12-02 · Facility Environment

During the time of the inspection, the Licensing Specialist observed the sink in room 121 needing to be re-caulked, as it is detaching from the surrounding area around the sink has peeling paint/exposed drywall and exposed corner beading that need to be repaired/repainted. During the time of the inspection the Licensing Specialist provided technical assistance "A. All child care 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.

13-03 · Toxic Substances, Hazardous Materials and Weapons

During the time of the inspection, the Licensing Specialist observed that cleaning supplies were being stored in unlocked areas that are accessible to the children that are in care; nurses station door left open with not staff -under the examination table were plastic bags and Clorox wipes, unlocked staff bathroom can of air freshener being stored on the grab bar, 2 Tide To Go pens where stored in an unlocked drawer one of the classrooms, in a classroom unlocked lower cabinet shelf -7 cans of Barbarsol shaving cream and in 3 of the other classrooms Clorox wipes were being stored on the counter tops that were accessible to three and four year olds. During the time of the inspection, the Operator relocated these items out of reach of children, therefore this is being marked as Resolved. 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 Aug 20, 2024

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

18-12 · Bedding and Linens

During the time of the inspection, the Licensing Specialist observed that the children's linens were not being stored in a sanitary manner. The napping mats and the napping cots were being stored in the hallways stacked on top of one another with the linens touching each other (cross contamination). During the inspection, the Director advised that the linens have always been stored in this manner and that the linens are laundered once a week. During the time of the inspection, the Licensing Specialist provided technical assistance "G. Bedding and linens, when not in use, must be stored in a sanitary manner which prevents the spread of germs or lice from other linens. All bedding and linens must be thoroughly cleaned and sanitized at least once a week, and before use by another child. H. Bedding and linens shall not be stored in the bathroom, unless stored in cabinets."

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

20-08 · Crib Requirements

During the time of the inspection, the Licensing Specialist observed an infant to be sleeping in a sleep sack that restricted the infant's arms. During the time of the inspection, the Licensing Specialist provided technical assistance: "B. When napping or sleeping, young infants who are not able to roll over must be positioned on their backs and on a firm surface to reduce the risk of Sudden Infant Death Syndrome, unless an alternate position is authorized by a physician. Sleep sacks that fit according to manufacturers recommendations, do not restrict the infants arms, and will not slide up around the infants face may be used for the comfort of the sleeping infant; however, swaddling shall not be used unless authorized in writing by the childs physician. Written documentation of a physicians authorization must be on file at the facility. Documentation must include the childs name, childs date of birth, description of sleep position required, instructions for the use of any equipment needed, and length of time authorization is valid."

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

23-05 · Fire Drills

During the time of the inspection, the Licensing Specialist observed a fire extinguisher to be not properly maintained due to having an expiration of 10/2023. During the time of the inspection, the Licensing Specialist provided technical assistance: per the CCF Handbook "B. Fire extinguishers with a minimum rating of 2A:10BC must be properly installed, serviced and maintained with current inspection tags at all times."

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

23-22 · Fire Drills

During the time of the inspection, the Licensing Specialist observed that one of the fire exits was being blocked by a retractable mesh gate on one side of the hallway and closer to the exit doors the exit was being blocked by 2 cribs and an art drying rack. During the time of the inspection, the Director advised that area was designed to be blocked off in order to create an indoor play area for the children. The Director advised that the previous licensing authority had included as usable space for the children. During the time of the inspection, the Licensing Specialist provided technical assistance: per the CCF Handbook "The exits must be clearly marked, identifying the path to safety in case of an emergency, at all times during the operation of the child care facility. The exits must not be blocked at any time."

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

24-20 · Food Preparation Area

During the time of the inspection, the Licensing Specialist observed sanitizing wipes to be stored in a small rack over snacks being served to the children in care. During the time of the inspection, the Licensing Specialist provided technical assistance "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."

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

25-02 · Meals and Snacks

During the time of the inspection, the Licensing Specialist observed that a one-year-old (toddler) was eating waffles that were more than 1 inch in size. The Director advised that she is aware of the 1/2-inch requirement and even showed the licensing authority where the requirement was posted on the classroom fridge. During the time of the inspection, the Licensing Specialist offered technical assistance: per the CCF Handbook "B. If a child care facility provides food to children in care, it must provide nutritious meals and snacks of a quantity and quality to help meet the daily nutritional needs of the children. The USDA MyPlate is to be used to determine which food groups to serve at each meal or snack serving size and age appropriateness of the selected foods for children. Copies of the USDA MyPlate dieting guidelines, incorporated by reference in 65C- 22.001(7)(t), F.A.C. In addition, meals and snacks must contain at a minimum the meal and snack patterns shown for infants and children in the Child Care Food Program Meal Patterns which are incorporated by reference in 65C-22.001(7)(r) and (s), F.A.C. C. Foods that are associated with young childrens choking incidents must not be served to children under 4 years of age, such as, but not limited to, whole/round hot dogs, popcorn, chips, pretzel nuggets, whole grapes, nuts, cheese cubes/sticks and any food that is of similar shape and size of the trachea/windpipe. Food for infants must be cut into pieces 1/4 inch or smaller, food for toddlers must be cut into pieces 1/2 inch or smaller to prevent choking. This applies to all food, even food provided by parents/guardians."

