The Treehouse at Lakeside

48. Accident/ Incident Notification and Documentation rule 65C-22.004(2), F.A.C. (48-07)

The facility failed to provide a copy of the accident or incident form to the individual authorized to pick up the child on the date of occurrence. Health Requirements [SR] Comments: There was no prior documentation, accident, or incident record regarding the childs need for restrains during lunchtime. 49. Medication rule 65C-22.004(3),F.A.C. 62-133(e)(5) Not Monitored FOOD AND NUTRITION 50. Meals and Snacks rule 65C-22.005(1), F.A.C. Not Monitored 51. Meal and Snack Menus rule 65C-22.005(1), F.A.C. Not Monitored 52. Food Service rule 65C-22.005(3), F.A.C. Not Monitored 53. Bottles Sanitary and Labeled rule 65C-22.005(2), F.A.C Not Monitored 54. Catered food and food provided by parents 65C-22.005(1), F.A.C. Not Monitored 55. Single Service Items rule 65C-22.0011(8), 65C-22.002(10), F.A.C. Not Monitored RECORD KEEPING 56. Records ss. 402.3054(2), F.S., rule 65C-22.006(3)(c)5., F.A.C. Not Monitored 57. Children's Health/Immunization and Records ss. 402.305(9), F.S.& rule 65C22.006(2) - (3), F.A.C. 62-136(a) Not Monitored 58. Enrollment Information on File/Current ss. 402.3125(5), 402.305(12), F.S. & rule 65C-22.006(3), F.A.C. Not Monitored 59. Personnel Records ss. 402.3055(1), F.S., rule 65C-22.003(4), & rule 65C22.006(4) - (5), F.A.C. Not Monitored 60. Background Screening Documents ss. 402.3054, F.S. & rule 65C-22.006(4), F.A.C. Not Monitored Source: FL DCF CARES inspection 2026-03-12. View official inspection document (report 5af1862e-4102-457f-b5ae-36d163bbba52)

34. Food Preparation Area 65C-22.002(8), F.A.C. (34-05)

Staff working with food did not use gloves or utensils while working with food to limit the direct contact with food Physical Environment [SR] Comments: The teacher was observed in the lunchroom serving food to children without gloves, utensils, napkins, or similar items to prevent direct hand contact with ready-to-eat food. 35. Health and Sanitation rule 65C-22.002(10), F.A.C. 62-133(a)(12), 62-135(a) Not Monitored 36. Drinking Water Available rule 65C-22.002(10), F.A.C. Not Monitored 37. Sanitary Diapering rule 65C-22.002(10), F.A.C. Not Monitored 38. Diaper Disposal rule 65C-22.002(10), F.A.C. Not Monitored 39. Indoor Equipment rule 65C-22.002(11), F.A.C. 62-133(f) Not Monitored 40. Outdoor Equipment rule 65C-22.002(11), F.A.C. 62-133(c)(2) Not Monitored TRAINING 41. Training Requirements ss. 402.305(2) - (3), F.S. & rule 65C-22.003(2) (3), F.A.C. Not Monitored 42. 10-Hour In-Service rule 65C-22.003(6), F.A.C. 62-133(a)(11) Not Monitored Source: FL DCF CARES inspection 2026-03-12. View official inspection document (report 5af1862e-4102-457f-b5ae-36d163bbba52)

10. Planned Activities ss. 402.305(13), F.S. & rule 65C-22.001(7), F.A.C. (10-05)

Restraining devices (such as swings, high chairs, car seats, etc.) were used in excess as an alternative to active play or adult/child interaction, supervision, or discipline. General Requirements [SR] Comments: During lunchtime, a child remained strapped in a chair and was able to stand and move through the lunchroom with the chair still attached, indicating use of a confining device in lieu of direct adult supervision and interaction. Below from the Childcare Handbook:8.2 Child Safety C. Child care personnel must appropriately interact with children to foster a healthy, safe environment that will encourage the childs physical, intellectual, motor, and social development. Interactions with children that are aggressive, demeaning or intimidating in nature are strictly prohibited. 2.4.4 Meal time Supervision. During feeding times, children must be individually fed and provided their own tableware. Children must be supervised appropriately for their ages and developmental abilities, to monitor the size of food and that children are eating accordingly. 2.6 Planned Activities B. Do not have children left in confining devices such as car seats as an alternative to active play or adult/child interaction, supervision, or discipline Due: 4/24/2026 Source: FL DCF CARES inspection 2026-03-12. View official inspection document (report 5af1862e-4102-457f-b5ae-36d163bbba52)

