Auntie Lili's Child Care Center

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 (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Specialist reviewed all ( 32) children files for all children enrolled. 11 children listed on supplemental did not or had expired DH 680 Florida Immunization on file. 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)(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. A. Immunizations received out-of-state are acceptable; however, immunizations must be documented on the Florida Certification of Immunization form and must be signed by a physician practicing in the State of Florida. 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 religio…

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 (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Specialist reviewed all ( 32) children files for all children enrolled. 3 children listed on supplemental did not have DH 3040 on file. 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 children attending public or non-public schools are not required to have student health examination and immunization records on file at the child care facility as such records are on file at the school where the child is enrolled. E. If the custodial parents or legal guardians need assistance concerning t…

Supervision of children in the [afterschool ] group was inadequate in that [child who is 6 year old stated he was left in the van.]. CCF Handbook, Section 2.4 General Requirements [SR] The facility is being cited due to the child is 6-year-old and stated that he was left in van. When parent came to pick up child she observed the child appeared to be very emotional, and sweaty and when asked what was wrong child stated he was left in van. This was corrected at the time the child was disenrolled from the facility. 2.4 Supervision 2.4.1 General Supervision Requirements A. Child care personnel must position themselves in the outdoor play area so that all children can be observed and directly supervised. B. Child care personnel must be assigned to provide direct supervision to a specific group of children and be with that group of children at all times. Children must never be left without child care personnel supervision inside or outside the facility, in a vehicle, or at a field trip location. C. Supervision standards apply at all times away from the child care facility, including during field trips, outdoor play, and when picking up or dropping off children at designated locations, such as bus stops, school, or a childs home. For school-age children, personnel must know where the children are and what they are doing at all times and capable of responding to emergencies including when children are separated from their group. D. At all times, lighting must allow child care personnel to see and supervise children while in care. E. A program is responsible for the supervision of a child until an authorized individual retrieves the child from the program. A child …

Contact information and emergency medical consent for all children being transported was not maintained. CCF Handbook, Section 2.5.3, A General Requirements [SR] The facility did not have information nor documentation showing emergency contact or medical consent on children that were being transported. This was corrected at the time of investigation the facility immediately discontinue transporting children. 2.5 Transportation Child care providers must comply with minimum health and safety standards to ensure the well-being of children in their care being transported. For the purposes of this section, transportation pertains to travel by foot or in a vehicle that is owned, operated or regularly used by the child care program, and vehicles used to provide transportation through a contract or agreement with an outside entity. Prior to transporting children, the facility must be approved by the Department to offer transportation services. Transportation services will be approved if the conditions set forth in parts 2.5.1, 2.5.4., 2.5.5., and 4.2.6., of this Handbook are met. Pursuant to the Child Safety Alarm bill in 2021, all vehicles used to transport children by child care facilities and large family child care homes must be equipped with a reliable alarm system which prompts the driver to inspect the vehicle for children before exiting the vehicle. 2.5.3 Emergency Care Plans A. Child care personnel must have possession of emergency medical consent and contact information for the parent or legal guardian of each child being transported by vehicle or on foot while away from the child care facility. Due Date Completed at time of inspec…

The facility did not maintain a log for all children being transported in a vehicle. CCF Handbook, Section 2.5.2 A General Requirements [SR] The facility was transporting children in care and did not maintain a transportation log. This was corrected at the time of investigation the facility immediately discontinue transporting children. 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). Due Date Completed at time of inspection

The facility's driver did not have [ An annual physical examination which grants medical approval to drive]. CCF Handbook, Section 2.5.1 General Requirements [SR] The facility driver's did not have documentation showing completion of a physical examination to drive children in care. This was corrected at the time of investigation the facility immediately discontinue transporting children. 2.5.1 Driver Requirements The driver of any vehicle used by a child care program to provide transportation must have the following: A. A valid Florida drivers license including the proper endorsement; B. An annual physical examination which grants medical approval to drive, and valid certificate(s) of course completion for first aid training and pediatric cardiopulmonary resuscitation (CPR) procedures. Due Date Completed at time of inspection

The facility did not have documentation of current insurance coverage for the vehicle used to transport children in care. CCF Handbook, Section 2.5.4, D General Requirements [SR] The facility did not have documentation showing proof of vehicle insurance for the vehicle they used to transport children in care. This was corrected at the time of investigation the facility immediately discontinue transporting children. 2.5 Transportation Child care providers must comply with minimum health and safety standards to ensure the well-being of children in their care being transported. For the purposes of this section, transportation pertains to travel by foot or in a vehicle that is owned, operated or regularly used by the child care program, and vehicles used to provide transportation through a contract or agreement with an outside entity. Prior to transporting children, the facility must be approved by the Department to offer transportation services. Transportation services will be approved if the conditions set forth in parts 2.5.1, 2.5.4., 2.5.5., and 4.2.6., of this Handbook are met. Pursuant to the Child Safety Alarm bill in 2021, all vehicles used to transport children by child care facilities and large family child care homes must be equipped with a reliable alarm system which prompts the driver to inspect the vehicle for children before exiting the vehicle. D. All child care facilities must comply with the insurance requirements found in Section 316.615(4), F.S. Documentation shall be maintained at the facility. Due Date Completed at time of inspection

