06-02 · Driver's License, Physician Certification

An annual physical examination which grants medical approval to drive needed for 2 drivers. E. For the driver only: Florida drivers license and driver physical examination documentation. A copy of the drivers license and the physician certification, or another form containing the same elements of the physician certification, granting medical approval to operate the vehicle, and valid certificate(s) of course completion for first aid training, pediatric cardiopulmonary resuscitation (CPR) procedures, and background screening must also be maintained in the drivers personnel file

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

12-02 · Facility Environment

The Licensing Specialist received a photo of a wood beam with nails protruding out of the wood in the children's play area. During the time of the complaint inspection, the Licensing Specialist observed that there has been a piece of wood removed from the wall area in the front room on the right-hand side. The Owner advised the Licensing Specialist that it the wood was removed, and that maintenance was coming back out to fully repair the area when children are not in care. The Owner will develop an Indoor/Outdoor Facility Inspection Report, in order to check for any hazards inside and outside the facility. According to the childcare facility handbook Physical Environment Children are much more susceptible to the adverse effects of environmental factors, materials and toxicants. It is imperative that the childcare environment is conducive to the healthy development of children. 3.1 General Health and Safety Requirements A. All childcare facilities must be clean, in good repair, free from health and safety hazards and from evidence of, or presence of, vermin infestation. Indoor play areas must be inspected daily for basic health and safety and documented on a daily inspection log. Outdoor play areas must be inspected daily for basic health and safety. Any problems must be corrected before the play area is used by children. Documentation of the indoor play area inspection must be maintained for 12 months

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

45-04 · Background Screening Documents

During the time of the complaint inspection the Licensing Specialist observed that the child care personnel did not have and employment history verification on file. The childcare personnel no longer works at the facility

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

13-03 · Toxic Substances, Hazardous Materials and Weapons

On February 6, 2024, the teacher left a sanitizing bucket filled with hot water on the table in the classroom that was accessible to children in care. The hot water splashed onto the child, causing the child to sustain serious injuries. 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 Corrected by Feb 8, 2024

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

14-05 · Lighting, Temperature, and Ventilation

During the time of the complaint inspection, the Owner and Teacher advised the Licensing Specialist that the toys in the daycare were being cleaned with hot water during naptime. During the cleaning the toys were in a bucket on the table one child bumped into the table. The water splashed on the child, and he received two large burns to his side and thigh area. The Owner advised the Licensing Specialist that the facility does not have a cleaning schedule. The facility will develop a cleaning schedule for before or after the children arrive for care. According to the Childcare Facility Handbook 3.1 General Health and Safety Require G. Cleaning must not take place while rooms are occupied by children except for general clean-up activities that are part of the daily routine. General cleaning refers to cleaning necessary to maintain a sanitary environment but that does not pose a hazard to children, such as wiping the table after lunch, soaking toys in a tub on the countertop, or sweeping. This does not include cleaning with hazardous materials or any cleaning which poses a risk of slipping or falling

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

31-07 · Indoor Equipment

During the time of the complaint inspection, the Licensing Specialist observed that the facility does not currently have a cleaning schedule posted. The Owner advised the Licensing Specialist that the facility does not have a cleaning schedule. According to the Childcare Facility Handbook:3.11 Indoor Equipment Equipment, materials, furnishings, and play areas should be sturdy, safe, and in good repair. Provider should monitor the Consumer Product Safety Commission (CPSC) recommendations for use of equipment. Walls, ceilings, floors, furnishings, equipment, toys, and other surfaces should be suitable to the location and the users. They should be maintained in good repair, free from visible soil and clean. Equipment and furnishings must be arranged to allow direct supervision of children by child care personnel from all areas within a room/play area. Bookshelves, televisions, and other heavy furnishings must be stable and secured as to not pose a threat of falling over. In efforts to prevent children from climbing to dangerous heights or enabling them to reach hazardous items, chairs and other furnishings must be placed away from cabinets and shelves. The program should make accommodations to the program environment and schedule so that children with special needs may participate. A. A child care facility must make available toys, equipment, and furnishings suitable to each childs age and development and of a quantity for each to be involved in activities. B. Toys, equipment, and furnishings must be safe and maintained in a sanitary condition following a routine schedule of cleaning, sanitizing and disinfecting. These items must be cleaned and sanitized or disinfected immediately or prior to another childs use if exposed to bodily fluids, such as saliva. Facilities 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/tabletops, toys, drinking fountains, 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. C. Facilities must provide age-appropriate seating for the number of children eating meals and snack at one time. D. Moveable or non-stationary indoor climbing structures require padding for landing. Permanent or stationary playground equipment installed indoors must meet the same requirements for installation and use as outlined in the Outdoor Equipment section 3.12 B, C, D, E, F and I. E. Bathtubs, buckets, diaper pails, and other open containers of water must be emptied immediately after use

