Bright Horizons Childrens Center

12-02 · Facility Environment

12-2: During the inspection, Licensing Specialist observed that there were some areas of the facility that were not in good repair, in that there is one cabinet that was not fully attached in the kitchen under the sink, and one of the handwashing sinks in the two year old 2 classroom was not operational. During the inspection, Licensing Specialist provided technical assistance, CCF Handbook, Section 3.1, 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

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41-02 · Immunization Records

During the inspection, Licensing Specialist observed that there were 3 expired immunizations within the childrens file. During the inspection, Licensing Specialist provided technical assistance, CCF Handbook, Section 7.1 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

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42-02 · Student Health and Records

During the time of the inspection, the Owner/Operator advised the Licensing Specialist that there are currently 126 children enrolled. During the time of the inspection, the Licensing Specialist monitored 126 of the 126 childrens records. 42-2: During the inspection, Licensing Specialist observed 1 childrens records that did not have a current physical on file and 1 childs physical did not have the page 2. During the inspection, Licensing Specialist provided technical assistance, CCF Handbook, Section 7.2 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

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41-02 · Immunization Records

41-2: During the inspection, Licensing Specialist observed 5 childrens records that did not have a current immunization on file. Licensing Specialist advised that if they correct the non-compliances, then they can contact Licensing Specialist so that the reinspection can be completed sooner than the due date. During the inspection, Licensing Specialist provided technical assistance, 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 65C- 22.001(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

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42-02 · Student Health and Records

During the previous inspection, the CCR found one child who had an expired health form. During the reinspection, CCR observed that the child still did not have an up to date health form. This is being marked non-compliant

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24-09 · Food Preparation Area

During the inspection, CCR observed the handwashing station did not have hot running water. The director was given until August 21, 2023, to come into compliance with this standard. During the inspection, CCR provided technical assistance, CCF Handbook 3.9.1 Food Preparation Area 7. A separate handwashing station with hot running water, a minimum of 100 degrees Fahrenheit. The handwashing station must include a sink with running water and drainage, soap, trash can, and disposable towels or hand-drying machines that are properly installed and maintained. A handwashing sink shall not be used for any purpose other than handwashing. Handwashing stations must include posted signs visible to childcare personnel and children demonstrating proper handwashing technique. Portable sinks may not be used for dishwashing or food preparation. If a portable sink is used for handwashing in the food preparation area, hot water must be provided

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27-05 · Catered Food and Food Provided by Outside Sources

During the inspection, CCR observed that the facility did not have temperature logs with the temperature of the food that they received. The director was given until August 21, 2023, to come into compliance with this standard. During the inspection, CCR provided technical assistance, CCF Handbook, Section 3.9.3, E.1 Food Safety - E. If a facility chooses to provide or make available food to children in care from an outside source, such as a caterer, or a licensed child care facility under the same ownership that includes a food preparation area that meets licensing Child Care Facility Handbook Page | 33 standards, or as the result of a learning activity provided by a child care program, such as a garden, it is the responsibility of the provider to ensure all food intended for consumption by a child in care is free from spoilage and contamination and safe for human consumption. 1. A log must be maintained for all prepared meals being transported into the facility. The log must be retained for a minimum of 12 months. The log must include the delivery date, time of arrival, quantity and types of food, verification by the recipient of adequate temperatures of food, and the name and signature of the recipient. The facility shall not accept food that is not at the appropriate holding temperature

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33-01 · Training Requirements

During the inspection, the director advised that there are currently 21 employees. During the inspection, CCR observed 21 of 21 employee records. The director was given until August 21, 2023, to come into compliance with this standard. When the CCR was reviewing the files the CCR seen personnel #1 did not finish her 40-hour training. During the inspection, CCR provided technical assistance, CCF Handbook Section 4.2.1 Mandated Introductory Training Childcare personnel must successfully complete 40 hours of childcare 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. Childcare 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) Childcare 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)

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40-17 · Medication

During the inspection, CCR observed that there was medication expired at the time of the inspection. The medication expired on December 2022. The director was given until August 21, 2023, to come into compliance with this standard. During the inspection, CCR provided technical assistance, CCF Handbook, Section 6.5, H Medication. H. Medication that has expired or that is no longer being dispensed must be returned to the custodial parent or legal guardian or discarded

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41-02 · Immunization Records

During the inspection, the director advised that there are currently 118 children enrolled. During the inspection, CCR monitored 118 of the 118 children's records.. CCR found one child who had an expired immunization form. The director was given until August 21, 2023, to come into compliance with this standard. During the inspection, CCR provided technical assistance, CCF Handbook, Section 7.1 F 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. 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

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42-02 · Student Health and Records

During the inspection, the director advised that there are currently 118 children enrolled. During the inspection, CCR monitored 118 of the 118 children's records.. CCR found one child who had an expired health form. The director was given until August 21, 2023, to come into compliance with this standard. During the inspection, CCR provided technical assistance, CCF Handbook, Section 7.2 B 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 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

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