KinderCare #301959

The facility's driver did not have [ An annual physical examination which grants medical approval to drive]. CCF Handbook, Section 2.5.1 (Section 2.1 Health and Safety, Page 3) General Requirements [SR] Refer to the supplemental for the driver who physical has expired. The driver will need to get another physical and provide the specialist with a current physical. 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 6/15/2026

The facility did not have the number of toilets and/or wash sinks required for the licensed capacity. CCF Handbook, Section 3.7, B (Section 2.1 Health and Safety, Page 3) Physical Environment [SR] The toilet in the school age room was not working. The toilet will need to be repaired so that the children enrolled can have a the number of toilets to use. 3.7 Restrooms and Bath Facilities B. Facilities must have a sufficient number of toilets and sinks for the number of children being served. For facilities having from one to fifteen children, there must be at least one toilet and one sink. There must be at least one additional toilet and sink for every 30 children thereafter. For design and construction of a new child care facility or modification to an existing facility, the program must submit copies of permits obtained to do the work or proof that the permit was satisfied according to the city/county local jurisdiction. Due Date 6/15/2026

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 (Section 2.1 Health and Safety, Page 3) Refer to the supplemental for the staff member who has been with the company of/on has not begun the required the training in order to work in the childcare industry. Staff member has recently been re-hired and still has not begun the training. Staff member will need to begin the required training and provide the specialist with proof of beginning training. 4 Training Training requirements of this section do not apply to child care personnel who do not work directly with the children such as cooks, book keepers, and janitors who are considered other personnel. If at any time other personnel fill in for classroom child care personnel and are in direct care of the children, training is required. Child care personnel in compliance with the school-age requirements shall be considered in compliance with the child care personnel training requirements. 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 Due Date 6/15/2026

The facility did not have documentation to show completion of a Department approved five-hour early literacy and language development course for child care personnel within 12 months of date of employment in child care industry and/or the early literacy course documentation was not uploaded in the Florida Pathways/Registry. CCF Handbook, Section 4.2.2 and 4.5, C (Section 2.1 Health and Safety, Page 3) Refer to the supplemental for the staff member who has not completed the required training. Staff member will need to complete the training and provide the licensing specialist with proof of completion. 4.2.2 Early Literacy Training Pursuant to Section 402.305(2)(e)5., F.S., all child care personnel must complete a single course of training in early literacy and language development of children ages birth through five years that is a minimum of five clock hours or .5 CEUs. Early literacy training must be completed within 12 months of date of employment in the child care industry. Proof of completion may be documented on a certificate of course completion, Due Date 6/15/2026

Child care personnel did not complete preservice training requirements prior to unsupervised contact with or care of children or, if supervised, within 90 days of beginning employment or service with the provider. (Section 3.1 and 3.2 Training Requirements, Page 7) [SR] Refer to the supplemental for the staff member who has not completed the required training. Staff member will need to complete the training and provide the licensing specialist with proof of completion. 3 Training Requirements Training requirements of this section do not apply to child care personnel who do not work directly with children, such as cooks, bookkeepers, and janitors who are considered other personnel. Training is required for other personnel if they at any time fill in for classroom child care personnel and are in direct care of children. 3.1 Preservice Child care personnel must successfully complete the preservice training coursework described in this section, as applicable. All child care personnel must complete these preservice training requirements within 90 days of initial employment with any School Readiness provider. This timeframe does not start over if personnel change employment to another School Readiness provider within this initial 90 days. Personnel who have not completed all preservice training requirements are not allowed any unsupervised contact with or care of children in a School Readiness program. Due Date 6/15/2026 Page 4 of 6 Name: KinderCare #301959 License #: C04CL0155 Address: 431 Drysdale Dr Orange Park FL 32065 Type: Routine Date: 06/01/2026

The sink and/or toilet was not maintained in good operating condition, clean and/or sanitized or disinfected. CCF Handbook, Section 3.7, I (Section 2.1 Health and Safety, Page 3) Physical Environment [SR] The toilet in the 2 year old is not working order(see photos). The toilet needs to be fixed and back in working order.3.7 Restrooms and Bath Facilities.Each toilet and sink must be maintained in good operating condition, cleaned and sanitized or disinfected as needed, but at least once per day. Sinks utilized for teeth brushing activities/procedures by the children must be sanitized prior to the activity occurring. Due Date 2/13/2026

