Crosswater Christian Academy

Bottles and/or sippy cups brought from home were not labeled with childs first and last name. CCF Handbook, Section 3.9.5, B During the playground inspection, the Licensing Specialist observed several water bottles that did not have the children's names on them. There was also a large spray bottle that contained water that was not labeled as well. The teachers labeled the water bottles during the inspection. The Child Care Facility Handbook states on page 35 that: 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.

A ratio of [one ] child care personnel for [six] children is required. A ratio of [one] child care personnel for [eight] children was observed. s.402.305(4), F.S. The inspection was conducted during napping hours, the ratio observed was: Four/Five's 11:1 Two/Three/Four's 14:1 (majority of children were age 3). One/Two's 8:2, however, prior to Licensing Specialist entering this room, the second teacher was observed coming back from lunch and was told by the Director to go into this classroom. When the LS reached the classroom there was 2 employees, but when asked, the teachers admitted that there was only one teacher present while the other teacher was at lunch. The LS discussed naptime exceptions with the employees and the Director. The Child Care Facility Handbook states on page 13 that: 2.4.2 Nap time Supervision 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.

Child care personnels Level 2 documentation was incomplete in that [ A copy of out-of-state child abuse and neglect registry search is missing., A copy of out-of-state sexual offender/predator registry search is missing.]. CCF Handbook, Section 7.4.1, D, E, and F There are currently 10 employees. All 10 employee's records were reviewed. One employee, SB, that was hired on 8/8/2024, lived out of state within the last 5 years and the facility did not process an out of state sex offender search or an out of state abuse hotline check. The Child Care Facility Handbook states on page 62 that: E. A copy of each request made to out of state child abuse and neglect registries for individuals who lived outside the state of Florida in the preceding five years. F. A copy of each search conducted for out of state sexual offender/predator registries for individuals who lived outside the state of Florida in the preceding five years

The base of the fence in the outdoor play area was not at ground level and could allow inside or outside access by children or animals. CCF Handbook, Section 3.5, F During the inspection, Licensing observed a part of the fence on the large playground that was no longer ground level. The facility will need to repair the fence. The Child Care Facility Handbook states on page 24: E. The facilitys outdoor play area must be fenced as required by local ordinances to prevent access by children to all water hazards within or adjacent to outdoor play areas, such as pools, ditches, retention ponds, and fish ponds. F. The outdoor play area must have adequate fencing or walls a minimum of 4 feet in height. Fencing, including gates, must be continuous and must not have gaps or opening larger than 3 inches that would allow children to exit the outdoor play area. The base of the fence must remain at ground level and be free from erosion or build up to prevent inside and outside access by children or animals. These areas must have at least two exits, with at least one being remote from the buildings. If an outdoor play area was approved for usage by the Department prior to October 25, 2017, no new exits are required to be added to meet this standard. However, if outdoor play area fencing is changed then the standard would apply, and two exits must be provided.

The facility did not have documented proof that all child care personnel were trained and knowledgeable within 30 days of date of hire in [ the use of fire extinguishers, safe sleep practices and shaken baby syndrome]. CCF Handbook, Section 4.2.3 and 4.2.5 There are currently 10 employees. All 10 employee records were reviewed. One employee, CP, has been at the facility for over 30 days and has not completed the fire extinguisher training. One employee, SB, has been at the facility for over 30 days and has not completed a course on Safe Sleep. The Child Care Handbook states on page 41 and page 42 that: 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. 4.2.5 Fire Extinguisher Training All child care personnel shall be trained in the use and operation of a fire extinguisher, at each facility they are employed, within 30 days of date of hire. The facility must maintain documentation that all child care personnel have c…

The facility did not maintain documentation that the parent(s) or legal guardian(s) of each child were provided information regarding the potential for distracted adults to fail to drop off a child and leave them in the car annually during the months of April and September in that [9 newly enrolled children's parents were not notified in the month of September.]. CCF Handbook, Section 7.3, C.5. Nine newly enrolled children's records were reviewed since the last inspection on 6/10/2024. There was no documentation in the records to show that the children's parents were given the Distracted Adult notification information. The Child Care Facility Handbook states on page 61 that: 5. 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 .

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 There are currently 10 employees. Counselor reviewed 10 employee records. One employee, CD, had an expired Abuse/Neglect form. One employee, CP, started on 9/16/2024 and did not sign the form until 9/24/2024 and another employee, SB, was hired on 8/8/2024 and did not have the form on record. SB signed the form during the inspection. The Child Care Facility Handbook states on pages 61-62 that: 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 Child Care Attestation of Good Moral Character was not completed at the time of initial screening or upon change in employers. CCF Handbook, Section 7.4.1, B There are currently 10 employees. All 10 employee records were reviewed. One employee, CP, had filled out the wrong form and it was not dated. Another employee, SB, did not have one on file. Both employees signed the correct forms during the inspection. The Child Care Facility Handbook states on page 62 that: B. CF Form 1649A, Child Care Attestation of Good Moral Character, which is incorporated by reference in 65C-22.001(7)(a), F.A.C., must be completed for all child care personnel at the time of initial screening or upon change in employers. CF Form 1649A may be obtained from the Departments website at www.myflfamilies.com/childcare.