05. Supervision rule 65C-22.001(5), 65C-22.001(6), 65C-22.002(4) & 65C-22.007 (2), F.A.C. (05-01)

Direct supervision of children in the [lunchroom] group was inadequate in that [a child was observed strapped into a chair, standing and moving about the lunchroom with the chair still attached. The child was not being individually fed and appropriately supervised while restrained in the chair. The child remained in the chair/confining device while moving about the room, which is inconsistent with proper mealtime supervision and proper use of feeding chairs.]. General Requirements [SR] Comments: During lunchtime a child was observed strapped into a chair, standing and moving about the lunchroom with the chair still attached. The child was not being individually fed and appropriately supervised while restrained in the chair. The child remained in the chair/confining device while moving about the room, which is inconsistent with proper mealtime supervision and proper use of feeding chairs. Below from the Childcare Handbook: 8.2 Child Safety C. Childcare personnel must appropriately interact with children to foster a healthy, safe environment that will encourage the childs physical, intellectual, motor, and social development. Interactions with children that are aggressive, demeaning or intimidating in nature are strictly prohibited. 2.4.4 Meal time Supervision A. During feeding times, children must be individually fed and provided their own tableware. Children must be supervised appropriately for their ages and developmental abilities, to monitor the size of food and that children are eating accordingly. 2.6 Planned Activities . Do not have children left in confining devices such as car seats as an alternative to active play or adult/child interaction, supervision, or discipline. Below from the FL Statutes 402.301 Child care facilities; legislative intent and declaration of purpose and policy. It is the legislative intent to protect the health, safety, and well-being of the children of the state and to promote their emotional and intellectual development and care. 402.302 Definitions. As used in this chapter, the term: (1) Child care means the care, protection, and supervision of a child, for a period of less than 24 hours a day on a regular basis, which supplements parental care, enrichment, and health supervision for the child, in accordance with his or her individual needs, and for which a payment, fee, or grant is made for care. 06. Driver's License, Physician Certification & First Aid/CPR Training rule 65C22.001(6), 65C-22.006(4), F.A.C. 62-138(1) Not Applicable Source: FL DCF CARES inspection 2026-03-12. View official inspection document (report 5af1862e-4102-457f-b5ae-36d163bbba52)

48. Accident/ Incident Notification and Documentation rule 65C-22.004(2), F.A.C. (48-02)

The facility failed to provide the custodial parent or legal guardian written documentation of an accident or incident on the day that it occurred. Health Requirements [SR] Comments: Facility failed on prepare an incident accident reports the day of the incident. As requested by the caregiver facility provided the caregiver the withdrawn form. Withdrawn form signed by caregiver effective the same day of the incident, January 7, 2026. 49. Medication rule 65C-22.004(3),F.A.C. 62-133(e)(5) Not Monitored FOOD AND NUTRITION 50. Meals and Snacks rule 65C-22.005(1), F.A.C. Not Monitored 51. Meal and Snack Menus rule 65C-22.005(1), F.A.C. Not Monitored 52. Food Service rule 65C-22.005(3), F.A.C. Not Monitored 53. Bottles Sanitary and Labeled rule 65C-22.005(2), F.A.C Not Monitored 54. Catered food and food provided by parents 65C-22.005(1), F.A.C. Not Monitored 55. Single Service Items rule 65C-22.0011(8), 65C-22.002(10), F.A.C. Not Monitored RECORD KEEPING 56. Records ss. 402.3054(2), F.S., rule 65C-22.006(3)(c)5., F.A.C. Not Monitored Due: 1/21/2026 Source: FL DCF CARES inspection 2026-01-21. View official inspection document (report 9bee1294-f069-49a6-8076-0299d51ddd19)

28. (28-04)

