17-07 · Outdoor Play Area/Fencing

During the inspection, Licensing observed a part of the fence on the large playground that was no longer ground level. The facility will need to repair the fence. The Child Care Facility Handbook states on page 24: E. The facilitys outdoor play area must be fenced as required by local ordinances to prevent access by children to all water hazards within or adjacent to outdoor play areas, such as pools, ditches, retention ponds, and fish ponds. 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.

33-09 · Training Requirements

There are currently 10 employees. All 10 employee records were reviewed. One employee, CP, has been at the facility for over 30 days and has not completed the fire extinguisher training. One employee, SB, has been at the facility for over 30 days and has not completed a course on Safe Sleep. The Child Care Handbook states on page 41 and page 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.

43-10 · Enrollment Information

Nine newly enrolled children's records were reviewed since the last inspection on 6/10/2024. There was no documentation in the records to show that the children's parents were given the Distracted Adult notification information. The Child Care Facility Handbook states on page 61 that: 5. Annually, in the months of April and September, the child care facility must provide parents/guardians of the children enrolled in the facility with information regarding the potential for distracted adults to fail to drop off a child at the facility and instead leave them in the adults vehicle upon arrival at the adults destination.CF/PI 175- 12, 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

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

61-62 · Violation

that: 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 Child Care Facility Handbook Page | 62 hire date and annually thereafter by all child care personnel

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

45-06 · Background Screening Documents

There are currently 10 employees. All 10 employee records were reviewed. One employee, CP, had filled out the wrong form and it was not dated. Another employee, SB, did not have one on file. Both employees signed the correct forms during the inspection. The Child Care Facility Handbook states on page 62 that: 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

Corrected Corrected by Oct 21, 2024

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

45-07 · Background Screening Documents

There are currently employees. All 10 employee records were reviewed. One employee, CP, had an eligible background screening clearance on record, but there had been a 90 day break in service and a resubmission was not completed. The Director completed a resubmission in the Clearinghouse during the inspection. The employee is not allowed to be alone with children until a cleared live scan screening has been received. The Child Care Facility Handbook states on page 53 that: C. Child care personnel must be re-screened following a break in employment in the child care industry that exceeds 90 days. Child care personnel/individual with a break in service that exceeds 90 days are considered unscreened child care personnel/individuals until completion of re-screening. These child care personnel/individuals shall not have unsupervised contact with children in care

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

45-11 · Background Screening Documents

There are currently 10 employees. All 10 employee's records were reviewed. One employee, SB, that was hired on 8/8/2024, lived out of state within the last 5 years and the facility did not process an out of state sex offender search or an out of state abuse hotline check. The Child Care Facility Handbook states on page 62 that: 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

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

41-01 · Immunization Records

There are currently 47 children enrolled. Counselor reviewed all 47 children's records. One child (LG) has been at the facility for over 30 days and his out of state shot records have not been transferred over to the correct DH680 form. 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. 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

41-02 · Immunization Records

There are currently 47 children enrolled. Counselor reviewed all 47 children's records. Two children (EB and RH) that have been at the facility for over 30 days had expired shot records. 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.

42-01 · Student Health and Records

There are currently 47 children enrolled. Counselor reviewed all 47 children's records. Three children that have been at the facility for over 30 days did not have physicals. (WS, ZS and KS). The Child Care Facility Handbook states on page 60 that: 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.

42-02 · Student Health and Records

There are currently 47 children enrolled. Counselor reviewed all 47 children's records. One child's (JP) physical is expired. One child's (KK) physical was missing the date of the exam. Both children have been at the facility for over 30 days. The Child Care Facility Handbook states on page 60 that: 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

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. 2. The child care facilitys written disciplinary and expulsion policies

Open Not marked corrected in the state record

Open / not marked corrected.

39-40 · Accident/ Incident Notification and Documentation

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. 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. Child Care Facility Handbook Page | 39 1. If the ground cover in place is loose ground cover (such as, but not limited to: mulch, shredded rubber chips, or sand) a minimum of 6 inches in depth is required in the use zone. Asphalt, concrete, hard packed dirt, hay, grass or leaves are unsuitable for use in the use zone area. 2. If the ground cover in place is a unitary playground surface, then the unitary surfacing materials must be installed, maintained, or replaced according to manufacturers instructions. Unitary surfaces must be tested to and comply with ASTM F1292; documentation of test data must be retained at the facility and available for licensing to review. 3. If the play area was approved by the Department prior to January 1, 2020 and does not meet the 6-foot fall/use zone requirement, then the facility must submit a written notification, including photographs and layout of the play area, to the Department prior to or on April 1, 2020, notifying its intention to continue to operate using the prior approved play area. However, if the permanent or stationary playground equipment is moved or replaced then the standard would apply, and 6 feet of use zone must be provided. Any new equipment added would be required to have the 6 feet of use zone in all directions from the perimeter of the equipment. E. Equipment used for climbing should not be placed over, or immediately next to, hard surfaces such as asphalt, concrete, dirt, grass, or flooring covered by carpet or gym mats not intended for use as surfacing for climbing equipment. F. All equipment used in the outdoor play area must be constructed and maintained according to manufacturers recommendations and allow for water drainage. Any open containers with water must be emptied immediately after use, i.e. pots, toys, or other equipment that collects water. G. Sandboxes must be covered at the end of each day. The covering used must prevent access to the sandbox by animals. H. Wading pools, including inflatable water slides with a landing area where water collects, are prohibited. I. The provider shall maintain manufacturers instructions on file electronically or in paper format for outdoor playground equipment purchased or installed on or after January 1, 2020, and/or have available for licensing to review upon request

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

24-23 · Food Preparation Area

During the inspection, Counselor monitored two small refrigerators in two separate rooms. Both had thermometers in them. One thermometer was broken and not reading properly and one was frozen to the back of an ice block and could not be read. The person in charge ordered two new thermometers during the inspection. The Child Care Facility Handbook states on page 31 that: F. Refrigerators/freezers: 1. An accurate thermometer designed to measure cold storage temperature must be placed inside each refrigeration and freezer unit. Thermometers in refrigerators must show a reading of 41 degrees Fahrenheit or below, and thermometers in freezers must show a reading of 0 degrees Fahrenheit or below. The thermometer must be located in the center of the unit and be readily accessible. Thermometer temperature readings higher than specified above require further temperature testing of food samples stored in the unit using a probe type thermometer; and adjustments to the unit setting to reach and maintain the required readings must be made

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

59-60 · Violation

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. 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.