33-01 · Technical assistance was provided that 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. 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) Additional time frame for

Licensing specialist reviewed one staff's training transcript and staff has not completed 40-hour training

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

88-35 · Violation

2-2842. These courses include: ?Health, Safety and Nutrition; ?Identifying and Reporting Child Abuse and Neglect; ?Child Growth and Development; and ?Behavioral Observation and Screening. Additionally, providers who completed this DCF training on or before December 31, 2023, must also complete these DEL-approved health and safety modules within 180 days or by June 30, 2024: ?Health and Nutrition in the School Readiness Program and ?Safety Practices in the School Readiness Program. Providers who complete the DCF training after December 31, 2023, must complete the additional DEL-approved health and safety modules within 90 days of hire. OR 2. After January 1, 2024, the DEL-approved online School Readiness health and safety courses as evidenced by successful completion of the examination at the end of the modules with a weighted score of 70 or better. Course access can be found at the Florida Early Childhood Professional Development Registry website at www.myflfamilies.com/childcare. ?Child Development in the School Readiness Program; ?Health and Nutrition in the School Readiness Program; ?Safe Sleep Practices in Child Care (not required for school-age only programs); ?Safety Practices in the School Readiness Program; and ?Transportation Safety in Child Care Programs (if applicable). Additional time frame for

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

41-02 · Technical assistance was provided that 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

Licensing specialist reviewed a child's file with an expired immunization record and another child's immunization form did not have a legible temporary exemption date as it was cut off when printed

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Technical assistance was provided that 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

Licensing specialist reviewed two children files with no student health examination documentation

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

03-01 · Technical assistance was provided that the staff-to-child ratio, as established in Section 402.305(4), F.S., is based on primary responsibility for the direct supervision of children and applies at all times while children are in care. 2.3.1 Mixed Age Groups A. In groups of mixed age ranges, where children under one year of age are included, one child care personnel must be responsible for no more than four children of any age group, at all times. B. In groups of mixed age ranges, where children one year of age but under two years of age are included, one child care personnel must be responsible for no more than six children of any age group, at all times. Corrected Ratio: Infants - 1:4 1-Year Old and 2-Years Old - 2:8 3-Years Old - 1:9 4-Years Old and After School Children - 1:18 Standard completed at time of inspection

FSC arrived to the facility and counted ratio. When reviewing attendance, FSC observed there was a child not listed in attendance and FSC reviewed file and the child is one year old. Ratio at Time of Arrival: Infants - 1:4 1-Year and 2-Years Old - 1:8 3-Years Old - 10 children being supervised by 4-Years Old staff 4-Years Old - 1:15

Corrected Corrected by Jun 5, 2024

Category: supervision. Marked corrected in the state record.

04-06 · Technical assistance was provided that during nap time, child care personnel must be within sight and hearing of all the children. All other child care personnel required to meet the staff-to-child ratio must be within the building on the same floor and available to be summoned if needed to ensure the safety of the children. Nap time supervision does not apply to children up to 24 months of age, who must have direct supervision at all times. Staff returned to facility and standard returned to compliance at time of inspection

FSC observed one staff supervising the 3-years old while that classroom's staff was on break and the 4-years old class. The staff was on break out of the facility. Two additional teachers were present in their own classrooms

Corrected Corrected by Jun 5, 2024

Category: supervision. Marked corrected in the state record.

19-04 · Technical assistance was provided that napping and sleeping spaces must not be under furniture or against furniture that creates a hazard. Teacher removed children from under the table and also removed stacked chairs from on the table. Standard returned to compliance at time of inspection

FSC observed children sleeping under a table with chairs stacked on it

Corrected Corrected by Jun 5, 2024

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

30-07 · Technical assistance was provided that items unrelated to diaper changing shall not be stored in the diaper changing area nor shall they be placed on the diaper changing table. Staff removed the unrelated items and standard returned to compliance at time of inspection

FSC observed a child's spoon in the infant classroom's diaper changing area and a project diagram in the 1-year and 2-years old classroom's diaper changing area

Corrected Corrected by Jun 5, 2024

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

42-02 · Technical assistance was provided that 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

FSC observed 3 children files with student health examination over 2 years old or missing

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

43-10 · Technical assistance was provided that 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 175- 12, 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 . 21 of 41 childrens enrollment/health records were reviewed for compliance. Files reviewed: 1-Year Old Classroom and mixed files and newly enrolled children since the last inspection

FSC reviewed 18 children files with no signed distracted adult brochure during April 2024

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

45-02 · Technical assistance was provided that a copy of the eligible results, for the Level 2 screening, generated from the Clearinghouse must be on record for each personnel

FSC reviewed one staff file with background screening that expired prior to staff returning to work at the center. Results are "Agency Review Required." And another staff that needs a new screening

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

46-02 · Technical assistance was provided that Daily attendance of children must be taken and recorded accurately by the child care personnel, documenting the time when each child enters and departs the program. A. Attendance devices used for the purposes of tracking attendance may be used, but personnel must ensure the accuracy of the documented attendance. Each classroom must have an attendance sheet/class roster for the group of children occupying that space. Attendance sheet/class roster must accompany the child care personnel and the group of children throughout the day should they leave the classroom. B. The custodial parent or guardian may document the time when his/her child enters and departs the child care facility or program. However, child care facility personnel are responsible for ensuring that attendance records are complete and accurate

FSC reviewed attendance logs for children in the facility. One child present in the facility was not on the log at all. Attendance logs were not including arrival and departure times. And not all children present were signed in

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

12-18 · Facility Environment

FSC observed multiple electrical outlets without cover. TA was given to the owner (No electrical device or apparatus accessible to children shall be located in a place where it can be plugged into an electrical outlet while a person is in contact with a water source, such as a sink, tub, shower area, water table, or swimming pool. L. Carbon monoxide detector(s) must be installed if s. 553.885(1), F.S., or local laws.)

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

13-02 · Toxic Substances, Hazardous Materials and Weapons

FSC observed paint cans in the one of the children's bathrooms. TA was given to the director (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. Completed at the time of inspection. The owner removed the paint cans to another staff bathroom

Corrected Corrected by Nov 2, 2023

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

18-07 · Bedding and Linens

The crib sheet used was not tight fitted. TA given to the owner (Cribs or playpens/play yards used for infants must have tight fitted sheets and no excess bedding, which includes but is not limited to: bumper pads, hanging mobiles, quilts, comforters, receiving blankets, pillows, stuffed animals and cushions.)

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

21-11 · Restrooms and Bath Facilities

FSC observed a toilet that was missing the tank cover. TA was given to the owner (Each toilet and sink must be maintained in good operating condition, cleaned and sanitized or disinfected as needed, but at least once per day. Sinks utilized for teeth brushing activities/procedures by the children must be sanitized prior to the activity occurring

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

30-01 · Diapering

FSC observed that there is no sink in the two-year-old classroom. TA was given to the owner (When children in diapers are in care, a hand -washing station that includes a sink with running water, soap, trash receptacle, and disposable towels or hand drying machines that are properly installed and maintained shall be provided in the room or in an adjoining area which opens into the room

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

33-01 · Training Requirements

A staff did not complete the introductory training within the require timeframe. TA was given to the owner (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 Childcare Training prior to January 1, 2004, are not required to fulfill the competency examination requirement.) Owner requested three months to come into compliance due to the limited exam dates

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.