The facility did not adequately maintain the toilet and bath facilities used by the children as evidenced by [soiled toilets]. (Section 10.6, number 8) Physical Environment [SR] Comments: Toilets were soiled in two classroom. Suggested to clean them as nessesary. From Child Care Facility handbook: 3 Physical EnvironmentChildren are much more susceptible to the adverse effects of environmental factors, materials and toxicants. It is imperative that the child care environment is conducive to the healthy development of children. 3.7 Restrooms and Bath FacilitiesA. Each child care facility must provide and maintain bathroom facilities that are easily accessible, and at a height usable by the children. Platforms may be used if they are safely constructed and have an impervious surface that can be easily cleaned and sanitized. I. Each toilet and sink must be maintained in good operating condition, cleaned and sanitized or disinfected as needed, but at least once per day. Sinks utilized for teeth-brushing activities/procedures by the children must be sanitized prior to the activity occurring. 29. Potty Chairs rule 65C-22.002(6), F.A.C. rule 65C-22.002(6), F.A.C. (Form OEL-SR-6202, Section 10.6 Bathrooms and Sinks, Page 25) Not Applicable 30. Bath Facilities and Supervision rule 65C-22.002(6), F.A.C. rule 65C-22.002(6), F.A.C. (Form OEL-SR-6202, Section 10.6 Bathrooms and Sinks, Page 25 and Section 5 Supervision, Pages 16-17) Compliance 31. Bathroom Supplies and Equipment rule 65C-22.002(6), F.A.C. 62-133(d) rule 65C-22.002(6), F.A.C. 62-133(d) (Form OEL-SR-6202, Section 10.6 Bathrooms and Sinks, Page 25) Compliance 32. Operable Phone rule 65C-22.002(7), F.A.C. rule 65C-22.002(7), F.A.C. (Form OEL-SR-6202, Section 14.2 Fire Safety, Page 33) Compliance 33. Fire Drills & Emergency Preparedness rule 65C-22.002(7) F.A.C. rule 65C-22.002(7) F.A.C. (Form OEL-SR-6202, Section 14 Fire Safety and Emergency Preparedness and Response, Page 32-34) Compliance 34. Food Preparation Area 65C-22.002(8), F.A.C. 65C-22.002(8), F.A.C. (Form OEL-SR-6202, Section 17.1 Food Preparation Area and Section 17.2 Food Storage, Pages 37-38) Compliance 35. Health and Sanitation rule 65C-22.002(10), F.A.C. 62-133(a)(12), 62-135(a) rule 65C-22.002(10), F.A.C. 62-133(a)(12), 62-135 (Form OEL-SR-6202, Section 12 Health and Sanitation, Page 28) Compliance 36. Drinking Water Available rule 65C-22.002(10), F.A.C. rule 65C-22.002(10), F.A.C. (Form OEL-SR-6202, Section 12 Health and Sanitation, Page 28) Compliance 37. Sanitary Diapering rule 65C-22.002(10), F.A.C. rule 65C-22.002(10), F.A.C. (Form OEL-SR-6202, Section 12.3, Diapering, Pages 28-29) Compliance 38. Diaper Disposal rule 65C-22.002(10), F.A.C. rule 65C-22.002(10), F.A.C. (Form OEL-SR-6202, Section 12.3, Diapering, Pages 28-29) Compliance 39. Indoor Equipment rule 65C-22.002(11), F.A.C. 62-133(f) rule 65C-22.002(11), F.A.C. 62-133(f) (Form OEL-SR-6202, Section 11, Equipment and Furnishings, Pages 26-27) Compliance 40. Outdoor Equipment rule 65C-22.002(11), F.A.C. 62-133(c)(2) rule 65C-22.002(11), F.A.C. 62-133(c)(2) (Form OEL-SR-6202, Section 11, Equipment and Furnishings, Pages 26-27) Compliance Due: 11/28/2025 Source: FL DCF CARES inspection 2025-11-06. View official inspection document (report 9ab9b8d2-8672-482b-9484-ce0007077f37)

