Four Roses Child Care LLC

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: 41-01: During the previous inspection, the Licensing Specialist observed 3 children files did not have a Florida Certification of Immunization (DH Form 680) or a Religious Exemption from Immunization (DH Form 681), on file within 30 days of enrollment. During the reinspection, Licensing Specialist observed that one child have an up to date immunization and one child no longer attends. This is being marked compliant. 41-02: During the previous inspection, the Licensing Specialist observed 1 childs file which had a Florida Certificate of immunization was not acceptable in that the form was expired .During the reinspection, Licensing Specialist observed that one child has an expired immunization form. This is being marked non-compliant. The director was given until April 6, 2026, to come into compliance with this standard. During the inspection, Licensing Specialist provided technical assistance, CCF Handbook, Section 7.1 F 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, which is incorporated by reference in 65C-22.001(7)(o), F.A.C., or the Religious Exemption from Immunization form, DH 681, which is incorporated by reference in 65C22.001(7)(p), F.A.C., from the custodial parent or legal guardian. DH Form 680 and DH Form 681 may be obtained from the local county health department. Specific immunization requirements are included and detailed in the most current edition of the Immunization Guidelines-Florida Schools, Child Care Facilities and Family Day Care Homes as promulgated by the Florida Department of Health. F. It is recommended that child care personnel are current with all immunizations routinely recommended for adults by the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC), as referenced in Caring for Our Children Basics Health and Safety Foundations for Early Care and Education, which is incorporated by in 65C-22.001(7)(v), F.A.C. Compliance Comments During the previous inspection, the Licensing Specialist observed 1 childs file did not have a Student Health Examination/DH (Form 3040), or an equivalent health statement on file within 30 days of enrollment. During the reinspection, Licensing Specialist observed that the child no longer attends at the facility. This is being marked compliant. Due: 4/6/2026 Source: FL DCF CARES inspection 2026-03-06. View official inspection document (report 500f6cd1-b5fd-4be1-8e25-b3ac1f477e0f)

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

A ratio of [2] child care personnel for [7] children is required. A ratio of [1] child care personnel for [7] children was observed. s.402.305(4), F.S. General Requirements [SR] Comments: Ratio(s) (First Observation) 1:2 Infants and One Year Old 1:7 One- and Two Year Olds (6 One year olds and 1 Two year old) 2:16 Two Year Olds through Four Year Olds Ratio(s) (Second Observation To bring back into compliance) 1:2 Infants and One Year Old 1:6 One Year Olds 2:17 Two Year Olds through Four Year Olds During the inspection, Licensing Specialist observed 1 child care personnel with 6 one year olds and 1 two year old in the one year old classroom. The provider brought this standard back in compliance by moving the 2 year old over to the 2 year old room. During the inspection, Licensing Specialist provided technical assistance, CCF Handbook, Section 2.3 Ratios The staff-to-child ratio, as established in Section 402.305(4), F.S., is based on primary responsibility for the direct supervision of children and applies at all times while children are in care. Due: Completed at time of inspection Source: FL DCF CARES inspection 2026-03-06. View official inspection document (report 500f6cd1-b5fd-4be1-8e25-b3ac1f477e0f)

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: During the inspection, the Licensing Specialist observed 1 childs file did not have a Student Health Examination/DH (Form 3040), or an equivalent health statement on file within 30 days of enrollment. The Operator has been given until 2/9/2026 to come into compliance with this standard. During the inspection, the Licensing Specialist provided technical assistance, CCF Handbook, Section 7.2 C: 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 professionals that indicate the results of the components of the Student Health Examination form are included in the health examination. C. 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. Compliance Comments During the time of the inspection, the Operator advised the Licensing Specialist that there are currently 30 children enrolled. During the time of the inspection, the Licensing Specialist monitored 30 of the 30 childrens records. 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: 2/9/2026 Source: FL DCF CARES inspection 2026-01-09. View official inspection document (report 7a9d6ab9-6bd7-4145-8a7c-2a2c67df4f93)

