Washington Family Day Care Home

Toxic Substances and/or Hazardous materials including cleaning supplies, flammable products, and poisonous items were accessible to children in care. FDCH/LFCCH Handbook, Section 7.2 Health Requirements [SR] 7.2 Toxic Substances, Hazardous Materials and Poisonous Items A. All areas and surfaces accessible to children shall be free from toxic substances and hazardous materials/equipment/tools, including power tools, plastic bags, matches, candles, lighters, etc. These items, as well as knives, sharp tools, BB guns, pellet guns and other potentially dangerous hazards, shall either be stored and in a locked area or must be inaccessible and out of a childs reach. Counselor observed Hot Shot roach spray in kitchen area on counter next to food items on the stove. Counselor also observed paint cans on kitchen sink area. Provider moved items in kitchen to closet area during inspection.

The family day care home did not have an operable smoke detector. FDCH/LFCCH Handbook, Section 7.11, B Health Requirements [SR] No operable smoke detector on premises. Counselor advised provider of requirement of the FDCH Handbook: 7.11 Fire Safety B. The home shall have an operable smoke detector(s) and fire extinguisher with a current certificate. Counselor observed missing smoke detector. Provider advised counselor that her smoke detector is not currently working. Provider advised she will have it replaced as soon as possible.

The family day care home did not have an operable fire extinguisher and/or fire extinguisher with a current certificate. FDCH/LFCCH Handbook, Section 7.11, B Health Requirements [SR] 7.11 Fire Safety B. The home shall have an operable smoke detector(s) and fire extinguisher with a current certificate. Fire extinguisher certification expired 02/2022. Counselor advised provider to have this standard brought into compliance by due date.

The homes license was not posted in a conspicuous place.FDCH/LFCCH Handbook, Section 2.1, F Technical assistance was provided per FDCH Handbook 2.1 License Application or Renewal F. A copy of the annual license shall be posted in a conspicuous location within the home. Provider located copy of license prior to counselor leaving home. Counselor advised provider to add license to parent board and keep updated copy at all times.

The home did not have at least one person providing care to children with a valid and current certification in pediatric CPR procedures and/or first aid training. FDCH/LFCCH Handbook, Section 5.1.1, C Staffing Requirements [SR] Technical assistance was provided 5.1.1 Operators and Substitutes C. Have certificate(s) of course completion for pediatric cardiopulmonary resuscitation (CPR) procedures and first aid training, which must be current and valid at all times. Certificates of course completion are valid based on the time frames established by each first aid and CPR training program, not to exceed three years. CPR courses must include an on-site instructor-based skills assessment that shall be documented by the certified CPR instructor. Documentation of completion of the online course and on-site assessment must be maintained at the home and available for review by the licensing authority. Provider has not provided current CPR/FA certification for herself or substitute. Please provide by due date.

A child was left without child care personnel supervision inside or outside the home, in a vehicle, or behind on a field trip.FDCH/LFCCH Handbook, Section 6, A Staffing Requirements [SR] Counselor advised provider during inspection of supervision requirements pertaining to caring for children. Per FDCH Handbook, Section 6, A: Supervision The operator shall remain responsible for the supervision of the children in care and capable of responding to emergencies and the needs of the children at all times. Child care personnel must directly supervise children, both indoors and outdoors, by sight and sound. Children must never be left without child care personnel supervision inside or outside the home, in a vehicle, or at a field trip location by themselves. Counselor observed that a child went into the main house to retrieve a snack from the kitchen with no supervision. Provider asked another child to go get the child and explained that these children were her grandkids. Child return with provider with a box of snacks. Also during the inspection, counselor observed that there was a missing tile in the middle of the floor where children were playing. Counselor brought this to the provider's attention, and she left the room to retrieve a rug to cover the missing tile area. The four children were left with the counselor for three minutes until provider returned. Counselor discussed with provider that supervision is critically important and that children require direct supervision at all times. Supervision requirements also are enforced for her grandchildren as well and that they can't be allowed to roam freely during operating hours.

Indoor play areas were not in good repair. FDCH/LFCCH Handbook, Section 7.5, B Technical assistance given from FDCH Handbook 7.5 Indoor Play Areas A. Operators must promote developmentally appropriate active play for all children, including infants and toddlers, every day. B. All areas of the home including the play areas shall be in good repair, clean and free from litter, nails, glass, and other hazards. Counselor observed broken and missing tiles in floor where children were present. Pictures for decor were in children's reach and several areas were in need of wall repair and painting.

