12-18 · Technical assistance was to ensure that all outlets are appropriately covered. • Technical assistance was provided to ensure that the facility remains in good repair free of peeling paint

At the time of inspection, Licensing Specialist observed missing outlet covers in several classrooms

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

13-01 · Toxic Substances, Hazardous Materials and Weapons

At the time of inspection, Licensing Specialist observed spray bottle in the one-year-old classrooms (capacity 5 and capacity 6) with unknown cleaning chemical that was not labeled. It was later determined the spray bottle contained cleaning solution. Technical assistance was provided to ensure all harmful chemicals are labeled

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

13-02 · Technical assistance was provided to ensure that chemicals and mop water are not accessible to children in care

At the time of inspection, Licensing Specialist observed a mop bucket with used water and cleaning chemicals in the 1-year-old classroom (capacity 5) accessible to the children in care

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

23-15 · Technical assistance was provided to complete an Emergency Preparedness drill (lock down). Also, this emergency drill will count for the previous year and Provider will still need to complete lock down drill for this licensing year. • Fire drills conducted on 12/19/24, 1/31/25, and 2/4/25. • Fire inspection completed 2/12/25. • Fire extinguisher serviced October 2024

At the time of inspection, Licensing Specialist determined that the facility failed to complete an Emergency Preparedness drill (lock down) during the previous licensing year

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

27-06 · Technical assistance was provided that a food acceptance 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 caters food from the facility's sister-site C10PO0406

At the time of inspection, Provider failed to maintain the food acceptance log at the facility

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

30-06 · Technical assistance was provided to ensure there must be a diaper changing area with an impermeable surface that is cleaned and sanitized or disinfected after each use

At the time of inspection, Licensing Specialist observed several small rips in the changing table mat in the 2-year 3-year-old classroom

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

33-13 · Technical assistance was provided that school readiness preservice training is complete within 90 days of employment or prior to unsupervised contact with children in care

At the time of inspection, Licensing Specialist determined that the Child Care Personnel listed on the supplemental did not complete required School Readiness preservice training

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

36-03 · Technical assistance was provided to ensure that adequate number of Child Care Personnel has appropriate CPR training

At the time of inspection, Licensing Specialist determined that only two Child Care Personnel at the facility had a current CPR certification

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

37-02 · Technical assistance was provided to ensure that adequate number of Child Care Personnel had first aid training

At the time of inspection, Licensing Specialist determined that the facility had an inadequate number of Child Care Personnel with first aid training

Open Not marked corrected in the state record

Category: health medication. 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

At the time of inspection, Licensing Specialist determined the Child Care Personnel listed on the supplemental did not have an Eligible determination for a Level 2 Background Screening. Licensing Specialist spoke with the Provider previously about ensuring that the Child Care Personnel had an Eligible screening for DCF Child Care because the Child Care Personnle only had eligible for DCF General

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-04 · Technical assistance was provided to ensure a complete five-year work history is completed on child care personnel prior to hiring

At the time of inspection, Licensing Specialist determined that the Child Care Personnel listed on the supplemental did not have a five- year work history verification

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

45-09 · Technical assistance was provided to update (add/remove) child care personnel/other Personnel to the Employee/Contractor Roster in the Clearinghouse within 10 days

At the time of inspection, Licensing Specialist determined that the facility failed to update the clearinghouse roster

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

23-02 · Technical assistance was provided to ensure that fire inspection is completed annually

At the time of reinspection, Provider failed to have an approved annual fire inspection completed by the local fire authority. The facility had a fire inspection completed on 5/12/23 last year

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

12-02 · Technical assistance was provided to ensure that facilities remain in good repair

At the time of inspection, Licensing Specialist observed walls throughout the facility with peeling paint

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

12-12 · Technical assistance was provided to ensure that the fire alarm is maintenance and repaired. • On 11/18/14, Licensing Specialist contacted Winter Haven Fire Inspector who advised the Provider contacted the property manager who sent someone over to assist to reset the fire alarm. Fire Inspector advised that the alarm was not connect to the Winter Haven Fire Department and the fire alarm system is not current and has not been serviced

