04-01 · Staff Training (Form OEL-SR-6206

5 Staff Training 5.1 Training Required Prior to Licensure/Caring for Children C. Have certificate(s) of course completion for pediatric cardiopulmonary resuscitation (CPR) procedures and first aid training, which must be current and valid at all times. Certificates of course completion are valid based on the time frames established by each first aid and CPR training program, not to exceed three years. CPR courses must include an on-site instructor-based skills assessment that shall be documented by the certified CPR instructor. Documentation of completion of the online course and on-site assessment must be maintained at the home and available for review by the licensing authority No valid first aid on file at facility

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

03-06 · Background Screening Requirements (Form OEL-SR-6206

4.3 Background Screening Documents H. The operator, substitute, employee and/or volunteer must complete a CF-FSP 5337, Child Abuse and Neglect Reporting Requirements, incorporated by reference in 65C22.001(7)(l), F.A.C., There was not a complete staff file at facility. No signed CAN forms present

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

04-02 · Staff Training (Form OEL-SR-6206

5 Staff Training 5.1 Training Required Prior to Licensure/Caring for Children C. Have certificate(s) of course completion for pediatric cardiopulmonary resuscitation (CPR) procedures and first aid training, which must be current and valid at all times. Certificates of course completion are valid based on the time frames established by each first aid and CPR training program, not to exceed three years. CPR courses must include an on-site instructor-based skills assessment that shall be documented by the certified CPR instructor. Documentation of completion of the online course and on-site assessment must be maintained at the home and available for review by the licensing authority. No valid CPR on file at the facility

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

17-03 · Smoke Detector, Fire Extinguisher, Telephone, Lighting, Temperature and Ventilation

5.2.2 Fire Extinguisher Training All child care personnel shall be trained in the use and operation of a fire extinguisher, at each home they are employed, within 30 days of date of hire. Documentation of completed training must be maintained in the personnel record. The fire extinguisher did not have a certificate

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

22-05 · First Aid Kit (Form OEL-SR-6206

7.19 First Aid Kit At least one first aid kit must be maintained on the premises of the home at all times and on activities away from the home. The first aid kit shall be kept out of the reach of children and must be accessible to child care personnel. First aid kits or supplies must be restocked after each use. The kit must be clearly labeled First Aid and must, at a minimum, include: A. Soap and hand sanitizer (to be used with supervision if hands are not visibly soiled and if no water is present), B. Adhesive bandages, C. Disposable non-porous gloves, D. Cotton balls or applicators, E. Sterile gauze pads or rolls, F. Adhesive tape, G. Digital thermometer, H. Tweezers, I. Pre-moistened wipes, J. Scissors, K. Bottled water (for cleaning wounds or eyes), and L. A current resource guide on first aid and CPR procedures. The facility did not an adequate first aid kit

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

24-05 · Emergency Procedures and Notification (Form OEL-SR-6206

There was no Accident/ incident form present at the facility

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

25-01 · Fire Drills/Emergency Preparedness (Form OEL-SR-6206

7.21 Fire Drills A. During the homes licensure year, fire drills utilizing the smoke detector(s) must be conducted monthly at various dates and times when children are in care. There are no fire drills conducted at this Daycare Home

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

25-06 · Fire Drills/Emergency Preparedness (Form OEL-SR-6206

7.20 Emergency Procedures and Notification The operator shall have a procedure for responding when an immediate emergency medical response is required. Emergency procedures must be posted and readily accessible. The operator shall develop contingency plans for emergencies or disaster situations when it may not be possible to follow standard emergency procedures. All child care personnel must be trained to manage in an emergency. There are no emergency preparedness plans at this facility

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

29-02 · Health/Immunization Records (Form OEL-SR-6206

8.1 Health/Immunization Records A. The operator is responsible for obtaining for each child in care a current, complete and properly executed Florida Certification of Immunization form, Parts A-1, B, and/or C, DH 680 (July 2010), or the Religious Exemption from Immunization form, DH 681 (July 2008), which are incorporated herein by reference in 65C-22.001(7)(o) and (p), F.A.C., from the custodial parent or legal guardian, within 30 days of enrollment. DH Form 680 and DH Form 681 may be obtained from the local health department. 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 should 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. There are two children with expired immunization forms

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

31-02 · Enrollment Information (Form OEL-SR-6206

8.3 Enrollment Information A. The operator shall obtain enrollment information from the childs custodial parent or legal guardian prior to accepting the child into care. This information shall be documented on CF-FSP Form 5219, Child Care Application for Enrollment, which is incorporated by reference in 65C-22.001(7)(f), F.A.C., or an equivalent that contains all the information required by the Departments form. CF-FSP Form 5219 may be obtained from the Departments website at www.myflfamilies.com/childcare. B. Enrollment information shall be kept current and on file for each child in care and available for licensing to review. There are files without enrollment information

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

37-02 · Planned Activities (Form OEL-SR-6206

Each age group or class must have a written and followed plan of scheduled activities posted in a conspicuous location accessible to the custodial parents or legal guardian. The written plan shall include a variety of activities that range from structured to unstructured activities that encourage a childs developmental growth. The written plan must meet the needs of the children being served and include scheduled activities that: A. Promote emotional, social, intellectual and physical growth; B. Include quiet and active play, both indoors and outdoors; and C. Include meals, snacks, and nap times, if appropriate for the age and the times the children are in care. D. Do not include the use of electronic media for children under two years of age. Electronic media may only be used for educational purposes or physical activity for children 2 years of age and older for no more than 1 to 2 hours per day. E. Providers must implement program practices that promote consistency and continuity of care for infants and toddlers. Early care and education programs should provide opportunities for each child to build emotionally secure relationships with a limited number of child care personnel. Efforts to promote consistency and continuity of care are shown through following daily routines and communicating consistently with parents/guardians. 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. G. The program must make reasonable accommodations as required by the American Disabilities Act (42 U.S.C. 12101) to the environment, planned activities and schedule so that children with special needs may participate. Providers are encouraged to advise parents or legal guardians of their childs activities on a daily basis and to encourage parental participation in the programs activities. There are no posted lesson plans at this Daycare Home

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.