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

40-09 · Medication

During the time of the complaint inspection, the Owner advised that burn cream was used after the child was burned. However, the facility did not receive written or verbal permission from the parent to administer burn cream to the burn area. According to the Childcare Facility Handbook 6.5 Medication Child care programs are not required to give medication; however, if a program chooses to do so, it must comply with the following requirements: A. The child care program must have written authorization from the custodial parent or legal guardian to give prescription and non- prescription medications. This authorization must be dated and signed by the custodial parent or legal guardian and contain the childs name; the name of the medication to be given; and date, time and amount of the correct dosage to be given. 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 provider must never administer a medication that is prescribed for one child to another child. D. In the event of an emergency, non-prescription medication that is not brought in by the parent or legal guardian can be dispensed only if the program has written permission from the parent or legal guardian to do so. I. Prior to administering medication to children, child care personnel responsible for administering medication must be educated on proper administration procedures. Written documentation must be maintained in the personnel file that child care personnel administering medication have been educated on proper administration procedures

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

33-09 · Training Requirements

During the time of the inspection, the Licensing Specialist observed that the childcare personnel did not complete fire extinguisher or safe sleep practices training within 30 days of hire. According to the childcare facility handbook 4.2.3 Safe Sleep/ Shaken Baby Syndrome Training All child care 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 childcare 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

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

36-01 · CPR Requirements

During the time of the complaint incident the one childcare personnel that was certified in CPR was at lunch, and no other staff in the building was certified in CPR or first aid. 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 child care 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 child care personnel may satisfy both requirements. Documentation of first aid training must be kept on file and available for licensing to review

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

37-01 · First Aid Requirements

During the time of the initial complaint, the Owner advised that the only person who was currently certified in first aid was on lunch break at the time of the burn incident. According to the Childcare Facility Handbook : 4.2.4 First Aid and Cardiopulmonary Resuscitation (CPR) A. One child care personnel with current and valid certificate(s) of course completion for first aid training and one child care 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 child care personnel may satisfy both requirements. Documentation of first aid training must be kept on file and available for licensing to review. B. By December 31, 2021, the facility shall maintain the following number of childcare personnel with the CPR certification and first aid training that are on site at the facility at all times children are in care.(see chart in handbook page 41) A Director, on site when children are present, with pediatric CPR certification and first aid training may qualify as one of the child care personnel for purposes of meeting the above requirements. Documentation of pediatric cardiopulmonary resuscitation (CPR) certification and first aid training must be kept on file and available for licensing to review. Child care personnel satisfying the certification and training requirements shall be present at all times that children are in care at the facility, and at least one child care personnel with the CPR certification and first aid training on field trips which includes all activities away from the program, and during all transportation activities

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

39-04 · Accident/ Incident Notification and Documentation

During the time of the complaint inspection, the Owner advised the Licensing Specialist that she dropped the child off at home after the burn incident occurred. However, the mother was not given the incident report on that day. The child no longer attends the childcare facility. According to the Childcare Facility Handbook 6.4 Accident/Incident Notification B. This documentation must be shared with the custodial parent or legal guardian on the date of occurrence. D. The documentation must be maintained for 12 months. If the parent or legal guardian does not pick up the child on the date of occurrence of the accident or incident, the individual authorized to pick up the child must sign and be provided a copy of the accident/incident form

