A+ Growing Academy Inc

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 time of the inspection, the Operator advised the Licensing Specialist that there are currently 114 children enrolled. During the time of the inspection, the Licensing Specialist monitored 114 of the 114 childrens records. The Licensing Specialist observed one child's file which did not have a Health Examination form. The Operator was given until 8/23/2025 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: C: 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 114 children enrolled. During the time of the inspection, the Licensing Specialist monitored 114 of the 114 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: 8/23/2025 Source: FL DCF CARES inspection 2025-07-23. View official inspection document (report 2a99b542-1cec-40a7-b8cf-aa2a155f9df1)

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 time of the inspection, the Operator advised the Licensing Specialist that there are currently 114 children enrolled. During the time of the inspection, the Licensing Specialist monitored 114 of the 114 childrens records. The Licensing Specialist observed one child's file which had an expired immunization form. The Operator was given until 8/23/2025 to come into compliance with this standard. During the inspection, the 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. 42. Student Health and Records CCF Handbook, Section 7.2 CCF Handbook, Section 7.2 (Form DEL-SR-6200A) Noncompliance Due: 8/23/2025 Source: FL DCF CARES inspection 2025-07-23. View official inspection document (report 2a99b542-1cec-40a7-b8cf-aa2a155f9df1)

13. (13-03)

Harmful items including cleaning supplies, flammable products, poisonous, toxic, and hazardous materials were accessible to children in care. CCF Handbook, Section 3.2, B (Section 2.1 Health and Safety, Page 3) Physical Environment [SR] Comments: During the inspection, the Licensing Specialist observed cleaning solutions was stored in an unlocked cabinet in the toddler classroom. The director was given until 8/3/2025, to come into compliance with this standard. During the inspection, the Licensing Specialist provided technical assistance, CCF Handbook Section 3.2 B Toxic/Hazardous Material/Firearms/Weapons. B. All potentially harmful items, including cleaning supplies, flammable products, poisonous, toxic, and hazardous materials, must be labeled and used according to manufacturers recommendation. These items, as well as knives, sharp tools, and other potentially dangerous hazards, must be stored in a locked area or must be inaccessible and out of a childs reach at all times. 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: 8/3/2025 Source: FL DCF CARES inspection 2025-07-23. View official inspection document (report 2a99b542-1cec-40a7-b8cf-aa2a155f9df1)

04. Supervision CCF Handbook, Section 2.4 (04-01)

Supervision of children in the [VPK ] group was inadequate in that [a child was left alone on the playground]. CCF Handbook, Section 2.4 General Requirements [SR] Comments: During the time of inspection, Director advised Licensing Specialist that the child was left alone on the playground during the time of transitioning from opening classroom to the VPK classroom. During the time of inspection, Licensing Specialist provided technical assistance; CCF Handbook Section 2.4.1 A. Child care personnel must position themselves in the outdoor play area so that all children can be observed and directly supervised. B. Child care personnel must be assigned to provide direct supervision to a specific group of children and be with that group of children at all times. Children must never be left without child care personnel supervision inside or outside the facility, in a vehicle, or at a field trip location. C. Supervision standards apply at all times away from the child care facility, including during field trips, outdoor play, and when picking up or dropping off children at designated locations, such as bus stops, school, or a childs home. For school-age children, personnel must know where the children are and what they are doing at all times and capable of responding to emergencies including when children are separated from their group. D. At all times, lighting must allow child care personnel to see and supervise children while in care. E. A program is responsible for the supervision of a child until an authorized individual retrieves the child from the program. A child shall not be released to any person other than the person(s) authorized or in the manner authorized in writing by the custodial parent or legal guardians. All individuals authorized to pick up a child must be identified in writing prior to release by the custodial parent or legal guardian to the program, and the program must verify the individual picking up the child is authorized by using a picture form of identification. Each child transported must be dropped at the designated location as agreed upon by the provider and the custodial parent/legal guardian and released to an authorized individual. F. No person shall be an operator, owner, or employee of a child care facility while using or under the influence of narcotics, alcohol, or other drugs that impair a persons ability to provide safe care and supervision. G. In addition to the number of child care personnel required to meet the staff-to child ratio, one additional adult must attend field trips away from the child care facility to help provide direct supervision. The individual could be a parent volunteer as long as that person is under direct and constant supervision of a screened and trained child care personnel. H. Children must receive supervision and care in accordance with their age and required needs and be accounted for at all times while bathing or toileting. I. When transporting children in a vehicle or on foot, a telephone or other means of instant communication must be available to child care personnel. Cellular phones, two-way radio devices, citizen band radios, and other means of instant communications are acceptable. 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 11. Child Discipline CCF Handbook, Section 2.8 Not Monitored PHYSICAL ENVIRONMENT 12. Facility Environment CCF Handbook, Section 3.1 Not Monitored Source: FL DCF CARES inspection 2024-09-16. View official inspection document (report 92d89dd3-dc83-4d09-873c-00a74556b8c3)