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] Refer to the supplemental for the staff members who had expired forms on file during onsite visit. A new will need to be signed and provided to the licensing specialist for corrective action.7.4 Personnel RecordsCF-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 hire date and annually thereafter by all child care personnel. Due Date 2/13/2026

The facility failed to maintain a current Employee/Contractor Roster for all child care personnel in the Clearinghouse. CCF Handbook, Section 5.1, K (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] The facility failed to maintain the background screening roaster. Refer to the supplemental for the staff who names were not maintained.5 Background ScreeningThe employer/owner/operator must add child care personnel to their Employee/Contractor Roster in the Clearinghouse within 10 days of when the individual has received a child care eligible result and has been hired at the facility. Employer/owner/operator must add an end date for individuals on the Employee/Contractor Roster in the Clearinghouse within 10 days of the employment termination. Due Date 2/13/2026

The facility's driver did not have [ A valid Florida drivers license]. CCF Handbook, Section 2.5.1 (Section 2.1 Health and Safety, Page 3) General Requirements [SR] The driver listed on the supplemental did not have a Florida's drivers license on file. 2.5.1 Driver Requirements The driver of any vehicle used by a child care program to provide transportation must have the following: A valid Florida drivers license including the proper endorsement; Due Date 10/17/2025

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 (Section 2.1 Health and Safety, Page 3) General Requirements [SR] Facility did not have proof of current insurance for Van used to transport enrolled children. 2.5.4 Vehicle Requirements 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 10/17/2025

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 (Section 2.1 Health and Safety, Page 3) General Requirements [SR] The facility did not have documentation of annual inspection for van #2. 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. 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 10/17/2025 Page 2 of 7 Name: KinderCare #301959 License #: C04CL0155 Address: 431 Drysdale Dr Orange Park FL 32065 Type: Renewal Date: 10/06/2025

The vehicle alarm installed was not in working condition. CCF Handbook, Section 2.5.4 (Section 2.1 Health and Safety, Page 3) General Requirements [SR] The alarm for Van #1 alarm was not sounding during onsite inspection. 2.5.4 Vehicle Requirements 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 distance of 500 feet from the vehicle. e. The alarm system must be installed so that the driver must walk to the back of the vehicle to reach the deactivation mechanism. Deactivation mechanisms installed in locations that do not require the driver to walk to the back of the vehicle and view all seating areas will not be acceptable. 2. List of approved alarm manufacturers may be found on the Departments website at www.myflfamilies.com/childcare . 3. Alarms must be installed and maintained according …

Bottles and/or sippy cups brought from home were not labeled with childs first and last name. CCF Handbook, Section 3.9.5, B (Section 2.1 Health and Safety, Page 3) Food and Nutrition [SR] Bottles and infant formula in infant room 1 were not labeled with first and last name. The bottles only had first name and last initial. Item corrected at the time of inspection as bottles were properly labeled. 3.9.5 Food Handling A. Bottles and sippy cups provided by the facility must be washed, rinsed, and sanitized between each use and do not have to be labeled. 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. Due Date Completed at time of inspection Page 4 of 7 Name: KinderCare #301959 License #: C04CL0155 Address: 431 Drysdale Dr Orange Park FL 32065 Type: Renewal Date: 10/06/2025 SANITATION AND EQUIPMENT

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] Refer to the supplemental for the child who did not have a record on file during onsite inspection for review. Specialist observed a total of 85 records for total enrollment. 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. Due Date 10/17/2025

A ratio of [2] child care personnel for [12] children is required. A ratio of [1] child care personnel for [12] children was observed. s.402.305(4), F.S. (Section 2.1 Health and Safety, Page 3) General Requirements [SR] The facility was previously cited on May 22, 2025, during complaint investigation for being out of compliance with having 12 children with only 1 staff member. The facility was given a

A ratio of [2] child care personnel for [12] children is required. A ratio of [1] child care personnel for [12] children was observed. s.402.305(4), F.S. (Section 2.1 Health and Safety, Page 3) General Requirements [SR] During onsite investigation the licensing specialist observed that on the day mentioned in the allegations the facility was out of compliance with ratio as well as there was staff member present starting at 8:13 am by herself with 12 children, there was a mixed group that included 6- 1 year old, 5- 2-year-old, and 1- 4-year-old. The second staff member did not come in until 9:40 am. All 12 children were signed in between 8:13 am and 9:15am. The facility was out of compliance on this day as the ratio was 1 to 6 with 1 year old children in the mix. 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 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.