Outdoor play areas in the home were not free from litter, nails, glass, and other hazards. FDCH/LFCCH Handbook, Section 7.6, A Health Requirements [SR] Counselor noticed debris and trash on outdoor playground. Equipment was dirty and in need of cleaning. Provider stated that the children have not been out due to high weather temperatures. Technical assistance given from the FDCH Handbook 7.6 Outdoor Time, Fencing and Play Area Requirements A. Outdoor Play areas shall be clean, in good repair and free from litter, nails, glass, and other hazards

There was evidence of rodents or vermin in the home. FDCH/LFCCH Handbook, Section 7.9 Health Requirements [SR] FDCH Handbook states: 7.9 Vermin/Pest Control Rodents and vermin must be exterminated. Pest control shall not take place while rooms are occupied by children. A home must adopt an integrated pest management program to ensure long-term, environmentally sound pest suppression through a range of practices including pest exclusion, sanitation and clutter control, and elimination of conditions that are conducive to pest infestations. Counselor observed evidence of roaches in kitchen, food prep area, refrigerator and infant/toddler changing area. Counselor observed roaches dead and alive. The provider has until the

Meals and snacks supplied by the operator were not of a quantity and/or quality to meet the daily nutritional needs of the children. FDCH/LFCCH Handbook, 7.14, A Health Requirements [SR] Technical assistance was given to provider concerning expired milk. 7.14 Food and Nutrition A. Handling of food in a safe and careful manner prevents the spread of bacteria, viruses and fungi. Outbreaks of foodborne illnesses have occurred in many settings, including Family Day Care Home and Large Family Child Care Home Handbook | P a g e 39 child care facilities. Children are at a higher risk for contracting food-borne illness, as their bodies are in the process of growing, developing, and building adequate immune systems to fight illness. While some food-borne illnesses originate at farms or food manufacturing plants, the majority are the result of poor food handling practices. Child care personnel, while working in the food preparation area, must use clean disposable gloves, utensils, or similar items in the food preparation area to prevent contact with ready-to-eat foods. If the operator chooses to supply food, the operator shall provide nutritious meals and snacks of a quantity and quality to meet the daily nutritional needs of the children. Weekly meal and snack menus shall be planned and written and must be available for review by licensing authority. Meals and snacks must contain, at a minimum, the meal and snack patterns shown for infants and children in the Child Care Food Program (CCFP) guidelines, incorporated by reference in 65C-22.001(7)(r) and (s), F.A.C. Counselor observed expired milk (08/09/23) in designated FDCH refrigerator. Provider removed milk from ref…

Emergency information/telephone numbers were not posted on or near all telephones in the home. FDCH/LFCCH Handbook, Section 7.20, A Health Requirements [SR] Technical assistance was provided concerning missing emergency numbers not posted 7.20 Emergency Procedures and Notification The operator shall have a procedure for responding when an immediate emergency medical response is required. Emergency procedures must be posted and readily accessible. The operator shall develop contingency plans for emergencies or disaster situations when it may not be possible to follow standard emergency procedures. All child care personnel must be trained to manage in an emergency. A. Emergency telephone numbers (including ambulance, fire, police, poison control center, Florida Abuse Hotline, the county public health unit); the homes address, and directions to the home (including major intersections and local landmarks) must be posted on or near all telephones and shall be used to protect the health, safety and well-being of any child in care. Provider has no emergency numbers posted by phone or on parent board. Sample was provided

Daily attendance was not maintained to account for all children in care. FDCH/LFCCH Handbook, Section 8.4, A and B Technical assistance provided 8.4 Daily Attendance A. Daily attendance of children must be taken and recorded by child care personnel, documenting the time when each child enters and departs the home. B. The custodial parent or guardian may document the time when his/her child enters and departs the family day care home. However, the operator is responsible for ensuring that attendance records are complete and accurate. Provider did not have attendance record available for children present.

The operator did not have evidence that a transportation log was maintained for all children transported. FDCH/LFCCH Handbook, Section 2.4.2 Licensed Family [SR] FSC could not monitor transportation logs on 03/02/2023 because provider stated that they were in the van which the substitute had going to pick up children. On 03/30/2023 when FSC returned for a reinspection provider stated she did not have the transportation logs. Provider is being emailed a copy of a sample transportation log. Technical Assistance given from the handbook: 2.4.2 Transportation Log A log must be maintained for all children being transported in the vehicle or on foot away from and/or to the premises of the home. The log must be retained for a minimum of 12 months. The log must include each childs name, date, time of departure, time of arrival and the signature of the driver verifying all children were accounted for during the visual sweep.

