Creative Child Learning Center at Lakewood Ranch

29. (29-03)

Child care personnel did not assist children with hand washing [after a diaper change]. CCF Handbook, Section 3.10.1 (Section 2.1 Health and Safety, Page 3) Sanitation and Equipment [SR] Comments: During the inspection, Licensing Specialist observed Childcare personnel did not assist children with hand washing in the infant classroom after a diaper change. The staff member informed the Licensing Specialist that they clean the infants with wipes due to the infants being too small to wash their hands using the sink. The Operator has been given until 3/13/2026 to come into compliance with this standard. During the inspection, Licensing Specialist provided technical assistance, CCF Handbook, Section 3.10.1: Handwashing: Childcare personnel and children must wash their hands thoroughly with soap and running water, dry, and follow personal hygiene procedures for themselves and while assisting others. Examples of activities when handwashing is required include but are not limited to: before and after eating, immediately following outdoor play, after toileting, following the use of any cleaners or toxic chemicals, before and after administering medication, and during food preparation and snack distribution. A. Childcare personnel and children must follow the Centers for Disease Control guidelines for handwashing incorporated by reference in 65C-22.001(7)(u), F.A.C. B. The use of hand sanitizers does not substitute for handwashing. However, in areas away from the facility where no running water is available, hand sanitizers may be used. Examples of such places are field trips, nature trails or picnic areas where running water is not readily available. C. Childcare personnel with open wounds and/or injury that inhibits handwashing, such as casts, bandages, or braces, must not prepare food. D. Situations or times that children, childcare personnel, and/or volunteers must perform hand hygiene must be posted in all food preparation, diapering, and toileting areas. Due: 3/23/2026 Source: FL DCF CARES inspection 2026-03-13. View official inspection document (report e2a2c70e-4ad0-4ce0-a251-bb2ad180e6f0)

30. Diapering CCF Handbook, Section 3.10 CCF Handbook, Section 3.10 (Form DEL-SR-6200A) (30-12)

The container used for the disposal of soiled diapers or the storage of used cloth diapers was accessible to children. CCF Handbook, Section 3.10.2, J & K (Section 2.1 Health and Safety, Page 3) Sanitation and Equipment [SR] Comments: During the inspection, the Licensing Specialist observed containers used for the disposal of soiled diapers were accessible to children in suite 250 in the bathroom, and outside of suite 350 against the wall of the playground area. The Operator has been given until 3/23/2026 to come into compliance with this standard. During the inspection, the Licensing Specialist provided technical assistance, CCF Handbook, Section 3.10.2, J.: Diapering Requirements: J: Soiled or wet disposable diapers must be disposed of in a plastic lined, securely covered container that is not accessible to the children. The container must be emptied, cleaned and sanitized or disinfected, at least, daily. K. Soiled cloth diapers must be emptied of feces in the toilet, and soiled or wet cloth diapers shall be placed in a securely covered container that is not accessible to the children. The container must be emptied, cleaned and sanitized or disinfected, at least, daily. Due: 3/23/2026 Source: FL DCF CARES inspection 2026-03-13. View official inspection document (report e2a2c70e-4ad0-4ce0-a251-bb2ad180e6f0)

33. Training Requirements CCF Handbook, Section 4 CCF Handbook, Section 4 (Form DEL-SR-6200A) (33-13)

Child care personnel did not complete preservice training requirements prior to unsupervised contact with or care of children or, if supervised, within 90 days of beginning employment or service with the provider. (Section 3.1 and 3.2 Training Requirements, Page 7) [SR] Comments: During the inspection, the Licensing Specialist observed 11 childcare personnel did not complete preservice training requirements prior to unsupervised contact with or care of children or, if supervised, within 90 days of beginning employment or service with the provider. The Operator has been given until 4/13/2026 to come into compliance with this standard. During the inspection, the Licensing Specialist provided technical assistance, School Readiness Program Health and Safety Standards Handbook: Section 3.1: Preservice: Childcare personnel must successfully complete the preservice training coursework described in this section, as applicable. All childcare personnel must complete these preservice training requirements within 90 days of initial employment with any School Readiness provider. This timeframe does not start over if personnel change employment to another School Readiness provider within this initial 90 days. Personnel who have not completed all preservice training requirements are not allowed any unsupervised contact with or care of children in a School Readiness program. Due: 4/13/2026 Source: FL DCF CARES inspection 2026-03-13. View official inspection document (report e2a2c70e-4ad0-4ce0-a251-bb2ad180e6f0)