The facility's transportation log did not include [second signature]. CCF Handbook, Section 2.5.2 (Section 2.1 Health and Safety, Page 3) General Requirements [SR] During onsite inspection specialist observed that the transportation log for May 20, 2025, did not have the second signature indicating that a sweep was done by a second staff member. Please have second staff member attest by signing that a sweep was conducted. 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).

Documentation of an accident or incident was insufficient in that it did not include the [signature of director and date/time]. CCF Handbook, Section 6.4, C (Section 2.1 Health and Safety, Page 3) Health Requirements [SR] Specialist observed 7 reports for the month of May and observed that 5 of the reports were not signed by the director and date/time. Please have the reports dated and signed acknowledging awareness of what occurred while child was in care. 6.4 Accident/Incident Notification Documentation must include the name of the affected party, date and time of the occurrence, description of the occurrence, actions taken and by whom, and appropriate signatures of program child care personnel and the custodial parent or legal guardian. Program child care personnel signatures may include the director/child Child Care Facility Handbook Page | 56 care personnel that witnessed the incident, who were involved in the incident, and/or responded to the childs needs.

Child care personnel did not comply with the facility's written disciplinary and expulsion policies. CCF Handbook, Section 2.8, B (Section 2.1 Health and Safety, Page 3) General Requirements [SR] The facility is out of compliance with the discipline policy as the facility self-reported the incident of witnessing a staff member being aggressive and mishandling children in the classroom. The facility is to conduct an all-staff meeting discussing the written discipline policy. All copy of the discipline policy is to be provided to each staff member to read and sign and date acknowledging that they read and understand the policy. A copy of the sign policy is to be placed in each staff members file folder. A copy of the meeting notes showing all staff signatures and at least a copy of the discipline policy with a staff members signature showing acknowledgment of receiving and reading policy for corrective action to the licensing specialist. 2.8 Child Discipline A. The child care facility shall adopt a discipline policy consistent with Section 402.305(12), F.S., including standards that prohibit children from being subjected to discipline which is severe, humiliating, frightening, or associated with food, rest, or toileting. Spanking or any other form of physical punishment is prohibited. B. The child care facility operators, employees, and volunteers must comply with written disciplinary and expulsion policies.

Child care personnel did not comply with the facility's written disciplinary and expulsion policies. CCF Handbook, Section 2.8, B (Section 2.1 Health and Safety, Page 3) General Requirements [SR] The facility is out of compliance with not following the discipline policy as a staff member was observed by another staff member popping a child. The teacher admitted to popping the child for not laying down. The facility is to create a safety plan that all staff will follow to prevent an incident from occurring in the future. The safety plan will need to discuss what protocol that will be taken if a teacher shall become overwhelmed and shall need assistance in the classroom. A copy of the safety plan is to be provided to the licensing specialist for corrective action. 2.8 Child Discipline A. The child care facility shall adopt a discipline policy consistent with Section 402.305(12), F.S., including standards that prohibit children from being subjected to discipline which is severe, humiliating, frightening, or associated with food, rest, or toileting. Spanking or any other form of physical punishment is prohibited. B. The child care facility operators, employees, and volunteers must comply with written disciplinary and expulsion policies.