Background screening was not completed: [ after a 90-day break in service.] CCF Handbook, Section 5.2 There are currently employees. All 10 employee records were reviewed. One employee, CP, had an eligible background screening clearance on record, but there had been a 90 day break in service and a resubmission was not completed. The Director completed a resubmission in the Clearinghouse during the inspection. The employee is not allowed to be alone with children until a cleared live scan screening has been received. The Child Care Facility Handbook states on page 53 that: 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.

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 There are currently 47 children enrolled. Counselor reviewed all 47 children's records. One child (LG) has been at the facility for over 30 days and his out of state shot records have not been transferred over to the correct DH680 form. The Child Care Facility Handbook states on page 59 that: 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.

The Florida Certificate of immunization was not acceptable in that: [ The form was not current (expired)]. CCF Handbook, Section 7.1 There are currently 47 children enrolled. Counselor reviewed all 47 children's records. Two children (EB and RH) that have been at the facility for over 30 days had expired shot records. The Child Care Facility Handbook states on page 59 that: 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.

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 There are currently 47 children enrolled. Counselor reviewed all 47 children's records. Three children that have been at the facility for over 30 days did not have physicals. (WS, ZS and KS). The Child Care Facility Handbook states on page 60 that: 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.

The Student Health Examination or equivalent health statement was not acceptable in that: [ It was not current (over two years old), It did not indicate the results of all components included in DH Form 3040]. CCF Handbook, Section 7.2 There are currently 47 children enrolled. Counselor reviewed all 47 children's records. One child's (JP) physical is expired. One child's (KK) physical was missing the date of the exam. Both children have been at the facility for over 30 days. The Child Care Facility Handbook states on page 60 that: 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.

The facility did not have a fully-completed enrollment form (CF-FSP Form 5219) or equivalent form for the child(ren) in care. CCF Handbook, Section 7.3 There are currently 47 children enrolled. Counselor reviewed all 47 children's records. Three children (LA, EB and RS) were missing the statement page from their renewal packet that the facility has them sign to show that they received their discipline policy; shot and physical information; and their "Know your Child Care Brochure". The Child Care Facility Handbook states on page 61 that: Child Care Facility Handbook Page | 61 7.3 Enrollment Information The facility operator shall obtain enrollment information from the childs custodial parent or legal guardian prior to accepting a child in care. This information shall be documented on CF-FSP Form 5219, Child Care Application for Enrollment, which is incorporated by reference in 65C-22.001(7)(f), F.A.C., or an equivalent form that contains all the information required by the Department on CF-FSP Form 5219. CF- FSP Form 5219 may be obtained from the licensing authority or on the Departments website at www.myflfamilies.com/childcare. A. Enrollment information shall be kept on file, current and available for review by the licensing authority. B. The enrollment information shall include, in writing, permission for the facility to release the child to any person(s) authorized or in the manner authorized by the custodial parent or legal guardians. The name, address, and phone number of authorized persons must be in the enrollment information. C. There shall be signed statements from the custodial parents or legal guardian that the …

The facilitys refrigerator and/or freezer does not have an appropriate thermometer. CCF Handbook, Section 3.9.2, F.1 During the inspection, Counselor monitored two small refrigerators in two separate rooms. Both had thermometers in them. One thermometer was broken and not reading properly and one was frozen to the back of an ice block and could not be read. The person in charge ordered two new thermometers during the inspection. The Child Care Facility Handbook states on page 31 that: F. Refrigerators/freezers: 1. An accurate thermometer designed to measure cold storage temperature must be placed inside each refrigeration and freezer unit. Thermometers in refrigerators must show a reading of 41 degrees Fahrenheit or below, and thermometers in freezers must show a reading of 0 degrees Fahrenheit or below. The thermometer must be located in the center of the unit and be readily accessible. Thermometer temperature readings higher than specified above require further temperature testing of food samples stored in the unit using a probe type thermometer; and adjustments to the unit setting to reach and maintain the required readings must be made.

A resilient surface was not provided beneath and within the fall/use zone for [two climbing structures on the playground]. CCF Handbook, Section 3.12, D During the playground inspection, Counselor observed two large climbing playground pieces in an area that just had grass. The Child Care Facility Handbook states on pages 39-40 that: 3.12 Outdoor Equipment A. A child care facility must provide and maintain enough usable equipment suitable to each childs age and development and of a quantity for each to be involved in activities. B. All playground equipment must be securely anchored, unless portable or stationary by design, in good repair, maintained in safe and sanitary condition, and placed to ensure safe use by the children. Maintenance must include inspections conducted every month of all supports above and below the ground and of all connectors and moving parts. Documentation of maintenance inspections must be maintained for 12 months. C. All equipment, fences, and objects on the facilitys premises shall be free from sharp, broken and jagged edges, and properly placed to prevent overcrowding or safety hazards in any one area. D. Permanent or stationary playground equipment must have a fall/use zone that extends a minimum of 6 feet in all directions from the perimeter of the equipment. All types of ground cover must be maintained to provide resilience and reduce the incidence of injuries to children in the event of falls. Child Care Facility Handbook Page | 39 1. If the ground cover in place is loose ground cover (such as, but not limited to: mulch, shredded rubber chips, or sand) a minimum of 6 inches in depth is require…

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 Counselor reviewed 7 newly enrolled children's records since the last inspection on 1/19/2023. Two newly enrolled children, AS and AS, have been at the facility for over 30 days did not have a shot record on file. The Child Care Facility Handbook states on pages 59-60 that: 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 receiv…