03-01 · Ratio Sufficient

Ratios (First Observation) 1:2 Infants 1:11 (2-Two) one -year olds, two, three and four-year olds (mixed group) Ratios (Second Observation) 1:2 Infants 2:11 (2-Two) one -year olds, two, three and four-year olds (mixed group) During the time of the inspection, Licensing Specialist observed the staff to be out of ratio, with one teacher having a mixed group of one, two, three and four year olds. During the inspection, a second teacher entered the classroom, bring the facility back into compliance with regard to ratio. During the time of the inspection, the Licensing Specialist provided technical assistance: "(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 Oct 18, 2024

Category: ratio. Marked corrected in the state record.

13-03 · Toxic Substances, Hazardous Materials and Weapons

During the time of the inspection the Licensing Specialist observed that cleaning supplies were accessible to children in care in the one-, three-, four- and five-year-old classrooms. According to the childcare facility handbook 3.2 Toxic/Hazardous Material/Firearms/Weapons 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

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

23-07 · Fire Drills

During the time of the inspection, the Licensing Specialist observed that the fire drill did not have a specific day of the month on the drills that were logged from February through June 2024. The Licensing Specialist also observed that the logs only included the number of children and not the number of childcare personnel during any fire drill from January through June 2024. The logs hypothetical location was the same place (playground for all fire drills) also no nap time or weather drills were noted on the fire drill logs. According to the childcare facility handbook 3.8.4 Fire Drills C. A current attendance record and parent contact information must accompany childcare 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 childcare 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: recordkeeping. Open / not marked corrected.

24-21 · Food Preparation Area

During the time of the inspection, the Licensing Specialist observed that food (frozen pancakes, peas, waffles, etc.) that were not in the original packaging were not labeled with a date. According to the childcare facility handbook 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. Facilities choosing to prepare food must have a designated space for food storage within the designated food preparation area or in a room not calculated as part of indoor floor space, and in an area not used for diapering. Off-site food storage is permissible only if the site of storage is a licensed child care facility under the same ownership that includes a food preparation area that meets licensing standards. 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

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

30-07 · Diapering

During the time of the inspection the Licensing Specialist observed that the diaper changing area in the one-year-old classroom contained storage of a laminator, and art smock. According to the childcare facility handbook 3.10.2 Diapering Requirements G. Items unrelated to diaper changing shall not be stored in the diaper changing area nor shall they be placed on the diaper changing table

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

37-06 · First Aid Requirements

During the time of the inspection, the Licensing Specialist observed that several items are missing from the first aid kit. According to the childcare facility handbook 6.2 First Aid Kit Minimum Requirements C. Each kit must be kept in a closed container and labeled First Aid and must, at a minimum, include: 1. Soap and hand sanitizer (to be used with supervision if hands are not visibly soiled and if no water is present), 2. Adhesive bandages, 3. Disposable, non-porous gloves, 4. Cotton balls or applicators, 5. Sterile gauze pads or rolls, 6. Adhesive tape, 7. Digital thermometer, 8. Tweezers, 9. Pre-moistened wipes, 10. Scissors, 11. Bottled water (for cleaning wounds or eyes), and 12. A current resource guide on first aid and CPR procedures

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

40-01 · Medication

During the time of the inspection, the Licensing Specialist observed diaper creams from several children in multiple classrooms. The Licensing Specialist asked for the authorization/written permission forms, and the Director asked the teachers, but no authorization forms were provided. According to the childcare facility handbook 6.5 Medication Child care programs are not required to give medication; however, if a program chooses to do so, it must comply with the following requirements: A. The childcare program must have written authorization from the custodial parent or legal guardian to give prescription and non- prescription medications. This authorization must be dated and signed by the custodial parent or legal guardian and contain the childs name; the name of the medication to be given; and date, time and amount of the correct dosage to be given. Prescription and non- prescription medications that are used on an as needed basis require the parent/ legal guardian to provide additional documentation on the authorization form to describe symptoms that would require the medication to be given. The childcare provider must never administer a medication that is prescribed for one child to another child. K. Use of diaper creams and insect repellant may only be utilized with written permission from parents/guardians. Manufacturer instructions must be followed

