Tallahassee Memorial Child Care Center I

45. Background Screening Documents CCF Handbook, Section 7.4.1 (45-09)

The facility failed to maintain a current Employee/Contractor Roster for all child care personnel in the Clearinghouse. CCF Handbook, Section 5.1, K Record Keeping [SR] Comments: LS observed the facility failed to maintain a current Employee/Contractor Roster for (1) childcare personnel in the Clearinghouse. CCF Handbook, Section 5.1, K Corrective action due. See supplemental. Due: 3/31/2026 Source: FL DCF CARES inspection 2026-02-18. View official inspection document (report 546edab5-68ba-49f3-85ab-bfe8abda6fce)

44. Personnel Records CCF Handbook, Section 7.4 (44-04)

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] Comments: LS observed (1) 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. Per CCF Handbook, section 7.4., 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 childcare personnel. (Page 61) Corrective action due. See supplemental. Due: 3/31/2026 Source: FL DCF CARES inspection 2026-02-18. View official inspection document (report 546edab5-68ba-49f3-85ab-bfe8abda6fce)

20. Crib Requirements CCF Handbook, Section 3.6 (20-06)

Child/ren were placed in a crib, playpen, play yard or other sleeping and napping bedding with items that could pose a strangulation or suffocation risk. CCF Handbook, Section 3.6.4, A Physical Environment [SR] Comments: LS observed Child/ren were placed in a crib, playpen, play yard or other sleeping and napping bedding with items that could pose a strangulation or suffocation risk. CCF Handbook, Section 3.6.4, APer CCF Handbook, section 3.6.4, A, All personnel that care for infants must follow safe sleep practices as recommended by the American Academy of Pediatrics (AAP) as referenced in Caring for Our Children Basics Health and Safety Foundations for Early Care and Education, which is incorporated by reference in 65C-22.001(7)(v), F.A.C. Cribs or playpens/play yards used for infants must have tight fitted sheets and no excess bedding, which includes but is not limited to: bumper pads, hanging mobiles, quilts, comforters, receiving blankets, pillows, stuffed animals and cushions. (Page 26) Corrected at time of inspection. Photos were taken. LS observed children with blankets and toys in cribs. LS had provider remove items. LS gave provider technical assistance. See supplemental. Due: Completed at time of inspection Source: FL DCF CARES inspection 2026-02-18. View official inspection document (report 546edab5-68ba-49f3-85ab-bfe8abda6fce)

04. Supervision CCF Handbook, Section 2.4 (04-08)

An infant was observed being fed with a propped bottle. CCF Handbook, Section 2.4.4, C General Requirements [SR] Comments: LS observed an infant was observed being fed with a propped bottle. CCF Handbook, Section 2.4.4, C. Per CCF Handbook, section 2.4.4., C There must not be any propped bottles. If a child cannot hold the bottle, childcare personnel must hold the bottle during feeding. There must be no automatic feeding devices unless prescribed by a doctor and documentation is available in the childs file. (Page 13) Corrected at time of inspection. LS observed an infant bottle propped using a blanket in rocker. LS had personnel remove blanket and personnel hand fed infant. Photos were taken. See supplemental. Not Applicable Comments The facility does not provide transportation services. Due: Completed at time of inspection Source: FL DCF CARES inspection 2026-02-18. View official inspection document (report 546edab5-68ba-49f3-85ab-bfe8abda6fce)

