Andromeda Preschool

The facility did not have documentation to show child care personnel had begun the introductory training within 90 days of employment in the child care industry. CCF Handbook, Section 4.1 Employee listed on the supplemental page did not start the DCF training within 90 days of employment. Employee has since started the training. Employee should have started the training by May 2025 and instead did not start the training until 08/12/2025. Technical Assistance given from the handbook: 4.1 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 Child Care Facility Handbook Page | 40 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. Due Date Completed at time of inspection

The Florida Certificate of immunization was not acceptable in that: [ The form was not current (expired)]. CCF Handbook, Section 7.1 Record Keeping [SR] Child listed on supplemental had an expired shot record. Technical Assistance given from the handbook: 7.1 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) F.A.C. or the Religious Exemption from Immunization form, DH 681, which is incorporated by reference in 65C-22.001(7)(p) FAC 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. Due Date 9/2/2025 Page 3 of 4 Name: Andromeda Preschool License #: C04CL0006 Address: 131 Suzanne Ave Orange Park FL 32073 Type: Routine Date: 08/22/2025

The personnel/ volunteer (ten hours or more per month) record did not include a CF-FSP 5337 Child Abuse and Neglect Reporting Requirements form signed annually. CCF Handbook, Section 7.4, C Record Keeping [SR] Employee listed on the supplemental did not have a current Child Abuse and Neglect form in the file. Corrective Action: Provider is to email licensing specialist a copy of the signed Child Abuse and Neglect Form. Technical Assistance given from handbook: 7.4 Personnel Records Records must be maintained and kept current on all child care personnel, as defined by Section 402.302(3), F.S. These records shall be on-site, available for review by the licensing authority and must include: A. A complete employment application with the required statement pursuant to Section 402.3055(1)(b), F.S. B. Documentation of position and date of employment. C. CF-FSP Form 5337, Child Abuse & Neglect Reporting Requirements, which is incorporated by reference in 65C-22.001(7)(l), F.A.C., must be signed on or before Child Care Facility Handbook Page | 62 hire date and annually thereafter by all child care personnel.

A complete CF-FSP Form 5131, Background Screening and Personnel File Requirements, was not on file for all employees. CCF Handbook, Section 7.4.1, A Record Keeping [SR] Employee listed on the supplemental page did not have a 5131 filled out and in the file. Corrective Action: Provider is to email licensing specialist a copy of the 5131 completely filled out. Technical Assistance given from handbook: 7.4.1 Background Screening Documents Background screening documentation must be maintained for all child care personnel as defined by Section 402.302(3), F.S., which includes household members if the facility is located in or adjacent to the home of the operator. Background screening documentation must be on-site and available for the licensing authority to review. A. Each personnel record must have a completed CF-FSP Form 5131, Background Screening and Personnel File Requirements, which is incorporated by reference in paragraph 65C-22.001(7)(b), F.A.C

Background screening was not completed: [ after a 90-day break in service.] CCF Handbook, Section 5.2 Record Keeping [SR] Employee listed on the supplemental page had more than a 90-day break in service and a rescreening should have been completed before hiring. This was completed at time of inspection when Provider went into background screening and initiated the rescreen. Technical Assistance from Handbook: C. Child care personnel must be re-screened following a break in employment in the child care industry that exceeds 90 days. Child care personnel/individual with a break in service that exceeds 90 days are considered unscreened child care personnel/individuals until completion of re-screening. These child care personnel/individuals shall not have unsupervised contact with children in care. D. If child care personnel take a leave of absence, such as maternity leave, extended sick leave, migrant child care programs, etc. re-screening is not required unless the

Child Care personnel, who were not in compliance with training requirements when they left the industry, did not complete required training and any new mandated training before returning to the industry. CCF Handbook, Section 4.3, B (Section 2.1 Health and Safety, Page 3) Training [SR] Provider hired staff member listed on the supplemental. That employee has worked in the industry before and had run out of time to complete the required 40 hours. Provider has suspended employee until training has been completed. Technical Assistance given from handbook: B. In the event an individual leaves the child care industry not in compliance with the training requirements and returns to the industry either at the same or a different child care facility, he or she must comply with the training requirements described in this section, as well as any new training requirements that may have been added during the gap in employment in the child care industry prior to re-employment.