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

40-01 · Medication

During the time of the complaint inspection, Owner advised Licensing Specialist that the facility placed burn cream on the child's burn after the accident occurred. The Owner advised that the burn cream came from inside the first aid kit, However, Owner was unable to show or give name of what burn cream was provided and did not have a medication form for the child. According to the Childcare Facility Handbook:6.5 Medication Child care programs are not required to give medication; however, if a program chooses to do so, it must comply with the following requirements: A. The child care program must have written authorization from the custodial parent or legal guardian to give prescription and non- prescription medications. This authorization must be dated and signed by the custodial parent or legal guardian and contain the childs name; the name of the medication to be given; and date, time and amount of the correct dosage to be given. 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 provider must never administer a medication that is prescribed for one child to another child. D. In the event of an emergency, non-prescription medication that is not brought in by the parent or legal guardian can be dispensed only if the program has written permission from the parent or legal guardian to do so

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

33-07 · Training Requirements

During the time of the re-inspection Licensing Specialist observed, that a teacher has not completed her 10 hours of in-service training. 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 everytwo 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 discipline17. Computer technology; 18. Leadership development/program management and child care personnelsupervision;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 carewebsite.B. Documentation of the in-service training requirement must be recorded on CFFSPForm 5268, Child Care In-Service Training Record, which is incorporatedby reference in 65C- 22.001(7)(i), F.A.C., and included in the child care facilityspersonnel records. CF-FSP Form 5268 may be obtained from the Departments website at www.myflfamilies.com/childcare. A new in-servicetraining record is required each fiscal year. The in-service training records for the previous two fiscal years must also be maintained at the child care facility for review by the licensing authority.C. All child care personnel employed in the industry beyond 15 months, who change employment from one child care program to another during the fiscalyear must complete the annual in-service training requirement.D. Child care personnel not in compliance with the annual in-service trainingrequirement described in this section must complete the remaining in-servicetraining requirement within 30 days of the noncompliance finding by thelicensing authority. These hours cannot be used to meet the current years in service training requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

42-01 · Student Health and Records

During the time of the re-inspection, the Licensing Specialist observed that one child does not have a health form. According to the childcare facility handbook 7.2 Student Health Records The childcare 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

41-02 · Immunization Records

During the time of the inspection the Licensing Specialist observed that one present at the childcare facility immunization record is expired. According to the Childcare Facility Handbook 7.1 Immunization Records 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 Childcare Facility 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

05-04 · Transportation

Technical Assistance During the time of the inspection, the Licensing Specialist observed that there was not a second sweep signature completed on the transportation log. Last log dated 10/3/23. Technical Assistance Provided According to the Childcare Facility Handbook 2.5.2 Transportation Log Transportation By Vehicle F. Upon arrival at the destination by vehicle, the driver of the vehicle must: 1. Mark each child off the log as the child departs the vehicle; 2. Conduct a physical inspection and visual sweep of the vehicle interior to ensure that no child is left in the vehicle; and3. Record, sign, and date the transportation log immediately, verifying that all children were accounted for, and that the visual sweep was conducted. 4. Ensure that second childcare personnel conduct a second visual sweep, signs and dates the transportation log verifying that all children were accounted for, and that the log is complete. 5. If the provider contracts with an outside entity to provide transportation, then the provider must assign childcare personnel to perform the duties of the driver outlined above in numbers 1-3. G. Upon arrival at the destination by vehicle, a second and different childcare personnel must: 1. Conduct a physical inspection and visual sweep of the vehicle to ensure that no child is left in the vehicle; and 2. Sign, date and record the transportation log immediately, verifying that all children were accounted for, and that the log is complete. This was corrected at the time of the inspection. The Owner stated that she is the second person that performs the sweep of the transportation vehicle. The Licensing Specialist observed the Owner sign the transportation log at the time of the inspection

Corrected Corrected by Oct 24, 2023

Category: transportation. Marked corrected in the state record.