47. Access/Child Safety CCF Handbook, Section 8 (47-02)

The owner, operator, employee or substitute, while caring for children, committed an act or omission that meets the definition of child abuse or neglect provided in Chapter 39, Florida Statutes or Chapter 827, Florida Statutes. CCF Handbook, Section 8.2, A Enforcement [SR] Comments: Staff member in charge of supervision did not know a child climbed fence and left premises for over 20 minutes before staff member or facility became aware the child was missing. The child was able to cross a highly trafficked roadway and was picked by a passerby and taken to hospital security who then notified law enforcement. Per CCF Handbook, section 8.2. A. Acts or omissions that meet the definition of child abuse or neglect provided in Chapter 39, F.S. or Chapter 827, F.S., constitute a violation of the standards is section 402.301- .319, F.S., and will support imposition of a sanction, as provided in Section 402.310, F.S. Corrected at time of inspection. Staff member was terminated. Staff member in charge of supervision did not know a child climbed fence and left facility. Licensing Specialist is requiring mandatory training for all staff. See supplemental. Owner/Director/Staff Responsible Comments No comments at this time. Counselor Comments Friendly reminders: Keep Clearinghouse Roster Updated. Follow-up is not currently due. If you have any questions please contact: Northwest Office of Licensing, Department of Children and Families, Attn: Hope Altieri, Cell (850)519-5301 or Office (850) 778-4077 or email Hope.Altieri@myflfamilies.com Additional licensing specialist Alba Altieri present. ____________________________________________ Inspected by: Hope Altieri Date: 01/06/2026 ____________________________________________ Received by: Sandra Moss Date: 01/06/2026 Due: Completed at time of inspection Source: FL DCF CARES inspection 2026-01-06. View official inspection document (report bfde6895-d47c-41e0-a557-55e74481158c)

32. Outdoor Equipment CCF Handbook, Section 3.12 (32-12)

The facility did not maintain the manufacturers instructions for playground equipment purchased or installed on or after January 2020 and/or have available for licensing to review. CCF Handbook, Section 3.12, I Sanitation and Equipment [SR] Comments: LS observed the facility did not maintain the manufacturers instructions for playground equipment purchased or installed on or after January 2020 and/or have available for licensing to review. CCF Handbook, Section 3.12, I Per CCF Handbook, section 3.12, I The provider shall maintain manufacturers instructions on file electronically or in paper format for outdoor playground equipment purchased or installed on or after January 1, 2020, and/or have available for licensing to review upon request. Corrected at time of inspection. Provider could not provide LS manufacturer's handbook or age limit for playground equipment. Provider removed equipment from playground. See supplemental. TRAINING 33. Training Requirements CCF Handbook, Section 4 Not Monitored 34. Credentialed Staff CCF Handbook, Section 4.6 & 4.7 Not Monitored HEALTH REQUIREMENTS 35. Communicable Disease Control CCF Handbook, Section 6.1 Not Monitored 36. CPR Requirements CCF Handbook, Section 4.2.4 Not Monitored 37. First Aid Requirements CCF Handbook, Section 4.2.4 and 6.2 Not Monitored 38. Emergency Telephone Numbers CCF Handbook, Section 6.3 Not Monitored 39. Accident/ Incident Notification and Documentation CCF Handbook, Section 6.3 & 6.4 Not Monitored 40. Medication CCF Handbook, Section 6.5 Not Monitored RECORD KEEPING 41. Immunization Records CCF Handbook, Section 7.1 Not Monitored 42. Student Health and Records CCF Handbook, Section 7.2 Not Monitored 43. Enrollment Information CCF Handbook, Section 7.3 & s. 402.3054(2), F.S. Not Monitored 44. Personnel Records CCF Handbook, Section 7.4 Not Monitored 45. Background Screening Documents CCF Handbook, Section 7.4.1 Not Monitored 46. Daily Attendance CCF Handbook, Section 7.5 Not Monitored Due: Completed at time of inspection Source: FL DCF CARES inspection 2026-01-06. View official inspection document (report bfde6895-d47c-41e0-a557-55e74481158c)

