17-01 · Outdoor Play Area/Fencing

During the time of inspection, the Licensing Specialist observed there to be trash on the outside playground area. This standard was brought back into compliance by removing the trash on the playground area Per DCF Handbook Section 3.5 Outdoor Play Area A. The outdoor play area must be clean and free from litter, nails, glass and other hazards

Corrected Corrected by Jun 4, 2024

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

03-01 · Ratio Sufficient

During the time of inspection, the Licensing Specialist observed the two-year-old classroom were out of ratio. This standard was brought back into compliance when the Provider asked Assistant Director to assist in the two-year-old classroom. Per DCF Handbook Section 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

Corrected Corrected by Apr 2, 2024

Category: supervision. Marked corrected in the state record.

11-03 · Child Discipline

During the time of inspection, the Licensing Specialist witnessed via video Teacher #1 grab a two-year-old by the arm aggressively and continue to hold them by one arm until they stood up. This did not comply with the facility's written disciplinary and expulsion policies. Licensing Specialist was advised by the Director that Teacher #1 was terminated on 3/29/24. This standard was brought back into compliance. Per DCF Handbook Section 2.8 Child Discipline B. The childcare facility operators, employees, and volunteers must comply with written disciplinary and expulsion policies

Corrected Corrected by Apr 2, 2024

Category: recordkeeping. Marked corrected in the state record.

39-04 · Accident/ Incident Notification and Documentation

During the time of inspection, the Licensing Specialist observed that childcare personnel failed to share the accident/incident form with the custodial parent/ legal guardian, or the individual authorized to pick up child on the day that the incident occurred. This standard was brought back into compliance by the Assistant Director completing an accident/incident report and placing in children's file. Per DCF Handbook Section 6.4, B, D 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 Apr 2, 2024

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

47-01 · Access/Child Safety

During the time of inspection, the Licensing Specialist observed via video Teacher #1 grab a two-year-old by the arm aggressively and continue to hold them by one arm until they stood up. This standard was brought back into compliance when Director advised Licensing Specialist that Teacher #1 was terminated on 3/29/24. Per DCF Handbook 8.2, C Child Safety C. Childcare personnel must appropriately interact with children to foster a healthy, safe environment that will encourage the childs physical, intellectual, motor, and social development. Interactions with children that are aggressive, demeaning or intimidating in nature are strictly prohibited

Corrected Corrected by Apr 2, 2024

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

42-01 · Student Health and Records

Per DCF Handbook Section 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. 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.

04-01 · Supervision

Licensing Specialist received a copy of an Employee Counseling corrective Action Form from partner agency for the teacher KC the form was dated on 9/18/2023 The incident accuracy/issue were as follow: Incident accrued on 9/14/2023 children were left unattended for at least 5 minutes. Second Incident on 9/18/2023 a child was found in the hallway this went unnoticed until it was brought to the class attention. Teacher was terminated on Sep 21, 2023, thus returning this standard into compliance at this time. Licensing Specialist provided technical assistance: Licensing Specialist reminded the director of standard number 47.3 As a mandated reporter, the owner, operator, employee, volunteer or substitute failed to report suspected child abuse or neglect as required in section 39.201, Florida Statutes. CCF Handbook, Section 8.2, B CCF Handbook, Section 8.2, B. Failure to perform the duties of a mandatory reporter pursuant to Section 39.201, F.S., constitutes a violation of the standards in Section 402.301-.319, F.S. CCF Handbook, Section 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. 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 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 child care 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

Corrected Corrected by Sep 28, 2023

Category: supervision. Marked corrected in the state record.

30-09 · Diapering

Licensing Specialist received a copy of an Employee Counseling corrective Action Form from partner agency for the teacher, RC. The teacher was written up for an incident on 09/15/2023, in which she left a child in a diaper with feces in it for an extended period of time. The teacher was terminated, Licensing specialist observed the life footage of the One-Year-Old class. Teacher was changing diapers; teacher was following the diaper changing procedure, thus returning this standard into compliance at the time of this inspection. CCF Handbook, Section 3.10.2 Diapering Requirements A. When children in diapers are in care, a hand-washing station that includes a sink with running water, soap, trash receptacle, and disposable towels or hand drying machines that are properly installed and maintained shall be provided in the room or in an adjoining area which opens into the room. B. Hands must be washed and dried thoroughly after each diapering or toileting procedure, and all surfaces that have been touched must be cleaned and sanitized or disinfected to prevent the spread of germs. C. Handwashing sinks must not be used for food service preparation, dishwashing, or food clean up. D. The diaper changing area must be physically separated from the food preparation, food service, and feeding area. E. When children in diapers are in care, there must be a diaper changing area with an impermeable surface that is cleaned and sanitized or disinfected after each use. F. Children must be directly attended at all times when being diapered or when changing clothes. Child care personnel must not leave children unattended on a table or countertop. A safety strap or harness must not be used on the diaper changing table/surface. 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. H. There must be a supply of clean diapers, clothing, and linens at all times. I. When diapers, clothing or linens that are being used become soiled or wet, they are to be changed immediately, and properly disposed. J. Soiled or wet disposable diapers must be disposed of in a plastic lined, securely covered container that is not accessible to the children. The container must be emptied, cleaned and sanitized or disinfected, at least, daily. K. Soiled cloth diapers must be emptied of feces in the toilet and soiled or wet cloth diapers shall be placed in a securely covered container that is not accessible to the children. The container must be emptied, cleaned and sanitized or disinfected, at least, daily. L. Diaper changing procedure must be posted in the changing area and followed to protect the health and safety of children and child care personnel