At the time of inspection, Provider conducted a fire drill and was unable to reset the fire alarm. Provider and Licensing Specialist contacted Winter Haven Fire Department, where it was discovered that the Fire Department had no notification that the alarm was sounding. Licensing Specialist was advised that a Fire Inspector was enroute to assist. The alarm continued to sound, to no avail. The children were relocated to the playground due to the alarm sounding

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

23-02 · Technical assistance was provided to ensure that fire inspection is completed annually. • Fire drills conducted on 1/4/24, 2/15/24, 3/20/24, 4/19/24, 5/30/24, 6/28/24, 7/20/24, and 11/12/24. • A fire drill was conducted today in the presence of the licensing authority. • Emergency Preparedness drill 5/30/24 (inclement weather). • Fire extinguisher serviced October 2024. • Technical assistance was provided to ensure that only on drill is conducted daily

At the time of inspection, Provider failed to have an approved annual fire inspection completed by the local fire authority. The facility had a fire inspection completed on 5/12/23 last year

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

23-09 · Technical assistance was provided to ensure that all documents are maintained and available for the licensing agency to review

At the time of inspection, Provider failed to maintain fire drill records for the months of operation for a minimum of 12 months from the date of the fire drills and was not present for the licensing authority to review

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

33-09 · Technical assistance was provided to ensure that Child Care Personnel shall be trained on safe sleep, at each facility they are employed, within 30 days of date of hire

At the time of inspection, Licensing Specialist determined that the Child Care Personnel listed on the supplemental did not have proof of safe sleep training within 30 days of date of hire. Child Care Personnel was hired on 9/23/24 and was supposed to complete sleep safety on or before 10/23/24

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

33-13 · Technical assistance was provided that school readiness preservice training is complete within 90 days of employment or prior to unsupervised contact with children in care

At the time of inspection, Licensing Specialist reviewed all Child Care Personnel files and determined that the Child Care Personnel listed on the supplemental did not complete required School Readiness preservice training. The Child Care Personnel was observed inside a classroom alone

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

40-15 · Technical assistance was provided that all medication must have child resistant caps, if applicable, and must either be stored in a locked area or must be out of any childs reach. • This standard was put back into compliance when Provider moved the medication. • Technical assistance was given to the provider as a reminder that all medication must have written authorization from the parent/guardian to give prescription and non-prescription medications

At the time of inspection, Licensing Specialist observed diaper rash cream stored in under the changing table accessible to the children in care

Corrected Corrected by Nov 15, 2024

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

41-01 · Technical assistance was given to the provider to obtain a current form from the parent/guardian prior to the due date. Additional technical assistance was given regarding FL shots. The provider was given the link to their website and how to register to view FL shot records. The link given was: www.flshotsusers.com and the provider was reminded to go to the bottom of page under schools & licensed child care providers to register

At the time of inspection, Licensing Specialist determined that the child listed on the supplemental had no immunization form on file

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Technical assistance was provided to ensure that all children have current physical on file

At the time of inspection, Licensing Specialist determined that the child listed on the supplement did not have a Student Health Examination or equivalent health statement on file

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

17-02 · Technical assistance was provided to contact the City of Winter Haven about the sinkhole and Property Management for repair. Also, technical assistance was provided to ensure that the fence is fix and no hazards are on the playground. • This standard was brought back into compliance when the children were removed from the playground

At the time of re-inspection, Licensing Specialist observed the Child Care Personnel listed on the supplemental with observed 14 children on the playground with a huge sink hole outside the entrance gate to the playground. The Provider was advised during the previous inspection on 8/9/24 to not used the playground and to use indoor activities that promote gross motor skills such as but not limited to toss bean bags into baskets, learn with a ball toss, move like an animal, indoor hopscotch, learning scavenger hunt, alphabet yoga, etc. It should be noted that the sink hole appeared to have grown larger, resulting in the playground perimeter fence falling inside the sink hole. A temporary fence (weighted down with sandbags) was installed

Corrected Corrected by Sep 13, 2024

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

36-03 · Technical assistance was provided to ensure that adequate number of Child Care Personnel has cardiopulmonary resuscitation (CPR) training prior to due date

