A prescription or non-prescription medication, specifically [children's Tylenol], was dispensed without written authorization from the custodial parent or legal guardian. FDCH/LFCCH Handbook, Section 7.24, A and L
Report comments
No onsite inspection was conducted. The re inspection was completed by an in-office report. The Provider is being recited for this standard due to the fact that the requested documentation for the completed medication form and acknowledgement from the parent that permission was given to the Provider to administer medication to a child on 3/9/2026, has not been received by the due date of 3/20/2026. The Provider has been contacted by email on four separate occasions with no response and the Providers son was contacted by the Licensing Supervisor on 3/27/2026 in regard to the violation. During the phone contact with the Providers son, who assists the Provider with her language ... [truncated]
A health and safety deficiency having a low potential for harm to the children in care was observed. FDCH/LFCCH Handbook, Section 7.6, A
Inspector notes
During the playground inspection, the Licensing Specialist observed the ladder to a plastic climbing structured was broken in several places. The ladder is no longer safe to use and is not repairable. The Licensing Specialist removed the ladder from the playground structure and placed it outside of the play area. The Provider and her son that was on the phone during the inspection process were informed of the removal of the ladder. The rest of the play structure can still be used safely. The Family Child Care Handbook states on page 33 that: 7.6 Outdoor Time, Fencing and Play Area Requirements A. Outdoor Play areas shall be clean, in good repair and free from litter, nails, g ... [truncated]
Correction status
Completed at time of inspection
More details
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HEALTH REQUIREMENTS - 14 - Outdoor Time, Fencing and Play Area Requirements
Official code
14-03
Higher concern: Medication
Report finding
A prescription or non-prescription medication, specifically [children's Tylenol], was dispensed without written authorization from the custodial parent or legal guardian. FDCH/LFCCH Handbook, Section 7.24, A and L
Inspector notes
During the inspection, the Licensing Specialist and the Licensing Supervisor, observed a syringe with the remnants of medication in it lying on the Providers dining room table. When asked, the Provider reported that the medication was given to one of the children at her home that day for a fever. The Provider stated the childs parent gave her the medicine to give to the child. The Provider showed the Licensing Supervisor a bottle of childrens Tylenol and stated that this is what was used on the child. The Provider reported that she had no signed documentation from the parent regarding the medication. The Licensing Specialist requested that a medication form be completed on th ... [truncated]
The CPR training did not include an on-site instructor-based skills assessment and is invalid for the individual. FDCH/LFCCH Handbook, Section 5.1.1, C
Inspector notes
No onsite inspection was conducted. The re inspection was completed by document submission via email from the Provider's son on 9/14/2025. The Licensing Specialist received valid CPR certification training on the substitute but not the Provider. The substitutes information was updated. It has been reported that the Provider still has not met the standard regarding valid CPR training. The due date for bringing this standard back into compliance was 9/12/2025. This standard was discussed again with the Provider and her son, who is also the substitute for the home. The Family Child Care Home Handbook states on page 21 and page 22 in the Spanish handbook that: C. Have certificate ... [truncated]
Correction status
Due by September 19, 2025
More details
Report section
STAFFING REQUIREMENTS - 07 - Staff Training
Official code
07-06
Medium concern: Health or food records
Report finding
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
Report comments
At this time, the Licensing Specialist has not received an updated shot record on enrolled child, TA. The Provider has been reminded again that an updated shot record needs to be received by 9/19/2025 or the child will need to be removed from the program. The Family Child Care Home Handbook states on pages 46-47 that: 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-22.00 ... [truncated]
The CPR training did not include an on-site instructor-based skills assessment and is invalid for the individual. FDCH/LFCCH Handbook, Section 5.1.1, C
Inspector notes
During the inspection, the Licensing Specialist observed that the operators CPR/first aid training documentation showed that the courses were taken online. The substitute's first aid certification was present but there was not any documentation that the CPR course completed. The Family Child Care Home Handbook states on page 21 and page 22 in the Spanish handbook that: 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 excee ... [truncated]
Correction status
Due by September 12, 2025
More details
Report section
STAFFING REQUIREMENTS - 07 - Staff Training
Official code
07-06
Medium concern: Facility condition
Report finding
A cot, bed, crib, mattress, playpen or floor mat was not available for all children who napped. FDCH/LFCCH Handbook, Section 7.8, A
Inspector notes
