Celebration Child Care Center L L C

23. (23-11)

All adults and children failed to evacuate the facility when the approved fire alarm system was activated. CCF Handbook, Section 3.8.4, B (Section 2.1 - Health and Safety, Page 3) Physical Environment [SR] Comments: During the inspection, the Licensing Specialist (LS) observed the child care facility conducting a fire drill. Children and staff evacuated from the interior of the facility to the churchs inside lobby, which is located within the same structure. While discussing child safety protocols and licensing standards with the provider, LS emphasized that a complete evacuation from the entire building is typically required during fire drills. The provider stated that the county Fire Marshal had granted permission for the facility to evacuate only to the churchs interior lobby instead of exiting the building entirely.LS requested written documentation confirming the Fire Marshals approval of this modified evacuation procedure. However, the provider was unable to present any such documentation at the time of the inspection. Licensing Specialist gave technical assistance from the Child Care Facility Handbook: 3.8.4 Fire Drills B. When the facilitys approved fire alarm alert system is activated or initiated, all adults and children must evacuate the facility. Corrective Action: Provider is to submit to Licensing Specialist via e-mail the evacuation route showing the primary & secondary route that staff members & children will utilize to evacuate the facility outside. Licensing Specialist will observe the child care facility conduct a fire drill at the next inspection. FOOD AND NUTRITION Compliance Comments The facility provides pre-packaged AM & PM snacks for the children. The parents provide lunch for their child/children. 24. Food Preparation Area CCF Handbook, Section 3.9 CCF Handbook, Section 3.9 (Form DEL-SR-6200A) Compliance Due: 8/15/2025 Source: FL DCF CARES inspection 2025-07-21. View official inspection document (report a61167b8-414a-4821-8f55-2a402846ed8f)

40. Medication CCF Handbook, Section 6.5 CCF Handbook, Section 6.5 (Form DEL-SR-6200A) (40-04)

A medication, [Epi-Pen], brought to the center for administration, was not in its original container. CCF Handbook, Section 6.5, C (Section 2.1 Health and Safety, Page 3) Health Requirements [SR] Comments: Licensing Specialist observed 1 child that had an Epi-Pen present during inspection, however it was not in its original medication container. Licensing Specialist gave technical assistance from the Child Care Facility Handbook: 6.5 Medication Child care programs are not required to give medication; however, if a program chooses to do so, it must comply with the following requirements: C. Prescription and non-prescription medication brought to the child care facility by the custodial parent or legal guardian must be in the original container. Prescription medication must have a label stating the name and contact information of the physician and/or pharmacy, childs name, name of the medication, and medication directions. All prescription and non-prescription medication must be dispensed according to written directions on the prescription label or printed manufacturers label and maintained at the appropriate temperature. Corrective Action: Provider is to submit to Licensing Specialist via e-mail, photographic evidence of the 1 childs Epi-Pen present in its original medication container. Due: 8/15/2025 Source: FL DCF CARES inspection 2025-07-21. View official inspection document (report a61167b8-414a-4821-8f55-2a402846ed8f)