At the time of re-inspection, Licensing Specialist determined that the facility had an inadequate number of Child Care Personnel with cardiopulmonary resuscitation (CPR) training. Licensing Specialist determine only one Child Care Personnel has documented proof of CPR training

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

37-02 · Technical assistance was provided to ensure that adequate number of Child Care Personnel has first aid training prior to due date

At the time of re-inspection, Licensing Specialist determined that the facility had an inadequate number of Child Care Personnel with first aid training. Licensing Specialist determine only one Child Care Personnel has documented proof of first aid training

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

33-13 · Technical assistance was provided that school readiness preservice training is complete within 90 days of employment or prior to unsupervised contact with children in care

At the time of re-inspection, Licensing Specialist reviewed all Child Care Personnel files and determined that the Child Care Personnel listed on the supplemental did not complete required School Readiness preservice training. The Child Care Personnel was observed inside a classroom alone

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

04-01 · Technical assistance was provided to always maintain direct supervision. • This standard was brought back into compliance when Child Care Personnel returned to the classroom

At the time of inspection, Licensing Specialist observed the Child Care Personnel inside the 3-year-old 4-year-old classroom exit the classroom to change a childs diaper inside restroom in the hallway leaving her classroom unsupervised. Also, the Child Care Personnel inside the 2-year-old classroom exit the classroom to escort the children to parent/guardian for check out. It should be noted the Child Care Personnel exited the classroom multiple times

Corrected Corrected by Aug 9, 2024

Category: supervision. Marked corrected in the state record.

12-01 · Technical assistance was provided to ensure that facilities is cleaned and sanitized on a routine basis. Also, to develop and implement a cleaning schedule to ensure that cleaning occurs. Clean the affected areas prior to due date

At the time of inspection, Licensing Specialist observed the facility not to be clean. The area rugs appeared to be stained and the ceiling vents throughout the facility was with dust

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

17-02 · Technical assistance was provided to contact the City of Winter Haven about the sinkhole and Property Management for repair. Also, technical assistance was provided to ensure that the fence is fix and no hazards are on the playground. • Technical support was provided to use indoor activities that promote gross motor skills such as but not limited to: Toss bean bags into baskets, Learn with a ball toss, Move like an animal, Indoor hopscotch, Learning scavenger hunt, Alphabet yoga, etc

At the time of inspection, Licensing Specialist observed a huge sink hole outside the entrance gate to the playground. The Provider advised that the sink hole started small but gradually grew. It appears the hole is approximately 10 ft causing surround playground fence to come down

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

27-06 · Technical assistance was provided that a food acceptance 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 caters food from the facility's sister-site C10PO0406

At the time of inspection, Provider failed to maintain the food acceptance log at the facility. Provider advised that food acceptance log was at her personal residence not at the facility

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

28-02 · Bottles, Breastmilk, Formula and Infant Food

At the time of inspection, Licensing Specialist observed the cups brought in from home were not label with first and last names. Technical assistance was provided to ensure that all cups are labeled

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

28-09 · Technical assistance was provided that due to the extreme risk of choking, solid foods, including cereal, may not be given in bottles or with infant feeders to children with normal feeding habits unless authorized by a physician

At the time of inspection, Licensing Specialist observed bottles inside the infant classroom refrigerator cereal/rice and inside the bottle. The milk and cereal/rice mixture were extremely thick. The Child Care Personnel admitted to mixing cereal and rice with the formula inside side the bottle

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

30-02 · Technical assistance was provided to wash hands after diapering and that hand sanitizer does not substitute handwashing

At the time of inspection, Licensing Specialist observed the sink inside the classroom with a capacity of 8 not properly installed (drainpipe unplugged) and the Child Care Personnel listed on the supplemental did not wash her hands after diapering a child

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

30-07 · Technical assistance was provided that only things associated to diapering is allowed on the diaper changing table

At the time of inspection, Licensing Specialist observed a jug of Hawaiian Punch stored on the bottom rack of the diaper changing table in the classroom with a capacity of 10

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

33-01 · Technical assistance was given to complete DCF 40-hour introductory training prior to due date

