Manifestations Early Childcare Center

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: 8 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. 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 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. 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 Child Care Facility Handbook Page | 60 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. 42. Student Health and Records CCF Handbook, Section 7.2 CCF Handbook, Section 7.2 (Form DEL-SR-6200A) Noncompliance Due: 6/4/2026 Source: FL DCF CARES inspection 2026-05-04. View official inspection document (report 33fb6e55-ddee-4650-8b45-de6b87553cc2)

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: 3 Child(ren) were observed to not have a Student Health Examination/DH (Form 3040), or an equivalent health statement on file within 30 days of enrollment. 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. Compliance Comments During the time of the inspection, the Operator advised the Licensing Specialist that there are currently 102 children enrolled. During the time of the inspection, the Licensing Specialist monitored 102 of the 102 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: 6/4/2026 Source: FL DCF CARES inspection 2026-05-04. View official inspection document (report 33fb6e55-ddee-4650-8b45-de6b87553cc2)

46. Daily Attendance CCF Handbook, Section 7.5 CCF Handbook, Section 7.5 (Form DEL-SR-6200A) (46-02)

Attendance records did not include the time of each childs arrival and departure. CCF Handbook, Section 7.5 (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Comments: Attendance records did not include the time of each childs arrival and departure. (One year old classroom) 8.4 Daily Attendance A. Daily attendance of children must be taken and recorded by child care personnel, documenting the time when each child enters and departs the home. The facility corrected the attendance log after it was observed to not be complete by the Licensing Specialist. This standard is now in compliance. ENFORCEMENT Due: Completed at time of inspection Source: FL DCF CARES inspection 2026-05-04. View official inspection document (report 33fb6e55-ddee-4650-8b45-de6b87553cc2)

05. Transportation CCF Handbook, Section 2.5 CCF Handbook, Section 2.5 (Form DEL-SR-6200A) (05-11)

Upon arrival by foot at the destination, it was determined that the second child care personnel failed to witness roll call, date and initial the log to verify all children were accounted for. CCF Handbook, Section 2.5.2, D (Section 2.1 Health and Safety, Page 3) General Requirements [SR] Comments: Upon arrival by foot at the destination, it was determined that the second child care personnel failed to witness roll call, date and initial the log to verify all children were accounted for. D. Upon arrival at the destination by foot, a second and different child care personnel must: 1. Witness roll call to verify all children are accounted for and that the log is complete. 2. Sign and date the transportation log. 06. Driver's License, Physician Certification & First Aid/CPR Training CCF Handbook, Section 2.5 and CCF Handbook, Section 7.4 CCF Handbook, Section 2.5 and CCF Handbook, Section 7.4 (Form DEL-SR-6200A) Noncompliance Source: FL DCF CARES inspection 2025-05-19. View official inspection document (report 46d66d24-8d27-4b09-a574-e3dbe11bbd8b)

06. (06-01)

The facility's driver did not have [ An annual physical examination which grants medical approval to drive]. CCF Handbook, Section 2.5.1 (Section 2.1 Health and Safety, Page 3) General Requirements [SR] Comments: The facility's driver did not have an annual physical examination which grants medical approval to drive. B. An annual physical examination which grants medical approval to drive, and valid certificate(s) of course completion for first aid training and pediatric cardiopulmonary resuscitation (CPR) procedures. 07. Vehicle Requirements CCF Handbook, Section 2.5.4 CCF Handbook, Section 2.5.4 (Form DEL-SR-6200A) Noncompliance Source: FL DCF CARES inspection 2025-05-19. View official inspection document (report 46d66d24-8d27-4b09-a574-e3dbe11bbd8b)

07. (07-06)

The vehicle alarm installed was not in working condition. CCF Handbook, Section 2.5.4 (Section 2.1 Health and Safety, Page 3) General Requirements [SR] Comments: The vehicle alarm installed was not in working condition. F. By January 1, 2022 all vehicles used by child care facilities to transport children must be equipped with a reliable alarm system approved by the Department which prompts the driver to inspect the vehicle for children before exiting the vehicle. 1. Approved alarm systems must meet the following criteria: a. The alarm system must be armed or activated automatically when the vehicles ignition is turned on. b. The alarm system must be designed and installed so that the vehicle horn, siren or other type of audio alarm will sound if the driver/staff member does not walk to the rear or, in the case of a passenger van, the side entry point of the vehicle, to manually shut off or deactivate the alarm. c. The time delay from the time the ignition is turned off after activation of the alarm system until the alarm sounds shall be no longer than one minute. d. The alarm must be audible from the distance of 500 feet from the vehicle. e. The alarm system must be installed so that the driver must walk to the back of the vehicle to reach the deactivation mechanism. Deactivation mechanisms installed in locations that do not require the driver to walk to the back of the vehicle and view all seating areas will not be acceptable. 2. List of approved alarm manufacturers may be found on the Departments website at www.myflfamilies.com/childcare . 3. Alarms must be installed and maintained according to the manufacturers recommendations. 4. Alarm systems installed according to the manufacturers instructions prior to October 1, 2021, will be deemed to satisfy this requirement if they meet the criteria set forth in 2.5.4.F.1. above. Under this allowance, the existing alarm system must always be properly maintained in working order. Should at any time the alarm system require replacement, the new system must be selected from the Departments approved list referenced in 2.5.4 F.2. above. 08. Seat Belts/Child Restraints CCF Handbook, Section 2.5.4 and CCF Handbook, Section 2.5.5 CCF Handbook, Section 2.5.4 and CCF Handbook, Section 2.5.5 (Form DEL-SR-6200A) Compliance Source: FL DCF CARES inspection 2025-05-19. View official inspection document (report 46d66d24-8d27-4b09-a574-e3dbe11bbd8b)

17. (17-02)

The facility's outdoor play area contained litter, nails, glass or other hazards that posed a threat to the health, safety or well-being of the children. CCF Handbook, Section 3.5, A (Section 2.1 Health and Safety, Page 3) Physical Environment [SR] Comments: The facility's outdoor play area contained litter, nails, glass or other hazards that posed a threat to the health, safety or well-being of the children. The 3 year old playground fence on the west end of the playground was damaged and could pose a safety threat. 3.5 Outdoor Play Area A. The outdoor play area must be clean and free from litter, nails, glass and other hazards. Source: FL DCF CARES inspection 2025-05-19. View official inspection document (report 46d66d24-8d27-4b09-a574-e3dbe11bbd8b)

40. Medication CCF Handbook, Section 6.5 CCF Handbook, Section 6.5 (Form DEL-SR-6200A) (40-01)

A prescription or non-prescription medication, specifically [Desitin], was dispensed without written authorization from the custodial parent or legal guardian. CCF Handbook, Section 6.5, A and K (Section 2.1 Health and Safety, Page 3) Health Requirements [SR] Comments: A prescription or non-prescription medication, specifically Desitin , was dispensed without written authorization from the custodial parent or legal guardian. 6.5 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: 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 child care 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 108 children enrolled. During the time of the inspection, the Licensing Specialist monitored 108 of the 108 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 18 employees. During the time of the inspection, the Licensing Specialist monitored 18 of the 18 employee records. Source: FL DCF CARES inspection 2025-05-19. View official inspection document (report 46d66d24-8d27-4b09-a574-e3dbe11bbd8b)