First Impressions Of Lake Worth

65. Physical Examination (Article XV.D) (65-01)

The personnel record for staff did not include a current statement attesting that he/she was physically qualified to care for children. Comments: Staff Y.R personnel record did not include a current statement attesting that she is physically qualified to care for children. Due: 5/7/2026 Source: FL DCF CARES inspection 2026-04-07. View official inspection document (report 07c71d03-90bc-4fc2-92a7-0f69654945c5)

64. Proof of Risk Assessment Completed/Negative TB Test (Article XV.D) (64-01)

The personnel record for staff did not include a statement that he/she was free of tuberculosis in a communicable stage as indicated by an approved TB risk assessment, skin test or chest X-ray. Comments: Staff Y.R personnel record did not include a statement that she is free of tuberculosis as indicated by an approved TB risk assessment, skin test or chest X-ray. Due: 5/7/2026 Source: FL DCF CARES inspection 2026-04-07. View official inspection document (report 07c71d03-90bc-4fc2-92a7-0f69654945c5)

28. Fire Drills/Fire Plan/Fire Inspection (Articles X.A, F and XV.E) (28-01)

The facility did not conduct a fire drill for the month(s) of [March 2026]. Safety [SR] Comments: The facility did not conduct a fire drill in March of 2026. Fire drill documentation shows that a fire drill was carried out for each month from August 2025 to February 2026. Compliance Comments Fire extinguishers seen in the van and the facility were serviced in March of 2026 and October of 2025. Source: FL DCF CARES inspection 2026-04-07. View official inspection document (report 07c71d03-90bc-4fc2-92a7-0f69654945c5)

79. Driver (Article XVII.A) (79-02)

The personnel record did not include a copy of the driver's physician certification, or equivalent, granting medical approval to operate a vehicle. Transportation [SR] Comments: The driver did not submit the Physician's Certification page but submitted the Physical Examination for Driver Applicant page on 8/26/2025. Not Monitored Comments At the time of the inspection, the vehicle was not monitored. It will be monitored at the time of the next inspection. 80. Vehicle/Child Restraint (Article XVII.A and B) Not Monitored Due: 9/24/2025 Source: FL DCF CARES inspection 2025-08-26. View official inspection document (report 4a856cde-7a93-4507-8d4e-95e276c00d18)

68. Child Abuse/Neglect Statement (Article VI.I) (68-01)

The personnel record for staff did not include a statement that they read or had read to them and understood the contents of the pamphlet "Child Abuse and Neglect in Florida, A Guide for Professionals." Personnel Records [SR] Comments: During the time of the inspection, staff provided copies of Child Abuse and Neglect Statements because the copies on file had expired. The copies that were in the files of the staff at the time of the inspection were dated, August 20, 2024. Due: Completed at time of inspection Source: FL DCF CARES inspection 2025-08-26. View official inspection document (report 4a856cde-7a93-4507-8d4e-95e276c00d18)

66. Training Requirements (Articles VI and XV.D; 65C-22 F.A.C.) (66-04)

There are staff employed for at least 12 months who failed to complete the 5-clock hours or .5 CEU training in early literacy and language development of children. Comments: Rosemika C. who has been employed to the facility since 07/02/2024 failed to complete .5 CEU training in early literacy within 1 year of employment. Due: 9/24/2025 Source: FL DCF CARES inspection 2025-08-26. View official inspection document (report 4a856cde-7a93-4507-8d4e-95e276c00d18)

64. Proof of Risk Assessment Completed/Negative TB Test (Article XV.D) (64-01)

The personnel record for staff did not include a statement that he/she was free of tuberculosis in a communicable stage as indicated by an approved TB risk assessment, skin test or chest X-ray. Comments: Staff did not have TB risk assessment/physical exam on file. Due: 9/24/2025 Source: FL DCF CARES inspection 2025-08-26. View official inspection document (report 4a856cde-7a93-4507-8d4e-95e276c00d18)

31. Play Equipment (Article X.A, and H) (31-13)

Peeling paint was observed on the surface of the [swings] in the outdoor area. Comments: The surfaces of the swings (metal chains and seats) had peeling paint. The chains of the swings are painted blue. However, there are areas on them where the paint has completely fallen off exposing rust. Due: 9/24/2025 Source: FL DCF CARES inspection 2025-08-26. View official inspection document (report 4a856cde-7a93-4507-8d4e-95e276c00d18)