07-05 · Vehicle Requirements

During the time of the inspection, the Licensing Specialist observed that the vehicle alarm cannot be heard from at least 500 feet away from the transportation vehicle. The provider advised that she has another alarm and is going to have it installed tomorrow. According to the Childcare Facility Handbook 2.5.4 Vehicle Requirements For the purpose of this section, vehicles refer to those owned, operated or regularly used by the child care program, and vehicles that provide transportation through a contract or agreement with an outside entity. Parents/guardians personal vehicles used for transporting during field trips are excluded from meeting the requirements of this sub-section. Child Care Facility Handbook Page | 17 F. By January 1, 2022 all vehicles used by child care facilities to transport children must be equipped with a reliable alarm system approved by the Department which prompts the driver to inspect the vehicle for children before exiting the vehicle. 1. Approved alarm systems must meet the following criteria: a. The alarm system must be armed or activated automatically when the vehicles ignition is turned on. b. The alarm system must be designed and installed so that the vehicle horn, siren or other type of audio alarm will sound if the driver/staff member does not walk to the rear or, in the case of a passenger van, the side entry point of the vehicle, to manually shut off or deactivate the alarm. c. The time delay from the time the ignition is turned off after activation of the alarm system until the alarm sounds shall be no longer than one minute. d. The alarm must be audible from the distance of 500 feet from the vehicle. e. The alarm system must be installed so that the driver must walk to the back of the vehicle to reach the deactivation mechanism. Deactivation mechanisms installed in locations that do not require the driver to walk to the back of the vehicle and view all seating areas will not be acceptable.2. List of approved alarm manufacturers may be found on the Departments website www.myflfamilies.com/childcare.3. Alarms must be installed and maintained according to the manufacturers recommendations. 4. Alarm systems installed according to the manufacturers instructions prior to October 1, 2021, will be deemed to satisfy this requirement if they meet the criteria set forth in 2.5.4.F.1. above. Under this allowance, the existing alarm system must always be properly maintained in working order. Should at any time the alarm system require replacement, the new system must be selected from the Departments approved list referenced in 2.5.4 F.2. above

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

33-07 · Training Requirements

During the time of the inspection, Licensing Specialist observed that one employee did not completer the required in-service training for the fiscal year July 2022-June 2023. 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 personnelsupervision;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 childcare management;24. Any of the online courses offered through the Departments childcare website. Documentation of the in-service training requirement must be recorded on CFFSP Form 5268, Childcare In-Service Training Record, which is incorporated by reference in 65C-22.001(7)(i), F.A.C., and included in the childcare 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. B. 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 Inservice training requirements

42-01 · Student Health and Records

During the time of the Inspection the Licensing Specialist observed that three children did not have a health form on file. According to the Childcare Facility Handbook 7.2 Student Health Records 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

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 that one child's health form is expired. 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. 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

07-04 · Vehicle Requirements

During time of inspection, Child Care Regulation observed that the one vehicle used for transport does not have current documentation of an annual vehicle inspection. TA- All vehicles regularly used to transport children must be inspected annually by a mechanic to ensure that they are in proper working order. Documentation by the mechanic must be maintained in the vehicle

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

12-18 · Facility Environment

During time of inspection, Child Care Regulation observed electrical outlet covers were not in place in the main entrance and in the 1-year -old room. TA- 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. The standard was brought back into compliance when the childcare personnel placed outlet covers in all missing outlets

Corrected Corrected by May 11, 2023

Category: recordkeeping. Marked corrected in the state record.

23-02 · Fire Drills

During time of inspection, Child Care Regulation observed the annual fire inspection was not current and up to date being conducted on 4/29/22. TA- Unless statutorily exempted, all child care facilities must conform to state standards adopted by the State Fire Marshal, Chapter 69A- 36, F.A.C., Uniform Standards for Life Safety and Fire Prevention in Child Care Facilities. A copy of the current and approved annual fire inspection report completed by a certified fire inspector must be on file with the licensing authority. If the program is granted a fire inspection exemption by the local fire inspection office, the exemption must be documented and maintained on file at the program

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.