35-14 · Health and Sanitation rule 65C-22.002(10), F.A.C. 62-133(a)(12), 62-135(a) rule

Sink in dishwashing area has no third compartment, and there is no dishwasher available with a sanitizing cycle. Provider was informed that a third compartment or a dishwasher with a sanitizing cycle was required in order for washing to be conducted in the proper series

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

40-03 · Outdoor Equipment rule 65C-22.002(11), F.A.C. 62-133(c)(2) rule 65C-22.002(11), F.A.C

Monthly environmental safety check performed but not documented

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

57-07 · Children's Health/Immunization and Records ss. 402.305(9)

One student had out of date immunizations

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

23-02 · Individual Bedding rule 65C-22.002(5), 65C-22.002(10), 65C-22.008(3), F.A.C, rule

Observed in the infants in the cribs, swaddle's and boppy used for positioning the child up all while infants were sleeping in the cribs without a physicians note. All infants were under twelve months of age. For reference from the Childcare Facility Handbook below: 3.6.4 Safe Sleep A. All personnel that care for infants must follow safe sleep practices as recommended by the American Academy of Pediatrics (AAP) as referenced in Caring for Our Children Basics Health and Safety Foundations for Early Care and Education, which is incorporated by reference in 65C-22.001(7)(v), F.A.C. Cribs or playpens/play yards used for infants must have tight fitted sheets and no excess bedding, which includes but is not limited to: bumper pads, hanging mobiles, quilts, comforters, receiving blankets, pillows, stuffed animals and cushions. B. When napping or sleeping, young infants who are not able to roll over must be positioned on their backs and on a firm surface to reduce the risk of Sudden Infant Death Syndrome, unless an alternate position is authorized by a physician. Sleep sacks that fit according to manufacturers recommendations, do not restrict the infants arms, and will not slide up around the infants face may be used for the comfort of the sleeping infant; however, swaddling shall not be used unless authorized in writing by the childs physician. Written documentation of a physicians authorization must be on file at the facility. Documentation must include the childs name, childs date of birth, description of sleep position required, instructions for the use of any equipment needed, and length of time authorization is valid. C. Children must not be placed in the cribs, playpens, play yards or other sleeping and napping bedding with items that could pose a strangulation or suffocation risk. Cribs, playpens, play yards, other napping and sleeping bedding being used by a child must be placed a minimum of 18 inches away from window blinds, draperies or any window treatment/cover that pose a strangulation hazard. 7 Record Keeping Each of the records described in this section must be maintained at the program location and must be available during the hours of operation for review by the licensing authority: 21. Any child requiring an alternate sleep position shall have documentation of a physicians authorization for an alternate napping/sleeping position and/or swaddling must be maintained in the childs file for as long as the child is in care

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.