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: During the inspection, the Licensing Specialist observed 1 child's file which had a Florida Certificate of immunization was not acceptable in that the form was expired. The Operator has been given until 2/9/2026 to come into compliance with this standard. During the inspection, the Licensing Specialist provided technical assistance, CCF Handbook, Section 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, which is incorporated by reference in 65C-22.001(7)(o), F.A.C., or the Religious Exemption from Immunization form, DH 681, which is incorporated by reference in 65C- 22.001(7)(p), F.A.C., from the custodial parent or legal guardian. DH Form 680 and DH Form 681 may be obtained from the local county health department. Specific immunization requirements are included and detailed in the most current edition of the Immunization Guidelines-Florida Schools, Child Care Facilities and Family Day Care Homes as promulgated by the Florida Department of Health. A. Immunizations received out-of-state are acceptable; however, immunizations must be documented on the Florida Certification of Immunization form and must be signed by a physician practicing in the State of Florida. B. 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. The parent/guardian of a child who has not received the age- appropriate immunizations prior to enrollment and who does not have documented medical or religious exemptions from routine childhood immunizations must provide documentation of a scheduled appointment or arrangement to receive immunizations. Providers must include a general statement in parent handbook/policies to inform parents/guardians, at time of enrollment, that some children in care may not have current immunizations. C. School-aged children attending public or non-public schools are not required to have student health examination and immunization records on file at the child care facility as such records are on file at the school where the child is enrolled. D. If the custodial parents or legal guardians need assistance concerning these requirements, the facility shall refer them to the Department of Health or to the childs physician. E. Medical records in this section are the property of the custodial parent or legal guardian and must be returned to them when the child withdraws from the facility. The medical records are transferable if the child attends another facility. F. It is recommended that child care personnel are current with all immunizations routinely recommended for adults by the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC), as referenced in Caring for Our Children Basics Health and Safety Foundations for Early Care and Education, which is incorporated by in 65C-22.001(7)(v), F.A.C. 42. Student Health and Records CCF Handbook, Section 7.2 CCF Handbook, Section 7.2 (Form DEL-SR-6200A) Noncompliance Due: 2/9/2026 Source: FL DCF CARES inspection 2026-01-09. View official inspection document (report 7a9d6ab9-6bd7-4145-8a7c-2a2c67df4f93)

41. (41-01)

Child(ren) did not have a Florida Certification of Immunization (DH Form 680) or a Religious Exemption from Immunization (DH Form 681), on file within 30 days of enrollment. CCF Handbook, Section 7.1, B (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Comments: During the inspection, the Licensing Specialist observed 3 childrens files did not have a Florida Certification of Immunization (DH Form 680) or a Religious Exemption from Immunization (DH Form 681), on file within 30 days of enrollment. The Operator has been given until 2/9/2026 to come into compliance with this standard. During the inspection, the Licensing Specialist provided technical assistance, CCF Handbook, Section 7.1, B: 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, which is incorporated by reference in 65C-22.001(7)(o), F.A.C., or the Religious Exemption from Immunization form, DH 681, which is incorporated by reference in 65C- 22.001(7)(p), F.A.C., from the custodial parent or legal guardian. DH Form 680 and DH Form 681 may be obtained from the local county health department. Specific immunization requirements are included and detailed in the most current edition of the Immunization Guidelines-Florida Schools, Child Care Facilities and Family Day Care Homes as promulgated by the Florida Department of Health. B. 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. The parent/guardian of a child who has not received the age-appropriate immunizations prior to enrollment and who does not have documented medical or religious exemptions from routine childhood immunizations must provide documentation of a scheduled appointment or arrangement to receive immunizations. Providers must include a general statement in parent handbook/policies to inform parents/guardians, at time of enrollment, that some children in care may not have current immunizations. Due: 2/9/2026 Source: FL DCF CARES inspection 2026-01-09. View official inspection document (report 7a9d6ab9-6bd7-4145-8a7c-2a2c67df4f93)

17. (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 (Section 2.1 Health and Safety, Page 3) Physical Environment [SR] Comments: During the inspection, the Licensing Specialist observed the outdoor play area did not have adequate continuous fencing or walls a minimum of 4 feet in height. On the left side of the playground, the left corner closest to the street, under the red structure, a portion of the fence measured 3 feet 9 inches high. The Operator has been given until 1/19/2026 to come into compliance with this standard. During the inspection, the Licensing Specialist provided technical assistance, CCF Handbook, Section 3.5, F: Outdoor Play Area 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. Due: 1/19/2026 Source: FL DCF CARES inspection 2026-01-09. View official inspection document (report 7a9d6ab9-6bd7-4145-8a7c-2a2c67df4f93)

