Little Lamb's Child Care Center

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: Counselor observed children in the playpen with shoes off their feet, placed next to the child in the playpen. Counselor observed in the second playpen, toys and a bottle of milk. Counselor observed teacher on the phone while children are crying in the playpen. Counselor asked the facility to take the items out of the playpen and the teacher told counselor it was not her classroom. The counselor asked if the teacher had taken her DCF hours. The director informs the counselor that the teacher does have her training. Counselor give technical assistant: Safe Sleep 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. B. When napping or sleeping, young infants who are not able to roll over must be positioned on their backs and on a firm surface to reduce the risk of Sudden Infant Death Syndrome, unless an alternate position is authorized by a physician. Sleep sacks that fit according to manufacturers recommendations, do not restrict the infants arms, and will not slide up around the infants face may be used for the comfort of the sleeping infant; however, swaddling shall not be used unless authorized in writing by the childs physician. Written documentation of a physicians authorization must be on file at the facility. Documentation must include the childs name, childs date of birth, description of sleep position required, instructions for the use of any equipment needed, and length of time authorization is valid. C. Children must not be placed in the cribs, playpens, play yards or other sleeping and napping bedding with items that could pose a strangulation or suffocation risk. Cribs, playpens, play yards, other napping and sleeping bedding being used by a child must be placed a minimum of 18 inches away from window blinds, draperies or any window treatment/cover that pose a strangulation hazard. Counselor advice teacher to take a safe sleep course; due 3/21/2025. Source: FL DCF CARES inspection 2025-03-11. View official inspection document (report 1bcfe112-f856-48bb-902b-837ded7dd17c)

17. Outdoor Play Area/Fencing CCF Handbook, Section 3.5 (17-02)

The facility's outdoor play area contained litter, nails, glass or other hazards that posed a threat to the health, safety or well-being of the children. CCF Handbook, Section 3.5, A Physical Environment [SR] Comments: Counselor observed the outdoor play area has rips in the artificial turf. The artificial turf has rips that are a tripping hazard for children in the facility. Counselor give technical assistance to the provider: 3.5 Outdoor Play Area A. The outdoor play area must be clean and free from litter, nails, glass and other hazards. B. The outdoor area must be designed to allow child care personnel to clearly see children while playing on all equipment. C. The outdoor play area must provide shade. Shade may be provided by trees, buildings, or structures. D. Children must not come into contact with any surface or equipment which poses a burn risk. E. The facilitys outdoor play area must be fenced as required by local ordinances to prevent access by children to all water hazards within or adjacent to outdoor play areas, such as pools, ditches, retention ponds, and fish ponds. 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 build-up 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. Facility is noncompliance with Florida Standard. Facility has until 12/13/24 to meet standard. Source: FL DCF CARES inspection 2024-11-20. View official inspection document (report f4115b2d-84b5-47b1-87a2-db3ed969e734)

32. Outdoor Equipment CCF Handbook, Section 3.12 (32-06)

A resilient surface was not provided beneath and within the fall/use zone for [swing, seesaw, and slide.]. CCF Handbook, Section 3.12, D Sanitation and Equipment [SR] Comments: Counselor observed under the swing, seesaw, and slide there were no resilient surface to protect the children. Facility has no resilient surface to protect the children. Counselor give technical assistance to provider: 3.12 Outdoor Equipment A. A child care facility must provide and maintain enough usable equipment suitable to each childs age and development and of a quantity for each to be involved in activities. B. 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. C. All equipment, fences, and objects on the facilitys premises shall be free from sharp, broken and jagged edges, and properly placed to prevent overcrowding or safety hazards in any one area. 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. 2. If the ground cover in place is a unitary playground surface, then the unitary surfacing materials must be installed, maintained, or replaced according to manufacturers instructions. Unitary surfaces must be tested to and comply with ASTM F1292; documentation of test data must be retained at the facility and available for licensing to review. 3. If the play area was approved by the Department prior to January 1, 2020, and does not meet the 6-foot fall/use zone requirement, then the facility must submit a written notification, including photographs and layout of the play area, to the Department prior to or on April 1, 2020, notifying its intention to continue to operate using the prior approved play area. However, if the permanent or stationary playground equipment is moved or replaced then the standard would apply, and 6 feet of use zone must be provided. Any new equipment added would be required to have the 6 feet of use zone in all directions from the perimeter of the equipment. E. Equipment used for climbing should not be placed over, or immediately next to, hard surfaces such as asphalt, concrete, dirt, grass, or flooring covered by carpet or gym mats not intended for use as surfacing for climbing equipment. F. All equipment used in the outdoor play area must be constructed and maintained according to manufacturers recommendations and allow for water drainage. Any open containers with water must be emptied immediately after use, i.e. pots, toys, or other equipment that collects water. G. Sandboxes must be covered at the end of each day. The covering used must prevent access to the sandbox by animals. H. Wading pools, including inflatable water slides with a landing area where water collects, are prohibited. 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. Facility is noncompliance with Florida Standard. Facility has until 12/13/24 to meet standard. TRAINING Source: FL DCF CARES inspection 2024-11-20. View official inspection document (report f4115b2d-84b5-47b1-87a2-db3ed969e734)

40. Medication CCF Handbook, Section 6.5 (40-15)

Medication was not stored in either a locked area or inaccessible and out of a childs reach. CCF Handbook, Section 6.5, G Health Requirements [SR] Comments: Counselors were walking to check the ratio and observed diaper cream that was sitting on top of the cubbies. Counselor explained to the two teachers that the cream could not be set on top of the cubbies. She explained that it is usually in the child's backpack. Counselor give technical assistance to facility: Child care programs are not required to give medication; however, if a program chooses to do so, it must comply with the following requirements: A. The child care program must have written authorization from the custodial parent or legal guardian to give prescription and non- prescription medications. This authorization must be dated and signed by the custodial parent or legal guardian and contain the childs name; the name of the medication to be given; and date, time and amount of the correct dosage to be given. Prescription and non- prescription medications that are used on an as needed basis require the parent/ legal guardian to provide additional documentation on the authorization form to describe symptoms that would require the medication to be given. The child care provider must never administer a medication that is prescribed for one child to another child. B. Any known allergies to medication or special restrictions must also be documented, maintained in the childs file, shared with child care personnel and posted with the childs stored medication. 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. D. In the event of an emergency, non-prescription medication that is not brought in by the parent or legal guardian can be dispensed only if the program has written permission from the parent or legal guardian to do so. E. Any medication given under these conditions must be documented in the childs file, and the custodial parent or legal guardian must be notified on the day of occurrence. 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. G. All medication must have child resistant caps, if applicable, and must either be stored in a locked area or must be out of any childs reach. If medication is stored in the food preparation area, it must be stored in a manner to prevent contamination of food, food contact surfaces, or medication. Counselor explained that the medical had to be locked. The teacher removed the medication from the children. The facility resolved the medication issue by making it inaccessible and out of the children's reach. RECORD KEEPING Compliance Comments Per provider no new immunizations. Source: FL DCF CARES inspection 2024-11-20. View official inspection document (report f4115b2d-84b5-47b1-87a2-db3ed969e734)