Child care personnel failed to document an accident or incident on the day that it occurred. CCF Handbook, Section 6.4, A (Section 2.1 Health and Safety, Page 3) Health Requirements [SR] The facility is out of compliance with incident/accident report writing as an incident report was not written on the day the incident occurred or shared with the parent. The facility failed to document an incident report was not written on the day of the incident nor was the parents notified on the incident that something had occurred. Notification both written and verbalized to the parent was not done until two days later. Even though, an incident report had been written and signed by the parent, the licensure specialist recommends that an all-staff meeting be conducted discussing the importance of documenting any/all incident/accident reports. A copy of the meeting notes which should include all staff signature is to be provided to the licensing specialist for corrective action. 6.4 Accident/Incident Notification A. All accidents and incidents or unusual occurrences that are threatening to the health, safety, or welfare of a child that occur while the child is in care must be documented on the same day they occur. B. This documentation must be shared with the custodial parent or legal guardian on the date of occurrence.

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 Refer to the supplemental page for the staff member who has not begun the required training in order to work in the childcare industry. The staff member will need to begin one of the required courses. 4 Training Training requirements of this section do not apply to child care personnel who do not work directly with the children such as cooks, book keepers, and janitors who are considered other personnel. If at any time other personnel fill in for classroom child care personnel and are in direct care of the children, training is required. Child care personnel in compliance with the school-age requirements shall be considered in compliance with the child care personnel training requirements. 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

Child care personnel including volunteers who work 10 hours or more per month did not complete the 40 hour Introductory Child Care Training requirement. CCF Handbook Section 4.2.1 Refer to the supplemental for the staff member who has been been in the industry since June 2023, has not completed the required training in order to work in the childcare industry. Item corrected at the time of inspection as the director was able to move children around to prevent any ratio concerns and the teacher left the childcare facility during onsite inspection until training is completed. 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.

Documentation of an accident or incident was insufficient in that it did not include the [director signature and/or parent signature with date.]. CCF Handbook, Section 6.4, C Health Requirements [SR] Refer to the supplemental as there was 29 records out of all records reviewed for the fiscal year was out of compliance as they were missing director and/or parent signature with date. Out of the records 6 records need parents signature and date. 6.4 Accident/Incident Notification A. All accidents and incidents or unusual occurrences that are threatening to the health, safety, or welfare of a child that occur while the child is in care must be documented on the same day they occur. B. This documentation must be shared with the custodial parent or legal guardian on the date of occurrence. C. Documentation must include the name of the affected party, date and time of the occurrence, description of the occurrence, actions taken and by whom, and appropriate signatures of program child care personnel and the custodial parent or legal guardian. Program child care personnel signatures may include the director/childcare personnel that witnessed the incident, who were involved in the incident, and/or responded to the childs needs.

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 Record Keeping [SR] Refer to the supplemental for file folders that were incomplete. 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.

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] All staff at the facility had expired forms on file during onsite inspection. 7.4 Personnel Records. 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 hire date and annually thereafter by all child care personnel.

Child care personnel failed to document an accident or incident on the day that it occurred. CCF Handbook, Section 6.4, A Health Requirements [SR] The facility failed to document an incident involving an enrolled child at the facility. 6.4 Accident/Incident Notification A. All accidents and incidents or unusual occurrences that are threatening to the health, safety, or welfare of a child that occur while the child is in care must be documented on the same day they occur. The corporate representative admitted that the previous director was aware of the incident, as well as the person in charge and supporting documentation that the mother reached out regarding the incident. The corporate representative admitted that the ball was dropped, and no incident report was written on the first day the incident was reported nor was incident after the second report of the incident. Therefore, the counselor recommends an all-staff meeting be conducted discussing the importance of documenting any/all incidents. A copy of the meeting notes showing all staff signature is to be provided to counselor for corrective action.

Child care personnel failed to share the accident/incident form with the custodial parent/ legal guardian or the individual authorized to pick up child on the day that the incident occurred. CCF Handbook, Section 6.4, B & D Health Requirements [SR] The facility failed to provider written incident/accident report to the family on the day the incident occurred. The counselor recommends that an all-staff meeting be conducted discussing the importance of documenting and providing the parent with the report on the same day. A copy of the meeting notes and all staff signatures included is to be provided to the counselor for corrective action. The counselor also recommends a copy of the facility written protocol on how incident/accident reports are to be handle is to be provided to the counselor as corrective action. 6.4 Accident/Incident Notification A. All accidents and incidents or unusual occurrences that are threatening to the health, safety, or welfare of a child that occur while the child is in care must be documented on the same day they occur. B. This documentation must be shared with the custodial parent or legal guardian on the date of occurrence.