The family home failed to include their license number when advertising. 402.318 F.S. FSC went out to home on 03/30/23 and the sign in front yard advertising the business does not have license number on sign. FSC showed provider where she could just take a sharpie and write license number on sign. Provider originally had until 03/21/2023 to complete this. Provider has until 04/10/2023 to complete this.

Required background screening was missing for [ an adult or household members]. 402.313(3) F.S. and FDCH/LFCCH Handbook, Section 4.1 Staffing Requirements [SR] Provider stated that her granddaughter moved in with her in February and plans to move out Aril 15th or April 30th. Granddaughter who is listed on confidential is 22. Provider does not believe that she needs to be screened. Technical Assistance from the handbook: 4 Background Screening 4.1 Initial Screening Operators, household members (adults and children 12 to 17 years of age), substitutes, volunteers and Large Family Child Care Home employees must have a level 2 background screening clearance from the Department prior to obtaining a license, residing in the home, employment, or volunteering unsupervised with children. 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. Household members aged 12 to 17 years…

Children were not being adequately supervised in that [substitute walked outside with FSC in backyard while children were inside.]. FDCH/LFCCH Handbook, Section 6, G, H, I, L Staffing Requirements [SR] FSC arrived at the home and owner was not there, but substitute was there and came outside to show the FSC the backyard, in the backyard when close to the house FSC heard child crying. Substitute left children inside at naptime to come to the backyard. FSC asked who was inside and he said his grandbaby, but the mother was inside. Once owner returned and let FSC in the home there was a toddler (one year old) sleeping in the back room and 2 children were lying on their mats.Technical Assistance from handbook: 6 SupervisionA. The operator shall remain responsible for the supervision of the children in care and capable of responding to emergencies and the needs of the children at all times. Child care personnel must directly supervise children, both indoors and outdoors, by sight and sound. Children must never be left without child care personnel supervision inside or outside the home, in a vehicle, or at a field trip location by themselves.B. Bedroom doors must remain open while children are napping or sleeping. When children are napping or sleeping, child care personnel must supervise by sound with frequent visual checks (every 10-15 minutes) to ensure the childs head is uncovered and assess the infants breathing and color. Baby monitors are permissible, however, they do not replace the frequent visual checks. C. No person shall be an operator, substitute, employee or volunteer in a home while using or under the influence of narcotics, alcohol, or other drugs that impair an in…

Indoor play areas in the home were not clean and free from litter, nails, glass, and other hazards. FDCH/LFCCH Handbook, Section 7.5, B Health Requirements [SR] On reinspection the FSC noticed the playroom and sleep area have hazardous items in each room. Pictures taken of each room. In the playroom there are glass dishes sitting on a highchair easily accessible to the children in care. In the sleeping area pictures taken again show where the playroom has been piled with toys and cots and there is nowhere to walk but there is a one-year-old sleeping in a crib in that room. The hazards from the visit on 03/02/2023 are still in place. Technical Assistance given from handbook: 7.5 Indoor Play Areas A. Operators must promote developmentally appropriate active play for all children, including infants and toddlers, every day. B. All areas of the home including the play areas shall be in good repair, clean and free from litter, nails, glass, and other hazard

The home had electrical outlet covers that were not in place. FDCH/LFCCH Handbook, Section 7, E On reinspection FSC noticed that the same outlet covers that were uncovered last time but fixed during last inspection were once again uncovered. Provider put tape over the outlets that were missing. Technical Assistance given: E. All accessible electrical outlets must be tamper-resistant electrical outlets that contain internal shutter mechanisms to prevent children from sticking objects into receptacles. In settings that do not have tamper-resistant electrical outlets, outlets shall have safety covers