A vehicle(s) used to transport children did not have an annual inspection by a mechanic to ensure it was in proper working order. CCF Handbook, Section 2.5.4, A General Requirements [SR] The vehicle use to transport children in care did not have an annual vehicle inspection. This was corrected at the time of investigation the facility immediately discontinue transporting children. 2.5.4 Vehicle Requirements For the purpose of this section, vehicles refer to those owned, operated or regularly used by the child care program, and vehicles that provide transportation through a contract or agreement with an outside entity. Parents/guardians personal vehicles used for transporting during field trips are excluded from meeting the requirements of this sub-section. A. All vehicles regularly used to transport children must be inspected annually by a mechanic to ensure that they are in proper working order. Documentation by the mechanic must be maintained in the vehicle. Due Date Completed at time of inspection Page 4 of 8 Name: Auntie Lili's Child Care Center License #: C08BR0030 Address: 407 W Washington St Starke FL 32091 Type: Complaint Date: 10/07/2025

A vehicle(s) used to transport children did not have the required alarm system installed to prompt the driver to inspect the vehicle for children before exiting the vehicle. CCF Handbook, Section 2.5.4 General Requirements [SR] The vehicle the facility used to transport children in care did not have the required alarm system installed. This was corrected at the time of investigation the facility immediately discontinue transporting children. 2.5.4 Vehicle Requirements For the purpose of this section, vehicles refer to those owned, operated or regularly used by the child care program, and vehicles that provide transportation through a contract or agreement with an outside entity. Parents/guardians personal vehicles used for transporting during field trips are excluded from meeting the requirements of this sub-section. F. By January 1, 2022 all vehicles used by child care facilities to transport children must be equipped with a reliable alarm system approved by the Department which prompts the driver to inspect the vehicle for children before exiting the vehicle. 1. Approved alarm systems must meet the following criteria: a. The alarm system must be armed or activated automatically when the vehicles ignition is turned on. b. The alarm system must be designed and installed so that the vehicle horn, siren or other type of audio alarm will sound if the driver/staff member does not walk to the rear or, in the case of a passenger van, the side entry point of the vehicle, to manually shut off or deactivate the alarm. c. The time delay from the time the ignition is turned off after activation of the alarm system until the alarm sounds shall be no longer than one minute. d. The alarm must be audible from the…

There were no daily attendance records or they were unavailable for review by the licensing authority. CCF Handbook, Section 7, B.4 Record Keeping [SR] The facility did not have documentation of daily attendance for the 4-year-old classroom, as the Director could not locate the daily sign in sheet for that day. This was corrected at the time, attendance was recorded for that day. 7.5 Daily Attendance 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. D. Attendance records must be maintained for a minimum of 12 months. E. Attendance records for Voluntary Pre-Kindergarten or School Readiness may be used, if applicable. Due Date Completed at time of inspection ENFORCEMENT

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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 Staff member O.C. did not have documentation to show she begun the Introductory Childcare training within 90 days. O.C. was employed on 2/17/25. 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 childcare 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 9/12/2025

The facility did not have documented proof that all child care personnel were trained and knowledgeable within 30 days of date of hire in [ safe sleep practices and shaken baby syndrome]. CCF Handbook, Section 4.2.3 and 4.2.5 Training [SR] Staff member C.C. did not have documentation to show she had completed safe sleep within 30 days of hire, Staff member C.C. is the infant teacher and was hired on 07/17/25. 4.2.3 Safe Sleep/ Shaken Baby Syndrome Training All child care personnel who work in a facility that offers care to infants must have training regarding guidance on safe sleep practices, preventing shaken baby syndrome and abusive head trauma; recognition of signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with crying, fussing, or distraught child and the development and vulnerabilities of the brain in infancy in early childhood within 30 days of hire at the facility. For child care personnel to satisfy this requirement the training must be accomplished through one of following methods: Department's Health Safety and Nutrition course, Safe Sleep course, or the Early Learning Floridas Safe Sleep Practices. Documentation of training must be maintained on the Department's training transcript in the child care personnel record. Due Date 9/12/2025

The facility had an inadequate number of child care personnel appropriately trained in CPR to maintain coverage both on-site and on field trips. CCF Handbook, Section 4.2.4, B Health Requirements [SR] There was 28 children present with only one staff member with cpr/first aid. The requirement is 4 staff members for 0 to 25 children. 4.2.4 First Aid and Cardiopulmonary Resuscitation (CPR)A. One child care personnel with current and valid certificate(s) of course completion for first aid training and one child care personnel with current and valid certificate of course completion for pediatric cardiopulmonary resuscitation (CPR) procedures must be present at all times that children are in care. The same child care personnel may satisfy both requirements. Documentation of first aid training must be kept on file and available for licensing to review.B. By December 31, 2021, the facility shall maintain the following number of child care personnel with the CPR certification and first aid training that are on site at the facility at all times children are in care. For child care personnel to count to meet requirement in the below chart, they shall be child care personnel assigned to provide direct supervision of children in care: Total minimum number of child care personnel with Pediatric CPR certification on site when children are present: Total minimum number of child care personnel with first aid training on site when children are present: Total number of child care personnel in direct supervision of children to meet staff to child operating ratios: Total minimum number of child care personnel with Pediatric CPR certification on site when children are present:

