46-47 · Violation

that: Records 8.1 Health/Immunization Records A. The operator is responsible for obtaining for each child in care a current, complete and properly executed Florida Certification of Immunization form, Parts A-1, B, and/or C, DH 680 (July 2010), or the Religious Exemption from Immunization form, DH 681 (July 2008), which are incorporated herein by reference in 65C-22.001(7)(o) and (p), F.A.C., from the custodial parent or legal guardian, within 30 days of enrollment. DH Form 680 and DH Form 681 may be obtained from the local health department. 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 should 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. B. If the custodial parents or legal guardians fail to provide the above required documentation within 30 days of enrollment, the home shall not allow the child to remain in the program. and page 50: 8 Registros de los nios y nias 8.1 Registros de salud y vacunacin A. El operador es responsable de obtener para cada nio y nia cuidado un formulario de certificacin de vacunacin vigente, completo y aplicado de forma apropiada partes A-1, B, y/o C, DH 680 (julio de 2010), o el formulario de exencin de vacunacin por religin, DH 681 (julio de 2008), que se incorporan por referencia en 65C- 22.001(7)(o) y (p), F.A.C., del padre, madre o tutor, dentro de los 30 das posteriores a la inscripcin. El formulario DH 680 y el formulario DH 681 pueden obtenerse en el departamento de salud local. El padre/madre/tutor de un nio o nia que no haya recibido las vacunas apropiadas para su edad antes de la inscripcin y que no tenga exenciones mdicas o religiosas documentadas para las vacunas infantiles de rutina debera presentar documentacin de una cita programada para recibir las vacunas. Los prestadores deben incluir una declaracin general en el manual o las polticas para padres y madres para informar a los padres/madres/tutores, al momento de la inscripcin, que algunos de los nios y nias que se cuidan pueden no tener la vacunacin al da. B. Si los padres, madres y tutores no proporcionan la documentacin necesaria detallada arriba dentro de los 30 das a partir de la inscripcin, el hogar no debera permitir que el nio o nia permanezca en el programa

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

07-06 · Staff Training FDCH/LFCCH Handbook

No onsite inspection was conducted. The re inspection was completed by document submission via email from the Provider's son on 9/14/2025. The Licensing Specialist received valid CPR certification training on the substitute but not the Provider. The substitutes information was updated. It has been reported that the Provider still has not met the standard regarding valid CPR training. The

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

16-08 · Appropriate, Safe and Sanitary Bedding FDCH/LFCCH Handbook

During the inspection, the Licensing Specialist observed the children laying down for nap. There were two infants but only 1 crib. One of the infants was placed on a cot for naptime. The Licensing Specialist verified the child's age and informed the Provider that a crib or pack n play would be required until the child turned one. The Provider picked the child up during the inspection. This was explained to the Provider's son who was on the phone during the inspection, and he stated he would get another crib for the child. The Child Care Facility Handbook states on page 36: 7.8 Appropriate, Safe and Sanitary Bedding A. A home must include a designated area where each child can sit quietly or lie down to rest or nap. Each child in care must be provided safe and sanitary bedding to be used when napping or sleeping. Linens must be washed at least once a week and more often if soiled or dirty. All bedding and linens must be thoroughly cleaned and sanitized at least once a week and before use by another child. Bedding and linens, when not in use, must be stored in a sanitary manner which prevents the spread of germs or lice from other linens. B. All personnel that care for infants must follow safe sleep practices as recommended by the American Academy of Pediatrics (AAP) as referenced in Caring for Our Children Basics Health and Safety Foundations for Early Care and Education, which is incorporated by reference in 65C-22.001(7)(v), F.A.C. Cribs, play yards, and playpens used for infants must have tight fitting sheets and no excess bedding, which includes but is not limited to: bumper pads, hanging mobiles, quilts, comforters, receiving blankets, pillows, stuffed animals and cushions. C. Before purchase and use, cribs and play yards must be in compliance with regulations as outlined in Title 16, Parts 1219, 1220 & 1221 Code of Federal Regulations, 2014, which is incorporated by reference in 65C-22.001(7)(w), F.A.C. and on page 38: 7.8 Camas apropiadas, seguras y sanitarias A. Un hogar debe incluir un rea designada donde cada nio y nia pueda sentarse tranquilamente o recostarse para descansar o dormir la siesta. Cada nio o nia cuidado debe recibir camas seguras e higinicas para usar al tomar siestas o dormir. La ropa de cama debe ser lavada al menos una vez a la semana, y con ms frecuencia si se ensucia. Todas las camas y ropa de cama deben limpiarse y desinfectarse correctamente al menos una vez a la semana, y antes de ser utilizadas por otro nio o nia. Las camas y la ropa de cama, cuando no se utilice, debe guardarse de forma sanitaria que evite el contagio de grmenes o piojos de otra ropa de cama. B. Todo el personal que cuida bebs debe seguir las prcticas de sueo seguro segn las recomienda la Academia Americana de Pediatra (AAP, por sus siglas en ingls) segn se menciona en Fundamentos bsicos de Salud y Seguridad para Cuidar a nuestros Hijos e Hijas para el Cuidado y la Educacin temprana, que se incorpora por referencia en 65C22.001(7)(v), F.A.C. Las cunas y corralitos utilizadas para los bebs deben tener sbanas ajustadas y no tener exceso de ropa de cama, lo cual incluye, entre otras cosas: almohadones protectores, mviles colgantes, colchas, edredones, mantas, almohadas, animales de peluche y almohadones. C. Antes de su compra y uso, las cunas o corralitos deben cumplir con las normas que se detallan en el ttulo 16, partes 1219, 1220 y 1221 del cdigo de normas federales de 2014, que se incorpora por referencia en 65C- 22.001(7)(w), F.A.C

