BUTTONS AND BOWS ACADEMY, INC.

05. Health Requirements Group: Sec. 7-32, Ordinance (05-01)

Sec. 7-32, Ordinance: Before the first day of employment at a child care facility, all child care personnel, excluding temporary substitutes, must have on file at the child care facility a signed statement from a licensed physician or authorized agent of the Florida Department of Health attesting that the person is in good health in order to care for children in a child care facility setting. The health assessment statement shall be documented on a form prescribed by the local licensing agency and updated at least every two years. Child Care personnel did not have a current health statement on file. Comments: There were 4 staff physicals observed to be expired. 06. Personnel Records Group: Sec. 7-33, Ordinance, DCF Handbook, and Sec. 402.302(3), Florida Statutes Compliance RATIOS/DISCIPLINE Compliance Comments The following ratios were observed during today's visit: 2 yr old: 1:8 3-4 yr old: 1:10 4 yr old: 1:12 TECHNICAL ASSISTANCE PROVIDED REGARDING DIRECT SUPERVISION INCLUDES SIGHT AND SOUND. 07. Ratios of Personnel to Children Group: Sec. 7-33, Ordinance, DCF Handbook, and Sec. 402.305(4), Florida Statutes Compliance Due: 4/1/2026 Source: FL DCF CARES inspection 2026-03-25. View official inspection document (report c136689d-aada-4e82-99d7-c770f868e16e)

37. Health Examinations/Health Maintenance Group: Sec. 7-43, Ordinance and DCF Handbook (37-04)

7.1, Handbook: 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. The Florida Certificate of immunization was expired for children in care. Childrens Records [SR] Comments: There was an expired immunization record that was observed out of the sample of childrens files observed. Due: 4/8/2026 Source: FL DCF CARES inspection 2026-03-25. View official inspection document (report c136689d-aada-4e82-99d7-c770f868e16e)

10. General Facility Requirements Group: Sec. 7-35, Ordinance and DCF Handbook (10-24)

Sec. 7-35(j), Ordinance: Exits from a child care facility shall open onto safe, protected, fenced areas, or shall have active audible alert mechanisms to alert child care staff when such doors are opened. A limited exception for the front door will apply provided a child care staff member is present in the immediate vicinity of the front door at all times when the child care facility is open and caring for one or more children. An exit did not meet the requirements in that [see below]. Comments: During today's visit the exit door in the vpk room leading to parking lot did not have an operable audible alert mechanism. Source: FL DCF CARES inspection 2025-12-03. View official inspection document (report 7fb71932-c700-4f28-96bc-b094353afe6d)

21. Outdoor Play Space Group: Sec. 7-37, Ordinance and DCF Handbook (21-05)

3.12(D)(1) and (2), Handbook: Permanent or stationary playground equipment must have a fall/use zone that extends a minimum of 6 feet in all directions from the perimeter of the equipment. If the ground cover in place is loose ground cover (such as, but not limited to: mulch, shredded rubber chips, or sand) a minimum of 6 inches in depth is required in the use zone. Asphalt, concrete, hard packed dirt, hay, grass or leaves are unsuitable for use in the use zone area. If the ground cover in place is a unitary playground surface, then the unitary surfacing materials must be installed, maintained, or replaced according to manufacturers instructions. Unitary surfaces must be tested to and comply with ASTM F1292; documentation of test data must be retained at the facility and available for licensing to review. The playground surface was insufficient. Indoor/Outdoor Space [SR] Comments: There is an inadequate amount of mulch for fall zone under play equipment. Compliance Comments TECHNICAL ASSISTANCE WAS PROVIDED TO REMOVE ALL RIDING TOYS THAT HAVE CRACKED PIECES. Source: FL DCF CARES inspection 2025-12-03. View official inspection document (report 7fb71932-c700-4f28-96bc-b094353afe6d)

05. Health Requirements Group: Sec. 7-32, Ordinance (05-01)

Sec. 7-32, Ordinance: Before the first day of employment at a child care facility, all child care personnel, excluding temporary substitutes, must have on file at the child care facility a signed statement from a licensed physician or authorized agent of the Florida Department of Health attesting that the person is in good health in order to care for children in a child care facility setting. The health assessment statement shall be documented on a form prescribed by the local licensing agency and updated at least every two years. Child Care personnel did not have a current health statement on file. Comments: At the time of this inspection, it was noted that one staff person did not have a current statement of good health on file. 06. Personnel Records Group: Sec. 7-33, Ordinance, DCF Handbook, and Sec. 402.302(3), Florida Statutes Compliance RATIOS/DISCIPLINE 07. Ratios of Personnel to Children Group: Sec. 7-33, Ordinance, DCF Handbook, and Sec. 402.305(4), Florida Statutes Compliance Not Applicable Comments The following ratios were observed during this inspection: toddlers 1:4, two's 1:11 three's 1:10 VPK A 1:12 Source: FL DCF CARES inspection 2025-04-25. View official inspection document (report 3330314e-1484-43b4-9d51-dd3026d9b3d9)