Lake Community Action Agency Inc.

33. Training Requirements CCF Handbook, Section 4 CCF Handbook, Section 4 (Form DEL-SR-6200A) (33-06)

The facility did not have documentation to show completion of a Department approved five-hour early literacy and language development course for child care personnel within 12 months of date of employment in child care industry and/or the early literacy course documentation was not uploaded in the Florida Pathways/Registry. CCF Handbook, Section 4.2.2 and 4.5, C (Section 2.1 Health and Safety, Page 3) Comments: Counselor observed a staff member did not complete the five hour early literacy Due: 3/2/2026 Source: FL DCF CARES inspection 2026-01-22. View official inspection document (report 39e9dca6-b9b8-4333-9434-215754654bc9)

33. Training Requirements CCF Handbook, Section 4 CCF Handbook, Section 4 (Form DEL-SR-6200A) (33-01)

Child care personnel including volunteers who work 10 hours or more per month did not complete the 40 hour Introductory Child Care Training requirement. CCF Handbook Section 4.2.1 (Section 2.1 Health and Safety, Page 3) Comments: Counselor observed staff member did not complete required training Technical assistance provided that to satisfy the requirement test must be taken Due: 3/2/2026 Source: FL DCF CARES inspection 2026-01-22. View official inspection document (report 39e9dca6-b9b8-4333-9434-215754654bc9)

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: Counselor observed 2 children files did not have current Health Examination Compliance Comments Counselor reviewed all 26 enrolled children files 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 Due: 10/22/2025 Source: FL DCF CARES inspection 2025-09-22. View official inspection document (report bdde5de1-c646-436c-a117-0f09de6b044c)

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: Counselor observed 5 of the children files had expired immunization records. 42. Student Health and Records CCF Handbook, Section 7.2 CCF Handbook, Section 7.2 (Form DEL-SR-6200A) Noncompliance Due: 10/22/2025 Source: FL DCF CARES inspection 2025-09-22. View official inspection document (report bdde5de1-c646-436c-a117-0f09de6b044c)

30. Diapering CCF Handbook, Section 3.10 CCF Handbook, Section 3.10 (Form DEL-SR-6200A) (30-06)

Diaper changing occurred on a surface that was not impermeable. CCF Handbook, Section 3.10.2, E (Section 2.1 Health and Safety, Page 3) Sanitation and Equipment [SR] Comments: Counselor observed that both diaper changing mats were stained in the two/three year old room and one year old room. There was also a tear in the mat in one year old room. Due: 10/22/2025 Source: FL DCF CARES inspection 2025-09-22. View official inspection document (report bdde5de1-c646-436c-a117-0f09de6b044c)

12. (12-02)

An area(s) of the facility was observed to not be in good repair. CCF Handbook, Section 3.1, A (Section 2.1 Health and Safety, Page 3) Physical Environment [SR] Comments: Counselor observed door leading into the 2 and 3 year old room had chipped paint. 13. Toxic Substances, Hazardous Materials and Weapons CCF Handbook, Section 3.2 CCF Handbook, Section 3.2 (Form DEL-SR-6200A) Compliance 14. Lighting, Temperature, and Ventilation CCF Handbook, Section 3.3 CCF Handbook, Section 3.3 (Form DEL-SR-6200A) Compliance 15. Licensed Capacity CCF Handbook , Section 3.4 CCF Handbook , Section 3.4 (Form DEL-SR-6200A) Compliance Due: 10/22/2025 Source: FL DCF CARES inspection 2025-09-22. View official inspection document (report bdde5de1-c646-436c-a117-0f09de6b044c)

03. Ratio Sufficient CCF Handbook, Section 2.3 CCF Handbook, Section 2.3 (Form DEL-SR-6200A) (03-01)

A ratio of [1] child care personnel for [11] children is required. A ratio of [1] child care personnel for [12] children was observed. s.402.305(4), F.S. (Section 2.1 Health and Safety, Page 3) General Requirements [SR] Comments: 1:12 (7/2's and 5/3's) 1:4 (4's) 1:5 (1's) Technical assistance provided that staff to child ratio must be followed at all times. A child from two's and three-year-old room was brought into four-year-old room to become compliant at time of inspection. New Ratio 1:11 (6/2's and 5/3's) 1:5 (4/4's 1/2's) 1:5 (1's) Due: Completed at time of inspection Source: FL DCF CARES inspection 2025-09-22. View official inspection document (report bdde5de1-c646-436c-a117-0f09de6b044c)

35. Communicable Disease Control CCF Handbook, Section 6.1 (35-12)

The facility does not have documentation for all child care personnel on required annual refresher education of the facilitys exposure plan. CCF Handbook, Section 6 Health Requirements [SR] Comments: No documentation of exposure plan refresher (blood pathogen training) for staff listed on the supplemental. All staff is required to complete a refresher education every year and keep documentation for review. Source: FL DCF CARES inspection 2025-05-15. View official inspection document (report fbd0f276-8760-4753-96f7-6debd806120e)

45. (45-06)