During the inspection, the Licensing Specialist observed the children laying down for nap. There were two infants but only 1 crib. One of the infants was placed on a cot for naptime. The Licensing Specialist verified the child's age and informed the Provider that a crib or pack n play would be required until the child turned one. The Provider picked the child up during the inspection. This was explained to the Provider's son who was on the phone during the inspection, and he stated he would get another crib for the child. The Child Care Facility Handbook states on page 36: 7.8 Appropriate, Safe and Sanitary Bedding A. A home must include a designated area where each child can ... [truncated]
Correction status
Completed at time of inspection
More details
Report section
HEALTH REQUIREMENTS - 16 - Appropriate, Safe and Sanitary Bedding
Official code
16-08
Medium concern: Facility condition
Report finding
The home did not have a written routine schedule for cleaning, sanitizing and disinfecting equipment, materials, furnishings and play areas on a daily and/or weekly basis. FDCH/LFCCH Handbook, Section 7.10, C
Inspector notes
During the inspection, the Licensing Specialist observed the Provider's exposure plan but did not observe a daily cleaning and sanitizing plan in place. The Family Child Care Home Handbook states on page 37 that: C. Toys, equipment, and furnishings must be safe and maintained in a sanitary condition. The program must follow a routine schedule of cleaning, sanitizing and disinfecting toys, equipment, and furnishings. These items must be cleaned and sanitized or disinfected immediately or prior to another childs use if exposed to bodily fluids, such as saliva. Homes must have a written routine schedule for cleaning, sanitizing and disinfecting equipment, materials, furnishings, ... [truncated]
Correction status
Due by September 12, 2025
More details
Report section
HEALTH REQUIREMENTS - 18 - Toys, Furnishings, Equipment and Plumbing
Official code
18-07
Medium concern: Equipment or readiness
Report finding
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
Inspector notes
During the inspection, the Licensing Specialist observed that the fire extinguisher's tag expired in June of 2025. The Family Child Care Home Handbook states on page 38 that: B. The home shall have an operable smoke detector(s) and fire extinguisher with a current certificate. and on page 40: B. El hogar debe tener un detector de humo en funcionamiento y extintores de incendios con un certificado actualizado. Requisitos de seguridad contra incendios del hogar familiar de cuidado infantil grande Adems de los requisitos anteriores:
Correction status
Due by September 12, 2025
More details
Report section
HEALTH REQUIREMENTS - 19 - Smoke Detector, Fire Extinguisher, Telephone, Lighting, Temperature and Ventilation
Official code
19-03
Medium concern: Health or food records
Report finding
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
Correction / follow-up note
During the inspection, the Licensing Specialist asked about daily food for the children. Previously, the Provider stated that the children brought their own food from home, and it was not listed as a service on the current license. With assistance from the Provider's son by phone, it was discovered that the Provider does provide food for the children. The Provider reported that today, she served the older children spaghetti with sauce, and the younger children mashed potatoes. It was explained to both the Provider and her son that the nutritional needs were not met with the current food served and both were directed to the FCCH Handbook for rules regarding food service. The P ... [truncated]
Correction status
Completed at time of inspection
More details
Report section
HEALTH REQUIREMENTS - 20 - Nutritious Meals and Snacks Provided
Official code
20-01
Medium concern: Health or food records
Report finding
Weekly meal and snack menus were not planned, written and available for review. FDCH/LFCCH Handbook, Section 7.14, A
Correction / follow-up note
During the inspection, the Licensing Specialist asked about daily food for the children. Previously, the Provider stated that the children brought their own food from home, and it was not listed as a service on the current license. With assistance from the Provider's son by phone, it was discovered that the Provider does provide food for the children. A planned menu meeting all the requirements is needed and will need to be maintained for a period of 12 months. The Family Child Care Home Handbook states on pages 38-39 that: 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 illnes ... [truncated]
Correction status
Due by September 2, 2025
More details
Report section
HEALTH REQUIREMENTS - 20 - Nutritious Meals and Snacks Provided
Official code
20-08
Medium concern: Health or food records
Report finding
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
Report comments
There are currently 6 enrolled children. All 6 children's records were reviewed. One child, TA, had an expired shot record. The Family Child Care Home Handbook states on pages 46-47 that: 8 Childrens 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 F ... [truncated]
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
Report comments
There are currently 6 children enrolled. All 6 children's records were reviewed. Two children, EG and TA, had expired shot records. The Family Child Care Home Handbook states on pages 46-47 that: 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 ... [truncated]
Correction status
Due by March 19, 2025
More details
Report section
HEALTH REQUIREMENTS - 31 - Immunization Records
Official code
31-02
Low concern: Recordkeeping
Report finding
The enrollment form used by the operator was incomplete and/or did not include all required information as required on CF-FSP Form 5219. FDCH/LFCCH Handbook, Section 8.3, A, C and F
