88-35 · Violation

2-2842. These courses include: ? Health, Safety and Nutrition; ? Identifying and Reporting Child Abuse and Neglect; ? Child Growth and Development; and ? Behavioral Observation and Screening. Additionally, providers who completed this DCF training on or before December 31, 2023, must also complete these DEL-approved health and safety modules within 180 days or by June 30, 2024: ? Health and Nutrition in the School Readiness Program and Page 7 School Readiness Program Health and Safety Standards Handbook l ? Safety Practices in the School Readiness Program. Providers who complete the DCF training after December 31, 2023, must complete the additional DEL-approved health and safety modules within 90 days of hire. OR 2. Licensed School Readiness providers and any other SR provider type may complete: a. By December 31, 2023, the DEL-approved online School Readiness Early Learning Florida (ELFL) health and safety modules as evidenced by successful completion of the examination at the end of the modules with a weighted score of 70 or better. After December 31, 2023, these ELFL modules will not be available; ? Health and Sanitation; ? Safety of the Environment; ? Precautions in Transporting Children (if applicable); ? Safe Sleep Practices (not required for school-age only programs); ? Child Safety and Prevention; ? Planning for Emergencies; and ? Prevention of Child Abuse and Supporting Children in Trauma. And any of the following developmentally appropriate practices modules completed through ELFL, as applicable: ? Supporting the Social-Emotional Development of Infants/Toddlers; ? Supporting the Social-Emotional Development of Preschool Children; or ? Supporting the Social-Emotional Development of Mixed-Age Group Care. Additionally, providers who have completed this training by December 31, 2023, must also complete these DEL-approved health and safety modules within 180 days or by June 30, 2024: ? Health and Nutrition in the School Readiness Program and ? Safety Practices in the School Readiness Program. OR b. After January 1, 2024, the DEL-approved online School Readiness health and safety courses as evidenced by successful completion of the examination at the end of the modules with a weighted score of 70 or better. Course access can be found at the Florida Early Childhood Professional Development Registry website at www.myflfamilies.com/childcare. ? Child Development in the School Readiness Program; ? Health and Nutrition in the School Readiness Program; ? Safe Sleep Practices in Child Care (not required for school-age only programs); ? Safety Practices in the School Readiness Program; and ? Transportation Safety in Child Care Programs (if applicable). Page 8 School Readiness Program Health and Safety Standards Handbook l B. Child care personnel employed by a public school district may show verification of completion of a course covering identification and prevention of child abuse and neglect, which has been approved and administered by the school district, to meet the course requirement(s) above on the same subject matter. C. As part of the required health and safety training, all School Readiness chil

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

06-02 · Driver's License, Physician Certification

7.4 Personnel Records 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: E. For the driver only: Florida drivers license and driver physical examination documentation. A copy of the drivers license and the physician certification, or another form containing the same elements of the physician certification, granting medical approval to operate the vehicle, and valid certificate(s) of course completion for first aid training, pediatric cardiopulmonary resuscitation (CPR) procedures, and background screening must also be maintained in the drivers personnel file

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

07-05 · Vehicle Requirements

2.5.4 Vehicle Requirements For the purpose of this section, vehicles refer to those owned, operated or regularly used by the child care program, and vehicles that provide transportation through a contract or agreement with an outside entity. Parents/guardians personal vehicles used for transporting during field trips are excluded from meeting the requirements of this sub-section. Child Care Facility Handbook Page | 17 A. All vehicles regularly used to transport children must be inspected annually by a mechanic to ensure that they are in proper working order. Documentation by the mechanic must be maintained in the vehicle. B. The maximum number of individuals transported in a vehicle may not exceed the manufacturers designated seating capacity or the number of factory installed seat belts. C. When transporting children, staff-to-child ratios must be maintained at all times. The driver may be included in the staff-to-child ratio if he or she meets screening and training requirements. D. All child care facilities must comply with the insurance requirements found in Section 316.615(4), F.S. Documentation shall be maintained at the facility. E. The interior of vehicles, when being used to transport children, must be maintained at a temperature comfortable to children (between 65- and 82- degrees Fahrenheit). The vehicle can be ventilated either by mechanical or natural means to maintain the temperature. F. By January 1, 2022 all vehicles used by child care facilities to transport children must be equipped with a reliable alarm system approved by the Department which prompts the driver to inspect the vehicle for children before exiting the vehicle. 1. Approved alarm systems must meet the following criteria: a. The alarm system must be armed or activated automatically when the vehicles ignition is turned on. b. The alarm system must be designed and installed so that the vehicle horn, siren or other type of audio alarm will sound if the driver/staff member does not walk to the rear or, in the case of a passenger van, the side entry point of the vehicle, to manually shut off or deactivate the alarm. c. The time delay from the time the ignition is turned off after activation of the alarm system until the alarm sounds shall be no longer than one minute. d. The alarm must be audible from the distance of 500 feet from the vehicle. e. The alarm system must be installed so that the driver must walk to the back of the vehicle to reach the deactivation mechanism. Deactivation mechanisms installed in locations that do not require the driver to walk to the back of the vehicle and view all seating areas will not be acceptable. 2. List of approved alarm manufacturers may be found on the Departments website at www.myflfamilies.com/childcare . 3. Alarms must be installed and maintained according to the manufacturers recommendations. 4. Alarm systems installed according to the manufacturers instructions prior to October 1, 2021, will be deemed to satisfy this requirement if they meet the criteria set forth in 2.5.4.F.1. above. Under this allowance, the existing alarm system must always be properly maintained in working order. Should at any time the alarm system require replacement, the new system must be selected from the Departments approved list referenced in 2.5.4 F.2. above

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

32-03 · Outdoor Equipment

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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

41-01 · Immunization Records

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[1]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 Child Care Facility Handbook Page | 60 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 child care 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 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 in 65C-22.001(7)(v), F.A.C

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Student Health and Records

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. 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.

07-04 · Vehicle Requirements

CCRC observed that the facility did not have an annual vehicle inspection at the time of inspection. According to the DCF Facility Handbook: Section 2.5.4, A A. All vehicles regularly used to transport children must be inspected annually by a mechanic to ensure that they are in proper working order. Documentation by the mechanic must be maintained in the vehicle

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

23-01 · Fire Drills

The facility did not have documented proof of an annual fire inspection by local fire authority. According to the DCF Facility Handbook: Section 3.8.2, A 3.8.2 Fire Safety A. Unless statutorily exempted, all child care facilities must conform to state standards adopted by the State Fire Marshal, Chapter 69A-36, F.A.C., Uniform Standards for Life Safety and Fire Prevention in Child Care Facilities. A copy of the current and approved annual fire inspection report completed by a certified fire inspector must be on file with the licensing authority. If the program is granted a fire inspection exemption by the local fire inspection office, the exemption must be documented and maintained on file at the program

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-07 · Training Requirements

CCRC observed that no employees have completed the required in-service training for the fiscal year. According to the DCF Facility Handbook: Section 4.2.7 4.2.7 Annual In-Service Training Upon successful completion of the 40-hour introductory training requirements, childcare personnel must complete a minimum of 10 clock- hours or one CEU of in-service training annually during the states fiscal year beginning July 1 and ending June 30. B. Documentation of the in-service training requirement must be recorded on Form 5268, Child Care In-Service Training Record, which is incorporated by reference in 65C-22.001(7)(i), F.A.C., and included in the childcare facilitys personnel records. CF-FSP Form 5268 may be obtained from the Departments website at www.myflfamilies.com/childcare. A new in-service training record is required each fiscal year. The in-service training records for the previous two fiscal years must also be maintained at the childcare facility for review by the licensing authority

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.