Outdoor play areas in the home were not free from litter, nails, glass, and other hazards. FDCH/LFCCH Handbook, Section 7.6, A Health Requirements [SR] FSC went out to home for reinspection and the backyard is looking much better, but some dangers are still present. FSC took pictures and the new fence looks great but there is a 5-6 gap at the bottom of fence line. Another fence panel is needed to keep the children from being able to go under the house. All playground equipment is piled into 1 large pile while backyard is being redone. Technical assistance given from handbook:7.6 Outdoor Time, Fencing and Play Area Requirements A. Outdoor Play areas shall be clean, in good repair and free from litter, nails, glass, and other hazards. B. Tubs, buckets, and other open containers of water should be emptied immediately after use. C. The outdoor play areas must be enclosed with fencing or walls a minimum of 4 feet in height. The fence must not prevent the supervision of children. The fence must be in good condition and conform to applicable local building codes. These areas must have at least two exits, with at least one being remote from the home. 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. D. Homes caring only for infants under 12 months of age shall not be required to have an outdoor play area; however, infants in care shall be provided opportunities for outdoor time each day that weather permits. E. All homes …

The play equipment was not safe and sanitary for the children to use in that [equipment not put together now toys are in one pile]. FDCH/LFCCH Handbook, Section 7.6, M On reinspection the FSC took pictures of backyard and toys piled in one pile and toys are still dirty and the what looks like a blow up bounce house is still on the ground with mold and dirt and debris on it. Technical Assistance given from handbook: M. All equipment used in the outdoor play area shall be constructed and maintained according to manufacturers recommendations, and allow for water drainage and maintained in a safe and sanitary condition. Any open containers with water must be emptied immediately after use (i.e. pots, toys, or other equipment that collects water). N. The outdoor play areas and equipment shall be inspected prior to usage daily for basic health and safety, including, but not limited to: 1. Missing or broken parts; 2. Protrusion of nuts and bolts; 3. Rust and chipping or peeling paint; 4. Sharp edges, splinters, and rough surfaces; 5. Stability of handholds; 6. Visible cracks; 7. Stability of non-anchored large play equipment (e.g. playhouses); 8. Wear and deterioration; 9. Vandalism or trash Any problems noted must be corrected before the play area is to be used by children

The home had electrical outlet covers that were not in place. FDCH/LFCCH Handbook, Section 7, E On the day of reinspection, the same electric outlet covers that were not covered but covered while FSC was out there were uncovered again. Owner again covered the outlets again with tape. Technical Assistance given from handbook: E. All accessible electrical outlets must be tamper-resistant electrical outlets that contain internal shutter mechanisms to prevent children from sticking objects into receptacles. In settings that do not have tamper-resistant electrical outlets, outlets shall have safety covers

The diaper changing area was not separated from the food preparation, service or feeding area. FDCH/LFCCH Handbook, Section 7.18, A Health Requirements [SR] On day of reinspection FSC noticed that the changing table is next to the sink and the sink has dishes on it and open food. Technical Assistance given:7.18 Diapering Area Cleanliness/Sanitization When children in diapers are in care, there shall be a diaper changing area with an impermeable surface that is cleaned and sanitized or disinfected after each use. A. The diaper changing area shall be located separate from the food preparation, food service and feeding area. B. Items unrelated to diaper changing shall not be stored in the diaper changing area nor shall they be placed on the diaper changing table.

Child care personnel failed to grant the licensing authority access to the family day care home, or any portion thereof, during the hours of operation. s. 402.311, F.S. Enforcement [SR] Owner was not present at time of FSC arriving and the substitute was there and he would not let DCF in the home since owner wasn't home. FSC sat in car on the side of the road waiting for owner to come back at which time FSC was allowed in the home. Technical Assistance given from Florida Statutes: (1) A licensed child care facility shall accord to the department or the local licensing agency, whichever is applicable, the privilege of inspection, including access to facilities and personnel and to those records required in s. 402.305, at reasonable times during regular business hours, to ensure compliance with ss. 402.301-402.319. The right of entry and inspection shall also extend to any premises which the department or local licensing agency has reason to believe are being operated or maintained as a child care facility without a license, but no such entry or inspection of any premises shall be made without the permission of the person in charge thereof unless a warrant is first obtained from the circuit court authorizing such entry or inspection. Any application for a license or renewal made pursuant to this act or the advertisement to the public for the provision of child care as defined in s. 402.302 shall constitute permission for any entry or inspection of the premises for which the license is sought in order to facilitate verification of the information submitted on or in connection with the application. In the event a licensed facility refuses permission for entry o…

The operator or substitutes First Aid or CPR certification was no longer current.FDCH/LFCCH Handbook, Section 5.1.1, C In office inspection. No on-site inspection. Provider was cited on last inspection on 03 /02/2023 for not proving documentation showing a current CPR/FA. On 03/02/2023 provider was given a business card showing FSC's contact information as well as FSC wrote work cell phone on business card and explained to provider if she can't email then she can text copy of the CPR/FA cards. Provider has not returned phone calls nor an email. Provider is being cited again for standard 7.10 Provider must send in a copy of new CPR/FA cards or certificate.