Child care personnel including volunteers who work 10 hours or more per month did not complete the 40 hour Introductory Child Care Training requirement. CCF Handbook Section 4.2.1 Refer to the supplemental for the staff member who has been in the industry since 2-27-23, has not completed the required training in order to work in the child care industry. 4.2 Training Requirements. Child care personnel including volunteers who work 10 hours or more per month must begin training within 90 days of employment in the child care industry and successfully complete Departments training within 12 months from the date training begins. Training taken prior to employment in the child care industry does not constitute begin training. The begin training timeframes begin at the time of employment in the child care industry. Training completion may not exceed 15 months from the date of employment in the child care industry in any licensed Florida child care facility. This may be accomplished by classroom attendance in a Department- approved training course, acquiring an educational exemption from a Department-approved training course, beginning a Department- approved online child care training course, or by receiving results from a Department-approved competency examination. The child care program is responsible for obtaining training documentation from child care personnel.

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] Refer to the supplemental for the staff member who had an expired form on file. Item corrected at the time of inspection as the staff member signed during onsite inspection. 7.4 Personnel Records. 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 hire date and annually thereafter by all child care personnel.

The facility's transportation log did not include [Signature]. CCF Handbook, Section 2.5.2 General Requirements [SR] The van log was missing the second signature that is required. Please go back through all logs and add second signature. 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).

The facility's driver did not have [ A valid Florida drivers license]. CCF Handbook, Section 2.5.1 General Requirements [SR] The driver listed on the supplemental did not have a Florida drivers license. 2.5.1 Driver Requirements. A valid Florida drivers license including the proper endorsement;

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 The two vans that is being used at the daycare has expired. The van inspection that was viewed on file expired on 7-22-22. 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.

Child care personnel including volunteers who work 10 hours or more per month did not complete the 40 hour Introductory Child Care Training requirement. CCF Handbook Section 4.2.1 Refer to the supplemental for the staff members who have not completed the required training within the time frame. 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

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] Refer to the supplemental for the children who need updated records for their 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. Counselor reviewed a total of 17 records for new enrollment since the last inspection. All remaining records will be reviewed by renewal date.

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] Refer to the supplemental for the children who need updated records for their 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. Counselor reviewed a total of 17 records for new enrollment since the last inspection. All remaining records will be reviewed by renewal date.

The facility did not have documentation of a fire extinguisher being properly maintained to include being serviced and retagged timely, and/or with a current certificate. CCF Handbook, Section 3.8.2, B Physical Environment [SR] Counselor observed three fire extinguishers improperly tagged. The fire extinguishers on both vehicles has expired tags. The counselor also observed and expired tag on the fire extinguisher in the west wing hallway of the facility. 3.8.2 Fire Safety B. Fire extinguishers with a minimum rating of 2A:10BC must be properly installed, serviced and maintained with current inspection tags 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 Record Keeping [SR] Counselor reviewed all enrolled student files; there were eighty-nine students files. At the time of the inspection counselor observed four student files that did not include immunization or religious exemption records. 7.1 Immunization Records The childcare 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.

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] Counselor reviewed all enrolled student files; there were eighty-nine total files. At the time of inspection, counselor observed seven student files that did not contain student health records. 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. 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.

A ratio of [1] child care personnel for [eleven 2 year old] children is required. A ratio of [1] child care personnel for [twelve 2 year old] children was observed. s.402.305(4), F.S. General Requirements [SR] Ratio in the 2-year-old classroom was inadequate in that the second staff member left the gym area leaving 1 staff member to 12 2-year- olds. While 1 staff member was supervising 12 2-year-olds a child fell hitting her head on the wall causing her to sustain injury which This was corrected at the time of complaint in that the child was taken to the hospital taking the classroom back to compliance. Technical Assistance provided: 2021 Florida Statutes Sections 402.305 Licensing standards; childcare facilities. (4) STAFF-TO-CHILDREN RATIO. 3. For children 2 years of age or older, but under 3 years of age, there must be one child care personnel for every 11 children.