12. Child Discipline ss. 402.305(12), F.S. & rule 65C-22.001(8), F.A.C. (12-02)

A staff member did not comply with the facility's written discipline policy. General Requirements [SR] Comments: Observation of recording in the classroom confirmed an incident when teacher was acting not according to the provider discipline policy. Recommended to meet with teacher and address the incident and reminded about discipline policies. Reporting child abuse and neglect retrain recommended by inspector. Source: FL DCF CARES inspection 2025-11-06. View official inspection document (report f5a6c8d8-1f16-41ba-9906-be0edbb4f7aa)

14. Facility Environment rule 65C-22.002(1), 65C-22.002(7) - (9), F.A.C. , 62-133(c)(4) (14-05)

An area of the facility was observed to be a serious safety hazard to children in care. Physical Environment [SR] Comments: Based off the classroom video, the door to the three year old classroom was unlocked, and children were able to exit the classroom unsupervised. 15. Toxic Substances and Hazardous Materials rule 65C-22.002(1), F.A.C. Not Monitored 16. Supplies Labeled/Stored rule 65C-22.002(1), F.A.C. Not Monitored 17. Lighting rule 65C-22.002(2), F.A.C. Not Monitored 18. Temperature and Ventilation rule 65C-22.002(2), F.A.C. 62-133(a)(8) Not Monitored 19. Indoor Floor Space ss. 402.305(6) F.S., rule 65C-22.002(3), 65C-22.007(3)(a), 65C-22.008(3), F.A.C, 62-133(b)(1)(2) Not Monitored 20. Outdoor Area/Square Footage ss. 402.305(6), F.S. & rule 65C-22.002(4), F.A.C, Not Monitored 21. Outdoor Play Area rule 65C-22.002(4), F.A.C, 62-133(c)(1)(4) &(6) Not Monitored 22. Fencing rule 65C-22.002(4), F.A.C, 62-133(c)(3) Not Monitored 23. Individual Bedding rule 65C-22.002(5), 65C-22.002(10), 65C-22.008(3), F.A.C, Not Monitored 24. Bedding and Linens rule 65C-22.002(10), F.A.C. 62-133(e)(6) Not Monitored 25. Nap/Sleep Space Requirements rule 65C-22.002(5), F.A.C. Not Monitored 26. Exit Area Clear rule 65C-22.002(5) and (7), F.A.C. Not Monitored 27. Crib Requirements rule 65C-22.002(5), F.A.C. Not Monitored 28. Toilets and Sinks rule 65C-22.002(6), F.A.C. Not Monitored 29. Potty Chairs rule 65C-22.002(6), F.A.C. Not Monitored 30. Bath Facilities and Supervision rule 65C-22.002(6), F.A.C. Not Monitored 31. Bathroom Supplies and Equipment rule 65C-22.002(6), F.A.C. 62-133(d) Not Monitored 32. Operable Phone rule 65C-22.002(7), F.A.C. Not Monitored 33. Fire Drills & Emergency Preparedness rule 65C-22.002(7) F.A.C. Not Monitored Source: FL DCF CARES inspection 2025-07-25. View official inspection document (report 73464bd7-f501-4c9f-a9a3-e8704d613e37)

05. Supervision rule 65C-22.001(5), 65C-22.001(6), 65C-22.002(4) & 65C-22.007 (2), F.A.C. (05-01)

Direct supervision of children in the [3 year old] group was inadequate in that [teacher's attention was focused on small group as children were going into the hallway unsupervised. ]. General Requirements [SR] Comments: Based off classroom video and director's words, the door to the classroom was unlocked, and children in the classroom were putting their projects away in the hallway without teacher supervision. 06. Driver's License, Physician Certification & First Aid/CPR Training rule 65C22.001(6), 65C-22.006(4), F.A.C. 62-138(1) Not Applicable Source: FL DCF CARES inspection 2025-07-25. View official inspection document (report 73464bd7-f501-4c9f-a9a3-e8704d613e37)

35. (35-04)