The family home failed to include their license number when advertising. 402.318 F.S. Counselor observed a sign in provider's front yard that is advertising the business but does not have a license number on the sign. Counselor has picture of sign. Technical assistance given from Florida Statute:402.318 Advertisement.A person, as defined in s. 1.01(3), may not advertise a child care facility, family day care home, or large family child care home without including within such advertisement the state or local agency license number or registration number of such facility or home. Violation of this section is a misdemeanor of the first degree, punishable as provided in s. 775.082 or s. 775.083. History.ss. 15, 19, ch. 84-551; s. 74, ch. 91-224

The operator or substitutes First Aid or CPR certification was no longer current.FDCH/LFCCH Handbook, Section 5.1.1, C Provider could not produce the CPR/FA cards. She stated they were in the van. She did not recall the expiration date. Technical Assistance given from handbook: 5.1 Training Required Prior to Licensure/Caring for Children 5.1.1 Operators and Substitutes Prior to licensure and prior to caring for children, all home operators, substitutes for the operator, and substitutes working more than 40 hours per month on average over a 6-month period must: A. Successfully complete the Departments 30- clock-hour Family Child Care Home training, as evidenced by successful completion of a competency-based examination(s) offered by the Department or its designated representative with a weighted score of 70 or better. Operators who successfully completed the mandatory 30-clock-hour Family Child Care Home training prior to January 1, 2004, are not required to fulfill the competency examination requirement. Documentation of course completion may either be a single Family Child Care Home certificate or certificates for the five individual training courses which total 30-clock-hours of training: Family Child Care Home Rules and Regulations; Health, Safety and Nutrition; Identifying and Reporting Child Abuse and Neglect; Child Growth and Development; and Behavioral Observation and Screening. All certificates must be reflected on the training transcript. B. Complete a single course of training in early literacy and language development of children ages birth through five years that is a minimum of …

Children were not being adequately supervised in that [child was left to fall asleep in highchair.]. FDCH/LFCCH Handbook, Section 6, G, H, I, L Staffing Requirements [SR] Child, who is one, was left in highchair to sleep. Provider moved child once counselor said he can't sleep in highchair. Provider appeared to be cleaning out the refrigerator in the home's kitchen. Provider stated that she was cleaning it out due to the food program coming and they always tell her to clean the refrigerator. Food was piled on the kitchen table and countertops and some on floor. Provider admitted she had just thrown away a 30-gallon garbage bag of food. Technical Assistance given from handbook:6 Supervision A. The operator shall remain responsible for the supervision of the children in care and capable of responding to emergencies and the needs of the children at all times. Child care personnel must directly supervise children, both indoors and outdoors, by sight and sound. Children must never be left without child care personnel supervision inside or outside the home, in a vehicle, or at a field trip location by themselves

Indoor play areas in the home were not clean and free from litter, nails, glass, and other hazards. FDCH/LFCCH Handbook, Section 7.5, B Health Requirements [SR] During visit counselor noticed that the play area and sleep area are dirty and littered with items that could be potentially harmful to a child. Pictures of rooms were taken. Technical Assistance given from the handbook: 7.5 All areas of the home including the play areas shall be in good repair, clean and free from litter, nails, glass, and other hazards.

Outdoor play areas in the home were not free from litter, nails, glass, and other hazards. FDCH/LFCCH Handbook, Section 7.6, A Health Requirements [SR] On day of inspection counselor took pictures of the backyard to show that the backyard has a lot of debris on the playground along with broken toys, toys that are dirty. Provider stated that they have not been outside in a month. Technical Assistance given from the handbook: 7.6 Outdoor Time, Fencing and Play Area Requirements A. Outdoor Play areas shall be clean, in good repair and free from litter, nails, glass, and other hazards.

Outdoor play areas were not in good repair. FDCH/LFCCH Handbook, Section 7.6, A Outdoor play area is not in good repair. Toys are dirty and broken as can be seen in pictures counselor took. Technical Assistance given from handbook: 7.6 Outdoor Time, Fencing and Play Area Requirements A. Outdoor Play areas shall be clean, in good repair and free from litter, nails, glass, and other hazards. B. Tubs, buckets, and other open containers of water should be emptied immediately after use.