Corrected Corrected by Sep 28, 2023

Category: ratio. Marked corrected in the state record.

33-01 · Training Requirements

Licensing Specialist observed teacher's files and training, Licensing Specialist observed that three teachers did not finish the required DCF training by the required time. Teacher 1 ARC was terminated due to the complaint allegations on September 28, 2023, due to not following the diaper changing procedure and not communicating professionally with the parents. Teacher was added to the clearing house employee roster on 09/22/2021 AR, did not finish the required training by the 15 months mark, and did not take the required Early Literacy course by the 12-month mark. Teacher 2 JF was added to the clearing house employee roster on 3/7/2022, teacher 2 did not finish the required training by the 15 months mark and did not take the required Early Literacy course by the 12-month mark. Teacher3:AR was added to the clearing house as an employee roster on 2/7/2203, teacher 2 did not register or start working on required training within 90 days of her employment start day. TA was provided: Staff responsible informed Licensing Specialist via phone that teacher 1 was terminated, teacher 2 ad 3 resigned, thus returning this standard into compliance. 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. Training completion may not exceed 15 months from the date of employment in the childcare industry in any licensed Florida childcare facility. This may be accomplished by classroom attendance in a Department-approved training course, acquiring an educational exemption from a Department-approved training course, beginning a Department-approved online childcare training course, or by receiving results from a Department-approved competency examination. The childcare program is responsible for obtaining training documentation from childcare personnel. CCF Handbook Section 4.2.1 Mandated Introductory Training Childcare personnel must successfully complete 40 hours of childcare 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. Childcare personnel who successfully completed the mandatory 40-hour Introductory Childcare Training prior to January 1, 2004, are not required to fulfill the competency examination requirement. A. Part I Courses (30 Hours) Childcare personnel must complete all of the following: Childcare Facility Rules and Regulations, Health, Safety and Nutrition, Identifying and Reporting Child Abuse and Neglect, Child Growth and Development, Behavioral Observation and Screening .B. Part II Courses (10 Hours) Childcare personnel must also complete 10 hours of the following Part II courses: Special Needs Appropriate Practices (10 hours), or Understanding Developmentally Appropriate Practices (5 hours) and one of the following courses:1. Infant and Toddler Appropriate Practices (5 hours) 2. Preschool Appropriate Practices (5 hours) 3. School- Age-Appropriate Practices (5 hours) CCF Handbook Section 4.2.2 Early Literacy Training Pursuant to Section 402.305(2)(e)5., F.S., all childcare 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 childcare industry. Proof of completion may be documented on a certificate of course completion, classroom transcript, or diploma. Childcare personnel must complete one of the following: A. One of the Departments online literacy courses available on the Departments website. B. One of the Departments approved literacy courses. C. One college level early literacy course

39-04 · Accident/ Incident Notification and Documentation

Licensing Specialist observed the incident reports for the months off July, August, in September of 2023. Licensing Specialist observed 26 incident reports, reports were missing signatures and/or dates, from parents and/or witnesses. TA was provided: Licensing Specialist discussed Accident/Incident Reports requirements with the director. CCF Handbook, Section 6.4 B. This documentation must be shared with the custodial parent or legal guardian on the date of occurrence. 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. 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 Sep 28, 2023

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

33-05 · Training Requirements

Ms. T has an industry start date of 2/2/2020 however she never completed the required training and mandated training before returning to the industry. Be sure to have Ms. T complete the required training by the due date

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-06 · Training Requirements

Miss A and Miss T both have not completed the ELC trainings within 12 months of industry start date. Be sure to have both staff complete the ELC trainings by due date

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-03 · Training Requirements

Counselor reviewed Ms. A's DCF transcript and found that Ms. A has not completed her 40 hours of introductory training within 90 days of employment in the childcare industry. Be sure to have Ms A complete the 40 hours of training by the due date

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

24-02 · Hand Washing:

staff member in the toddler class was observed no washing hands between diaper changes

Corrected Corrected by Mar 15, 2023

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