The personnel/ volunteer (ten hours or more per month) record did not include a CF-FSP 5337 Child Abuse and Neglect Reporting Requirements form signed annually. CCF Handbook, Section 7.4, C (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Child Abuse and Neglect Forms were signed while LS present. Technical Assistance given from handbook: 7.4 Personnel Records Records must be maintained and kept current on all child care personnel, as defined by Section 402.302(3), F.S. These records shall be on-site, available for review by the licensing authority and must include: A. A complete employment application with the required statement pursuant to Section 402.3055(1)(b), F.S. B. Documentation of position and date of employment. C. CF-FSP Form 5337, Child Abuse & Neglect Reporting Requirements, which is incorporated by reference in 65C-22.001(7)(l), F.A.C., must be signed on or before Child Care Facility Handbook Page | 62 hire date and annually thereafter by all child care personnel.

The facility's transportation log did not include [2nd sweep signature at time of return]. CCF Handbook, Section 2.5.2 General Requirements [SR] Provider did not have a 2nd signature on the van log upon returning from drop off in the mornings. Technical Assistance given from handbook: 2.5.2 Transportation Log A. A log must be maintained for all children being transported in a vehicle or on foot away from and/or to the premises of the child care facility. The log must be retained on file at the facility for a minimum of 12 months and available for review by the licensing authority. The log must include: 1. Each childs name, 2. The date and time of departure, 3. Time of arrival at the destination, 4. The signature of the driver (or in the case of travelling on foot, the signature of the child care personnel), and 5. The signature of a second child care personnel or person(s) authorized by the provider to verify the transportation log and that all children have arrived safely and left the vehicle (if applicable). Corrective Action: Provider must submit a week's worth of transportation logs showing a second signature.

During the facilitys licensure year, fire drills utilizing the approved alarm system were not conducted monthly at various dates and times when children were in care [no fire drill or emergency preparedness done during the month of March 2024.]. CCF Handbook, Section 3.8.4, A Physical Environment [SR] Provider failed to do a monthly fire drill during the month of March 2024. Technical Assistance Given from handbook: 3.8.4 Fire Drills A. During the facilitys license year, fire drills utilizing the alarm system, approved by the local fire authority, must be conducted monthly at various dates and times when children are in care. Corrective Action: Provider is to submit 2 weeks of Fire Drills by 05/02/2024

Bottles and/or sippy cups brought from home were not labeled with childs first and last name. CCF Handbook, Section 3.9.5, B Food and Nutrition [SR] Cups in the VPK classroom were not labeled with the child's first and last names. Provider stated that parents change the cups daily FSC explained to provider that teachers need to label the cups as the children come into the center or the classroom. Technical Assistance given from handbook: 3.9.5 B. Bottles and sippy cups brought from home shall be individually labeled with the childs first and last name and shall be returned to the custodial parent or legal guardian daily

Child(ren) did not have a Florida Certification of Immunization (DH Form 680) or a Religious Exemption from Immunization (DH Form 681), on file within 30 days of enrollment. CCF Handbook, Section 7.1, B Record Keeping [SR] FSC reviewed 4 newly enrolled children's immunization records and 1 was not in compliance. Child listed on supplemental page did not have a current immunization record on file.Corrective Action: Provider is to email FSC a copy of immunization record or letter stating that child has been disenrolled.Technical Assistance given from the handbook:7.1 Immunization RecordsThe child care facility is responsible for obtaining for each child in care a current, completeand properly executed Florida Certification of Immunization form Part A-1, B, or C, DH680, which is incorporated by reference in 65C-22.001(7)(o), F.A.C., or the ReligiousExemption 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 DHForm 681 may be obtained from the local county health department. Specific immunizationrequirements are included and detailed in the most current edition of the ImmunizationGuidelines-Florida Schools, Child Care Facilities and Family Day Care Homes aspromulgated by the Florida Department of Health.A. Immunizations received out-of-state are acceptable; however, immunizations must bedocumented on the Florida Certification of Immunization form and must be signed bya physician practicing in the State of Florida.B. If the custodial parents or legal guardians fail to provide the documentation requiredabove within 30 days of enrollment, the facility shall not allow the child to remain in thepr…

Child(ren) did not have a Student Health Examination/DH (Form 3040), or an equivalent health statement on file within 30 days of enrollment. CCF Handbook, Section 7.2, C Record Keeping [SR] FSC reviewed 4 newly enrolled children's health records and 1 was out of compliance. Child listed on the confidential page does not have a current health record on file.Corrective action: Provider is to email FSC by May 2, 2024 a copy of child's health record or a letter stating that the child has been disenrolled. Technical Assitance given from 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. 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. D. School-aged