A health and safety deficiency was observed in the outdoor play area that poses a serious threat to the health, safety or well-being of the children. FDCH/LFCCH Handbook, Section 7.6 A, Counselor observed and took pictures of the walkway leading to the backyard and in the backyard of wires loose and broken toys, a dolly that had to be moved before the backdoor could be opened. Exposed nails on the fence. Technical Assistance given: 7.6 Outdoor Time, Fencing and Play Area Requirements A. Outdoor Play areas shall be clean, in good repair and free from litter, nails, glass, and other hazards. B. Tubs, buckets, and other open containers of water should be emptied immediately after use. C. The outdoor play areas must be enclosed with fencing or walls a minimum of 4 feet in height. The fence must not prevent the supervision of children. The fence must be in good condition and conform to applicable local building codes. These areas must have at least two exits, with at least one being remote from the home. 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.

Weather permitting, infants were not provided opportunities for outdoor time. FDCH/LFCCH Handbook, Section 7.6, D Health Requirements [SR] Provider stated no one has been outside for over month. Provider will start taking children out once playground is cleaned and secured. Technical Assistance given from handbook: 7.6 Outdoor Time, Fencing and Play Area Requirements A. Outdoor Play areas shall be clean, in good repair and free from litter, nails, glass, and other hazards. B. Tubs, buckets, and other open containers of water should be emptied immediately after use. C. The outdoor play areas must be enclosed with fencing or walls a minimum of 4 feet in height. The fence must not prevent the supervision of children. The fence must be in good condition and conform to applicable local building codes. These areas must have at least two exits, with at least one being remote from the home. 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. D. Homes caring only for infants under 12 months of age shall not be required to have an outdoor play area; however, infants in care shall be provided opportunities for outdoor time each day that weather permits.

The outdoor play area that required fencing was not safe and adequate in that [part of the fence is being braced up on the inside by another piece of wood.]. FDCH/LFCCH Handbook, Section 7.6, F Health Requirements [SR] Counselor observed the backyard fence coming apart where the corners meet, and it is being upheld by another fence post. Technical Assistance given: 7.6 Outdoor Time, Fencing and Play Area Requirements F. Fencing, including gates, must be continuous, and shall not have opening or gaps larger than 3 1/2 inches that would allow children to exit the outdoor play area. The bottom or base of the fence must remain at ground level and free from erosion or buildup to prevent inside or outside access by children or animals.

The play equipment was not safe and sanitary for the children to use in that [equipment is not put together, mold growing on toys.]. FDCH/LFCCH Handbook, Section 7.6, M Playground equipment is not put together, some has mold growing on it. Pictures taken. Also it looks like a bounce house is just laying on the ground collecting water and debris. Technical Assistance given from handbook: M. All equipment used in the outdoor play area shall be constructed and maintained according to manufacturers recommendations and allow for water drainage and maintained in a safe and sanitary condition. Any open containers with water must be emptied immediately after use (i.e. pots, toys, or other equipment that collects water). N. The outdoor play areas and equipment shall be inspected prior to usage daily for basic health and safety, including, but not limited to: 1. Missing or broken parts; 2. Protrusion of nuts and bolts; 3. Rust and chipping or peeling paint; 4. Sharp edges, splinters, and rough surfaces; 5. Stability of handholds; 6. Visible cracks; 7. Stability of non-anchored large play equipment (e.g. playhouses); 8. Wear and deterioration; 9. Vandalism or trash Any problems noted must be corrected before the play area is to be used by children

The home had electrical outlet covers that were not in place. FDCH/LFCCH Handbook, Section 7, E Provider had two outlet covers missing where the children sleep. Provider was able to find one cover and she covered the other one with tape. Pictures taken. Technical Assistance given: 7 Health and Safety Requirements E. All accessible electrical outlets must be tamper-resistant electrical outlets that contain internal shutter mechanisms to prevent children from sticking objects into receptacles. In settings that do not have tamper-resistant electrical outlets, outlets shall have safety covers.