The Child Care Attestation of Good Moral Character was not completed at the time of initial screening or upon change in employers. CCF Handbook, Section 7.4.1, B (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Comments: Licensing Specialist reviewed personnel files and observed personnel file, listed on the supplemental, did not have the Child Care Attestation of Good Moral Character on file. Technical assistance provided that a CF Form 1649A, Child Care Attestation of Good Moral Character, which is incorporated by reference in 65C-22.001(7)(a), F.A.C., must be completed for all child care personnel at the time of initial screening or upon change in employers. CF Form 1649A may be obtained from the Departments website at www.myflfamilies.com/childcare. This will need to be on file by due date. Source: FL DCF CARES inspection 2025-02-03. View official inspection document (report 3f03e393-dedb-4faf-a95e-1ffc71a7ec3d)

23. (23-12)

Child care personnel failed to possess a current attendance record and parent contact information during a fire drill, emergency preparedness drill or an actual emergency. CCF Handbook Section 3.8.4, C and 3.8.5, A (Section 2.1 - Health and Safety, Page 3) Physical Environment [SR] Comments: Licensing specialist observed a fire drill during the inspection, child care personnel did bring their current attendance record but did not possess parent contact information. Technical assistance provided that a current attendance record/classroom rosters and parent contact information must accompany child care personnel during the drill or actual emergency and must be used to account for all children. Another fire drill will be conducted at time of reinspection. FOOD AND NUTRITION Source: FL DCF CARES inspection 2025-02-03. View official inspection document (report 3f03e393-dedb-4faf-a95e-1ffc71a7ec3d)

42. (42-01)

Child(ren) did not have a Student Health Examination/DH (Form 3040), or an equivalent health statement on file within 30 days of enrollment. CCF Handbook, Section 7.2, C (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Comments: Child(ren), listed on the supplemental, did not have a Student Health Examination/DH (Form 3040), or an equivalent health statement on file within 30 days of enrollment. Technical assistance provided that if the custodial parents or legal guardians fail to provide the documentation required above within 30 days of enrollment, the facility shall not allow the child to remain in the program. 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 Source: FL DCF CARES inspection 2025-02-03. View official inspection document (report 3f03e393-dedb-4faf-a95e-1ffc71a7ec3d)

44. Personnel Records CCF Handbook, Section 7.4 CCF Handbook, Section 7.4 (Form DEL-SR-6200A) (44-01)

Personnel records or copies of records were not being maintained at the facility and available for review by the licensing authority. CCF Handbook, Section 7.4 (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Comments: Personnel records for child care personnel, listed on the supplemental, were not maintained at the facility and available for review. Technical assistance provided that records must be maintained and kept current on all child care personnel, as defined by Section 402.302(3), F.S. These records shall be on-site, available for review by the licensing authority and must include: A. A complete employment application with the required statement pursuant to Section 402.3055(1)(b), F.S. B. Documentation of position and date of employment. 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 child care personnel. D. Copies of training information and credentials as applicable. E. For the driver only: Florida drivers license and driver physical examination documentation. A copy of the drivers license and the physician certification, or another form containing the same elements of the physician certification, granting medical approval to operate the vehicle, and valid certificate(s) of course completion for first aid training, pediatric cardiopulmonary resuscitation (CPR) procedures, and background screening must also be maintained in the drivers personnel file. F. Prior to beginning volunteering in a child care facility, a CF-FSP 5217, Volunteer Acknowledgment which is incorporated by reference in 65C-22.001(7)(e), F.A.C., and may be obtained from the Departments website www.myflfamilies.com/childcare, must be completed and on file at the child care facility for the volunteer. Written documentation of volunteer hours must be maintained at the facility for a minimum of 12 months and available for review by the licensing authority. "Child care personnel means all owners, operators, employees, and volunteers working in a child care facility. The term does not include persons who work in a child care facility after hours when children are not present or parents of children in a child care facility. This will need to be on file by due date. 45. Background Screening Documents CCF Handbook, Section 7.4.1 CCF Handbook, Section 7.4.1 (Form DEL-SR-6200A) Noncompliance Source: FL DCF CARES inspection 2025-02-03. View official inspection document (report 3f03e393-dedb-4faf-a95e-1ffc71a7ec3d)

45. (45-01)

A complete CF-FSP Form 5131, Background Screening and Personnel File Requirements, was not on file for all employees. CCF Handbook, Section 7.4.1, A (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Comments: Licensing Specialist reviewed personnel files and observed personnel file, listed on the supplemental, did not include a completed CF- FSP Form 5131. Technical assistance provided that each personnel record must have a completed CF-FSP Form 5131, Background Screening and Personnel File Requirements, which is incorporated by reference in paragraph 65C-22.001(7)(b), F.A.C. This will need to be on file by due date. Due: 2/13/2025 Source: FL DCF CARES inspection 2025-02-03. View official inspection document (report 3f03e393-dedb-4faf-a95e-1ffc71a7ec3d)