15. Floor, Walls, and Ceiling Good Repair (Article X.A) (15-01)

The floor in the [12-24 months and VPK classrooms] area was defective or not in good repair. Physical Facility [SR] Comments: Different sections of the floor in the 12-24 months and the VPK classrooms were uneven as there were dips/sinks /low spots/soft areas in it. Hence a feeling of sponginess underfoot. Due: 9/24/2025 Source: FL DCF CARES inspection 2025-08-26. View official inspection document (report 4a856cde-7a93-4507-8d4e-95e276c00d18)

10. Proper Hand Washing (Articles X.D) (10-08)

Hot running water was not available in the [12-24 months classroom's] hand washing area. General Requirements [SR] Comments: Handwashing sink water temperatures were observed to be 75 and 78 degrees Fahrenheit. Infants' handwashing sink temperature must be maintained between 100 to 110 degrees Fahrenheit. Due: 9/24/2025 Source: FL DCF CARES inspection 2025-08-26. View official inspection document (report 4a856cde-7a93-4507-8d4e-95e276c00d18)

06. Direct Supervision (Articles VII.B; VIII.C; X.E and XII.G) (06-01)

Child care staff failed to provide direct supervision of children in the [2 year old] group as evidenced by [teacher, accident/incident report and parent providing different accounts of what happened]. General Requirements [SR] Comments: According to the teacher, Rosemika Catule who supervises J.D. in the 2-year-old classroom stated that he was crying and moving around the things in the classroom. In the mist of doing so, he slipped and hit his head on a shelf that is situated on the floor in the classroom. The teacher further explained that she tried to console him, but he carried on in the same manner. According to the accident/incident report says, Joshua was crying and throwing himself on the flooring and accidentally hit his head on the table causing him to have two small bumps on his head. The report names Ms. Rosemika as the witness to the incident, Ms. Erica as the other person that was contacted, the parents being informed and applying an ice pack as the action taken. Medical care was not referred nor were paramedics called. According to the child's father stated that J.D was rolling on the ground and subsequently hit his head on the ground. 07. Telephone/Communication Device (Articles X.F and XVIII.A) Not Monitored 08. Daily Program (Article IX.A) Not Monitored 09. Discipline (Article IX.C) Not Monitored Source: FL DCF CARES inspection 2025-06-18. View official inspection document (report c3a8aea9-714f-48d0-b859-488e4a9e9a6c)

39. Audible Alert Mechanism (Article X.A) (Article X.A) (39-01)

An exit that did not open onto a safe, protected area lacked an operable, audible alert mechanism that sounded when the door was opened. Comments: Provider requested 2 extension to correct violation, 2/28/2025 was the last extension. As of today the violation has not been corrected. An alert mechanism has not been installed on a door that exist onto an unsafe area. The door exit onto a parking lot area, that is adjacent to a busy road, Hypoluxo Road. According to the director Mariam Hulter, the facility is waiting for the company to install the alarm system. 40. Control Point (Article X.A) (Article X.A) Not Monitored FOOD AND NUTRITION 41. Meals and Snacks (Article XII.A and C) (Article XII.A and C) (Form OEL-SR-6202, Section 17 Food and Nutrition Services, Pages 36-42) Not Monitored 42. Special Diets/Food Restrictions (Articles XII.D and E) (Articles XII.D and E) (Form OEL-SR-6202, Section 17 Food and Nutrition Services, Pages 36-42) Not Monitored 43. No Propped Bottles or Mechanical Devices (Article XII.G) (Article XII.G) (Form OEL-SR-6202, Section 5 Supervision, Pages 16-17) Not Monitored 44. Menu Posted/Filed (Article XII.F) (Article XII.F) Not Monitored Source: FL DCF CARES inspection 2025-03-25. View official inspection document (report 4a848d04-ad7c-44ba-ab57-5e2efcfbc974)

33. (33-03)

The facility's documentation of an unusual incident/accident did not include information noted in number(s) as follows: [6] 1. The name of the affected person 2. Date and time of occurrence 3. Description of event 4. Actions taken by whom 5. Signatures of staff 6. Parent signature (Section 15.1, number 3) Safety [SR] Comments: Incident report missing parent/guardian signature. 34. Daily Attendance Log (Article XV.E) (Article XV.E) (Form OEL-SR-6202, Section 19.3 Record Keeping/Attendance, Page 48) Not Monitored 35. Field Trips and Swimming Activities (Articles XV.E and XVIII.A, B) (Articles XV.E and XVIII.A, B) (Form OEL-SR-6202, Section 8 Field Trip Activity, Pages 20-21) Not Monitored 36. Toxic/Hazardous Items (Article X.A) (Article X.A) (Form OEL-SR-6202, Section 10 Physical Environment, Pages 22-23) Not Monitored 37. Pet Prohibited (Article X.A) (Article X.A) (Form OEL-SR-6202, Section 10 Physical Environment, Pages 22-23) Not Monitored 38. Furniture/Bedding (Articles X.A, C; XII.I and XV.E) (Articles X.A, C; XII.I and XV.E) (Form OEL-SR-6202, Section 12.4 Bedding and Linens, Page 29) Not Monitored 39. Audible Alert Mechanism (Article X.A) (Article X.A) Not Monitored Source: FL DCF CARES inspection 2025-03-25. View official inspection document (report 2840a3ef-353e-428f-a218-b91f68132ba1)