Correction / follow-up note
There are currently 6 children enrolled. All 6 children's records were reviewed. Two children, CH and TA, did not have parent signatures on their application. The Family Child Care Home Handbook states on page 48 that: 8.3 Enrollment Information A. The operator shall obtain enrollment information from the childs custodial parent or legal guardian prior to accepting the child into care. This information shall be documented on CF-FSP Form 5219, Child Care Application for Enrollment, which is incorporated by reference in 65C-22.001(7)(f), F.A.C., or an equivalent that contains all the information required by the Departments form. CF-FSP Form 5219 may be obtained from the Departm ... [truncated]
Correction status
Due by March 19, 2025
More details
Report section
HEALTH REQUIREMENTS - 33 - Enrollment Information/Daily Attendance
A substitute, who worked less than 40 hours a month on average, did not complete the department's 6 clock-hour Family Child Care Rules and Regulation course (or have documentation of completion of the 3 clockhour Fundamentals of Child Care Home Rules course.) as evidenced by the Departments training transcript. FDCH/LFCCH Handbook, Section 5.1.2, A or B
Report comments
No onsite inspection was conducted. The re inspection was completed by document submission via email on 10/24/2024 to Licensing. Licensing received an email from the Provider's son, stating that he will become the new substitute for the Provider. However, the substitute training has not been completed. The Provider's son will need to complete all training requirements as related to a substitute working less than 10 hours per month. The Family Day Care Home handbook states on page 21 that: 5.1.2 Substitutes for the Large Family Child Care Home Employee Who Work Less Than 40 Hours/Month Substitutes for the Large Family Child Care Employee who work less than 40 hours a month on ... [truncated]
A substitute, who worked less than 40 hours a month on average, did not complete the department's 6 clock-hour Family Child Care Rules and Regulation course (or have documentation of completion of the 3 clockhour Fundamentals of Child Care Home Rules course.) as evidenced by the Departments training transcript. FDCH/LFCCH Handbook, Section 5.1.2, A or B
Report comments
The substitute for this home has still not tested on the 6 hour Family Child Care Rules and Regulations Course. The Handbook states on page 21: A. The Departments six clock-hour Family Child Care Home Rules and Regulations training, as evidenced by successful completion of a competency-based examination offered by the Department or its designated training representative prior to licensure and caring for children.
A substitute, who worked less than 40 hours a month on average, did not complete the department's 6 clock-hour Family Child Care Rules and Regulation course (or have documentation of completion of the 3 clockhour Fundamentals of Child Care Home Rules course.) as evidenced by the Departments training transcript. FDCH/LFCCH Handbook, Section 5.1.2, A or B
Report comments
In reviewing staff files, substitute has Family rules and regulations course completed but has not tested. Substitute must have a passing test score by 9/13/2023. 5.1.2 Substitutes for the Family/ Large Family Child Care Home/ Employee Who Work Less Than 40 Hours/Month Substitutes for the Family/Large Family Child Care Employee who work less than 40 hours a month on average must complete: A. The Departments 6-hour Family Child Care Home Rules and Regulations training, as evidenced by successful completion of a competency-based examination offered by the Department or its designated training representative prior to licensure and caring for children.
Correction status
Due by September 13, 2024
More details
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STAFFING REQUIREMENTS - 07 - Staff Training
Official code
07-04
Higher concern: Sleep safety
Report finding
The bedding available was not safe and poses a threat to the health, safety or well-being of a child in care. FDCH/LFCCH Handbook, Section 7.8, A, B and D
Inspector notes
When specialist arrived; children were napping on baby rocking seats. Specialist advised provider to put children on cots. Specialist also made mentioned that she had been cited for the same reason during the last inspection on 2/22/2024. Provider proceeded in explaining that the children refuse to sleep anywhere else except on the rocking seats. Specialist advised and suggested that the children needed to be trained to sleep on the cots or in bedding approved by DCF standards. Provider mentioned that parents were aware of the sleeping arrangements and have observed the difficulties of getting the children to sleep in proper bedding and are willing to get doctor notes allowin ... [truncated]
Correction status
Due by September 13, 2024
More details
Report section
HEALTH REQUIREMENTS - 16 - Appropriate, Safe and Sanitary Bedding
The operator did not have documentation that custodial parents or guardian are given written notification of animals on the premises. FDCH/LFCCH Handbook, Section 7.1
Inspector notes
During inspection counselor noticed 3 goats tied up on the front lawn (front porch) of the premises. Provider did not have any documentation for the goats and said she had just bought them the Saturday prior. Provider will draw up an announcement flyer for the parents by 2/26/2024. 7.1 Animal Vaccinations Animals, pets or fowl must be properly vaccinated, if vaccinations are available for the type of animal, pet or fowl; and be free from disease. Animals that are poisonous, aggressive, venomous, or pose a potential threat of harm to children in care are prohibited. Custodial parents or legal guardian must be informed in writing of all animals on the premises of the home. Such ... [truncated]
