Children's Nest 2 Of Manatee Inc

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 areas of the facility was observed to not be in good repair in that in the two and three-year-old classroom the left side of the vanity in the bathroom, at the bottom next to the toilet, the surface was peeling. In the one-year-old classroom on the right side of the room, underneath the window, above the base board, the wall was peeling. There was a pink chair and red chair in the one-year-old classroom that was peeling. The operator removed both chairs during the inspection. The Operator has been given until 6/18/2026 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: 6/18/2026 Source: FL DCF CARES inspection 2026-05-18. View official inspection document (report 76bd5c7e-06af-47df-965e-cfb712cfa8fa)

46. Daily Attendance CCF Handbook, Section 7.5 CCF Handbook, Section 7.5 (Form DEL-SR-6200A) (46-07)

The attendance roster did not accompany the group of children in that [the infants, and one-year-olds classrooms, and a class with three, four, and five-year-olds did not have attendance rosters in the classrooms].CCF Handbook, Section 7.5, A (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Comments: During the inspection, the Licensing Specialist observed the attendance roster did not accompany the group of children in that the infants, and one-year-olds classrooms, and a class with three, four, and five-year-olds did not have attendance rosters in the classrooms. This standard has been brought back into compliance in that the staff members completed an attendance roster during the inspection. During the inspection, the Licensing Specialist provided technical assistance, CCF Handbook, Section 7.5, A: Daily Attendance: Daily attendance of children must be taken and recorded accurately by the childcare personnel, documenting the time when each child enters and departs the program. A. Attendance devices used for the purposes of tracking attendance may be used, but personnel must ensure the accuracy of the documented attendance. Each classroom must have an attendance sheet/class roster for the group of children occupying that space. Attendance sheet/class roster must accompany the childcare personnel and the group of children throughout the day should they leave the classroom. ENFORCEMENT Due: Completed at time of inspection Source: FL DCF CARES inspection 2026-05-18. View official inspection document (report 76bd5c7e-06af-47df-965e-cfb712cfa8fa)

43. (43-08)

A child who has or is at an increased risk for a chronic physical, developmental, behavioral or emotional condition and require additional services did not have a current emergency care plan included in their file. CCF Handbook, Section 7.2, G (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Comments: During the inspection, the Licensing Specialist observed a child who has or is at an increased risk for chronic physical, developmental, behavioral or emotional condition and require additional services did not have a current emergency care plan included in their file. The prescription medication is an Auvi-Q, EpiPen expiration date: 8/20/2026. The Operator has been given until 6/18/2026 to come into compliance with this standard. During the inspection, the Licensing Specialist provided technical assistance, CCF Handbook, Section 7.2, G: 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. G. Any child who has or is at an increased risk for a chronic physical, developmental, behavioral or emotional condition and requires additional services must have a current Emergency Care Plan, prepared by the parent/guardian or physician, included in the childs file and readily accessible for those caring for the child. Childcare personnel caring for a child with an Emergency Care Plan must be trained to recognize and respond appropriately to a medical emergency. Compliance Comments During the inspection, the Operator advised the Licensing Specialist that there 7 employees. During the inspection, the Licensing Specialist monitored 7 of the 7 employee records. During the inspection, the Licensing Specialist observed the current in-service training (7/1/24-6/30/25) for all childcare personnel. Due: 6/18/2026 Source: FL DCF CARES inspection 2026-05-18. View official inspection document (report 76bd5c7e-06af-47df-965e-cfb712cfa8fa)

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: During the inspection, the Licensing Specialist observed 4 Student Health Examination or equivalent health statement were not acceptable in that they were not current (over two years old). The Operator has been given until 6/18/2026 to come into compliance with this standard. During the inspection, the Licensing Specialist provided technical assistance, CCF Handbook, Section 7.2: 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. A. The Student Health Examination shall be completed by a person given statutory authority to perform health examinations. B. The Student Health Examination or the signed statement is valid for two years from the date the physical was performed. An up-to-date version must be on file for as long as the child is enrolled at the facility. 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. D. 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. E. 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. F. 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. G. Any child who has or is at an increased risk for a chronic physical, developmental, behavioral or emotional condition and requires additional services must have a current Emergency Care Plan, prepared by the parent/guardian or physician, included in the childs file and readily accessible for those caring for the child. Child care personnel caring for a child with an Emergency Care Plan must be trained to recognize and respond appropriately to a medical emergency. 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) Noncompliance Due: 6/18/2026 Source: FL DCF CARES inspection 2026-05-18. View official inspection document (report 76bd5c7e-06af-47df-965e-cfb712cfa8fa)