25. (25-04)

The outdoor play space was not adequately enclosed; fencing was missing, broken or not safely secure as evidenced by [student's head was outside the fence and leggs inside the fence. ]. (Section 10.8, number 2) Physical Facility [SR] Comments: Student was gathered at the rear of the playground and student (J) half of his body was outside the fence and the other half inside the fence. Head outside the fence and feet inside the fence. 26. Swimming Pool/Wading Pool (Article X.A and B) (Article X.A and B) Not Monitored Source: FL DCF CARES inspection 2025-03-25. View official inspection document (report 2840a3ef-353e-428f-a218-b91f68132ba1)

06. (06-03)

Staff responsible for children in the outdoor play area failed to situate themselves so that all children could be observed and supervised. (Section 5, number 4) General Requirements [SR] Comments: Childcare personnel Fradline Dora stated, the student's head was outside the fence and the legs' were inside the fence. She observed this when she returned back outside to her group. 07. Telephone/Communication Device (Articles X.F and XVIII.A) (Articles X.F and XVIII.A) (Form OEL-SR-6202, Section 14.2 Fire Safety, Page 33) Not Monitored 08. Daily Program (Article IX.A) (Article IX.A) (Form OEL-SR-6202, Section 7 Planned Activities, Pages 19-20) Not Monitored 09. Discipline (Article IX.C) (Article IX.C) (Form OEL-SR-6202, Section 9 Child Discipline, Pages 21-22) Not Monitored 10. Proper Hand Washing (Articles X.D) (Articles X.D) (Form OEL-SR-6202, Section 10.6 Bathrooms and Sinks, Page 25) Not Monitored 11. Diaper Changing Area (Articles VIII.C and X.G) (Articles VIII.C and X.G) (Form OEL-SR-6202, Section 12.3 Diapering, Pages 28-29) Not Monitored Source: FL DCF CARES inspection 2025-03-25. View official inspection document (report 2840a3ef-353e-428f-a218-b91f68132ba1)

39. Audible Alert Mechanism (Article X.A) (Article X.A) (39-01)

An exit that did not open onto a safe, protected area lacked an operable, audible alert mechanism that sounded when the door was opened. Comments: Alert mechanism not on exit door that exit onto an unprotected area. Provider requested an extension to correct violation on 2/21/2025 40. Control Point (Article X.A) (Article X.A) Not Monitored FOOD AND NUTRITION 41. Meals and Snacks (Article XII.A and C) (Article XII.A and C) (Form OEL-SR-6202, Section 17 Food and Nutrition Services, Pages 36-42) Not Monitored 42. Special Diets/Food Restrictions (Articles XII.D and E) (Articles XII.D and E) (Form OEL-SR-6202, Section 17 Food and Nutrition Services, Pages 36-42) Not Monitored 43. No Propped Bottles or Mechanical Devices (Article XII.G) (Article XII.G) (Form OEL-SR-6202, Section 5 Supervision, Pages 16-17) Not Monitored 44. Menu Posted/Filed (Article XII.F) (Article XII.F) Not Monitored 45. Bottles Capped and Labeled (Article XII.G) (Article XII.G) (Form OEL-SR-6202, Section 17.4 Breastmilk, Infant Formula and Food, Pages 40-41) Not Monitored Source: FL DCF CARES inspection 2025-02-14. View official inspection document (report 8c8963dc-e0df-4d1d-bce5-5097c3f30a21)

39. Audible Alert Mechanism (Article X.A) (Article X.A) (39-01)

An exit that did not open onto a safe, protected area lacked an operable, audible alert mechanism that sounded when the door was opened. Comments: No audible alert mechanism on control point door that exit/enter the building. Source: FL DCF CARES inspection 2025-02-05. View official inspection document (report 1782907a-03b6-40be-925f-73da74f6fc63)