds need to be cut

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

04-01 · Supervision

The director was not present at this facility during rest time. This counselor asked a staff member where the children's files were in order to review them. The staff member left the classroom to call the director and to find the children's files. This staff member was gone from her classroom for at least 10 minutes and was not in sight or hearing of the children. This counselor found this staff member in the director's office and informed her that she needed to go back to her classroom as she could not see or hear her children. The CCF Handbook states that during nap time,, child care personnel must be within sight and hearing of all of the children

Corrected Corrected by May 1, 2024

Category: supervision. Marked corrected in the state record.

13-03 · Toxic Substances, Hazardous Materials and Weapons

2 large containers of antibacterial wipes and 3 cans of lysol spray were on a cart in the 3 and 4 year old classroom. This counselor removed these harmful items from the classroom. The CCF Handbook states that all potentially harmful items, including cleaning supplies and toxic and hazardous materials must be stored in a locked area or must be inaccessible and out of the reach of the children

Corrected Corrected by May 1, 2024

Category: physical safety. Marked corrected in the state record.

14-03 · Lighting, Temperature, and Ventilation

There was insufficient lighting in the 2 year old classroom and the 1 year old classroom during naptime. The CCF Handbook states that during naptime, lighting must allow child care personnel to visually observe and supervise children. This counselor could not see the faces of the children in these classrooms

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

24-22 · Food Preparation Area

Opened dry goods such as snacks and cereal were stored in original containers/boxes. The CCF Handbook states that opened packages of dry goods must be properly covered/sealed, properly stored, and discarded according to the manufacturer recommended date or if the quality of the food has been compromised

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

33-01 · Training Requirements

The staff members mentioned on the attached supplemental form have not completed the required 45 hours of training.. The CCF Handbook states that child care personnel must successfully complete 40 hours of child care training as evidenced by successful completion of competency exams offered by the Department with a weighted score of 70 or better

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

44-04 · Personnel Records

The Child Abuse and Neglect Reporting Forms were not available for review during this inspection. This form must be signed on or before the hire date and anually thereafter by all child care personnel

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

45-01 · Background Screening Documents

Form 5131 was not in files for employees. The CCF Handbook states that each personnel record must have a completed CF-FSP Form 5131, background screening and personnel file requirements

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-06 · Background Screening Documents

The child care attestation of Good Moral Character was not completed and maintained in files for some employees. The CCF Handbook states that this attestation of good moral character must be completed for all child care personnel at the time of the initial screening or upon change in employers

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

46-07 · Daily Attendance

Parents do sign their children in each day at the front entrance before entering the classrooms and include the time in. There is no attendance taken in the classrooms. The CCF Handbook states that the daily attendance of children must be taken and recorded accurately by the child care personnel, documenting the time when each child enters and departs the program. Each classroom must have an attendance sheet/class roster for the group of children occupying that space. This attendance sheet/roster must accompany the child care personnel and the group of children throughout the day if they leave the classroom

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

03-01 · Ratio Sufficient

Upon arrival, this counselor observed 12 children in the care of 2 staff members. There was 1 infant present, 1 child that was 1 year of age, and 10 children were 2 years of age. The owner/ director was not present at the facility. The owner/director returned to the facility soon after counselor arrived putting the ratio back into compliance. Counselor reviewed ratio requirements with the owner/director to make sure they were understood. The Handbook states on page 12: 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. Section 402.305 (4) of the Florida Statutes states: (4) STAFF-TO-CHILDREN RATIO. (a) Minimum standards for the care of children in a licensed child care facility as established by rule of the department must include: 1. For children from birth through 1 year of age, there must be one child care personnel for every four children. 2. For children 1 year of age or older, but under 2 years of age, there must be one child care personnel for every six children. 3. For children 2 years of age or older, but under 3 years of age, there must be one child care personnel for every 11 children. 4. For children 3 years of age or older, but under 4 years of age, there must be one child care personnel for every 15 children. 5. For children 4 years of age or older, but under 5 years of age, there must be one child care personnel for every 20 children. 6. For children 5 years of age or older, there must be one child care personnel for every 25 children. 7. When children 2 years of age and older are in care, the staff-to-children ratio shall be based on the age group with the largest number of children within the group

Corrected Corrected by Jan 5, 2024

Category: supervision. Marked corrected in the state record.

13-02 · Toxic Substances, Hazardous Materials and Weapons

Febreze air freshener was found in a children's bathroom on the back of a toilet and disinfectant spray was found on the changing table. This counselor removed these items during this inspection. The Child Care Facility Handbook states on page 22: B. All potentially harmful items, including cleaning supplies, flammable products, poisonous, toxic, and hazardous materials, must be labeled and used according to manufacturers recommendation. These items, as well as knives, sharp tools, and other potentially dangerous hazards, must be stored in a locked area or must be inaccessible and out of a childs reach at all times

Corrected Corrected by Jan 5, 2024

Category: physical safety. Marked corrected in the state record.

41-01 · Immunization Records

21 children are enrolled. the 2 children mentioned on the attached supplemental form, do not have current immunization forms on file. 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.

41-02 · Immunization Records

The 2 children mentioned on the attached supplemental form have expired immunizations on file. The Childcare 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Student Health and Records

The child mentioned on the attached supplemental form did not have a physical on file. 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. A. The Student Health Examination shall be completed by a person given statutory authority to perform health examinations. B. 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. 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.

43-02 · Enrollment Information

The children mentioned on the attached supplemental form did not have a fully-completed enrollment form on site. The Child Care Facility Handbook States on page 61: 7.3 Enrollment Information The facility operator shall obtain enrollment information from the childs custodial parent or legal guardian prior to accepting a child in care. This information shall be documented on CF-FSP Form 5219, Child Care Application for Enrollment, which is incorporated by reference in 65C-22.001(7)(f), F.A.C., or an equivalent form that contains all the information required by the Department on CF-FSP Form 5219. CF- FSP Form 5219 may be obtained from the licensing authority or on the Departments website at www.myflfamilies.com/childcare. A. Enrollment information shall be kept on file, current and available for review by the licensing authority. B. The enrollment information shall include, in writing, permission for the facility to release the child to any person(s) authorized or in the manner authorized by the custodial parent or legal guardians. The name, address, and phone number of authorized persons must be in the enrollment information

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.