Meals and snacks supplied by the operator were not of a quantity and/or quality to meet the daily nutritional needs of the children. FDCH/LFCCH Handbook, 7.14, A Health Requirements [SR] Provider had milk in the refrigerator that expired on 02/24/2023 and provider gave the children milk out of that container at lunch. Provider was asked to throw that milk out. Counselor observed provider throwing milk down the drain. Technical Assistance given from handbook: 7.14 Food and Nutrition A. Handling of food in a safe and careful manner prevents the spread of bacteria, viruses and fungi. Outbreaks of foodborne illnesses have occurred in many settings, including child care facilities. Children are at a higher risk for contracting food-borne illness, as their bodies are in the process of growing, developing, and building adequate immune systems to fight illness. While some food-borne illnesses originate at farms or food manufacturing plants, the majority are the result of poor food handling practices. Child care personnel, while working in the food preparation area, must use clean disposable gloves, utensils, or similar items in the food preparation area to prevent contact with ready-to-eat foods. If the operator chooses to supply food, the operator shall provide nutritious meals and snacks of a quantity and quality to meet the daily nutritional needs of the children. Weekly meal and snack menus shall be planned and written and must be available for review by licensing authority. Meals and snacks must contain, at a minimum, the meal and snack patterns shown for infants and children in the Child Care Food Program (CCFP) guidelines, incorporated by reference in 65C-22.…

The home's first aid kit did not include: [ thermometer]. FDCH/LFCCH Handbook, Section 7.19 Health Requirements [SR] The first aid kit had a mercury rectal thermometer. This was removed from the first aid kit and provider was informed to please get a digital under arm thermometer. 7.19 First Aid Kit At least one first aid kit must be maintained on the premises of the home at all times and on activities away from the home. The first aid kit shall be kept out of the reach of children and must be accessible to child care personnel. First aid kits or supplies must be restocked after each use. The kit must be clearly labeled First Aid and must, at a minimum, include: A. Soap and hand sanitizer (to be used with supervision if hands are not visibly soiled and if no water is present), B. Adhesive bandages, C. Disposable non-porous gloves, D. Cotton balls or applicators, E. Sterile gauze pads or rolls, F. Adhesive tape, G. Digital thermometer, H. Tweezers, I. Pre-moistened wipes, J. Scissors, K. Bottled water (for cleaning wounds or eyes), and L. A current resource guide on first aid and CPR procedures.

The Florida Certificate of immunization was not acceptable in that: [ The form was not current (expired)].FDCH/LFCCH Handbook, Section 8.1 A and B Children's Records [SR] Children listed on supplemental page have expired shot records. 8.1 Health/Immunization Records A. The operator is responsible for obtaining for each child in care a current, complete and properly executed Florida Certification of Immunization form, Parts A-1, B, and/or C, DH 680 (July 2010), or the Religious Exemption from Immunization form, DH 681 (July 2008), which are incorporated herein by reference in 65C-22.001(7)(o) and (p), F.A.C., from the custodial parent or legal guardian, within 30 days of enrollment. DH Form 680 and DH Form 681 may be obtained from the local health department. 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 religious exemptions from routine childhood immunizations should provide documentation of a scheduled appointment or arrangement to receive immunizations. Providers must include a general statement in parent handbook/policies to inform parents/guardians, at time of enrollment, that some children in care may not have current immunizations. B. If the custodial parents or legal guardians fail to provide the above required documentation within 30 days of enrollment, the home shall not allow the child to remain in the program.

The Student Health Examination was not acceptable in that: [ The form was not current (expired)]. FDCH/LFCCH Handbook, Section 8.2 Child listed on supplemental page has a health record that has expired. 8.2 Student Health Records A. The operator is responsible for obtaining for each child in care a current, complete and properly executed DH 3040, Student Health Examination form, incorporated by reference in 65C-22.001(7)(q), F.A.C. and may be obtained from the local county health department, or a signed statement by an authorized professional that indicates the results of the components of the form are included in the health examination from the custodial parent or legal guardian, within 30 days of enrollment. B. The Student Health Examination shall be completed by a person given statutory authority to perform health examinations. C. The Student Health Examination form or signed statement is valid for two years from the date the physical was performed and must be on file as long as the child is in care. D. If the custodial parents or legal guardians fail to provide the above required documentation within 30 days of enrollment, the home shall not allow the child to remain in the program. E. School-aged children attending public or nonpublic schools are not required to have student health examination and immunization records on file at the home as such records are on file at the school where the child is enrolled. F. If the custodial parents or legal guardians need assistance concerning these requirements, the home shall refer them to the Department of Health or to the child's physician. G. Medical record…