13-03 · Toxic Substances, Hazardous Materials and Weapons

During the time of the inspection, the Licensing Specialist observed there to be Multipurpose Disinfecting Wipes on the countertop of the bathroom in the VPK room within reach of children. During the time of the inspection, this was resolved by the teacher putting the wipes in a locked cabinet. During the time of the inspection, the Licensing Specialist provided technical assistance: per the CCF Handbook "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 Corrected by Nov 13, 2024

Category: health medication. Marked corrected in the state record.

20-03 · Crib Requirements

During the time of the inspection, the Licensing Specialist observed there to be three cribs with manufacture dates of March 2011, August 2011, and October 2011. During the time of the inspection, the Operator did not have documentation from the manufacturer stating the crib manufactured in March 2011 met current crib requirements. During the time of the inspection, the Licensing Specialist provided technical assistance: per the CCF Handbook "Crib Requirements Children up to one year of age must be in a crib or playpen/play yard with sides for napping. Crib sides must be secured while there is an infant in the crib. Bar spacing must not exceed two and three-eighths inches. Cribs or playpen/play yards must meet the regulations as outlined in Title 16, Parts 1219, 1220 & 1221 Code of Federal Regulations, 2014, which is incorporated by reference in 65C22.001(7)(w), F.A.C."

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

24-16 · Food Preparation Area

During the time of the inspection, the Licensing Specialist observed there to be baby food stored under the sink in the baby room. The baby food was stored in cabinet with baby wipes. During the time of the inspection, the was resolved by the Operator removing the baby food from the classroom. During the time of the inspection, the Licensing Specialist provided technical assistance: per the CCF Handbook "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. A. Food containers, such as cans, plastic containers, boxes and bags must be stored above the floor on clean surfaces protected from splash and other contamination. B. Stored food must be consumed or discarded on or before the expiration dates listed by the manufacturer. C. Poisonous/toxic chemicals or cleaning products must be stored separately from food. Products must not be stored on shelves above food preparation areas and/or food products intended for human consumption, unless placed in bins that are impermeable. D. Opened packages of perishable or leftover food items must be properly covered or sealed in containers or bags, labeled with the date, and properly stored and discarded within seven calendar days.E. Opened packages of dried goods must be properly covered/sealed, properly stored, and discarded according to the manufacturers recommended date or if the quality of the food has been compromised. 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. 2. Food may be frozen prior to the expiration date, but when thawed, it must be labeled with the date it was removed from the freezer and discarded within seven calendar days. 3. Frozen food must be labeled by date and type noted below and stored according to the following table: food Item Months Bacon and sausage 1 to 2 months Casseroles 2 to 3 months Frozen dinner and entrees 3 to 4 months Ham, hot dogs, lunch meats 1 to 2 months Meat, uncooked 4 to 12 months Meat, uncooked ground 3 to 4 months Meat, cooked 2 to 3 months Poultry, cooked 4 months Soups and stews 2 to 3 months"

Corrected Corrected by Nov 13, 2024

Category: ratio. Marked corrected in the state record.

30-06 · Diapering

During the time of the inspection, the Licensing Specialist observed two diaper changing pads to be stacked on top of one another, both with tears leaving them accessible to cross-contamination. During the time of the inspection, the Licensing Specialist provided technical assistance: per the CCF Handbook "E. When children in diapers are in care, there must be a diaper changing area with an impermeable surface that is cleaned and sanitized or disinfected after each use."

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

33-09 · Training Requirements

During the time of the inspection, the Licensing Specialist observed four personnel files to be missing documentation of having completed fire extinguisher training. During the time of the inspection, the Licensing Specialist provided technical assistance: per the CCF Handbook "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."

