Hillsborough Baptist School Inc

12-18 · Facility Environment

During the time of the inspection, the Licensing Specialist observed that the accessible electrical outlets were missing covers. According to the childcare facility handbook 3.1 General Health and Safety Requirements I. All accessible electrical outlets must be tamper-resistant electrical outlets that contain internal shutter mechanisms to prevent children from sticking objects into receptacles. In settings that do not have tamper-resistant electrical outlets, outlets shall have safety covers

13-03 · Toxic Substances, Hazardous Materials and Weapons

During the time of the inspection, the Licensing Specialist observed that the bottom cabinet that stored bleach and other cleaning supplies was not the locked. This was bought back into compliance as the Licensing Specialist had the teacher lock the cabinet. According to the childcare facility handbook 3.2 Toxic/Hazardous Material/Firearms/Weapons B. All potentially harmful items, including cleaning supplies, flammable products, poisonous, toxic, and hazardous materials, must be labeled and used according to manufacturers recommendation. These items, as well as knives, sharp tools, and other potentially dangerous hazards, must be stored in a locked area or must be inaccessible and out of a childs reach at all times

Corrected by Jul 17, 2024

23-06 · Fire Drills

During the time of the inspection, the Licensing Specialist observed that the fire drill for June 2024 was not recorded. The last recorder fire drill was for May 14, 2024. According to the childcare facility handbook 3.8.4 Fire Drills A. During the facilitys license year, fire drills utilizing the alarm system, approved by the local fire authority, must be conducted monthly at various dates and times when children are in care. B. When the facilitys approved fire alarm alert system is activated or initiated, all adults and children must evacuate the facility. C. A current attendance record and parent contact information must accompany child care personnel out of the building during a drill or actual evacuation and be used to account for all children. The operator must maintain a written record of the fire drills showing the date, number of children and child care personnel in attendance, evacuation route used, and time taken for all individuals to evacuate the premises. Each fire drill record must be maintained for a minimum of 12 months from the date of the fire drill. The fire drills conducted must include, at a minimum: 1. One fire drill using an alternate evacuation route, 2. One fire drill during napping/sleeping times, and 3. One fire drill in the presence and at the request of the licensing authority. This drill will be coordinated with the operator or designee

24-23 · Food Preparation Area

During the time of the inspection, the Licensing Specialist observed that two refrigerators and one freezer do not have thermometers. According to the childcare facility handbook 3.9.2 Food Storage Proper storage of food is essential to prevent food contamination, as well as insect and rodent infestation. Correct handling and storage of all food is a key component in preventing food-borne illnesses. To prevent bacteria growth, cold food must be kept at or below 41 degrees Fahrenheit and hot foods at or above 135 degrees Fahrenheit. Facilities choosing to prepare food must have a designated space for food storage within the designated food preparation area or in a room not calculated as part of indoor floor space, and in an area not used for diapering. Off-site food storage is permissible only if the site of storage is a licensed child care facility under the same ownership that includes a food preparation area that meets licensing standards. F. Refrigerators/freezers: 1. An accurate thermometer designed to measure cold storage temperature must be placed inside each refrigeration and freezer unit. Thermometers in refrigerators must show a reading of 41 degrees Fahrenheit or below, and thermometers in freezers must show a reading of 0 degrees Fahrenheit or below. The thermometer must be located in the center of the unit and be readily accessible. Thermometer temperature readings higher than specified above require further temperature testing of food samples stored in the unit using a probe type thermometer; and adjustments to the unit setting to reach and maintain the required readings must be made

29-16 · Health and Sanitation

During the time of the inspection, the Licensing Specialist did not observe any handwashing procedures/instructions in the diaper changing or the bathroom. According to the childcare facility handbook 3.10 Sanitation 3.10.1 Handwashing Childcare personnel and children must wash their hands thoroughly with soap and running water, dry, and follow personal hygiene procedures for themselves and while assisting others. Examples of activities when handwashing is required include but are not limited to: before and after eating, immediately following outdoor play, after toileting, following the use of any cleaners or toxic chemicals, before and after administering medication, and during food preparation and snack distribution. D. Situations or times that children, childcare personnel, and/or volunteers must perform hand hygiene must be posted in all food preparation, diapering, and toileting areas

30-14 · Diapering

During the time of the inspection, the Licensing Specialist did not observe any diaper changing procedures posted. According to the childcare facility handbook 3.10.2 Diapering Requirements 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

33-01 · Training Requirements

During the time of the inspection, the Licensing Specialist observed that there were not up to date transcripts in the employees' files. Therefore, the Licensing Specialist was unable to verify training. According to the childcare facility handbook 4.2 Training Requirements 4.2.1 Mandated Introductory Training 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. Child care personnel who successfully completed the mandatory 40-hour Introductory Child Care Training prior to January 1, 2004 are not required to fulfill the competency examination requirement. A. Part I Courses (30 Hours) Child care personnel must complete all of the following: ? Child Care 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) Child care 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)