Corrected Corrected by Aug 26, 2025

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

07-06 · Staff Training FDCH/LFCCH Handbook

During the inspection, the Licensing Specialist observed that the operators CPR/first aid training documentation showed that the courses were taken online. The substitute's first aid certification was present but there was not any documentation that the CPR course completed. The Family Child Care Home Handbook states on page 21 and page 22 in the Spanish handbook that: C. Have certificate(s) of course completion for pediatric cardiopulmonary resuscitation (CPR) procedures and first aid training, which must be current and valid at all times. Certificates of course completion are valid based on the time frames established by each first aid and CPR training program, not to exceed three years. CPR courses must include an on-site instructor-based skills assessment that shall be documented by the certified CPR instructor. Documentation of completion of the online course and on-site assessment must be maintained at the home and available for review by the licensing authority. C. Tener un certificado de procesos de complecin de resucitacin cardiopulmonar (RCP) y capacitacin en primeros auxilios que debe estar vigente y ser vlido en todo momento. Los certificados de finalizacin del curso son vlidos en funcin de los plazos establecidos por cada programa de capacitacin en primeros auxilios y reanimacin cardiopulmonar (RCP), con un mximo de tres aos. Los cursos de RCP deben incluir una evaluacin de habilidades tutorizada presencial que ser documentada por un instructor de RCP certificado. La documentacin sobre la finalizacin del curso en lnea y la evaluacin presencial debe conservarse en el hogar y estar disponible para su revisin por parte de la autoridad responsable de la concesin de licencias

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

46-47 · Violation

that: 8.1 Health/Immunization Records A. The operator is responsible for obtaining for each child in care a current, complete and properly executed Florida Certification of Immunization form, Parts A-1, B, and/or C, DH 680 (July 2010), or the Religious Exemption from Immunization form, DH 681 (July 2008), which are incorporated herein by reference in 65C-22.001(7)(o) and (p), F.A.C., from the custodial parent or legal guardian, within 30 days of enrollment. DH Form 680 and DH Form 681 may be obtained from the local health department. 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 should 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. B. If the custodial parents or legal guardians fail to provide the above required documentation within 30 days of enrollment, the home shall not allow the child to remain in the program. C. Immunizations received out-of-state are acceptable; however, immunizations must be documented on the Florida Certification of Immunization form and must be signed by a physician practicing in the State of Florida. D. Providers may receive additional information on immunization requirements by obtaining the most current edition of the Immunization Guidelines Florida Schools, Child Care Facilities and Family Day Care Homes as referenced in Rule 64D-3.011, F.A.C. E. It is recommended that child care personnel are current with all immunizations routinely recommended for adults by the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC), as referenced in Caring for Our Children Basics Health and Safety Foundations for Early Care and Education, which is incorporated by reference in 65C-22.001(7)(v), F.A.C

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

75-12 · Violation

brochure, which is incorporated by reference in 65C-22.001(7)(x), F.A.C. and may be obtained from the Departments website at www.myflfamilies.com/childcare

Open Not marked corrected in the state record

Open / not marked corrected.

