Walton County School District - Van Butler Elementary

44. (44-06)

The Child Care Attestation of Good Moral Character was not completed at the time of initial screening or upon change in employers. CCF Handbook, Section 7.4.1, B (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Comments: The Child Care Attestation of Good Moral Character was not completed at the time of initial screening or upon change in employers. DCF Handbook, Section 7.4.1, B (Section 2.1 Health and Safety, Page 3)CF Form 1649A, Child Care Attestation of Good Moral Character, must be completed for all child care personnel at the time of initial screening or upon change in employers. CF Form 1649A is incorporated in reference by 65C- 22.001(7)(a), F.A.C., and may be obtained from the Departments website at www.myflfamilies.com/childcare. The provider achieved compliance by completing form on site and placing it into the personnel file. Due: Completed at time of inspection Source: FL DCF CARES inspection 2026-05-11. View official inspection document (report 08f23504-c82d-4c59-b613-9b8daabed3ae)

44. (44-04)

An employment history verification was not documented and on file. CCF Handbook, Section 5.1, D (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Comments: An employment history verification was not documented and on file. DCF Handbook, Section 5.1, D (Section 2.1 Health and Safety, Page 3)The employer/owner/operator must conduct employment history checks, including documented attempts to contact each employer that employed the individual within the preceding five years, and documentation of the findings. Documentation must include the applicants job title and description of his/her regular duties, confirmation of employment dates, and level of job performance. The employer/owner/operator must make at least three attempts to obtain employment history information. Failed attempts to obtain employment history must be documented in the personnel file and include date, time, and the reason the information was not obtained. The provider achieved compliance by verifying previous employment history and placing form into the personnel file. Due: Completed at time of inspection Source: FL DCF CARES inspection 2026-05-11. View official inspection document (report 08f23504-c82d-4c59-b613-9b8daabed3ae)

44. (44-02)

Documentation of Level 2 Clearinghouse screening clearance was missing for child care personnel. CCF Handbook, Section 7.4.1,C (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Comments: Documentation of Level 2 Clearinghouse screening clearance was missing for one childcare personnel. DCF Handbook, Section 7.4.1,C (Section 2.1 Health and Safety, Page 3) A copy of the eligible results, for the Level 2 screening, generated from the Clearinghouse must be on record for each personnel. If awaiting Out-of-State criminal history results, a copy of the DCF email informing of the individuals eligibility for a provisional hire status must be in the personnel file The provider achieved compliance by printing the background form and placing it into the personnel file. Due: Completed at time of inspection Source: FL DCF CARES inspection 2026-05-11. View official inspection document (report 08f23504-c82d-4c59-b613-9b8daabed3ae)

43. Personnel Records CCF Handbook, Section 7.4 CCF Handbook, Section 7.4 (Form DEL-SR-6200A) (43-04)

The personnel/ volunteer (ten hours or more per month) record did not include a CF-FSP 5337 Child Abuse and Neglect Reporting Requirements form signed annually. CCF Handbook, Section 7.4, C (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Comments: The personnel/ volunteer (ten hours or more per month) record did not include a CF-FSP 5337 Child Abuse and Neglect Reporting Requirements form signed annually. DCF Handbook, Section 7.4, C (Section 2.1 Health and Safety, Page 3 )A signed CF-FSP Form 5337, Child Abuse &Neglect Reporting Requirements form. CF-FSP Form 5337 is incorporated by reference in paragraph in 65C-22.001(7)(l), F.A.C., must be signed on or before hire date and annually thereafter by all childcare personnel. The provider achieved compliance by completing form on site and placing it into the personnel file. 44. Background Screening Documents CCF Handbook, Section 7.4.1 CCF Handbook, Section 7.4.1 (Form DEL-SR-6200A) Noncompliance Due: Completed at time of inspection Source: FL DCF CARES inspection 2026-05-11. View official inspection document (report 08f23504-c82d-4c59-b613-9b8daabed3ae)

39. Medication CCF Handbook, Section 6.5 CCF Handbook, Section 6.5 (Form DEL-SR-6200A) (39-05)

The label on the prescription medication did not have the required information in that it did not include [Doctor's informatiuon/ dosage information.]. CCF Handbook, Section 6.5, C (Section 2.1 Health and Safety, Page 3) Health Requirements [SR] Comments: One medication did not have prescription box. Please contact parent to get doctor's prescription box for medication send a picture of completed medication in box to licensing office via email by June 9, 2025. Per DCF Handbook Section 6.5, 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. RECORD KEEPING Not Applicable Comments School Age 40. Immunization Records CCF Handbook, Section 7.1 CCF Handbook, Section 7.1 (Form DEL-SR-6200A) Not Applicable Not Applicable Comments School Age 41. Student Health and Records CCF Handbook, Section 7.2 CCF Handbook, Section 7.2 (Form DEL-SR-6200A) Not Applicable Compliance Comments 43 children files monitored. Files A-Z monitored 42. 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 Source: FL DCF CARES inspection 2025-05-09. View official inspection document (report 20726b19-df26-456a-b1f5-cb2635785fa2)