Children did not receive supervision as required by their age or required needs while toileting or bathing. CCF Handbook, Section 2.4.1, H General Requirements [SR] On 6/26/2023, a 2-year-old child A.H. was left alone in the adult bathroom for an unknown period of time. This was corrected at the time of compliant investigation in that a parent pick up the child for doctor's appointment. Technical Assistance was provided: CCF Handbook, Section 2.4.1, H states, "H. Children must receive supervision and care in accordance with their age and required needs and be accounted for at all times while bathing or toileting."

Child care personnel failed to document an accident or incident on the day that it occurred. CCF Handbook, Section 6.4, A Health Requirements [SR] The incident that occurred on 6/20/23 documentation of incident report was not written. Technical assistance was provided: CCF Handbook, Section 6.4, Accident/Incident Notification A. All accidents and incidents or unusual occurrences that are threatening to the health, safety, or welfare of a child that occur while the child is in care must be documented on the same day they occur. B. This documentation must be shared with the custodial parent or legal guardian on the date of occurrence. C. Documentation must include the name of the affected party, date and time of the occurrence, description of the occurrence, actions taken and by whom, and appropriate signatures of program child care personnel and the custodial parent or legal guardian. Program child care personnel signatures may include the director/child care personnel that witnessed the incident, who were involved in the incident, and/or responded to the childs needs. D. The documentation must be maintained for 12 months. If the parent or legal guardian does not pick up the child on the date of occurrence of the accident or incident, the individual authorized to pick up the child must sign and be provided a copy of the accident/incident form. E. In the event of serious injury or death, the incident must immediately be reported to the licensing authority.

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 Counselor observed that personnel listed on the supplemental did not begin introductory training within 90 days of employment. Personnel will begin the introductory training and submit transcript to counselor. Counselor provided the following technical assistance: Child care personnel including volunteers who work 10 hours or more per month must begin training within 90 days of employment in the child care industry and successfully complete Departments training within 12 months from the date training begins. Training taken prior to employment in the child care industry does not constitute begin training. The begin training timeframes begin at the time of employment in the child care industry. Training completion may not exceed 15 months from the date of employment in the child care industry in any licensed Florida child care facility. This may be accomplished by classroom attendance in a Department-approved training course, acquiring an educational exemption from a Department-approved training course, beginning a Department-approved online child care training course, or by receiving results from a Department-approved competency examination. The child care program is responsible for obtaining training documentation from child care personnel.

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 Counselor observed that personnel listed on the supplemental did not complete safe sleep training within 30 days of hire. Personnel will complete safe sleep training and submit certificate or transcript to counselor. Counselor provided the following technical assistance: 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.

Supervision of children in the [VPK] group was inadequate in that [a child was left alone sleeping in a classroom when the children moved over to another classroom]. CCF Handbook, Section 2.4 General Requirements [SR] Director self-reported that a child was accidentally left sleeping on a cot for 1 hour and 5 minutes in the classroom while the other children were transitioned to another classroom. Completed at time of inspection when the child woke up and stood by the door, then a parent saw the child and took him to the classroom next door. Director reported that a staff meeting will be held to ensure that this doesn't happen again. Counselor provided the following technical assistance: A. Childcare personnel must position themselves in the outdoor play area so that all children can be observed and directly supervised. B. Childcare 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 childcare 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 childcare 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 childcare personnel to see and supervise children while in care.

A ratio of [1] child care personnel for [6] children is required. A ratio of [2] child care personnel for [13] children was observed. s.402.305(4), F.S. General Requirements [SR] Counselor observed the following ratio: 3's: 14:1 4's: 14:1 4's: 15:1 2's: 14:2 Infants: 8:2 2's: 11:1 1's: 13:2 (out of ratio from 9:30 AM to approximately 1:30 PM according to CSR name to face record). *2 additional personnel (cook and new hire) were also present on-site. Ratio in the 1-year-old classroom was completed at time of inspection when director took one child on a buggy ride with her once counselor arrived. Counselor observed the following ratio on 3/24/23 at 10:45 AM: Infants: 8:2 2's: 11:2 1's: 11:2 3's: 11:1 2's: 12:1 (out of ratio for approximately 1 hour per teacher) 4's: 15:1 4's: 20:1 4's: 18:1 Completed at time of inspection at 10:57 AM when 2 children from the 2-year-old classroom were moved to the 3-year-old classroom. Director reported that 2 employees called out this morning.