23. Fire Drills & Emergency Preparedness CCF Handbook, Section 3.8 (23-13)

The facility did not have a written emergency preparedness plan. CCF Handbook, Section 3.8.5, A Physical Environment [SR] Comments: LS observed the facility did not have a written emergency preparedness plan. CCF Handbook, Section 3.8.5, A Per CCF Handbook, Section 3.8.5.A, The operator must develop a written emergency preparedness plan that includes, at a minimum, procedures to be taken by the facility during a fire, evacuation, relocation, shelter in place, lockdown, and inclement weather (for example: hurricanes, tropical storms or tornadoes), and to facilitate parent/guardian reunification onsite and offsite. The plan must describe how the facility will notify and update parents/guardians, as well as meet the needs of all children, including children with special needs or chronic medical conditions, during and following an emergency event. A current attendance record/classroom rosters and parent contact information must accompany childcare personnel during the drill or actual emergency and must be used to account for all children. Daily classroom attendance rosters must be used to account for all children once gathered in a safe space after exit and upon return to the program. Corrected prior to uploading. Technical assistance was provided regarding emergency preparedness plan. Provider emailed Licensing Specialist the facility's written emergency preparedness plan. See supplemental. FOOD AND NUTRITION 24. Food Preparation Area CCF Handbook, Section 3.9 Not Monitored 25. Meals and Snacks CCF Handbook, Section 3.9 Not Monitored 26. Meal and Snack Menus CCF Handbook, Section 3.9.3 & Section 7 Not Monitored 27. Catered Food and Food Provided by Outside Sources CCF Handbook, Section 7 & Section 3.9.3 Not Monitored 28. Bottles, Breastmilk, Formula and Infant Food CCF Handbook, Section 3.9 Not Monitored SANITATION AND EQUIPMENT 29. Health and Sanitation CCF Handbook, Section 3.6, 3.9, and 3.10 Not Monitored 30. Diapering CCF Handbook, Section 3.10 Not Monitored 31. Indoor Equipment CCF Handbook, Section 3.11 Not Monitored Due: Completed at time of inspection Source: FL DCF CARES inspection 2026-01-06. View official inspection document (report bfde6895-d47c-41e0-a557-55e74481158c)

17. Outdoor Play Area/Fencing CCF Handbook, Section 3.5 (17-08)

The fence in the outdoor play area had a build-up (e.g., leaves, soil) at the base on the play area side, causing the fence to be less than the minimum 4 feet in height. CCF Handbook, Section 3.5, F Physical Environment [SR] Comments: The fence in the outdoor play area had a build-up (e.g., leaves, soil) at the base on the play area side, causing the fence to be less than the minimum 4 feet in height. CCF Handbook, Section 3.5, F Per CCF Handbook, section 3.5, F. The outdoor play area must have adequate fencing or walls a minimum of 4 feet in height. Fencing, including gates, must be continuous and must not have gaps or opening larger than 3 inches that would allow children to exit the outdoor play area. The base of the fence must remain at ground level and be free from erosion or buildup to prevent inside and outside access by children or animals. These areas must have at least two exits, with at least one being remote from the buildings. If an outdoor play area was approved for usage by the Department prior to October 25, 2017, no new exits are required to be added to meet this standard. However, if outdoor play area fencing is changed then the standard would apply, and two exits must be provided. Corrective action due. LS observed build up at the play area at fence base. LS explained provider to remove these. See supplemental. 18. Bedding and Linens CCF Handbook, Section 3.6 Not Monitored 19. Nap/Sleep Space Requirements CCF Handbook, Section 3.6.2 Not Monitored Due: 2/6/2026 Source: FL DCF CARES inspection 2026-01-06. View official inspection document (report bfde6895-d47c-41e0-a557-55e74481158c)

17. Outdoor Play Area/Fencing CCF Handbook, Section 3.5 (17-06)

The facilitys fencing walls or gate area had gaps that could allow children to exit the outdoor play area. CCF Handbook, Section 3.5, F Physical Environment [SR] Comments: Licensing Specialist observed the facilitys fencing walls or gate area had gaps that could allow children to exit the outdoor play area. CCF Handbook, Section 3.5, F Per CCF Handbook, Section 3.5. F, the outdoor play area must have adequate fencing or walls a minimum of 4 feet in height. Fencing, including gates, must be continuous and must not have gaps or opening larger than 3 inches that would allow children to exit the outdoor play area. The base of the fence must remain at ground level and be free from erosion or buildup to prevent inside and outside access by children or animals. These areas must have at least two exits, with at least one being remote from the buildings. If an outdoor play area was approved for usage by the Department prior to October 25, 2017, no new exits are required to be added to meet this standard. However, if outdoor play area fencing is changed then the standard would apply, and two exits must be provided. Corrective action due. LS explained to Provider to fix all gaps in gates and to replace fence. See supplemental. Due: 2/6/2026 Source: FL DCF CARES inspection 2026-01-06. View official inspection document (report bfde6895-d47c-41e0-a557-55e74481158c)