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: During the inspection, the Licensing Specialist observed a portion of the fence surrounding the outdoor playground was not in good repair in that it was broken with a sharp edge and disconnected from its counterpart which is located directly to the right of the broken piece. This area is located on the left side of the playground, in the left corner under the red structure. The Operator has been given until 2/9/2026 to come into compliance with this standard. During the inspection, the Licensing Specialist provided technical assistance, CCF Handbook, Section 3.1 A: General Health and Safety Requirements A. All child care facilities must be clean, in good repair, free from health and safety hazards and from evidence of, or presence of, vermin infestation. Indoor play areas must be inspected daily for basic health and safety and documented on a daily inspection log. Outdoor play areas must be inspected daily for basic health and safety. Any problems must be corrected before the play area is used by children. Documentation of the indoor play area inspection must be maintained for 12 months. 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: 2/9/2026 Source: FL DCF CARES inspection 2026-01-09. View official inspection document (report 7a9d6ab9-6bd7-4145-8a7c-2a2c67df4f93)

39. Accident/ Incident Notification and Documentation CCF Handbook, Section 6.3 & 6.4 (39-04)

Child care personnel failed to share the accident/incident form with the custodial parent/ legal guardian or the individual authorized to pick up child on the day that the incident occurred. CCF Handbook, Section 6.4, B & D Health Requirements [SR] Comments: During the inspection, the Licensing Specialist observed childcare personnel failed to share the accident/incident form with the custodial parent/ legal guardian or the individual authorized to pick up child on the day that the incident occurred. This standard has been brought back into compliance in that the child is no longer enrolled at the facility. During the inspection, the Licensing Specialist provided technical assistance, CCF Handbook, Section 6.4, B & D: Accident/Incident Notification B: This documentation must be shared with the custodial parent or legal guardian on the date of occurrence. D. The documentation must be maintained for 12 months. If the parent or legal guardian does not pick up the child on the date of occurrence of the accident or incident, the individual authorized to pick up the child must sign and be provided a copy of the accident/incident form. 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 ENFORCEMENT Compliance Comments The facility was found in compliance for standard 47. Access/Child 1Safety CCF Handbook, Section 8 Due: Completed at time of inspection Source: FL DCF CARES inspection 2025-10-29. View official inspection document (report 1d22177a-6ffb-4cc6-95f7-dd4ab2e601af)

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

A ratio of [1] child care personnel for [6] children is required. A ratio of [1] child care personnel for [11] children was observed. s.402.305(4), F.S. General Requirements [SR] Comments: 1:2 Mixed Group - (1 infant and 1 One-year-old)1:11 - Mixed Group - (1 One-year-old, 2 Two-year-olds, 6 Three-year-olds, and 2 Four- year-olds)3 StaffRatio when standard was brought back into compliance1:2 Mixed Group - (1 infant and 1 One-year-old)1:1 - One-year- old1:10 - Mixed Group - (Two, Three, Four-year-olds)2 StaffDuring the inspection, the Licensing Specialist observed that the ratio in a classroom with 2 Two-year-olds, 6 Three-year-olds, and 2 Four-year-olds, had 1 one-year-old.This standard has been brought back into compliance in that a staff member brought the one-year-old to another classroom. During the inspection, the Licensing Specialist provided technical assistance, . s.402.305(4), F.S. (4) STAFF-TO-CHILDREN RATIO. (a) Minimum standards for the care of children in a licensed child care facility as established by rule of the department must include: 1. For children from birth through 1 year of age, there must be one child care personnel for every four children. 2. For children 1 year of age or older, but under 2 years of age, there must be one child care personnel for every six children. 3. For children 2 years of age or older, but under 3 years of age, there must be one child care personnel for every 11 children. 4. For children 3 years of age or older, but under 4 years of age, there must be one child care personnel for every 15 children. 5. For children 4 years of age or older, but under 5 years of age, there must be one child care personnel for every 20 children. 6. For children 5 years of age or older, there must be one child care personnel for every 25 children. 7. When children 2 years of age and older are in care, the staff-to-children ratio shall be based on the age group with the largest number of children within the group. ? During the inspection, the Licensing Specialist provided technical assistance, CCF Handbook,, Section 2.3 Ratios: The staff-to-child ratio, as established in Section 402.305(4), F.S., is based on primary responsibility for the direct supervision of children and applies at all times while children are in care. ? During the inspection, the Licensing Specialist provided technical assistance, CCF Handbook,, Section 2.3.1 A, B, Mixed Age Groups A. In groups of mixed age ranges, where children under one year of age are included, one child care personnel must be responsible for no more than four children of any age group, at all times. B. 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. Compliance Comments The facility was found in compliance for standard 04. Supervision CCF Handbook, Section 2.4 Due: Completed at time of inspection Source: FL DCF CARES inspection 2025-10-16. View official inspection document (report b4c6d26c-9ee1-4f5c-a573-d44a189fc626)