40. Medication CCF Handbook, Section 6.5 CCF Handbook, Section 6.5 (Form DEL-SR-6200A) (40-06)

Written directions on the prescription label, the manufacturers label or from the childs doctor for dispensing prescription or non- prescription medication were not followed in that [one doctor's note had a dosage hand written in by a staff member]. CCF Handbook, Section 6.5, C (Section 2.1 Health and Safety, Page 3) Health Requirements [SR] Comments: Licensing Specialist observed two doctors note for 1 child present during inspection. One doctors note remains with the medication, while the other doctor note remains in a medication binder in the office. Licensing Specialist observed that one of the doctors notes had a black mark through a written piece on the doctors note, and a 6.25 ml written on the doctors note for Zyrtec. The provider stated that a staff member had converted the measurement & written the conversion on the doctors note for the Zyrtec from teaspoons (what doctor typed as the dosage) to ml due to not having teaspoon measuring cup/syringe present. Licensing Specialist did observe that the Zyrtec had not been utilized as it was still wrapped in the protective plastic layer & was sealed during inspection. Licensing Specialist gave technical assistance from the Child Care Facility Handbook: 6.5 Medication Child care programs are not required to give medication; however, if a program chooses to do so, it must comply with the following requirements: C. Prescription and non-prescription medication brought to the child care facility by the custodial parent or legal guardian must be in the original container. Prescription medication must have a label stating the name and contact information of the physician and/or pharmacy, childs name, name of the medication, and medication directions. All prescription and non-prescription medication must be dispensed according to written directions on the prescription label or printed manufacturers label and maintained at the appropriate temperature. Corrective Action: Provider is to submit to Licensing Specialist via e-mail a current doctors note that has the correct dosage(s) to be given for the 1 child. Also, photographic evidence of the medication with the appropriate measuring cup/syringe present is to be submitted to Licensing Specialist via e-mail. Due: 8/15/2025 Source: FL DCF CARES inspection 2025-07-21. View official inspection document (report a61167b8-414a-4821-8f55-2a402846ed8f)

40. Medication CCF Handbook, Section 6.5 CCF Handbook, Section 6.5 (Form DEL-SR-6200A) (40-12)

The facilitys record for a child receiving medication was incomplete in that it did not include [medication forms for 2 children with Epi -Pens & a Zyrtec ]. CCF Handbook, Section 6.5, F (Section 2.1 Health and Safety, Page 3) Health Requirements [SR] Comments: Licensing Specialist observed 2 children that had the following medication present without a medication form present during inspection: 2 epi-pens & Zyrtec. Licensing Specialist gave technical assistance from the Child Care Facility Handbook: 6.5 Medication Child care programs are not required to give medication; however, if a program chooses to do so, it must comply with the following requirements: F. The facility must maintain a record for each child receiving any medications that documents the full name of the child, the name of the medication, the date and time the medication was given, the amount and dosage, and the name and signature of the person who gave the medication. This record must be initialed or signed by the program personnel who gave the medication. The record must be maintained for a minimum of 12 months after the last day the child received the dosage. Corrective Action: Provider is to submit to Licensing Specialist via e-mail the 2 childrens complete medication forms for the epi-pens & Zyrtec along with photographic documentation of the doctors note or written prescription directions. RECORD KEEPING Compliance Comments Licensing Specialist observed all 72 enrolled children's immunization records during inspection. 41. Immunization Records CCF Handbook, Section 7.1 CCF Handbook, Section 7.1 (Form DEL-SR-6200A) Compliance Due: 8/15/2025 Source: FL DCF CARES inspection 2025-07-21. View official inspection document (report a61167b8-414a-4821-8f55-2a402846ed8f)

45. (45-02)

Documentation of Level 2 Clearinghouse screening clearance was missing for child care personnel. CCF Handbook, Section 7.4.1,C (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Comments: LS observed two staff members background screening clearance letters that did not have an "eligible" status for DCF Child Care during inspection. LS observed one staff member with child care industry start date of 10/31/2022 and employment date at facility of 9/3/2024 that had a status of agency review required for DCF Child Care. LS observed a second staff member with child care industry start date of 3/8/2010 and with employment date at facility of 9/3/2024. The second staff member had a background screening clearance letter eligibility status as of 2/23/2022, however the staff member had left the child care industry on 5/31/2024 and did not return until 9/3/2024. LS gave technical assistance during inspection from the Child Care Handbook: 7.4.1 Background Screening Documents Background screening documentation must be maintained for all child care personnel as defined by Section 402.302(3), F.S., which includes household members if the facility is located in or adjacent to the home of the operator. Background screening documentation must be on-site and available for the licensing authority to review. C. A copy of the eligible results, for the Level 2 screening, generated from the Clearinghouse must be on record for each personnel. If awaiting Out-of-State criminal history results, a copy of the DCF email informing of the individuals eligibility for a provisional hire status must be in the personnel file. Corrective Action: Provider initiated an agency review for one staff member & initiated a resubmission for the second staff member during inspection. Therefore, standard was completed at time of inspection. Source: FL DCF CARES inspection 2024-12-17. View official inspection document (report d378df4d-24bf-4a10-85c3-894d18fceaf2)