04. Supervision CCF Handbook, Section 2.4 (04-02)

One or more children were not adequately supervised in that [a child left the premises.], which posed an imminent threat to a child, and could or did result in death or serious harm to the health, safety or well-being of a child. CCF Handbook, Section 2.4.1, A, B, D, G, H, and I; 2.4.2; 2.4.3; 2.4.5, D General Requirements [SR] Comments: Child was on the playground, climbed the fence, a walking to the hospital when a hospital staff saw the child in the crosswalk and took the child to the hospital-to- the hospital security and returned to the facility. Corrected at time of inspection. Technical assistance was provided regarding adequate supervision. Personnel is no longer employed at facility, fencing will be replaced and mandatory training is required. See supplemental. 05. Transportation CCF Handbook, Section 2.5 Not Monitored 06. Driver's License, Physician Certification & First Aid/CPR Training CCF Handbook, Section 2.5 and CCF Handbook, Section 7.4 Not Monitored 07. Vehicle Requirements CCF Handbook, Section 2.5.4 Not Monitored 08. Seat Belts/Child Restraints CCF Handbook, Section 2.5.4 and CCF Handbook, Section 2.5.5 Not Monitored 09. Planned Activities CCF Handbook, Section 2.6 Not Monitored 10. Field Trip Permission CCF Handbook, Section 2.7 Not Monitored Due: Completed at time of inspection Source: FL DCF CARES inspection 2026-01-06. View official inspection document (report bfde6895-d47c-41e0-a557-55e74481158c)

32. Outdoor Equipment CCF Handbook, Section 3.12 (32-07)

The ground cover or other protective surface under the [fall zones are not 6'' deep. ] was not maintained. CCF Handbook, Section 3.12, D Sanitation and Equipment [SR] Comments: 3.12 Outdoor Equipment D. Permanent or stationary playground equipment must have a fall/use zone that extends a minimum of 6 feet in all directions from the perimeter of the equipment. All types of ground cover must be maintained to provide resilience and reduce the incidence of injuries to children in the event of falls. 1. If the ground cover in place is loose ground cover (such as, but not limited to: mulch, shredded rubber chips, or sand) a minimum of 6 inches in depth is required in the use zone. Asphalt, concrete, hard packed dirt, hay, grass or leaves are unsuitable for use in the use zone area. The fall zones are not 6'' deep. TRAINING 33. Training Requirements CCF Handbook, Section 4 Not Monitored 34. Credentialed Staff CCF Handbook, Section 4.6 & 4.7 Not Monitored HEALTH REQUIREMENTS 35. Communicable Disease Control CCF Handbook, Section 6.1 Not Monitored 36. CPR Requirements CCF Handbook, Section 4.2.4 Not Monitored 37. First Aid Requirements CCF Handbook, Section 4.2.4 and 6.2 Not Monitored 38. Emergency Telephone Numbers CCF Handbook, Section 6.3 Not Monitored 39. Accident/ Incident Notification and Documentation CCF Handbook, Section 6.3 & 6.4 Not Monitored 40. Medication CCF Handbook, Section 6.5 Not Monitored Source: FL DCF CARES inspection 2025-06-02. View official inspection document (report 0fcccefc-e1d4-47fa-af32-38b26aec2af8)

32. Outdoor Equipment CCF Handbook, Section 3.12 (32-03)

The play equipment was not maintained in a safe or sanitary condition for the children to use in that [the rubber protective lining is peeling away]. CCF Handbook, Section 3.12, B and F Sanitation and Equipment [SR] Comments: 3.12 Outdoor Equipment All playground equipment must be securely anchored, unless portable or stationary by design, in good repair, maintained in safe and sanitary condition, and placed to ensure safe use by the children. Maintenance must include inspections conducted every month of all supports above and below the ground and of all connectors and moving parts. Documentation of maintenance inspections must be maintained for 12 months. The rubber protective lining on the playground equipment is peeling away, exposing a rusted metal surface underneath. This creates a safety hazard, as the sharp, rusted edges could potentially cause injury to children. Due: 7/2/2025 Source: FL DCF CARES inspection 2025-06-02. View official inspection document (report 0fcccefc-e1d4-47fa-af32-38b26aec2af8)