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: Licensing Specialist reviewed personnel files and observed personnel file, listed on the supplemental, did not have a level 2 clearinghouse screening clearance on file. Technical assistance provided that 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. This will need to be on file by due date. Due: 2/13/2025 Source: FL DCF CARES inspection 2025-02-03. View official inspection document (report 3f03e393-dedb-4faf-a95e-1ffc71a7ec3d)

45. (45-04)

An employment history verification was not documented and on file. CCF Handbook, Section 5.1, D (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Comments: Licensing Specialist reviewed personnel files and observed personnel file, listed on the supplemental, did not have an employment history verification on file. Technical assistance provided that the employer/owner/operator must conduct employment history checks, including documented attempts to contact each employer that employed the individual within the preceding five years, and documentation of the findings. Documentation must include the applicants job title and description of his/her regular duties, confirmation of employment dates, and level of job performance. The employer/owner/operator must make at least three attempts to obtain employment history information. Failed attempts to obtain employment history must be documented in the personnel file and include date, time, and the reason the information was not obtained. This will need to be on file by due date. Source: FL DCF CARES inspection 2025-02-03. View official inspection document (report 3f03e393-dedb-4faf-a95e-1ffc71a7ec3d)

46. Daily Attendance CCF Handbook, Section 7.5 CCF Handbook, Section 7.5 (Form DEL-SR-6200A) (46-02)

Attendance records did not include the time of each childs arrival and departure. CCF Handbook, Section 7.5 (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Comments: Licensing specialist observed missing arrival time for child, listed on the supplemental. Technical assistance provided that the custodial parent or guardian may document the time when his/her child enters and departs the child care facility or program. However, child care facility personnel are responsible for ensuring that attendance records are complete and accurate. Accurate attendance records will need to be done by due date. ENFORCEMENT Source: FL DCF CARES inspection 2025-02-03. View official inspection document (report 3f03e393-dedb-4faf-a95e-1ffc71a7ec3d)

03. Ratio Sufficient CCF Handbook, Section 2.3 (03-01)

A ratio of [2] child care personnel for [a mixed classroom of (9) that includes 1 year old children. ] children is required. A ratio of [1] child care personnel for [a mixed classroom of (3) 1 year olds and (6) 2 year old] children was observed. s.402.305(4), F.S. General Requirements [SR] Comments: Counselor observed 1 year old classroom with a total of 9 children with 1 child care personnel. This group included (3) 1 Year Old's. This was resolved by moving (3) 2 year old's to the 4 year old classroom. Technical assistance provided that in groups of mixed age ranges, where children one year of age but under two years of age are included, one child care personnel must be responsible for no more than six children of any age group, at all times. Source: FL DCF CARES inspection 2024-10-18. View official inspection document (report 15987247-e162-49e0-b5dc-b3a5696403dd)

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: Personnel, listed on the supplemental, will need to sign a CF-FSP 5337 Child Abuse and Neglect Reporting Requirements form by due date. Technical assistance provided that a 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 child care personnel. Source: FL DCF CARES inspection 2024-10-18. View official inspection document (report 15987247-e162-49e0-b5dc-b3a5696403dd)

42. Student Health and Records CCF Handbook, Section 7.2 (42-01)

Child(ren) did not have a Student Health Examination/DH (Form 3040), or an equivalent health statement on file within 30 days of enrollment. CCF Handbook, Section 7.2, C Record Keeping [SR] Comments: Child(ren) did not have a Student Health Examination/DH (Form 3040), or an equivalent health statement on file within 30 days of enrollment. Compliance Comments 10 (3s and 4s) children files of 22 were reviewed at the time of inspection. Source: FL DCF CARES inspection 2024-10-18. View official inspection document (report 15987247-e162-49e0-b5dc-b3a5696403dd)

41. Immunization Records CCF Handbook, Section 7.1 (41-02)

The Florida Certificate of immunization was not acceptable in that: [ The form was not current (expired)]. CCF Handbook, Section 7.1 Record Keeping [SR] Comments: Children, listed on the supplemental, need to have a current immunization record on file by due date. Source: FL DCF CARES inspection 2024-10-18. View official inspection document (report 15987247-e162-49e0-b5dc-b3a5696403dd)

33. Training Requirements CCF Handbook, Section 4 (33-08)

Documentation of in-service training was not recorded on CF-FSP Form 5268, Child Care In-service Training Record. CCF Handbook, Section 4.2.7, B [SR] Comments: Documentation of in-service training will need to be recorded on CF-FSP FORM 5268, Child Care In-Service Training Record by the due date. Technical assistance provided Documentation of the in-service training requirement must be recorded on CFFSP Form 5268, Child Care In-Service Training Record, which is incorporated by reference in 65C-22.001(7)(i), F.A.C., and included in the child care facilitys personnel records. CF-FSP Form 5268 may be obtained from the Departments website at www.myflfamilies.com/childcare. A new in- service training record is required each fiscal year. The in-service training records for the previous two fiscal years must also be maintained at the child care facility for review by the licensing authority. Source: FL DCF CARES inspection 2024-10-18. View official inspection document (report 15987247-e162-49e0-b5dc-b3a5696403dd)