33-02 · Training Requirements

During the time of the inspection, the Licensing Specialist observed that there were not up to date transcripts in the employees' files. Therefore, the Licensing Specialist was unable to verify training. According to the childcare facility handbook 4.5 Documentation of Training The Departments training transcript is the only acceptable verification of successful completion of the Departments training, early literacy courses and school-age training documentation. A. A copy of the Departments training transcript may be obtained from the Departments website at www.myflfamilies.com/childcare. B. A copy of the training transcript must be included in each child care personnels record maintained at the child care facility. C. Early literacy courses and school-age training documentation must be uploaded into the Florida Pathways (Registry), which may be accessed from the Departments website at www.myflfamilies.com/childcare. D. Any course completion certificate not documented on the training transcript will be considered invalid, requiring that the course(s) be retaken. Until the coursework is retaken and completed, child care facilities will be out of compliance for the mandatory training standard. Pursuant to Section 402.305(3), F

33-07 · Training Requirements

During the time of the inspection, the Director advised the Licensing Specialist that not up to date transcripts, or certificates are available for the 10 hours of Inservice training for the childcare personnel (new hires not included or personnel that started after the fiscal year are not included). According to the childcare facility handbook 4.2.7 Annual In-Service Training Upon successful completion of the 40-hour introductory training requirements, child care 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. A. The annual 10 clock -hours or one CEU of in-service training concentration on children ages birth through 12 must be completed in one or more of the following areas (college level courses will be accepted): 1. Health and safety, including universal precautions, prevention of infectious diseases, sudden infant death syndrome, emergencies due to food and allergic reactions, shaken baby syndrome, use of safe sleep practices, administration of medicine, emergency preparedness, and handling of hazardous materials; 2. Pediatric CPR; 3. First Aid (may be taken to meet the in-service requirement only once every two years); 4. Nutrition; 5. Child development - typical and atypical; 6. Child transportation and safety; 7. Behavior management; 8. Working with families; 9. Design and use of child-oriented space; 10. Community, health and social service resources; 11. Child abuse; 12. Child care for multilingual children; 13. Working with children with disabilities in child care; 14. Safety in outdoor play; 15. Literacy; 16. Guidance and discipline; 17. Computer technology; 18. Leadership development/program management and child care personnel supervision; 19. Age-appropriate lesson planning; 20. Homework assistance for school-age care; 21. Food safety training; 22. Developing special interest centers/spaces and environments; 23. Other course areas relating to child care or child care management; 24. Any of the online courses offered through the Departments child care website.B. Documentation of the in-service training requirement must be recorded on CFFSP 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 child care 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. C. All childcare personnel employed in the industry beyond 15 months, who change employment from one childcare program to another during the fiscal year must complete the annual in-service training requirement. D. Childcare personnel not in compliance with the annual in-service training requirement described in this section must complete the remaining in-service training requirement within 30 days of the noncompliance finding by the licensing authority. These hours cannot be used to meet the current years in-service training requirements

33-09 · Training Requirements

During the time of the inspection, the Licensing Specialist was unable to see any transcripts because they are not on file to see safe sleep. The Director advised the Licensing Specialist that the childcare personnel need to complete the fire extinguisher training. According to the childcare facility handbook 4.2.3 Safe Sleep/ Shaken Baby Syndrome Training All childcare 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 childcare 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 4.2.5 Fire Extinguisher Training 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

36-01 · CPR Requirements

During the time of the inspection, the Director advised the Licensing Specialist that no childcare personnel in the facility has CPR Certification. According to the childcare facility handbook 4.2.4 First Aid and Cardiopulmonary Resuscitation (CPR) A. One childcare personnel with current and valid certificate(s) of course completion for first aid training and one childcare personnel with current and valid certificate of course completion for pediatric cardiopulmonary resuscitation (CPR) procedures must be present at all times that children are in care. The same childcare personnel may satisfy both requirements. Documentation of first aid training must be kept on file and available for licensing to review

37-01 · First Aid Requirements

During the time of the inspection, the Director advised the Licensing Specialist that no childcare personnel in the facility has First Aid Certification. According to the childcare facility handbook 4.2.4 First Aid and Cardiopulmonary Resuscitation (CPR) A. One childcare personnel with current and valid certificate(s) of course completion for first aid training and one childcare personnel with current and valid certificate of course completion for pediatric cardiopulmonary resuscitation (CPR) procedures must be present at all times that children are in care. The same childcare personnel may satisfy both requirements. Documentation of first aid training must be kept on file and available for licensing to review

41-01 · Immunization Records

During the time of the inspection, the Licensing Specialist observed that one child does not have an immunization record on file. According to the childcare facility handbook 7.1 Immunization Records The child care facility is responsible for obtaining for each child in care a current, completeand 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 ImmunizationGuide7.1 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, DH680, 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. 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 aphysician 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 | 60documentation of a scheduled appointment or arrangement to receive immunizations. Providers must include a general statement in parent handbook/policies to informparents/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 havestudent 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 enrolllines-Florida Schools, Child Care Facilities and Family Day Care Homes aspromulgated by the Florida Department of Health..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 theprogram. 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 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

41-02 · Immunization Records

During the time of the inspection, the Licensing Specialist observed that nine children have expired immunization records on file. According to the childcare facility handbook 7.1 Immunization Records The childcare 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. 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 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 childcare facility as such records is 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 childcare 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

42-01 · Student Health and Records

During the time of the inspection, the Licensing Specialist observed that one child does not have a health examination on file. According to the childcare facility handbook 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