20. Crib Requirements CCF Handbook, Section 3.6 CCF Handbook, Section 3.6 (Form DEL-SR-6200A) (20-04)

A napping or sleeping infant who is not capable of rolling over was not positioned on his/her back and on a firm surface, or was swaddled, and the provider did not have written authorization for an alternate sleep position from a physician in the childs record. CCF Handbook, Section 3.6.4, B (Section 2.1 Health and Safety, Page 3) Physical Environment [SR] Comments: 3.6 Napping/Sleeping Requirements 3.6.1 Bedding and Linens Each child in care must be provided safe and sanitary bedding to be used when napping or sleeping. Nap bedding is not required for school-age children; however, the program must provide an area for children that choose to rest. C. Nap bedding includes sleep bedding, cots, playpens, play yards or floor mats. Air and foam mattresses are prohibited. Licensing specialist observed two infants sleep in bounce seats and one infant asleep in a swing. Teachers put babies in the cribs at the time of inspection. 21. Restrooms and Bath Facilities CCF Handbook, Section 3.7 CCF Handbook, Section 3.7 (Form DEL-SR-6200A) Compliance Source: FL DCF CARES inspection 2025-02-03. View official inspection document (report bd2cfaa9-7ed4-4771-b956-c1ba2b2850fe)

32. (32-06)

A resilient surface was not provided beneath and within the fall/use zone for [the climbing stuctures on the both play areas.]. CCF Handbook, Section 3.12, D (Section 2.1 Health and Safety, Page 3) Sanitation and Equipment [SR] Comments: 3.12 Outdoor Equipment D. Permanent or stationary playground equipment must have a fall/use zone that extends a minimum of 6 feet in all directions from the perimeter of the equipment. All types of ground cover must be maintained to provide resilience and reduce the incidence of injuries to children in the event of falls. 1. If the ground cover in place is loose ground cover (such as, but not limited to: mulch, shredded rubber chips, or sand) a minimum of 6 inches in depth is required in the use zone. Asphalt, concrete, hard packed dirt, hay, grass or leaves are unsuitable for use in the use zone area. The sliver and the red climber do not have 6 inches of mulch under neath it. The mulch under the sliver climber was measured at 3 inches deep. The mulch under the red climber depth was fine, but it did not go out 6 feet in all directions. TRAINING Compliance Comments In-service previously monitored for fiscal year. Source: FL DCF CARES inspection 2025-02-03. View official inspection document (report bd2cfaa9-7ed4-4771-b956-c1ba2b2850fe)

42. (42-02)

The Student Health Examination or equivalent health statement was not acceptable in that: [ It was not current (over two years old)]. CCF Handbook, Section 7.2 (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Comments: 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 Child Care Facility Handbook Page | 60 professionals that indicate the results of the components of the Student Health Examination form are included in the health examination. One child with expired health record. Compliance Comments Monitored H1N1 brochure requirements. 43. Enrollment Information CCF Handbook, Section 7.3 & s. 402.3054(2), F.S. CCF Handbook, Section 7.3 & s. 402.3054(2), F.S. (Form DEL-SR-6200A) Compliance Compliance Comments 11 staff employed all staff files reviewed. Source: FL DCF CARES inspection 2024-09-24. View official inspection document (report c15441dc-924a-4025-9f6c-dd136c3fd7ea)

41. (41-02)

The Florida Certificate of immunization was not acceptable in that: [ The form was not current (expired)]. CCF Handbook, Section 7.1 (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Comments: 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. There was one child with expired immunization record. 42. Student Health and Records CCF Handbook, Section 7.2 CCF Handbook, Section 7.2 (Form DEL-SR-6200A) Noncompliance Due: 10/24/2024 Source: FL DCF CARES inspection 2024-09-24. View official inspection document (report c15441dc-924a-4025-9f6c-dd136c3fd7ea)