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 2 Florida Certificate of immunization was not acceptable in that the forms were not current (expired). The Operator has been given until 6/18/2026 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 childcare 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: 6/18/2026 Source: FL DCF CARES inspection 2026-05-18. View official inspection document (report 76bd5c7e-06af-47df-965e-cfb712cfa8fa)

40. Medication CCF Handbook, Section 6.5 CCF Handbook, Section 6.5 (Form DEL-SR-6200A) (40-17)

Medication which had expired or is no longer being administered was not discarded or returned to the custodial parent or legal guardian. CCF Handbook, Section 6.5, H (Section 2.1 Health and Safety, Page 3) Health Requirements [SR] Comments: During the inspection, the Licensing Specialist observed non-prescription medication diaper cream which had expired or is no longer being administered was not discarded or returned to the custodial parent or legal guardian in the one-year-old classroom. The diaper cream was called Parents choice: Expiration Date: 5/2025. The Operator has been given until 6/18/2026 to come into compliance with this standard. During the inspection, the Licensing Specialist provided technical assistance, CCF Handbook, Section 6.5, H: 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: H. Medication that has expired or that is no longer being dispensed must be returned to the custodial parent or legal guardian or discarded. RECORD KEEPING 41. Immunization Records CCF Handbook, Section 7.1 CCF Handbook, Section 7.1 (Form DEL-SR-6200A) Noncompliance Due: 6/18/2026 Source: FL DCF CARES inspection 2026-05-18. View official inspection document (report 76bd5c7e-06af-47df-965e-cfb712cfa8fa)

35. (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 (Section 2.1 Health and Safety, Page 3) Health Requirements [SR] Comments: During the inspection, the Licensing Specialist observed that the facility does not have documentation for 5 childcare personnel on required annual refresher education of the facilitys exposure plan. The Operator has been given until 6/18/2026 to come into compliance with this standard. During the inspection, the Licensing Specialist provided technical assistance, CCF Handbook, Section 6: Health Requirements: There are three common modes of transmission for the spread of microorganisms in childcare settings: contact, droplet, and airborne. Many common infections encountered in the childcare setting are transmitted by direct or indirect contact. Childcare facilities shall develop a written exposure plan regarding universal safety precautions, recommended by the Centers for Disease Control and Prevention (CDC), to follow in the event there is exposure to blood and potentially infectious fluids. Personnel are required to be educated on the facilitys exposure plan regarding standard precautions before beginning to work and annually thereafter. Written documentation that childcare personnel have participated in the facilitys annual refresher education for the exposure plan and understand the proper procedures in the event there is exposure to blood and potentially infectious fluids must be retained for 12 months and be available for licensing to review. 36. CPR Requirements CCF Handbook, Section 4.2.4 CCF Handbook, Section 4.2.4 (Form DEL-SR-6200A) Compliance 37. First Aid Requirements CCF Handbook, Section 4.2.4 and 6.2 CCF Handbook, Section 4.2.4 and 6.2 (Form DEL-SR-6200A) Compliance 38. Emergency Telephone Numbers CCF Handbook, Section 6.3 CCF Handbook, Section 6.3 (Form DEL-SR-6200A) Compliance 39. Accident/ Incident Notification and Documentation CCF Handbook, Section 6.3 & 6.4 CCF Handbook, Section 6.3 & 6.4 (Form DEL-SR-6200A) Compliance Due: 6/18/2026 Source: FL DCF CARES inspection 2026-05-18. View official inspection document (report 76bd5c7e-06af-47df-965e-cfb712cfa8fa)