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

35-12 · Communicable Disease Control

During the time of the inspection, the Licensing Specialist observed five personnel files to be missing documentation of completing the annual refresher of the facility's exposure plan. During the time of the inspection, the Licensing Specialist provided technical assistance: per the CCF Handbook "Communicable Disease Control A. Children in care must be observed on a daily basis for signs of communicable disease. B. Any child, child care personnel, or other person in the child care facility suspected of having a communicable disease must be removed from the program or placed in an isolation area until removed. Such person may not return without medical authorization, or until the signs and symptoms of the disease are no longer present. If the local health department official or primary health care provider suspects that a child or child care personnel are contributing to the transmission of the illness, are not adequately immunized when there is an outbreak of a vaccine-preventable disease, or the circulating pathogen poses an increased risk to the individual. The child or child care personnel must not return until the health department or primary health care provider determines the risk of transmission is no longer present. Child care personnel who work in the food preparation area may not return until the signs and symptoms of the disease have not been present for 48 hours. C. A childs condition must be reported to the custodial parent or legal guardian. For children whose symptoms do not require exclusion, verbal or written notification to the parent/guardian at the end of the day is acceptable. D. Signs and symptoms of suspected communicable disease include: 1. Severe coughing, causing a child to become red or blue in the face or to make a whooping sound; 2. Difficult or rapid breathing; 3. Stiff neck 4.Diarrhea (more than one abnormally loose stool within a 24-hour period); 5. Temperature of 101 degrees Fahrenheit or higher in conjunction with any other signs of illness (Any infant younger than 2 months of age with fever should get immediate medical attention); 6. Pink eye; 7. Exposed, open skin lesions; 8. Unusually dark urine and/or gray or white stool; 9. Yellowish skin or eyes; or 10. Any other communicable disease symptoms. E. A child identified as having head lice must not be permitted to return until the following day, and then only if treatment has occurred and been verified. Verification of treatment may include a product box, box top, empty bottle, or signed statement by a parent that treatment has occurred. The child care facility must treat areas, equipment, toys, and furnishings with which the child has been in contact."

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

40-01 · Medication

During the time of the inspection, the Licensing Specialist observed there to be diaper creams with no names labeled and no written medical authorization from the custodial parent or guardian. During the time of the inspection, this was resolved by the Operator removing the diaper creams. During the time of the inspection, the licensing Specialist provided technical assistance: per the FDCH Handbook "A. The operator must have written authorization from the custodial parent or legal guardian to dispense prescription and non-prescription medications. This authorization must be dated and signed by the custodial parent or legal guardian and must contain the childs name; the name of the medication to be dispensed; and the date, time and amount of dosage to be given. This record shall be initialed or signed by the child care personnel who gave the medication. Prescription and non-prescription medications that are used on an as needed basis require the parent/ legal guardian to provide additional documentation on the authorization form to describe symptoms that would require the medication to be given. The child care personnel must never administer a medication that is prescribed for one child to another child. L. Use of diaper creams and insect repellant may only be utilized with written permission from parents/guardians. Manufacturer instructions should be followed."

Corrected Corrected by Nov 13, 2024

Category: health medication. Marked corrected in the state record.

41-02 · Immunization Records

During the time of the inspection, the Licensing Specialist observed there to be four children with expired immunization records. During the time of the inspection, the Licensing Specialist provided technical assistance: per the CCF Handbook "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, 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 65C22.001(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 child care facility as such records are 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 child care 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."

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-02 · Student Health and Records

During the time of the inspection, the Licensing Specialist observed there to be one child with expired health records. During the time of the inspection, the Licensing Specialist provided technical assistance: per the CCF Handbook "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. A. The Student Health Examination shall be completed by a person given statutory authority to perform health examinations. B. The Student Health Examination or the signed statement is valid for two years from the date the physical was performed. An up-to-date version must be on file for as long as the child is enrolled at the facility. 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. D. School-aged children attending public or non-public schools are not required to have student 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 enrolled. E. 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. F. 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. G. Any child who has or is at an increased risk for a chronic physical, developmental, behavioral or emotional condition and requires 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."

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.