At the time of inspection, Licensing Specialist determined that the Child Care Personnel listed on the supplemental did complete the required DCF 40-hour introductory training. Child Care Personnel began introductory training on 4/20/23 and was supposed to complete training on or before 7/20/24

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

35-12 · Technical assistance was provided to ensure that all Child Care Personnel have a current exposure plan on file

At the time of inspection, Licensing Specialist determined that the Child Care Personnel did not have a current exposure plan training on file

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

36-03 · Technical assistance was provided to ensure that adequate number of Child Care Personnel has cardiopulmonary resuscitation (CPR) training prior to due date

At the time of inspection, Licensing Specialist determined that the facility had an inadequate number of Child Care Personnel with cardiopulmonary resuscitation (CPR) training. Licensing Specialist determine only one Child Care Personnel has documented proof of CPR training

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

37-02 · Technical assistance was provided to ensure that adequate number of Child Care Personnel has first aid training prior to due date

At the time of inspection, Licensing Specialist determined that the facility had an inadequate number of Child Care Personnel with first aid training. Licensing Specialist determine only one Child Care Personnel has documented proof of first aid training

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

44-01 · Technical assistance was provided to ensure that all files are maintained and available for the licensing agency to review. • Licensing Specialist reviewed 5 Child Care Personnel files

At the time of inspection, Provider advised that 1 Other Personnel files was not onsite. Licensing Specialist was unable to review

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

44-02 · Technical assistance was provided to ensure that employment application is on file for all Child Care Personnel. • Technical support was provided that if the facility plans to use Tandem App for staffing; the facility is responsible to ensure that all supporting documentation that Child Care Personnel are required to have are on file

At the time of inspection, Licensing Specialist determined that the Child Care Personnel listed on the supplemental did not have an employment application on file

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

44-03 · Technical assistance was provided to ensure that all Child Care Personnel have a signed supplemental statement on file

At the time of inspection, Licensing Specialist determined that the Child Care Personnel listed on the supplemental did not have a signed statement regarding any work in a center that had been subject to negative licensing action or the subject of disciplinary action while employed per s.402.3055(1)(b), F.S

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

44-04 · Technical assistance was provided to ensure that the CF-FSP 5337 Child Abuse and Neglect Reporting Requirements form are signed annually

At the time of inspection, Licensing Specialist determined that the Child Care Personnel listed on supplemental did not have current CF- FSP 5337 Child Abuse and Neglect Reporting Requirements form signed annually

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

46-07 · Technical assistance was provided that attendance sheet/class roster must accompany the Child Care Personnel and the groups of children throughout the day should they leave the classroom

At the time of inspection, Licensing Specialist determined that the Child Care Personnel did not have a current classroom roster that reflexed the classroom composition in the 1-year-old classroom. The Child Care Personnel advised that roster was down the shopping plaza at the facilities sister site

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-06 · Technical assistance was provided to ensure Child Care Personnel complete the Department approved five-hour early literacy and language development prior to due date

At the time of inspection, Counselor determined that Child Care Personnel listed on the supplemental did not complete a department approved five-hour early literacy and language development course within 12 months of date of employment in child care industry. The Child Care Personnel was supposed to complete the course on or before 2/12/24

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

04-01 · Technical assistance was provided to always maintain direct supervision. • This standard was brought back into compliance when Child Care Personnel returned to the classroom

At the time of inspection, Counselor observed the 1-year-old Child Care Personnel exit her classroom and the facility to grab her food from the food delivery person leaving her classroom unsupervised. Also, other Child Care Personnel exited the classroom the grab items in the adjoining classroom briefly leaving the classroom unsupervised

Corrected Corrected by Mar 21, 2024

Category: supervision. Marked corrected in the state record.