44. (44-06)

The Child Care Attestation of Good Moral Character was not completed at the time of initial screening or upon change in employers. CCF Handbook, Section 7.4.1, B (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Comments: Seven employees did not have attestation of Good Moral character completed in personnel file. Per DCF Handbook Section 7.4.1, B CF Form 1649A, Child Care Attestation of Good Moral Character, which is incorporated by reference in 65C-22.001(7)(a), F.A.C., must be completed for all childcare personnel at the time of initial screening or upon change in employers. CF Form 1649A may be obtained from the Departments website at www.myflfamilies.com/childcare. Please complete form for all personnel. Once completed send via email to the licensing office by June 9, 2025. Source: FL DCF CARES inspection 2025-05-09. View official inspection document (report 20726b19-df26-456a-b1f5-cb2635785fa2)

44. (44-02)

Documentation of Level 2 Clearinghouse screening clearance was missing for child care personnel. CCF Handbook, Section 7.4.1,C (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Comments: Current employees did not undergo a background screening through the Clearinghouse, but they do have a background with the Walton County School District. Per DCF Handbook Section 7.4.1,C A copy of the eligible results, for the Level 2 screening, generated from the Clearinghouse must be on record for each personnel. If awaiting Out-of-State criminal history results, a copy of the DCF email informing of the individuals eligibility for a provisional hire status must be in the personnel file. Please complete background checks for all current personnel by 5/23/25. Once completed please send via email to the licensing office. Due: 6/9/2025 Source: FL DCF CARES inspection 2025-05-09. View official inspection document (report 20726b19-df26-456a-b1f5-cb2635785fa2)

44. (44-01)

A complete CF-FSP Form 5131, Background Screening and Personnel File Requirements, was not on file for all employees. CCF Handbook, Section 7.4.1, A (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Comments: Five employees did not have Clearinghouse background checks. Per DCF Handbook Background Section 7.4.1, A screening documentation must be maintained for all childcare personnel as defined by Section 402.302(3), F.S., which includes household members if the facility is located in or adjacent to the home of the operator. Background screening documentation must be on-site and available for the licensing authority to review. Please complete background check for all five personnel. Once completed send documents via email to licensing office by June 9, 2025. Source: FL DCF CARES inspection 2025-05-09. View official inspection document (report 20726b19-df26-456a-b1f5-cb2635785fa2)

43. Personnel Records CCF Handbook, Section 7.4 CCF Handbook, Section 7.4 (Form DEL-SR-6200A) (43-04)

The personnel/ volunteer (ten hours or more per month) record did not include a CF-FSP 5337 Child Abuse and Neglect Reporting Requirements form signed annually. CCF Handbook, Section 7.4, C (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Comments: The seven personnel did not have current Child Abuse and Neglect forms. Per DCF Handbook Section 7.4, C (Section 2.1 Health and Safety, Page 3) The personnel/ volunteer (ten hours or more per month) record did not include a CF-FSP 5337 Child Abuse and Neglect Reporting Requirements form signed annually. Please submit Child abuse and neglect forms to licensing office via email by June 9, 2025. 44. Background Screening Documents CCF Handbook, Section 7.4.1 CCF Handbook, Section 7.4.1 (Form DEL-SR-6200A) Noncompliance Due: 6/9/2025 Source: FL DCF CARES inspection 2025-05-09. View official inspection document (report 20726b19-df26-456a-b1f5-cb2635785fa2)

43. Personnel Records CCF Handbook, Section 7.4 CCF Handbook, Section 7.4 (Form DEL-SR-6200A) (43-01)

Personnel records or copies of records were not being maintained at the facility and available for review by the licensing authority. CCF Handbook, Section 7.4 (Section 2.1 Health and Safety, Page 3) Record Keeping [SR] Comments: Per DCF Handbook, Section 7.4 (Section 2.1 Health and Safety, Page 3) Records must be maintained and kept current on all child care personnel, as defined by Section 402.302(3), F.S. These records shall be on-site, available for review by the licensing authority. Please complete all personnel files for all current employees. Once completed please send via email to the licensing office by June 9, 2025. Due: 6/9/2025 Source: FL DCF CARES inspection 2025-05-09. View official inspection document (report 20726b19-df26-456a-b1f5-cb2635785fa2)

36. (36-08)

