33-01 · Technical assistance was given regarding completion of 40-hour Introductory Child Care Training requirements and timeframe

Licensing Specialist observed 1 personnel who work 10 hours or more per month did not complete the 40-hour Introductory Child Care Training requirement. CCF Handbook Section 4.2.1. See supplemental. Corrective action needed

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-03 · Technical assistance was provided regarding initiating introductory training within 90 days of employment. Per CCF Handbook, Section 4.1 Beginning Training Childcare personnel including volunteers who work 10 hours or more per month must begin training within 90 days of employment in the childcare industry and successfully complete Departments training within 12 months from the date training begins (pg.30)

Personnel listed on supplemental did not begin the introductory training within 90 days of employment. See supplemental. Corrective action needed

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

76-10 · Violation

0 childcare personnel in direct supervision of children to meet staff to child operating ratios = 6 minimum number of childcare personnel required to have Pediatric CPR certification and First Aid training on site at all times when children are present. 101+ childcare personnel in direct supervision of children to meet staff to child operating ratios = 7 minimum number of childcare personnel required to have Pediatric CPR certification and First Aid training on site at all times when children are present

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

44-04 · Technical assistance was given regarding signing Child Abuse and Neglect Reporting forms annually. Per CCF Handbook, Section 7.4, 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 childcare personnel (Page 61 and 62)

Licensing Specialist observed 2 personnel files did not include a CF-FSP 5337 Child Abuse and Neglect Reporting Requirements form signed annually. See supplemental. Corrective action needed

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

45-07 · Technical assistance was provided regarding background after 90-day break in service. Personnel was replaced with another personnel at the time of the inspection in 3/4-year-old classroom. Per CCF Handbook, Section 5.2 C. Childcare personnel must be re-screened following a break in employment in the childcare industry that exceeds 90 days. Childcare personnel/individual with a break in service that exceeds 90 days are considered unscreened childcare personnel/individuals until completion of re-screening. These childcare personnel/individuals shall not have unsupervised contact with children in care(pg.53)

Personnel listed on supplemental did not have a completed background screening after a 90-day break in service. Personnel was observed supervising children in 3/4-year-old. See supplemental. Corrective action needed

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

36-01 · CPR Requirements

The facility did not have at least one childcare personnel with current and valid pediatric cardiopulmonary resuscitation certification present during all hours of operation. CCF Handbook, Section 4.2.4, A Personnel CPR/First Aid expired on 6/11/24 Corrective action needed. See supplemental

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

37-01 · First Aid Requirements

The facility did not have at least one childcare personnel with current and valid certificate of course completion for first aid training present at all times that children are in care. CCF Handbook, Section 4.2.4, A Personnel first aid expired on 6/11/24 Corrective action needed. See supplemental

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-02 · Student Health and Records

Licensing Specialist viewed 1 student file containing an expired Student Health Examination. Corrective action needed. See supplemental

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

41-02 · Immunization Records

Licensing Specialist observed 2 immunization records expired. Corrective action needed. See supplemental

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

12-06 · Facility Environment

FSC observed 2 space heaters in an area that was accessible and at the reach to children. Corrected at time of inspection. Provider moved heaters out of the reach of children. See supplemental

Corrected Corrected by Feb 15, 2024

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

17-06 · Outdoor Play Area/Fencing

FSC observed gate area with a gap that could allow children to exit the outdoor play area. Corrective action needed. See supplemental

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

23-05 · Fire Drills

FSC observed Fire Alarm panel and fire extinguisher tags expired. Corrected prior to uploading. Provider emailed FSC on 2/19/24 pictures of Fire Alarm panel and fire extinguisher tag renewal. Tags expire 2/2025, email was deleted. See supplemental

Corrected Corrected by Feb 15, 2024

Category: recordkeeping. Marked corrected in the state record.