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

41-01 · Immunization Records

During the time of the inspection, the Licensing Specialist observed that one child does not have an immunization or religious exempt form in their file. According to the childcare facility handbook 7.1 Immunization Records The childcare 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

During the time of the inspection, the Licensing Specialist observed that two children had expired immunization records in their files. According to the childcare facility handbook 7.1 Immunization Records The childcare 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. A. 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 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 childcare 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. F. It is recommended that childcare 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 in 65C-22.001(7)(v), F.A.C

Open Not marked corrected in the state record

42-01 · Student Health and Records

During the time of the inspection, the Licensing Specialist observed that two children did not have a health examination in their files. According to the childcare facility handbook 7.2 Student Health Records The childcare 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.

42-02 · Student Health and Records

During the time of the inspection, the Licensing Specialist observed that two children have expired health examination forms in their files. According to the childcare facility handbook 7.2 Student Health Records The childcare 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. D. School-aged children attending public or non-public schools are not required to have student health examination and immunization records on file at the childcare facility as such records are on file at the school where the child is enrolled. E. 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. F. 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. G. Any child who has or is at an increased risk for a chronic physical, developmental, behavioral or emotional condition and requires additional services must have a current Emergency Care Plan, prepared by the parent/guardian or physician, included in the childs file and readily accessible for those caring for the child. Childcare personnel caring for a child with an Emergency Care Plan must be trained to recognize and respond appropriately to a medical emergency

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

04-01 · Supervision

During the time of the inspection, the Licensing Specialist received photos of a bite mark on the child under the right chest area. The parents had to notify the facility that the child was bit while in their care. The child was also left outside unattended in the playground area. According to the childcare facility handbook2.4 Supervision2.4.1 General Supervision Requirements A. Childcare personnel must position themselves in the outdoor play area so that all children can be observed and directly supervised. B. Childcare 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 childcare personnel supervision inside or outside the facility, in a vehicle, or at a field trip location. C. Supervision standards apply at all times away from the childcare facility, including during field trips, outdoor play, and when picking up or dropping off children at designated locations, such as bus stops, school, or a childs home. For school-age children, personnel must know where the children are and what they are doing at all times and capable of responding to emergencies including when children are separated from their group. D. At all times, lighting must allow childcare personnel to see and supervise children while in care. E. A program is responsible for the supervision of a child until an authorized individual retrieves the child from the program. A child shall not be released to any person other than the person(s) authorized or in the manner authorized in writing by the custodial parent or legal guardians. All individuals authorized to pick up a child must be identified in writing prior to release by the custodial parent or legal guardian to the program, and the program must verify the individual picking up the child is authorized by using a picture form of identification. Each child transported must be dropped at the designated location as agreed upon by the provider and the custodial parent/legal guardian and released to an authorized individual. F. No person shall be an operator, owner, or employee of a childcare facility while using or under the influence of narcotics, alcohol, or other drugs that impair a persons ability to provide safe care and supervision. G. In addition to the number of childcare personnel required to meet the staff-to child ratio, one additional adult must attend field trips away from the childcare facility to help provide direct supervision. The individual could be a parent volunteer as long as that person is under direct and constant supervision of a screened and trained childcare personnel. H. Children must receive supervision and care in accordance with their age and required needs and be accounted for at all times while bathing or toileting. I. When transporting children in a vehicle or on foot, a telephone or other means of instant communication must be available to childcare personnel. Cellular phones, two-way radio devices, citizen band radios, and other means of instant communications are acceptable. 2.4.2 Nap time SupervisionDuring nap time, child care personnel must be within sight and hearing of all thechildren. 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 neededto 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.2.4.3 Evening Supervision During evening childcare hours, childcare personnel must remain awake at all times. While children are awake, direct supervision must be provided.2.4.4 Mealtime Supervision A. During feeding times, children must be individually fed and provided their own tableware. Children must be supervised appropriately for their ages and developmental abilities, to monitor the size of food and that children are eating accordingly