12-01 · Technical assistance was provided to ensure that facilities is cleaned and sanitized on a routine basis. Also, to develop and implement a cleaning schedule to ensure that cleaning occurs. Clean the affected areas prior to due date. • A sample daily cleaning checklist was reviewed and emailed to the provider on today's date for use going forward

At the time of inspection, Counselor observed the facility not to be clean. The area rugs appeared to be stained and the ceiling vents throughout the facility was with dust

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

17-02 · Technical assistance was provided to ensure that the fence is fix and no hazards are on the playground

At the time of inspection, Counselor observed two broken fence post which is causing the fence to lean backward. The broken fence posts that are still inside the ground has sharp wood pieces protruding out

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

25-20 · Technical assistance was provided that clean, sanitary drinking water shall be readily accessible in indoor and outdoorareas, throughout the day

At the time of inspection, Counselor observed 1 Child Care Personnel on the playground with 6 children without enough drinking water for the children

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

26-01 · Technical assistance was provided to post menu at the beginning of the week in a conspicuous location easily seen by parents

At the time the inspection, Counselor observed menu posted near the front door of the facility was dated for March 11 th through the March 15 th

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

27-06 · Technical assistance was provided that a food acceptance 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 caters food from the facility's sister-site C10PO0406

At the time of inspection, Provider failed to maintain the food acceptance log at the facility. Provider advised that food acceptance log was at her personal residence not at the facility

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

28-02 · Bottles, Breastmilk, Formula and Infant Food

At the time of inspection, Counselor observed the cups brought in from home were not label with first and last names. Technical assistance was provided to ensure that all cups are labeled

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

28-09 · Technical assistance was provided that due to the extreme risk of choking, solid foods, including cereal, may not be given in bottles or with infant feeders to children with normal feeding habits unless authorized by a physician

At the time of inspection, Counselor observed a bottle inside the infant classroom refrigerator cereal/rice and inside the bottle. The milk and cereal/rice mixture were extremely thick. The Child Care Personnel admitted to mixing cereal and rice with the formula inside side the bottle

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

33-03 · Training Requirements

At the time of inspection, Counselor reviewed all Child Care Personnel files and determined that the Child Care Personnel listed on the supplemental did not start the required DCF 40-hour introductory training within 90 days of employment/industry start date. Technical assistance was given to the provider to have the staff start a class in Part 1 or Part 2 within 90 days of employment/industry start date

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-06 · Technical assistance was provided to ensure Child Care Personnel complete the Department approved five-hour early literacy and language development prior to due date

At the time of inspection, Counselor determined that Child Care Personnel listed on the supplemental did not complete a department approved five-hour early literacy and language development course within 12 months of date of employment in child care industry. The Child Care Personnel was supposed to complete the course on or before 1/3/24

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

33-09 · Technical assistance was provided to ensure that Child Care Personnel shall be trained on safe sleep, at each facility they are employed, within 30 days of date of hire

At the time of inspection, Counselor determined that the Child Care Personnel listed on the supplemental did not have proof of safe sleep training within 30 days of date of hire

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

35-12 · Technical assistance was provided to ensure that all Child Care Personnel have a current exposure plan on file

At the time of inspection, Counselor determined that the Child Care Personnel did not have a current exposure plan training on file

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

41-01 · Technical assistance was given to the provider to obtain a current form from the parent/guardian prior to the due date. Additional technical assistance was given regarding FL shots. The provider was given the link to their website and how to register to view FL shot records. The link given was: www.flshotsusers.com and the provider was reminded to go to the bottom of page under schools & licensed child care providers to register

At the time of inspection, Counselor reviewed childrens files and determined that the child listed on the supplemental had an no immunization forms on file

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

42-01 · Technical assistance was provided to ensure that all children have current physical on file

At the time of inspection, Counselor determined that the child listed on the supplement did not have a Student Health Examination or equivalent health statement on file

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

44-01 · Technical assistance was provided to ensure that all files are maintained and available for the licensing agency to review. • Counselor reviewed 5 Child Care Personnel files

At the time of inspection, Provider advised that two Child Care Personnel files was not onsite at they were at her personnel residence. Counselor was unable to review

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

45-01 · Technical assistance was provided to ensure that all Child Care Personnel have Background Screening and Personnel File Requirements on file

At the time of inspection, Counselor determined that the Child Care Personnel listed on the supplemental did not have a complete CF- FSP Form 5131, Background Screening and Personnel File Requirements on file

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.