19-06 · Toys, Furnishings, Equipment and Plumbing FDCH/LFCCH Handbook

During the time of the inspection, the Licensing Specialist observed toys, art supplies, and general daycare storage in the bathroom tub next to the toilet. Only a shower curtain and a mesh gate separated the storage items from the rest of the bathroom. During the time of the inspection, the Licensing Specialist provided technical assistance, per the LFCCH Handbook: C. Toys, equipment, and furnishings must be safe and maintained in a sanitary condition. The program must follow a routine schedule of cleaning, sanitizing and disinfecting toys, equipment, and furnishings. These items must be cleaned and sanitized or disinfected immediately or prior to another childs use if exposed to bodily fluids, such as saliva. Homes must have a written routine schedule for cleaning, sanitizing and disinfecting equipment, materials, furnishings, and play areas. This schedule must include items to be cleaned, sanitized or disinfected on a daily or weekly basis. Daily indoor equipment items include but are not limited to: counter/table tops, toys, floors, diaper pails, toilets, and sinks. Weekly indoor equipment items include but are not limited to: linens, machine washable cloth toys, play activity centers, dress- up clothes, cribs, mats, and cots."

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

29-11 · Communicable Disease Control FDCH/LFCCH Handbook

During the time of the inspection, the Licensing Specialist observed 4 staff did not have documentation on the required annual refresher education of the homes exposure plan. During the time of the inspection, the Licensing Specialist provided technical assistance, per the FDCH Handbook: There are three common modes of transmission for the spread of microorganisms in child care settings: contact, droplet, and airborne. Many common infections encountered in the child care setting are transmitted by direct or indirect contact. Child care providers shall develop a written exposure plan regarding universal safety precautions, recommended by the Centers for Disease Control and Prevention (CDC), to follow in the event there is exposure to blood and potentially infectious fluids. Personnel are required to be educated on the homes exposure plan regarding standard precautions before beginning to work and annually thereafter. Written documentation that child care personnel have participated in the homes annual refresher education for the exposure plan, and understand the proper procedures in the event there is exposure to blood and potentially infectious fluids must be retained for 12 months and be available for licensing to review."

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

32-02 · Immunization Records FDCH/LFCCH Handbook

During the time of the inspection, the Licensing Specialist observed 1 child with expired immunization records. During the time of the inspection, the Licensing Specialist provided technical assistance, per the FDCH Handbook: 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. B. 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."

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.