07-04 · Staff Training FDCH/LFCCH Handbook

No onsite inspection was conducted. The re inspection was completed by document submission via email on 10/24/2024 to Licensing. Licensing received an email from the Provider's son, stating that he will become the new substitute for the Provider. However, the substitute training has not been completed. The Provider's son will need to complete all training requirements as related to a substitute working less than 10 hours per month. The Family Day Care Home handbook states on page 21 that: 5.1.2 Substitutes for the Large Family Child Care Home Employee Who Work Less Than 40 Hours/Month Substitutes for the Large Family Child Care Employee who work less than 40 hours a month on average must complete: A. The Departments six clock-hour Family Child Care Home Rules and Regulations training, as evidenced by successful completion of a competencybased examination offered by the Department or its designated training representative prior to licensure and caring for children. B. Substitutes who have successfully completed the three clock-hour Fundamentals of Child Care training or 30-clock- hour Family Child Care Home training are not required to complete the six clock-hour Family Child Care Home Rules and Regulations course. C. Have certificate(s) of course completion for pediatric cardiopulmonary resuscitation (CPR) procedures and first aid training, which must be current and valid at all times. Certificates of course completion are valid based on the time frames established by each first aid and CPR training program, not to exceed three years. CPR courses must include an on-site instructor-based skills assessment that shall be documented by the certified CPR instructor. Documentation of completion of the online course and on-site assessment must be maintained at the home and available for review by the licensing authority

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

07-04 · Staff Training FDCH/LFCCH Handbook

The substitute for this home has still not tested on the 6 hour Family Child Care Rules and Regulations Course. The Handbook states on page 21: A. The Departments six clock-hour Family Child Care Home Rules and Regulations training, as evidenced by successful completion of a competency-based examination offered by the Department or its designated training representative prior to licensure and caring for children

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

16-02 · Appropriate, Safe and Sanitary Bedding FDCH/LFCCH Handbook

When specialist arrived; children were napping on baby rocking seats. Specialist advised provider to put children on cots. Specialist also made mentioned that she had been cited for the same reason during the last inspection on 2/22/2024. Provider proceeded in explaining that the children refuse to sleep anywhere else except on the rocking seats. Specialist advised and suggested that the children needed to be trained to sleep on the cots or in bedding approved by DCF standards. Provider mentioned that parents were aware of the sleeping arrangements and have observed the difficulties of getting the children to sleep in proper bedding and are willing to get doctor notes allowing the use of these not approved for sleeping rocker chairs. Provider will need to retrain children to sleep in appropriate bedding by 9/13/2024. 7.8 Appropriate, Safe and Sanitary Bedding A. A home must include a designated area where each child can sit quietly or lie down to rest or nap. Each child in care must be provided safe and sanitary bedding to be used when napping or sleeping. Linens must be washed at least once a week and more often if soiled or dirty. All bedding and linens must be thoroughly cleaned and sanitized at least once a week and before use by another child. Bedding and linens, when not in use, must be stored in a sanitary manner which prevents the spread of germs or lice from other linens. B. All personnel that care for infants must follow safe sleep practices as recommended by the American Academy of Pediatrics (AAP) as referenced in Caring for Our Children Basics Health and Safety Foundations for Early Care and Education, which is incorporated by reference in 65C-22.001(7)(v), F.A.C. Cribs, play yards, and playpens used for infants must have tight fitting sheets and no excess bedding, which includes but is not limited to: bumper pads, hanging mobiles, quilts, comforters, receiving blankets, pillows, stuffed animals and cushions. D. Children must not be placed in the cribs, playpens, play yards or other sleeping and napping bedding with items that could pose a strangulation or suffocation risk. Cribs, playpens, play yards other napping and sleeping bedding being used by a child must be placed a minimum of 18 inches away from window blinds, draperies or any window treatment/cover that pose a strangulation hazard

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

07-04 · Staff Training FDCH/LFCCH Handbook

In reviewing staff files, substitute has Family rules and regulations course completed but has not tested. Substitute must have a passing test score by 9/13/2023. 5.1.2 Substitutes for the Family/ Large Family Child Care Home/ Employee Who Work Less Than 40 Hours/Month Substitutes for the Family/Large Family Child Care Employee who work less than 40 hours a month on average must complete: A. The Departments 6-hour Family Child Care Home Rules and Regulations training, as evidenced by successful completion of a competency-based examination offered by the Department or its designated training representative prior to licensure and caring for children