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

04-04 · Supervision

During the time of the inspection, the Licensing Specialist was advised by the childcare personnel and parent that the child was left alone for approximately one to two minutes in the facility playground area, After the child's class and teacher returned to the inside of the building, the child was outside in the playground area inside of a gray tote with another tote on top of the child. According to the childcare facility handbook 2.4 Supervision 2.4.1 General Supervision Requirements A. Childcare personnel must position themselves in the outdoor play area so that all children can be observed and directly supervised

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

39-03 · Accident/ Incident Notification and Documentation

During the time of the inspection, the Licensing Specialist was advised that one two different occasions a parent/Guardian did not receive and incident report. Once for when the child was left outside alone and again when the child received a bite on the right chest area while at the facility. According to the childcare facility handbook 6.4 Accident/Incident Notification A. All accidents and incidents or unusual occurrences that are threatening to the health, safety, or welfare of a child that occur while the child is in care must be documented on the same day they occur

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

39-04 · Accident/ Incident Notification and Documentation

During the time of the inspection, the Licensing Specialist was advised that one two different occasions a parent/Guardian did not receive and incident report. Once for when the child was left outside alone and again when the child received a bite on the right chest area while at the facility. According to the childcare facility handbook 6.4 Accident/Incident Notification B. This documentation must be shared with the custodial parent or legal guardian on the date of occurrence. D. The documentation must be maintained for 12 months. If the parent or legal guardian does not pick up the child on the date of occurrence of the accident or incident, the individual authorized to pick up the child must sign and be provided a copy of the accident/incident form

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

39-05 · Accident/ Incident Notification and Documentation

During the time of the inspection, the Licensing Specialist observed that the incident/accident report did not include the following: the name of the teacher, time, date of birth of child, whom it was reported by and the place of occurrence, the parent/guardian name/signature, the supervisor notified, signatures of the childcare personnel with time or date and if the parent was notified and by whom. According to the childcare facility handbook 6.4 Accident/Incident Notification C. Documentation must include the name of the affected party, date and time of the occurrence, description of the occurrence, actions taken and by whom, and appropriate signatures of program childcare personnel and the custodial parent or legal guardian. Program childcare personnel signatures may include the director/childcare personnel that witnessed the incident, who were involved in the incident, and/or responded to the childs needs

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

39-03 · Accident/ Incident Notification and Documentation

During the time of the inspection, the Licensing Specialist was advised by the Operator that the parent was notified. However, no incident report was completed. The child is no longer enrolled at the facility. According to the childcare facility handbook 6.4 Accident/Incident Notification A. All accidents and incidents or unusual occurrences that are threatening to the health, safety, or welfare of a child that occur while the child is in care must be documented on the same day they occur

Corrected Corrected by Mar 6, 2024

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

39-04 · Accident/ Incident Notification and Documentation

During the time of the inspection, the Licensing Specialist was advised by the Operator that the parent was notified. However, no incident report was completed. The child is no longer enrolled at the facility. 6.4 Accident/Incident Notification B. This documentation must be shared with the custodial parent or legal guardian on the date of occurrence.. D. The documentation must be maintained for 12 months. If the parent or legal guardian does not pick up the child on the date of occurrence of the accident or incident, the individual authorized to pick up the child must sign and be provided a copy of the accident/incident form

Corrected Corrected by Mar 6, 2024

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

12-02 · Facility Environment

The frame is cracked around the window. The counselor provided technical assistance on keeping the windows in good repair. The director siad that she would have it repaired immediately

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

30-07 · Diapering

The changing table was used for storage. The counselor provided technical assistance to the director on making sure that there is nothing stored on the changing table because it is seen as a toilet. The teacher removed the items and put them away. This put's the facility back in compliance

Corrected Corrected by Jul 13, 2023

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