The facility did not have at least one child care personnel who had current first aid training in each classroom/room/designated space, or outdoor area occupied by children. CCF Handbook, Section 4.2.4, A (Section 2.1 Health and Safety, Page 3) Health Requirements [SR] Comments: The facility did not have at least one childcare personnel who had current first aid training in each classroom/room/designated space, or outdoor area occupied by children. Per DCF Handbook, Section 4.2.4 A, one childcare personnel with current and valid certificate(s) of course completion for first aid training and one childcare personnel with current and valid certificate of course completion for pediatric cardiopulmonary resuscitation (CPR) procedures must be present at all times that children are in care. The same childcare personnel may satisfy both requirements. Documentation of first aid training must be kept on file and available for licensing to review. 37. Emergency Telephone Numbers CCF Handbook, Section 6.3 CCF Handbook, Section 6.3 (Form DEL-SR-6200A) Compliance 38. Accident/ Incident Notification and Documentation CCF Handbook, Section 6.3 & 6.4 CCF Handbook, Section 6.3 & 6.4 (Form DEL-SR-6200A) Compliance Due: 6/9/2025 Source: FL DCF CARES inspection 2025-05-09. View official inspection document (report 20726b19-df26-456a-b1f5-cb2635785fa2)

35. (35-02)

Documentation of pediatric cardiopulmonary resuscitation certification was not on file for child care personnel. CCF Handbook Section 4.2.4, A (Section 2.1 Health and Safety, Page 3) Health Requirements [SR] Comments: None of the personnel on site had CPR training. Per DCF Handbook Section 4.2.4, A One child care personnel with current and valid certificate(s) of course completion for first aid training and one child care personnel with current and valid certificate of course completion for pediatric cardiopulmonary resuscitation (CPR) procedures must be present at all times that children are in care. The same child care personnel may satisfy both requirements. Documentation of first aid training must be kept on file and available for licensing to review. Please complete CPR training and send current CPR cards via email to the licensing office by June 9, 2025. 36. First Aid Requirements CCF Handbook, Section 4.2.4 and 6.2 CCF Handbook, Section 4.2.4 and 6.2 (Form DEL-SR-6200A) Noncompliance Source: FL DCF CARES inspection 2025-05-09. View official inspection document (report 20726b19-df26-456a-b1f5-cb2635785fa2)

33. Training Requirements CCF Handbook, Section 4 CCF Handbook, Section 4 (Form DEL-SR-6200A) (33-07)

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: Seven personnel did not complete preservice training. DCF Handbook Section 3.1 and 3.2 Training Requirements, Page 7 Childcare personnel must begin training within 90 days of employment and successfully complete the Departments training within 12 months from the date training begins. Training taken prior to employment in the childcare industry does not constitute begin training. The begin training timeframe begins at the time of employment in the childcare industry. Training completion may not exceed 15 months from the date of employment in the childcare industry in any licensed Florida childcare facility. This may be accomplished by classroom attendance in a department-approved training course, acquiring an educational exemption from a department-approved training course, beginning a department-approved online childcare training course, or by receiving results from a department-approved competency examination. The childcare program is responsible for obtaining training documentation from childcare personnel. Please complete trainings and send transcripts to licensing office by June 9, 2025. HEALTH REQUIREMENTS 34. Communicable Disease Control CCF Handbook, Section 6.1 CCF Handbook, Section 6.1 (Form DEL-SR-6200A) Compliance 35. CPR Requirements CCF Handbook, Section 4.2.4 CCF Handbook, Section 4.2.4 (Form DEL-SR-6200A) Noncompliance Due: 6/9/2025 Source: FL DCF CARES inspection 2025-05-09. View official inspection document (report 20726b19-df26-456a-b1f5-cb2635785fa2)

33. Training Requirements CCF Handbook, Section 4 CCF Handbook, Section 4 (Form DEL-SR-6200A) (33-03)

Child care personnel, including volunteers who work 10 hours or more per month did not complete the required in-service training during the states fiscal year beginning July 1 and ending June Comments: Seven personnel did not complete Inservice training. Documentation of the in-service training requirement must be recorded on CFFSP Form 5268, Child Care In-Service Training Record, which is incorporated by reference in 65C-22.001(7)(i), F.A.C., and included in the childcare facilitys personnel records. CF-FSP Form 5268 may be obtained from the Departments website at www.myflfamilies.com/childcare. A new in-service training record is required each fiscal year. The in-service training records for the previous two fiscal years must also be maintained at the childcare facility for review by the licensing authority. Childcare personnel not in compliance with the annual in-service training requirement described in this section must complete the remaining in-service training requirement within 30 days of the noncompliance finding by the licensing authority. These hours cannot be used to meet the current years Inservice training requirements. Please complete trainings by June 9, 2025. Send transcripts to licensing office via email. Source: FL DCF CARES inspection 2025-05-09. View official inspection document (report 20726b19-df26-456a-b1f5-cb2635785fa2)