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

29-01 · Health and Sanitation

During the time of the inspection, the Licensing Specialist observed a teacher to not properly wash her hands after diaper changing. During the time of the inspection, the teacher washed her hands again using proper handwashing, therefore this is being marked as Resolved. During the time of the inspection, the Licensing Specialist provided technical assistance "3.10.1 Handwashing Child care personnel and children must wash their hands thoroughly with soap and running water, dry, and follow personal hygiene procedures for themselves and while assisting others. Examples of activities when handwashing is required include but are not limited to: before and after eating, immediately following outdoor play, after toileting, following the use of any cleaners or toxic chemicals, before and after administering medication, and during food preparation and snack distribution. A. Child care personnel and children must follow the Centers for Disease Control guidelines for handwashing incorporated by reference in 65C-22.001(7)(u), F.A.C. B. The use of hand sanitizers does not substitute for handwashing. However, in areas away from the facility where no running water is available, hand sanitizers may be used. Examples of such places are field trips, nature trails or picnic areas where running water is not readily available. C. Child care personnel with open wounds and/or injury that inhibits handwashing, such as casts, bandages, or braces, must not prepare food. D. Situations or times that children, child care personnel, and/or volunteers must perform hand hygiene must be posted in all food preparation, diapering, and toileting areas."

Corrected Corrected by Aug 20, 2024

Category: ratio. Marked corrected in the state record.

33-01 · Training Requirements

During the inspection, one employee, date of hire into the industry August 26, 2021, did not have documentation of having had completed the required 40 clock-hour Introductory Care Training Requirement within the 15 months, as outlined in the Child Care Facility Handbook. During the time of the inspection, the Licensing Specialist provided technical assistance: Training Requirements 4.2.1 Mandated Introductory Training Child care personnel must successfully complete 40 hours of child care training as evidenced by successful completion of competency examinations offered by the Department or its designated representative with a weighted score of 70 or better. Child care personnel who successfully completed the mandatory 40-hour Introductory Child Care Training prior to January 1, 2004 are not required to fulfill the competency examination requirement. A. Part I Courses (30 Hours) Child care personnel must complete all of the following: ? Child Care Facility Rules and Regulations ? Health, Safety and Nutrition ? Identifying and Reporting Child Abuse and Neglect ? Child Growth and Development ? Behavioral Observation and Screening B. Part II Courses (10 Hours) Child care personnel must also complete 10 hours of the following Part II courses: ? Special Needs Appropriate Practices (10 hours), or ? Understanding Developmentally Appropriate Practices (5 hours) and one of the following courses: 1. Infant and Toddler Appropriate Practices (5 hours) 2. Preschool Appropriate Practices (5 hours) 3. School- Age Appropriate Practices (5 hours)

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

33-03 · Training Requirements

During the time of the inspection, the Licensing Specialist observed that one employee file, date of hire into the industry May 7, 2024, had no document of having begun the 40 Hour Introductory Training within 90 days of employment in the child care industry. During the time of the inspection, the Licensing Specialist provided technical assistance: Beginning Training Child care personnel including volunteers who work 10 hours or more per month must begin training within 90 days of employment in the child care industry and successfully complete Departments training within 12 months from the date training begins. Training taken prior to employment in the child care industry does not constitute begin training. The begin training timeframes begin at the time of employment in the child care industry. Training completion may not exceed 15 months from the date of employment in the child care industry in any licensed Florida child care facility. This may be accomplished by classroom attendance in a Department-approved training course, acquiring an educational exemption from a Department-approved training course, beginning a Department-approved online child care training course, or by receiving results from a Department-approved competency examination. The child care program is responsible for obtaining training documentation from child care personnel."