A staff member did not wash his/her hands appropriately after [handling a trash bag from the diaper changing table]. (Section 12.2) Physical Environment [SR] Comments: Teacher took a trash bag out of the trash can and after handing the bag off, the staff member went and picked up a childs water bottle before then washing her hands. Inspector advised to director to review handwashing protocol with staff. Edited: Director sent inspector a sheet with staff signature verifying staff had reviewed handwashing. 36. Drinking Water Available rule 65C-22.002(10), F.A.C. rule 65C-22.002(10), F.A.C. (Form OEL-SR-6202, Section 12 Health and Sanitation, Page 28) Compliance 37. Sanitary Diapering rule 65C-22.002(10), F.A.C. rule 65C-22.002(10), F.A.C. (Form OEL-SR-6202, Section 12.3, Diapering, Pages 28-29) Compliance 38. Diaper Disposal rule 65C-22.002(10), F.A.C. rule 65C-22.002(10), F.A.C. (Form OEL-SR-6202, Section 12.3, Diapering, Pages 28-29) Compliance 39. Indoor Equipment rule 65C-22.002(11), F.A.C. 62-133(f) rule 65C-22.002(11), F.A.C. 62-133(f) (Form OEL-SR-6202, Section 11, Equipment and Furnishings, Pages 26-27) Compliance 40. Outdoor Equipment rule 65C-22.002(11), F.A.C. 62-133(c)(2) rule 65C-22.002(11), F.A.C. 62-133(c)(2) (Form OEL-SR-6202, Section 11, Equipment and Furnishings, Pages 26-27) Compliance TRAINING 41. Training Requirements ss. 402.305(2) - (3), F.S. & rule 65C-22.003(2) (3), F.A.C. ss. 402.305(2) - (3), F.S. & rule 65C-22.003(2) (Form OEL-SR-6202, Section 18 Training Requirements, Pages 42-44) Compliance Source: FL DCF CARES inspection 2025-06-17. View official inspection document (report 6d2b3763-d469-4729-b5d1-b9d41e46180e)

33. (33-08)

The facility operator did not have a current fire safety inspection by the local fire authority. (Section 14.2, number 1) Physical Environment [SR] Comments: Fire inspection posted dated February 8, 2023. Fire inspection out of date. 34. Food Preparation Area 65C-22.002(8), F.A.C. 65C-22.002(8), F.A.C. (Form OEL-SR-6202, Section 17.1 Food Preparation Area and Section 17.2 Food Storage, Pages 37-38) Compliance 35. Health and Sanitation rule 65C-22.002(10), F.A.C. 62-133(a)(12), 62-135(a) rule 65C-22.002(10), F.A.C. 62-133(a)(12), 62-135 (Form OEL-SR-6202, Section 12 Health and Sanitation, Page 28) Compliance 36. Drinking Water Available rule 65C-22.002(10), F.A.C. rule 65C-22.002(10), F.A.C. (Form OEL-SR-6202, Section 12 Health and Sanitation, Page 28) Compliance 37. Sanitary Diapering rule 65C-22.002(10), F.A.C. rule 65C-22.002(10), F.A.C. (Form OEL-SR-6202, Section 12.3, Diapering, Pages 28-29) Compliance 38. Diaper Disposal rule 65C-22.002(10), F.A.C. rule 65C-22.002(10), F.A.C. (Form OEL-SR-6202, Section 12.3, Diapering, Pages 28-29) Compliance 39. Indoor Equipment rule 65C-22.002(11), F.A.C. 62-133(f) rule 65C-22.002(11), F.A.C. 62-133(f) (Form OEL-SR-6202, Section 11, Equipment and Furnishings, Pages 26-27) Compliance 40. Outdoor Equipment rule 65C-22.002(11), F.A.C. 62-133(c)(2) rule 65C-22.002(11), F.A.C. 62-133(c)(2) (Form OEL-SR-6202, Section 11, Equipment and Furnishings, Pages 26-27) Compliance TRAINING 41. Training Requirements ss. 402.305(2) - (3), F.S. & rule 65C-22.003(2) (3), F.A.C. ss. 402.305(2) - (3), F.S. & rule 65C-22.003(2) (Form OEL-SR-6202, Section 18 Training Requirements, Pages 42-44) Not Monitored 42. 10-Hour In-Service rule 65C-22.003(6), F.A.C. 62-133(a)(11) rule 65C-22.003(6), F.A.C. 62-133(a)(11) (Form OEL-SR-6202, Section 18 Training Requirements, Pages 42-44) Not Monitored Source: FL DCF CARES inspection 2024-10-23. View official inspection document (report 4225a6a9-298b-49bc-aa5b-0d87b62dc8e8)