Child care personnel failed to share the accident/incident form with the custodial parent/ legal guardian or the individual authorized to pick up child on the day that the incident occurred. CCF Handbook, Section 6.4, B & D Health Requirements [SR] Counselor reviewed the accident/incident report and observed that the report was not signed by the parent on the same day that the incident occurred. The incident occurred on 3/21/23 and was verbally shared, but the form was not given to or signed by the parent until 3/22/23. Completed at time of inspection due to form being signed on the following day. Counselor provided the following technical assistance: B. This documentation must be shared with the custodial parent or legal guardian on the date of occurrence. C. Documentation must include the name of the affected party, date and time of the occurrence, description of the occurrence, actions taken and by whom, and appropriate signatures of program childcare personnel and the custodial parent or legal guardian. Program childcare personnel signatures may include the director/childcare personnel that witnessed the incident, who were involved in the incident, and/or responded to the childs needs. D. The documentation must be maintained for 12 months. If the parent or legal guardian does not pick up the child on the date of occurrence of the accident or incident, the individual authorized to pick up the child must sign and be provided a copy of the accident/incident form.

Children did not receive supervision as required by their age or required needs while toileting or bathing. CCF Handbook, Section 2.4.1, H General Requirements [SR] Counselor was provided with information from staff regarding an incident that occurred in the bathroom in that a male child touched a female child on the bottom while alone in the bathroom. The bathroom was not being properly supervised at that time. Provider will ensure that the bathroom is being supervised in the future. Completed at time of inspection since both children are no longer enrolled. Counselor provided the following technical assistance: H. Children must receive supervision and care in accordance with their age and required needs and be accounted for at all times while bathing or toileting.

Child care personnel failed to document an accident or incident on the day that it occurred. CCF Handbook, Section 6.4, A Health Requirements [SR] Counselor reviewed incident reports for the child that was scratched, however, personnel did not document the inappropriate touching incident that occurred in the bathroom between the 2 children listed on the supplemental. The children involved are no longer enrolled. Provider will ensure that incident reports are completed and signed by parents for all incidents that occur in the future. Counselor provided the following technical assistance: A. All accidents and incidents or unusual occurrences that are threatening to the health, safety, or welfare of a child that occur while the child is in care must be documented on the same day they occur. B. This documentation must be shared with the custodial parent or legal guardian on the date of occurrence. C. Documentation must include the name of the affected party, date and time of the occurrence, description of the occurrence, actions taken and by whom, and appropriate signatures of program childcare personnel and the custodial parent or legal guardian. Program childcare personnel signatures may include the director/childcare personnel that witnessed the incident, who were involved in the incident, and/or responded to the childs needs. D. The documentation must be maintained for 12 months. If the parent or legal guardian does not pick up the child on the date of occurrence of the accident or incident, the individual authorized to pick up the child must sign and be provided a copy of the accident/incident form. E. In the event of…

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] Counselor observed that personnel listed on the supplemental had an expired driver physical in file. Personnel will obtain a current driver physical and provider will submit to counselor. Counselor provided the following technical assistance: 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.

The vehicle alarm installed was not in working condition. CCF Handbook, Section 2.5.4 Counselor observed that the vehicle alarm wasn't audible from the distance of 500 feet from the vehicle. Provider will have the alarm serviced and counselor will reinspect the vehicle. Counselor provided the following technical assistance: 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 distance of 500 feet from the vehicle. e. The alarm system must be installed so that the driver must walk to the back of the vehicle to reach the deactivation mechanism. Deactivation mechanisms installed in locations that do not require the driver to walk to the back of the vehicle and view all seating areas will not be acceptable. 2. List of approved alarm …

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] Counselor observed that personnel listed on the supplemental had expired Child Abuse and Neglect Reporting forms. Personnel will sign updated form and provider will submit to counselor. Counselor provided the following 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 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 hire date and annually thereafter by all child care personnel.