33. Training Requirements CCF Handbook, Section 4 CCF Handbook, Section 4 (Form DEL-SR-6200A) (33-09)

The facility did not have documented proof that all child care personnel were trained and knowledgeable within 30 days of date of hire in [ the use of fire extinguishers]. CCF Handbook, Section 4.2.3 and 4.2.5 (Section 2.1 Health and Safety, Page 3) Training [SR] Comments: During the inspection, the Licensing Specialist observed that the facility did not have documented proof that 2 childcare personnel were trained and knowledgeable within 30 days of date of hire in the use of fire extinguishers. The Operator has been given until 6/18/2026 to come into compliance with this standard. During the inspection, the Licensing Specialist provided technical assistance, CCF Handbook, Section 4.2.5 Fire Extinguisher Training: All childcare personnel shall be trained in the use and operation of a fire extinguisher, at each facility they are employed, within 30 days of date of hire. The facility must maintain documentation that all childcare personnel have completed training. Due: 6/18/2026 Source: FL DCF CARES inspection 2026-05-18. View official inspection document (report 76bd5c7e-06af-47df-965e-cfb712cfa8fa)

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: During the inspection, the Licensing Specialist observed the facility did not have documentation to show completion of a department approved five-hour early literacy and language development course for 1 childcare personnel within 12 months of date of employment in childcare industry and/or the early literacy course documentation was not uploaded in the Florida Pathways/Registry. The Operator has been given until 6/18/2026 to come into compliance with this standard. During the inspection, the Licensing Specialist provided technical assistance, CCF Handbook, Section 4.2.2 Early Literacy Training: Pursuant to Section 402.305(2)(e)5., F.S., all child care personnel must complete a single course of training in early literacy and language development of children ages birth through five years that is a minimum of five clock hours or .5 CEUs. Early literacy training must be completed within 12 months of date of employment in the childcare industry. Proof of completion may be documented on a certificate of course completion, classroom transcript, or diploma. Child care personnel must complete one of the following: A. One of the Departments online literacy courses available on the Departments website. B. One of the Departments approved literacy courses. A list of these courses can be obtained from the Departments website. (No additional courses will be approved by the Department.) C. One college level early literacy course (for credit or non-credit) if taken within the last five years.During the inspection, the Licensing Specialist provided technical assistance, CCF Handbook, Section 4.5, C Documentation of Training: The Departments training transcript is the only acceptable verification of successful completion of the Departments training, early literacy courses and school-age training documentation. C: Early literacy courses and school-age training documentation must be uploaded into the Florida Pathways (Registry), which may be accessed from the Departments website at www.myflfamilies.com/childcare. Due: 6/18/2026 Source: FL DCF CARES inspection 2026-05-18. View official inspection document (report 76bd5c7e-06af-47df-965e-cfb712cfa8fa)

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: During the inspection, the Licensing Specialist observed 1 childcare personnel including volunteers who work 10 hours or more per month did not complete the 40-hour Introductory Child Care Training requirement. The Operator has been given until 6/18/2026 to come into compliance with this standard. During the inspection, the Licensing Specialist provided technical assistance, CCF Handbook Section 4.2.1: Mandated Introductory Training: Child care personnel must successfully complete 40 hours of child care training as evidenced by successful completion of competency examinations offered by the Department or its designated representative with a weighted score of 70 or better. Child care personnel who successfully completed the mandatory 40-hour Introductory Child Care Training prior to January 1, 2004 are not required to fulfill the competency examination requirement. A. Part I Courses (30 Hours) Child care personnel must complete all of the following: ? Child Care Facility Rules and Regulations ? Health, Safety and Nutrition ? Identifying and Reporting Child Abuse and Neglect ? Child Growth and Development ? Behavioral Observation and Screening B. Part II Courses (10 Hours) Child care personnel must also complete 10 hours of the following Part II courses: ? Special Needs Appropriate Practices (10 hours), or ? Understanding Developmentally Appropriate Practices (5 hours) and one of the following courses: 1. Infant and Toddler Appropriate Practices (5 hours) 2. Preschool Appropriate Practices (5 hours) 3. School- Age Appropriate Practices (5 hours) Due: 6/18/2026 Source: FL DCF CARES inspection 2026-05-18. View official inspection document (report 76bd5c7e-06af-47df-965e-cfb712cfa8fa)