Documentation of Level 2 Clearinghouse screening clearance was missing for child care personnel. CCF Handbook, Section 7.4.1,C Record Keeping [SR] Three (3) staff member did not have documentation on file to show clearance of background screening. 5.1 Initial Screening A screening must be conducted as a condition of employment. The employer/owner/operator must review each employment application to assess the relevancy of any issue uncovered by the complete background screening, including any arrest, pending criminal charge, or conviction, and must use this information in employment decisions in accordance with state laws. A. Level 2 screening as outlined in s. 435.04, F.S., is required for all child care personnel and includes a criminal records check (both national and statewide), a sexual predator and sexual offender registry search, and child abuse and neglect history of any state in which an individual resided during the preceding 5 years. All fingerprints must be submitted and processed through the Background Screening Clearinghouse and therefore a LiveScan vendor that is Clearinghouse compatible must be used for submission of fingerprints. B. The fingerprint results from the Federal Bureau of Investigation will be returned to DCF via the Florida Department of Law Enforcement. DCF will review both the federal and state criminal history results, along with state criminal records, national sex offender registry, Florida sex offender registry, and the Florida child abuse and neglect registry. C. DCF will issue an eligible or non-eligible result through the Clearinghouse upon completion of searches and results from ot…

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A ratio of [1] child care personnel for [four] children is required. A ratio of [1] child care personnel for [7] children was observed. s.402.305(4), F.S. General Requirements [SR] Ratio observed 5-ones with 1 staff7-twos with 1 staff9-threes with 1 staff5-VPK with 1 staff3-Infants with 1 staff Total children present 29 While another agent was at the childcare facility, the Director who was supervising 4 VPK asked the Infant teacher who was supervising 3 infants to come into her VPK classroom so she could assist the agent causing the classroom to be out of ratio. The classroom had 4 VPK students with 3 infants. This was corrected at the time of inspection as the Director was aware that it was going to put her out of ratio, but next time she will assist the agent with her classroom along with her when she is short staff. 2.3 Ratios 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. Due Date Completed at time of inspection

Medication which had expired or is no longer being administered was not discarded or returned to the custodial parent or legal guardian. CCF Handbook, Section 6.5, H Health Requirements [SR] There was Aquaphor ointment in the infant room with no label or medication form. The Aquaphor ointment was for a child who had been out for awhile and Director was not aware of a medication form for this ointment. The Aquaphor was discarded as the child has not returned back to the facility. 6.5 Medication Child care programs are not required to give medication; however, if a program chooses to do so, it must comply with the following requirements: A. The child care program must have written authorization from the custodial parent or legal guardian to give prescription and non- prescription medications. This authorization must be dated and signed by the custodial parent or legal guardian and contain the childs name; the name of the medication to be given; and date, time and amount of the correct dosage to be given. Prescription and non- prescription medications that are used on an as needed basis require the parent/ legal guardian to provide additional documentation on the authorization form to describe symptoms that would require the medication to be given. The child care provider must never administer a medication that is prescribed for one child to another child.B. Any known allergies to medication or special restrictions must also be documented, maintained in the childs file, shared with child care personnel and posted with the childs stored medication.C. Prescription and non-prescription medication brought to the child care facility by the custodial parent or legal guar…

A ratio of [1] child care personnel for [4] children is required. A ratio of [2] child care personnel for [25] children was observed. s.402.305(4), F.S. (Section 2.1 Health and Safety, Page 3) General Requirements [SR] Licensing specialist observed 25 children mixed-age group between infants to school-age with 2 staff. New ratio: Infant & 1-year old: 4 children; 1 staff 2-year old: 7 children; 1 staff 3-year old to School-Age: 24 children; 1 staff - (8) 3-year old - (4) 4-year old - (12 ) School-Age (majority) **Technical Assistance** 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.

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 (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Children's listed on the supplemental either had expired immunization or health examination records. **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. 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.

Personnel records or copies of records were not being maintained at the facility and available for review by the licensing authority. CCF Handbook, Section 7.4 (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Staff listed on the supplemental did not have staff file available at time of inspection. **Technical Assistance** 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. Licensing did not review no staff files due to not being available.

Documentation of Level 2 Clearinghouse screening clearance was missing for child care personnel. CCF Handbook, Section 7.4.1,C (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Staff listed on the supplemental did not have a background screening clearance. Director understands she must submit initiate a new screening within 24 hours of inspection. **Technical Assistance** A. Level 2 screening as outlined in s. 435.04, F.S., is required for all child care personnel and includes a criminal records check (both national and statewide), a sexual predator and sexual offender registry search, and child abuse and neglect history of any state in which an individual resided during the preceding 5 years. All fingerprints must be submitted and processed through the Background Screening Clearinghouse and therefore a LiveScan vendor that is Clearinghouse compatible must be used for submission of fingerprints.