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-06 · Training Requirements

During the time of the inspection, the Licensing Specialist observed that 2 of the child care personnel files did not include proof of completion of the required Early Literacy Training in the employees file within one year of the date of employment in the child care industry (Dates of Hire: Employee #1 November 1, 2022 and Employee #2 August 26, 2021) During the inspection, the Licensing Specialist provided technical assistance: Early Literacy Training Pursuant to Section 402.305(2)(e)5., F.S., all child care personnel must complete a single course of training in early literacy and language development of children ages birth through five years that is a minimum of five clock hours or .5 CEUs. Early literacy training must be completed within 12 months of date of employment in the child care industry. Proof of completion may be documented on a certificate of course completion, classroom transcript, or diploma. Child care personnel must complete one of the following: A. One of the Departments online literacy courses available on the Departments website. B. One of the Departments approved literacy courses. A list of these courses can be obtained from the Departments website. (No additional courses will be approved by the Department.) C. One college level early literacy course (for credit or non-credit) if taken within the last five years

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

37-06 · First Aid Requirements

During the time of the inspection, the Licensing Specialist observed that the first aid kit was missing soap and hand sanitizer. During the time of the inspection, the Licensing Specialist provided technical assistance "C. Each kit must be kept in a closed container and labeled First Aid and must, at a minimum, include: 1.Soap and hand sanitizer (to be used with supervision if hands are not visibly soiled and if no water is present), 2.Adhesive bandages, 3.Disposable, non-porous gloves, 4.Cotton balls or applicators, 5.Sterile gauze pads or rolls, 6.Adhesive tape, 7.Digital thermometer, 8.Tweezers, 9.Pre-moistened wipes, 10.Scissors, 11.Bottled water (for cleaning wounds or eyes), and 12. A current resource guide on first aid and CPR procedures."

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

40-01 · Medication

During the time of the inspection, the Licensing Specialist observed there to be an unauthorized tube of Nystatin in an infants diapering basket. The Licensing Specialist observed a form where staff have logged what time they have dispensed this medication. During the time of the inspection, the center nurse removed the Nystatin, therefore this is being marked as resolved

Corrected Corrected by Aug 20, 2024

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

40-09 · Medication

During the time of the inspection, the Licensing Specialist observed that the facility did not obtain written authorization prior to administering emergency non-prescription medication. During the time of the inspection, the Licensing Specialist observed that the following non-prescription items were being dispensed without having written authorization from the children's custodial parents/legal guardians: Eleven tubes of Desitin, four tubes of Boudreaux's Butt Paste, one tub of Vaseline, three tubes of Triple Paste, one tube of Honest diaper cream, three tubes of diaper rash cream, one tube of Tubby Todd Sweet Cheeks Diaper Paste, two tubes of Aquaphor, one tube of Mustela Diaper Cream, one bottle of Boogie Diaper Paste. During the time of the inspection, the Licensing Specialist provided technical assistance: per the CCF Handbook "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. K. Use of diaper creams and insect repellant may only be utilized with written permission from parents/guardians. Manufacturer instructions must be followed."

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

40-17 · Medication

During the time of the inspection, the Licensing Specialist observed that medication which had expired or is no longer being administered was not discarded or returned to the custodial parent/guardian. Medications expired: one tube of Aquaphor on 1/2023, one tube of Mustela Diaper Cream on 7/2022, one tube of Boudreaux's Butt Paste on 7/2024, one tube of Boudreaux's on 11/2023. During the time of the inspection, the Licensing Specialist provided technical assistance: per the CCF Handbook "H. Medication that has expired or that is no longer being dispensed must be returned to the custodial parent or legal guardian or discarded."

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

41-01 · Immunization Records

During the time of the inspection, the Operator advised the Licensing Specialist that there are currently 211 children enrolled. During the time of the inspection, the Licensing Specialist monitored 64 of the 211 childrens records (five classrooms). Of the 64 children's records monitored 25 children had expired immunization records. Of the 64 children's records monitored 1 child had the wrong immunization record form. During the time of the inspection, the Licensing Specialist provided technical assistance "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."

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 Operator advised the Licensing Specialist that there are currently 211 children enrolled. During the time of the inspection, the Licensing Specialist monitored 64 of the 211 children's records (five classrooms). Of the 64 children's records monitored 25 children had expired immunization records. Of the 64 children's records monitored 1 child had the wrong immunization record form. During the time of the inspection, the Licensing Specialist provided technical assistance: per the CCF Handbook "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."

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

75-70 · Violation

Influenza Virus, Guide to Parents, which is incorporated by reference in 65C-22.001(7)(n), F.A.C. and may be obtained from the Departments website at www.myflfamilies.com/childcare. 5.Annually, in the months of April and September, the child care facility must provide parents/guardians of the children enrolled in the facility with information regarding the potential for distracted adults to fail to drop off a child at the facility and instead leave them in the adults vehicle upon arrival at the adults destination.CF/PI 17512, brochure, which is incorporated by reference in 65C-22.001(7)(x), F.A.C. and may be obtained from the Departments website at www.myflfamilies.com . D. Enrollment information shall include parental/guardian consent for child care personnel to have access to childs records."

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.