41-02 · Immunization Records

Reviewed 13 childrens files (A-L) including newly enrolled. • The Florida Certificate of immunization was not acceptable in that: [ The form was not current (expired)]. CCF Handbook, Section 7.1See supplemental. Corrective action needed

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

45-01 · Background Screening Documents

1 personnel did not have form CF-FSP Form 5131 in file. Corrective action needed. See supplemental

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-04 · Background Screening Documents

1 personnel did not have employment history verification on file. Corrective action needed. See supplemental

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-06 · Background Screening Documents

1 personnel did not have attestation of good moral character on file. Corrective action needed. See supplemental

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-09 · Background Screening Documents

Facility failed to maintain employee roster - clearinghouse. Corrected at time of inspection. See supplemental

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

22-20 · Operable Phone

23. (see supplemental)

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

03-01 · Ratio Sufficient

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. There were five infants and one staff member. Director returned to facility to bring ratio back into compliance

Corrected Corrected by Nov 6, 2023

Category: supervision. Marked corrected in the state record.

76-10 · Violation

0 6 6 101+ 7 7 A Director, on site when children are present, with pediatric CPR certification and first aid training may qualify as one of the child care personnel for purposes of meeting the above requirements. Documentation of pediatric cardiopulmonary resuscitation (CPR) certification and first aid training must be kept on file and available for licensing to review. Child care personnel satisfying the certification and training requirements shall Child Care Facility Handbook Page | 42 be present at all times that children are in care at the facility, and at least one child care personnel with the CPR certification and first aid training on field trips which includes all activities away from the program, and during all transportation activities. There was one staff member CPR documented in files

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

33-09 · Training Requirements

The facility did not have documented proof that child care personnel was trained and knowledgeable in safe sleep practices & shaken baby syndrome, and the use of fire extinguishers within 30 days of date of hire. CCF Handbook, Section 4.2.3 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

20-04 · Crib Requirements

Licensing counselor observed infant in crib sleeping on belly with blankets and boppy pillow in the crib. The provider states infant is unable to roll over. At time of inspection, blanket and boppy pillow was removed from crib and child was placed on back

Corrected Corrected by Jun 23, 2023

Category: recordkeeping. Marked corrected in the state record.

44-05 · Personnel Records

Licensing counselor observed A Volunteer Acknowledgement (Form CF-FSP 5217) was not on file prior to volunteering, and provider does not havedocumentation of volunteer hours. CCF Handbook, Section 7.4, F Prior to beginning volunteering in a child care facility, a CF-FSP 5217, Volunteer Acknowledgment which is incorporated by reference in 65C-22.001(7)(e), F.A.C., and may be obtained from the Departments website www.myflfamilies.com/childcare, must be completed and on file at the child care facility for the volunteer. Written documentation of volunteer hours must be maintained at the facility for a minimum of 12 months and available for review by the licensing authority

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

45-02 · Background Screening Documents

Licensing counselor observed volunteer supervising infant group alone and the provider does not have documentation which shows screening has been completed. CCF Handbook, Section 7.4.1,C A copy of the eligible results, for the Level 2 screening, generated from the Clearinghouse must be on record for each personnel

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

03-01 · Ratio Sufficient

Licensing counselor observed non-compliance with ratio in the following groups: 0 staff with 12 children ages infant, one, and school age. 1 staff with 13 children ages infant, two, three, and four. After another personnel arrived the corrected and complete ratio was counted as follows: 1:4 infant and age one 1:6 age one and school age. 1:15 ages two, three, four, five, and school age (only one child is 2yr old, majority 4yr old) 1:1 age three (with therapist not facility staff)

Corrected Corrected by Jun 20, 2023

Category: ratio. Marked corrected in the state record.

04-01 · Supervision

Licensing counselor observed children ages infant, one, and school age alone in classrooms without a staff person. While licensing counselor stood looking for personnel, the staff person arrived stating there was a plumbing issue that required her attention. CCF Handbook, Section 2.4.1.B. Child care 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 child care personnel supervision inside or outside the facility, in a vehicle, or at a field trip location

Corrected Corrected by Jun 20, 2023

Category: supervision. Marked corrected in the state record.