40. Medication CCF Handbook, Section 6.5 CCF Handbook, Section 6.5 (Form DEL-SR-6200A) (40-04)

A medication, [Auvi-Q and Asthma Pump], brought to the center for administration, was not in its original container. CCF Handbook, Section 6.5, C (Section 2.1 Health and Safety, Page 3) Health Requirements [SR] Comments: During the inspection, the Licensing Specialist observed a medication, Auvi-Q Epinephrine injection USP auto-injector and an Asthma pump containing Albuterol, brought to the center for administration, was not in its original container. The Operator has been given until 4/13/2026 to come into compliance with this standard. During the inspection, the Licensing Specialist provided technical assistance, CCF Handbook, Section 6.5, C: Medication: Childcare programs are not required to give medication; however, if a program chooses to do so, it must comply with the following requirements: C. Prescription and non-prescription medication brought to the childcare 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. Due: 4/13/2026 Source: FL DCF CARES inspection 2026-03-13. View official inspection document (report e2a2c70e-4ad0-4ce0-a251-bb2ad180e6f0)

40. Medication CCF Handbook, Section 6.5 CCF Handbook, Section 6.5 (Form DEL-SR-6200A) (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 (Section 2.1 Health and Safety, Page 3) Health Requirements [SR] Comments: During the inspection, the Licensing Specialist observed non-prescription medication diaper cream was not stored in either a locked area or inaccessible and out of a childs reach in that in suite 200 diaper cream was stored in unlocked draws under the diaper changing table that were accessible to children. The Licensing Specialist observed that the draws closest to the floor were unlocked and contained non- prescription medication diaper cream. The Licensing Specialist observed that this area is locked, and the staff informed the Licensing Specialist that after a childs diaper is changed, they might put them on the floor for a moment. The Licensing Specialist observed the following diaper creams: Desitin, Boudreauxs Butt Paste, Parents Choice Diaper Rash Ointment, Triple Paste, and Aquaphor. This standard has been brought back into compliance in that all non-prescription medication diaper creams were moved out of childrens reach. During the inspection, the Licensing Specialist provided technical assistance, CCF Handbook, Section 6.5, G: Medication: Childcare programs are not required to give medication; however, if a program chooses to do so, it must comply with the following requirements: 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. 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 Due: Completed at time of inspection Source: FL DCF CARES inspection 2026-03-13. View official inspection document (report e2a2c70e-4ad0-4ce0-a251-bb2ad180e6f0)

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 for 2 non-prescription medications, in the infant classroom. The Operator was given until 8/28/2025, to come into compliance with this standard. During the inspection, the Licensing Specialist provided technical assistance, CCF Handbook, Section 6.5, D and K: Medication D and K: Childcare programs are not required to give medication; however, if a program chooses to do so, it must comply with the following requirements: 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. K. Use of diaper creams and insect repellant may only be utilized with written permission from parents/guardians. Manufacturer instructions must be followed. 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 211 children enrolled. During the time of the inspection, the Licensing Specialist monitored 50 of the 211 childrens records (Classes 400, 350, and newly enrolled childrens files since the last inspection). 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 33 employees. During the time of the inspection, the Licensing Specialist monitored 33 of the 33 employee records. REMINDER: In-service training for 2025/2026 fiscal year must be completed before June 30, 2026. The Licensing Specialist reviewed 10 hours of annual in- service, completed, for all childcare personnel for the July 1, 2024, through June 30, 2025, fiscal year. Due: 8/28/2025 Source: FL DCF CARES inspection 2025-07-28. View official inspection document (report 590a891c-004e-444f-9fd1-d01764c9ce27)