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

09-03 · Animal Vaccinations FDCH/LFCCH Handbook

During inspection counselor noticed 3 goats tied up on the front lawn (front porch) of the premises. Provider did not have any documentation for the goats and said she had just bought them the Saturday prior. Provider will draw up an announcement flyer for the parents by 2/26/2024. 7.1 Animal Vaccinations Animals, pets or fowl must be properly vaccinated, if vaccinations are available for the type of animal, pet or fowl; and be free from disease. Animals that are poisonous, aggressive, venomous, or pose a potential threat of harm to children in care are prohibited. Custodial parents or legal guardian must be informed in writing of all animals on the premises of the home. Such information may be provided by way of a parent flyer, a notification statement, or a statement included in the child's enrollment form. Documentation of current immunizations must be available for review upon request by the licensing authority

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

16-02 · Appropriate, Safe and Sanitary Bedding FDCH/LFCCH Handbook

Counselor observed children napping on individual baby rocking seats. Counselor told provider to change the children to the cots and or cribs but said the children were used to sleeping on these chairs and did not make the necessary changes for this counselor to see. The provider did have plenty of cots and cribs/playpens but continued to let the children sleep on the rockers. Provider will need to change this by 2/26/2024 for this counselor to observe. 7.8 Appropriate, Safe and Sanitary Bedding A. A home must include a designated area where each child can sit quietly or lie down to rest or nap. Each child in care must be provided safe and sanitary bedding to be used when napping or sleeping. Linens must be washed at least once a week and more often if soiled or dirty. All bedding and linens must be thoroughly cleaned and sanitized at least once a week and before use by another child. Bedding and linens, when not in use, must be stored in a sanitary manner which prevents the spread of germs or lice from other linens. B. All personnel that care for infants must follow safe sleep practices as recommended by the American Academy of Pediatrics (AAP) as referenced in Caring for Our Children Basics Health and Safety Foundations for Early Care and Education, which is incorporated by reference in 65C-22.001(7)(v), F.A.C. Cribs, play yards, and playpens used for infants must have tight fitting sheets and no excess bedding, which includes but is not limited to: bumper pads, hanging mobiles, quilts, comforters, receiving blankets, pillows, stuffed animals and cushions. D. Children must not be placed in the cribs, playpens, play yards or other sleeping and napping bedding with items that could pose a strangulation or suffocation risk. Cribs, playpens, play yards other napping and sleeping bedding being used by a child must be placed a minimum of 18 inches away from window blinds, draperies or any window treatment/cover that pose a strangulation hazard

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

20-08 · Nutritious Meals and Snacks Provided FDCH/LFCCH Handbook, 7.13 and 7.14

In reviewing menus posted counselor noticed other foods that were not part of the menu on top of the stove. Counselor made mention of these foods and provider said she sometimes follows the menu but most of the time does not. Provider said parents bring in what the children eat for lunch, and she provides snacks and fruits. Provider was told to create a menu for snacks and fruits and decided she would not serve these items either. Provider told this counselor to remove that she was serving foods from the provider services and would tell parents that they are responsible for all meals and snacks. Provider will write up a note letting parents know she will no longer serve foods or snacks. 7.14 Food and Nutrition D. Daily meal and snack menus shall be maintained for a minimum of 12 months for licensing purposes. Operators who participate in the USDA Food Program shallprovide nutritious meals and snacks and must keep menus in accordance with the Department of Health and the USDA requirements

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

34-01 · Access to the Premises/Misrepresentation FDCH/LFCCH Handbook

Counselor did a walk through but was denied access to a portion of the home. Provider explained that no one has ever entered that room and that she had things that were private to her and did not allow this counselor to enter the room. Counselor will go back to reinspect the room mentioned on 2/26/2024. 9.1 Access to the Premises/Misrepresentation A. Child care personnel must allow access to the entire premises of the home to inspect for compliance with family day care home and large family child care home minimum standards pursuant to s. 402.311, Florida Statute. Child care personnel must not interfere with or prevent the licensing authority from copying records, photographing or recording a location/activity on the premises as documentation for the inspection

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.