33-01 · Training Requirements

Child care personnel has not completed the 40 hour Introductory Child Care Training requirement. CCF Handbook Section 4.2.1 Child care personnel must successfully complete 40 hours of child care training as evidenced by successful completion of competency examinations offered by the Department or its designated representative with a weighted score of 70 or better

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-06 · Training Requirements

The facility did not have documentation to show personnel completed early literacy and language development course within 12 months of employment in child care industry. CCF Handbook, Section 4.2.2 Pursuant to Section 402.305(2)(e)5., F.S., all child care personnel must complete a single course of training in early literacy and language development of children ages birth through five years that is a minimum of five clock hours or .5 CEUs. Early literacy training must be completed within 12 months of date of employment in the child care industry. Proof of completion may be documented on a certificate of course completion, classroom transcript, or diploma

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-09 · Training Requirements

The facility did not have documented proof that child care personnel was trained and knowledgeable in safe sleep practices & shaken baby syndrome, and the use of fire extinguishers within 30 days of date of hire. CCF Handbook, Section 4.2.3 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. CCF Handbook, Section 4.2.5 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.

41-02 · Immunization Records

Licensing counselor observed children files missing current immunization record. CCF Handbook, Section 7.1 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.

43-10 · Enrollment Information

Licensing counselor observed children files missing documentation showing parents received distracted adult information during the month of April 2023. CCF Handbook, Section 7.3, C.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.

44-03 · Personnel Records

Licensing counselor observed personnel record missing signed statement regarding any work in a center that had been subject to negative licensing action or the subject of disciplinary action while employed. s.402.3055(1)(b), F.S. and Section 7.4, A CCF Handbook Section 7.4, 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: A. A complete employment application with the required statement pursuant to Section 402.3055(1)(b), F.S

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

45-01 · Background Screening Documents

Licensing counselor observed personnel record missing a complete CF-FSP Form 5131, Background Screening and Personnel File Requirements. CCF Handbook, Section 7.4.1, A Each personnel record must have a completed CF-FSP Form 5131, Background Screening and Personnel File Requirements, which is incorporated by reference in paragraph 65C-22.001(7)(b), F.A.C

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-04 · Background Screening Documents

Licensing counselor observed personnel record missing employment history verification. CCF Handbook, Section 5.1, D The employer/owner/operator must conduct employment history checks, including documented attempts to contact each employer that employed the individual within the preceding five years, and documentation of the findings. Documentation must include the applicants job title and description of his/her regular duties, confirmation of employment dates, and level of job performance. The employer/owner/operator must make at least three attempts to obtain employment history information. Failed attempts to obtain employment history must be documented in the personnel file and include date, time, and the reason the information was not obtained

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-06 · Background Screening Documents

Licensing counselor observed personnel record missing Child Care Attestation of Good Moral Character. CCF Handbook, Section 7.4.1, 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

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

03-01 · Ratio Sufficient

Licensing counselor observed one child care personnel with 9 children ages infant, one, and two. During the inspection an additional child care personnel arrived. and ratio in this group was corrected as follows 1:4 infant and age one, 1:5 ages one and two. Also counted in ratio 1:10 ages 3-5. One volunteer present

Corrected Corrected by Feb 8, 2023

Category: ratio. Marked corrected in the state record.

33-13 · Training Requirements

Program personnel did not complete training requirements prior to unsupervised contact with or care of children, or if supervised, within 90 days of beginning employment or service with the program

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

17-06 · Outdoor Play Area/Fencing

Licensing counselor observed gate which had gaps that could allow children to exit the outdoor play area. CCF Handbook, Section 3.5, F

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

44-04 · Personnel Records

The personnel/ volunteer (ten hours or more per month) record did not include a CF-FSP 5337 Child Abuse and Neglect Reporting Requirements form signed annually. At the time of inspection personnel signed the form. CCF Handbook, Section 7.4, C

Corrected Corrected by Feb 8, 2023

Category: recordkeeping. Marked corrected in the state record.

44-05 · Personnel Records

A Volunteer Acknowledgement (Form CF-FSP 5217) was not on file prior to volunteering. At the time of inspection from was signed. CCF Handbook, Section 7.4, F

Corrected Corrected by Feb 8, 2023

Category: recordkeeping. Marked corrected in the state record.

45-06 · Background Screening Documents

The Child Care Attestation of Good Moral Character was not completed at the time of initial screening or upon change in employers. At the time of inspection personnel signed the form. CCF Handbook, Section 7.4.1, B

Corrected Corrected by Feb 8, 2023

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

33-01 · Training Requirements

Staff listed on the supplemental has not completed their required 40 hour training. Corrective action is needed

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

43-10 · Enrollment Information

The facility has failed to complete the distracted driver brochure, including parent's signature. Corrective action is needed

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.