45. (45-10)

The facility failed to maintain a copy of the DCF email informing of the individuals eligibility for a provisional hire in the child care personnel file. CCF Handbook, Section 7.4.1, C (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Comments: During the inspection, the Operator advised that there are currently 33 employees. During the inspection, the Licensing Specialist observed 33 of 33 employee records During the inspection, the Licensing Specialist observed 3 personnel that have not been added to the Operators Clearinghouse roster. The Operator was given until 8/28/2025, to come into compliance with this standard. During the inspection, the Licensing Specialist provided technical assistance, CCF Handbook, Section 5.1, K: Initial Screening K: The employer/Operator must add childcare personnel to their Employee/Contractor Roster in the Clearinghouse within 10 days of when the individual has received a childcare eligible result and has been hired at the facility. Employer/Operator must add an end date for individuals on the Employee/Contractor Roster in the Clearinghouse within 10 days of the employment termination. Due: 8/28/2025 Source: FL DCF CARES inspection 2025-07-28. View official inspection document (report 590a891c-004e-444f-9fd1-d01764c9ce27)

08. (08-04)

The vehicle had missing, broken or non-operable seat belts and/or safety restraints. CCF Handbook, Section 2.5.5 (Section 2.1 Health and Safety, Page 3) General Requirements [SR] Comments: 8-4: During the inspection, Licensing Specialist observed 2 seat belts that were not operational in that the buckle got stuck. During the inspection, Licensing Specialist provided technical assistance, CCF Handbook, Section 2.5.5 Each child, when transported, must be seated in a back seat in an individual factory installed seat belt or federally approved child safety restraint. The child safety restraint must be installed, secured and used in accordance with the manufacturers instructions and a copy of such instructions must be maintained (in the vehicle and/or on file). Child safety restraint must be replaced if they have been recalled, are past the manufacturers date of use expiration date, or have been involved in a crash that meets the U.S. Department of Transportation crash severity criteria or the manufacturers criteria for replacement of restraints after a crash, 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. A. Children aged birth to one year old must be secured in a rear-facing car safety seat. B. Children aged one through 3 years, such restraint device must be a separate carrier or a vehicle built-in child seat. C. Children aged 4 years, a separate carrier, a vehicle built-in child seat, or a child booster seat must be used with appropriate seat belt. D. Children aged 5 years and older must be in seat belts. E. When applicable, any vehicle used for transporting children must accommodate the placement of wheelchairs with four tie-downs affixed according to the manufactures instructions in a forward-facing direction and the wheelchair occupant must be secured by a three-point tie restraint during transport; or the child must be placed in a federally approved child safety restraint or factory installed seatbelt when transported, in accordance to the childs needs. Manufacturers specifications must be followed to assure that safety requirements are met. Source: FL DCF CARES inspection 2025-03-12. View official inspection document (report 07a63d1f-f3d0-4fe1-8fa7-512f3c8aee31)

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: 40-17: During the inspection, Licensing Specialist observed 2 medications (2 Epi-Pens) that were expired. During the inspection, Licensing Specialist provided technical assistance, CCF Handbook, Section 6.5, 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) 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 Owner/Operator advised the Licensing Specialist that there are currently 245 children enrolled. During the time of the inspection, the Licensing Specialist monitored 245 of the 245 childrens records. REMINDER: Influenza brochures must be provided annually between August 1st and September 30th for each enrolled child. Distracted Adult brochures must be provided semi-annually in the months of April and September for each enrolled child. 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 Owner/Operator/Director advised the Licensing Specialist that there 32 employees. During the time of the inspection, the Licensing Specialist monitored 32 of the 32 employee records. Source: FL DCF CARES inspection 2025-03-12. View official inspection document (report 07a63d1f-f3d0-4fe1-8fa7-512f3c8aee31)