31-02 · Immunization Records rule 65C-20.011(1)(a)

Three children immunization records were expired

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

13-03 · Appropriate, Safe and Sanitary Bedding rule 65C-20.010(1)(k)-(o), F.A.C., 62-181

Observed three infants sleeping on bouncers with blankets covering the child. It was discussed with provider this is a safety concern. Provider was given a very thorough explanation of consequences of leaving infants slipping in the bouncing chairs. Provider did not remove the children from the bouncers. See below from: Home daycare handbook: 2.5 Planned/Unplanned Activities Large Family Child Care Homes F. Provide adequate time and space for infants, birth to 12 months, in care to engage in activities that promote development of movement skills (tummy time, crawling, turning over, sitting, etc.). Infant seats (swings, bouncers, etc.) must be used only for short periods of time, no more than 15-to-30-minute intervals per infant and no more than two times per day that the child is in care. Infants in care shall be provided opportunities for outdoor time each day that weather permits. 7.8 Appropriate, Safe and Sanitary Bedding B. 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, play yards, and playpens used for infants must have tight fitting 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. E. When napping or sleeping, young infants who are not capable of rolling over on their own shall be positioned on their back and on a firm surface to reduce the risk of Sudden Infant Death Syndrome (SIDS), unless an alternative position is authorized inwriting 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 shall be maintained in the childs record. 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. F. Sleep bedding includes beds, cribs, or mattresses. Nap bedding includes sleep bedding, cots, playpens, play yards or floor mats. Air and foam mattresses are prohibited. Floor mats must be at least one-inch thick, and covered with an impermeable surface