39. Accident/ Incident Notification and Documentation CCF Handbook, Section 6.3 & 6.4 (39-04)

Child care personnel failed to share the accident/incident form with the custodial parent/ legal guardian or the individual authorized to pick up child on the day that the incident occurred. CCF Handbook, Section 6.4, B & D Health Requirements [SR] Comments: During the inspection, the Licensing Specialist observed childcare personnel failed to share the accident/incident form with the custodial parent/ legal guardian or the individual authorized to pick up child on the day that the incident occurred. This standard has been brought back into compliance in that the child is no longer enrolled at the facility. During the inspection, the Licensing Specialist provided technical assistance, CCF Handbook, Section 6.4, B & D: Accident/Incident Notification B: This documentation must be shared with the custodial parent or legal guardian on the date of occurrence. D. The documentation must be maintained for 12 months. If the parent or legal guardian does not pick up the child on the date of occurrence of the accident or incident, the individual authorized to pick up the child must sign and be provided a copy of the accident/incident form. 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 2025-10-16. View official inspection document (report b4c6d26c-9ee1-4f5c-a573-d44a189fc626)

39. Accident/ Incident Notification and Documentation CCF Handbook, Section 6.3 & 6.4 (39-04)

Child care personnel failed to share the accident/incident form with the custodial parent/ legal guardian or the individual authorized to pick up child on the day that the incident occurred. CCF Handbook, Section 6.4, B & D Health Requirements [SR] Comments: During the inspection, the Licensing Specialist observed childcare personnel failed to share the accident/incident forms with the custodial parent/legal guardian or the individual authorized to pick up child on the days those 2 incidents occurred. This standard has been brought back into compliance in that the Operator and the child's guardian advised the licensing Specialist that the child longer attends the facility. During the inspection, the Licensing Specialist provided technical assistance, CCF Handbook, Section 6.4, B & D: Accident/Incident Notification B: This documentation must be shared with the custodial parent or legal guardian on the date of occurrence. D. The documentation must be maintained for 12 months. If the parent or legal guardian does not pick up the child on the date of occurrence of the accident or incident, the individual authorized to pick up the child must sign and be provided a copy of the accident/incident form. 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 ENFORCEMENT Compliance Comments The facility was found in of compliance for standard 47. Access/Child Safety CCF Handbook, Section 8 Due: Completed at time of inspection Source: FL DCF CARES inspection 2025-09-29. View official inspection document (report 8e5a5212-92e4-4821-8b1d-67ed28478f82)

24. Food Preparation Area CCF Handbook, Section 3.9 (24-09)

The food preparation area does not have a hand washing station or the hand washing station did not include the following: [handwashing sink did not have hot water]. CCF Handbook, Section 3.9.1, A.7. Food and Nutrition [SR] Comments: During the inspection, Licensing Specialist observed the handwashing sink did not have hot water. The director was given until October 15, 2025, to come into compliance with this standard. During the inspection, Licensing Specialist provided technical assistance, CCF Handbook 3.9.1 Food Preparation Area 7. A separate handwashing station with hot running water, a minimum of 100 degrees Fahrenheit. The handwashing station must include a sink with running water and drainage, soap, trash can, and disposable towels or hand-drying machines that are properly installed and maintained. A handwashing sink shall not be used for any purpose other than handwashing. Handwashing stations must include posted signs visible to childcare personnel and children demonstrating proper handwashing technique. Portable sinks may not be used for dishwashing or food preparation. If a portable sink is used for handwashing in the food preparation area, hot water must be provided. Compliance Comments During the inspection, the Operator advised that the facility provides meals and snacks to the children that are in care. ***The provider is a food program participant. **** Due: 10/15/2025 Source: FL DCF CARES inspection 2025-09-15. View official inspection document (report e0005db5-dd2f-4806-bc4a-648ca9388a68)

17. Outdoor Play Area/Fencing CCF Handbook, Section 3.5 (17-03)

The facility did not provide shade on the playground. CCF Handbook, Section 3.5, C Physical Environment [SR] Comments: During the inspection, Licensing Specialist observed that playground 2 did not have shade. The director was given until October 15, 2025, to come into compliance with this standard. During the inspection, Licensing Specialist provided technical assistance, Licensing Counselor let the person in charge know if they decide they want to use the front playground they will need to provide a shaded area. CCF Handbook Section C 3.5 Outdoor Play Area C. The outdoor play area must provide shade. Shade may be provided by trees, buildings, or structures. Due: 10/15/2025 Source: FL DCF CARES inspection 2025-09-15. View official inspection document (report e0005db5-dd2f-4806-bc4a-648ca9388a68)