17. Outdoor Play Area/Fencing CCF Handbook, Section 3.5 (17-01)

The facilitys outdoor play area contained litter, nails, glass or other hazards that posed a low potential for harm to children. CCF Handbook, Section 3.5, A Physical Environment [SR] Comments: October 2, 2025, the GOC1 observed a portion of a concrete square used for walking is broken and poses a trip hazard to the children. The director has is covered by a mini picnic table at the time of the inspection. Technical assistance was provided to the director that this needs to be repaired or removed so there will not be a trip hazard for the children. GOC1 observed and the director removed the trip hazard at the time of the inspection. Due: Completed at time of inspection Source: FL DCF CARES inspection 2025-10-02. View official inspection document (report a924e4c4-d5bb-4147-ad6c-2928aea953fd)

12. Facility Environment CCF Handbook, Section 3.1 (12-19)

Indoor and outdoor play areas were not inspected daily for basic health and safety and/or any problems were not corrected before the play area is used by children and/or daily inspection logs were not maintained for 12 months. CCF Handbook, Section 3.1, A Physical Environment [SR] Comments: October 2, 2025, when the director was asked to provide the indoor and outdoor play area daily inspection logs, the director stated to the GOC1 that she has not done these in two years. Technical assistance was provided to the director to explain that daily inspections need to be done and maintained for 12 months. Due: Completed at time of inspection Source: FL DCF CARES inspection 2025-10-02. View official inspection document (report a924e4c4-d5bb-4147-ad6c-2928aea953fd)

40. Medication CCF Handbook, Section 6.5 CCF Handbook, Section 6.5 (Form DEL-SR-6200A) (40-09)

The facility did not obtain written authorization prior to administering emergency non-prescription medication. CCF Handbook, Section 6.5, D and K (Section 2.1 Health and Safety, Page 3) Health Requirements [SR] Comments: During the inspection, the Licensing Specialist observed that the facility did not have written authorization form. The medication expires July 2027. The director was given until July 4, 2025, to come into compliance with this standard. During the inspection, the Licensing Specialist provided technical assistance, CCF Handbook, Section 6.5 A. Medication. Childcare 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 childcare provider must never administer a medication that is prescribed for one child to another child. RECORD KEEPING 41. Immunization Records CCF Handbook, Section 7.1 CCF Handbook, Section 7.1 (Form DEL-SR-6200A) Compliance 42. Student Health and Records CCF Handbook, Section 7.2 CCF Handbook, Section 7.2 (Form DEL-SR-6200A) Compliance Compliance Comments During the time of the inspection, the Operator advised the Licensing Specialist that there are currently 36 children enrolled. During the time of the inspection, the Licensing Specialist monitored 36 of the 36 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 Compliance Comments During the time of inspection, the Operator advised the Licensing Specialist that there 7 employees. During the time of the inspection, the Licensing Specialist monitored 7 of the 7 employee records. Source: FL DCF CARES inspection 2025-06-04. View official inspection document (report ad2a38aa-d4de-40a9-bcd5-e700095e1666)

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: During the time of inspection, the Operator advised the Licensing Specialist that there 7 employees. During the time of the inspection, the Licensing Specialist monitored 7 of the 7 employee records. • When the Licensing Specialist was reviewing the files, the Licensing Specialist seen 2 personnel did not finish their 5 hour Early Literacy training. The director was given until July 4, 2025, to come into compliance with this standard. • During the inspection, the Licensing Specialist provided technical assistance, CCF Handbook, Section 4.2.2 Early Literacy Training Pursuant to Section 402.305(2)(e)5., F.S., all childcare personnel must complete a single course of training in early literacy and language development of children ages birth through five years that is a minimum of five clock hours or .5 CEUs. Early literacy training must be completed within 12 months of date of employment in the childcare industry. Proof of completion may be documented on a certificate of course completion, classroom transcript, or diploma. Childcare personnel must complete one of the following: A. One of the Departments online literacy courses available on the Departments website. B. One of the Departments approved literacy courses. A list of these courses can be obtained from the Departments website. (No additional courses will be approved by the Department.) C. One college level early literacy course (for credit or non-credit) if taken within the last five years. • Source: FL DCF CARES inspection 2025-06-04. View official inspection document (report ad2a38aa-d4de-40a9-bcd5-e700095e1666)