Correction status
Due by February 26, 2024
More details
Report section
HEALTH REQUIREMENTS - 09 - Animal Vaccinations
Official code
09-03
Higher concern: Sleep safety
Report finding
The bedding available was not safe and poses a threat to the health, safety or well-being of a child in care. FDCH/LFCCH Handbook, Section 7.8, A, B and D
Inspector notes
Counselor observed children napping on individual baby rocking seats. Counselor told provider to change the children to the cots and or cribs but said the children were used to sleeping on these chairs and did not make the necessary changes for this counselor to see. The provider did have plenty of cots and cribs/playpens but continued to let the children sleep on the rockers. Provider will need to change this by 2/26/2024 for this counselor to observe. 7.8 Appropriate, Safe and Sanitary Bedding A. A home must include a designated area where each child can sit quietly or lie down to rest or nap. Each child in care must be provided safe and sanitary bedding to be used when nap ... [truncated]
Correction status
Due by February 26, 2024
More details
Report section
HEALTH REQUIREMENTS - 16 - Appropriate, Safe and Sanitary Bedding
Official code
16-02
Medium concern: Health or food records
Report finding
Weekly meal and snack menus were not planned, written and available for review. FDCH/LFCCH Handbook, Section 7.14, A
Report comments
In reviewing menus posted counselor noticed other foods that were not part of the menu on top of the stove. Counselor made mention of these foods and provider said she sometimes follows the menu but most of the time does not. Provider said parents bring in what the children eat for lunch, and she provides snacks and fruits. Provider was told to create a menu for snacks and fruits and decided she would not serve these items either. Provider told this counselor to remove that she was serving foods from the provider services and would tell parents that they are responsible for all meals and snacks. Provider will write up a note letting parents know she will no longer serve foods ... [truncated]
Correction status
Due by February 26, 2024
More details
Report section
HEALTH REQUIREMENTS - 20 - Nutritious Meals and Snacks Provided
Official code
20-08
Medium concern: inspection access or misrepresentation
Report finding
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.
Report comments
Counselor did a walk through but was denied access to a portion of the home. Provider explained that no one has ever entered that room and that she had things that were private to her and did not allow this counselor to enter the room. Counselor will go back to reinspect the room mentioned on 2/26/2024. 9.1 Access to the Premises/Misrepresentation A. Child care personnel must allow access to the entire premises of the home to inspect for compliance with family day care home and large family child care home minimum standards pursuant to s. 402.311, Florida Statute. Child care personnel must not interfere with or prevent the licensing authority from copying records, photographi ... [truncated]
Correction status
Due by February 26, 2024
More details
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HEALTH REQUIREMENTS - 34 - Access to the Premises/Misrepresentation
Suggested questions for parents based on recorded violations in inspection reports. If there are not enough source-backed violations, you will see general questions for daycare.
Finding-specific
Can you walk me through your current process for ensuring that all medication administered at the home has the required written parent authorization?
Why ask this
Why ask this
Public records show recent instances where medication was administered without the necessary written consent from a parent. This question helps clarify how the provider manages documentation to ensure all health-related procedures follow safety standards.
Related violations
Finding-specific
What is your current approach to ensuring that children are using approved, safe bedding during nap time?
Why ask this
Why ask this
An official inspection report noted concerns regarding the use of non-standard equipment for nap time. Asking about current practices helps parents understand how the home ensures that all children have a safe and appropriate place to rest.
Related violations
Finding-specific
How do you maintain your emergency equipment, such as fire extinguishers, to ensure they are always ready and up to date?
Why ask this
Why ask this
Available inspection records show past findings related to the maintenance of fire safety equipment. This question allows the provider to explain their routine for checking and updating safety tools.
Related violations
Finding-specific
Could you describe your system for tracking and updating children's immunization records?
Why ask this
Why ask this
Public records indicate that there have been instances where immunization records were found to be expired. This question helps parents understand how the provider stays organized with health documentation.
Related violations
Finding-specific
What training or certification updates do you and any substitutes currently have to ensure everyone is prepared for emergencies?
Why ask this
Why ask this
An official inspection report noted past issues with staff training documentation and CPR certification requirements. This question helps parents learn about the current qualifications and preparedness of the individuals caring for the children.