07-04 · Technical assistance was given to provider per FDCH handbook " The Departments six clock-hour Family Child Care Home Rules and Regulations training, as evidenced by successful completion of a competency- based examination offered by the Department or its designated training representative prior to licensure and caring for children."

FSC observed that substitute did not take the required exam to satisfy the rule and regulations training

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

32-02 · Technical assistance was given to provider per FDCH handbook " A. The operator is responsible for obtaining for each child in care a current, complete and properly executed DH 3040, Student Health Examination form, incorporated by reference in 65C-22.001(7)(q), F.A.C. and may be obtained from the local county health department, or a signed statement by an authorized professional that indicates the results of the components of the form are included in the health examination from the custodial parent or legal guardian, within 30 days of enrollment. B. The Student Health Examination shall be completed by a person given statutory authority to perform health examinations. C. The Student Health Examination form or signed statement is valid for two years from the date the physical was performed and must be on file as long as the child is in care. D. If the custodial parents or legal guardians fail to provide the above required documentation within 30 days of enrollment, the home shall not allow the child to remain in the program. E. School-aged children attending public or nonpublic schools are not required to have student health examination and immunization records on file at the home as such records are on file at the school where the child is enrolled. F. If the custodial parents or legal guardians need assistance concerning these requirements, the home shall refer them to the Department of Health or to the child's physician. G. Medical records in this section are the property of the custodial parent or legal guardian and must be returned when the child is no longer in care. The medical records are transferable if the child is placed in a different child care. H. Any child who has or is at an increased risk for a chronic physical, developmental, behavioral or emotional condition and require 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. Child care personnel caring for a child with an Emergency Care Plan must be trained to recognize and respond appropriately to a medical emergency"

1 of 7 enrolled children health examination file was observed by FSC to be expired

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

07-04 · Technical assistance was given to provider per FDCH handbook " The Departments six clock-hour Family Child Care Home Rules and Regulations training, as evidenced by successful completion of a competency- based examination offered by the Department or its designated training representative prior to licensure and caring for children. "

FSC observed that substitute did not take the required exam to satisfy the rule and regulations training

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

14-12 · Technical assistance was given to provider per FDCH handbook "All homes 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. All playground equipment, if provided, shall be securely anchored, unless portable or stationary by design, in good repair, maintained in safe condition, and placed to ensure safe usage by the children."

FSC observed a large trampoline on play area was not age appropriate for the children in care, provider was able to correct at the time of inspection by removing access to trampoline

Corrected Corrected by May 22, 2023

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

14-16 · Technical assistance was provided to provider per FDCH handbook " Permanent or stationary playground equipment must have a ground cover or other protective surface under the equipment that provides resilience and is maintained to reduce the incidence of injuries to children in the event of falls. Equipment used for climbing must not be placed over, or immediately next to hard surfaces not intended for use as surfacing for climbing equipment. All permanent/anchored playground equipment must be placed over a shock absorbing material that is either the unitary or the loose fill type extending beyond the perimeter of the stationary equipment."

FSC observed that climbable toys were not provided with a fall zone and pose a possible threat to children in care, provider was able to correct at the time of inspection by removing climbable objects from play area/removing access to climbable toys

Corrected Corrected by May 22, 2023

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

32-02 · Technical assistance was given to provider per FDCH handbook " A. The operator is responsible for obtaining for each child in care a current, complete and properly executed DH 3040, Student Health Examination form, incorporated by reference in 65C-22.001(7)(q), F.A.C. and may be obtained from the local county health department, or a signed statement by an authorized professional that indicates the results of the components of the form are included in the health examination from the custodial parent or legal guardian, within 30 days of enrollment. B. The Student Health Examination shall be completed by a person given statutory authority to perform health examinations. C. The Student Health Examination form or signed statement is valid for two years from the date the physical was performed and must be on file as long as the child is in care. D. If the custodial parents or legal guardians fail to provide the above required documentation within 30 days of enrollment, the home shall not allow the child to remain in the program. E. School-aged children attending public or nonpublic schools are not required to have student health examination and immunization records on file at the home as such records are on file at the school where the child is enrolled. F. If the custodial parents or legal guardians need assistance concerning these requirements, the home shall refer them to the Department of Health or to the child's physician. G. Medical records in this section are the property of the custodial parent or legal guardian and must be returned when the child is no longer in care. The medical records are transferable if the child is placed in a different child care. H. Any child who has or is at an increased risk for a chronic physical, developmental, behavioral or emotional condition and require 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. Child care personnel caring for a child with an Emergency Care Plan must be trained to recognize and respond appropriately to a medical emergency"

1 of 7 enrolled children health examination file was observed by FSC to be expired

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

33-02 · Technical assistance was given to provider per FDCH " A. The operator is responsible for obtaining for each child in care a current, complete and properly executed DH 3040, Student Health Examination form, incorporated by reference in 65C-22.001(7)(q), F.A.C. and may be obtained from the local county health department, or a signed statement by an authorized professional that indicates the results of the components of the form are included in the health examination from the custodial parent or legal guardian, within 30 days of enrollment. F. If the custodial parents or legal guardians need assistance concerning these requirements, the home shall refer them to the Department of Health or to the child's physician."

FSC observed 2 of 7 enrolled children enrollment file to be not be completed. Provider was able to correct at the time of inspection by having parents complete enrollment application in its entirety

Corrected Corrected by May 22, 2023

Category: recordkeeping. Marked corrected in the state record.