Mirelda Avila-Cobas Family Day Care Home

33. Enrollment Information/Daily Attendance FDCH/LFCCH Handbook, Section 8.3 & 8.4 (33-05)

The home did not maintain documentation that the parent(s) or legal guardian(s) of each child were provided information detailing the causes, symptoms, and transmission of the influenza virus annually during the months of August through September in that [3 of 4 children's files. ]. FDCH/LFCCH Handbook, Section 8.3, E Comments: During the inspection, the Licensing Specialist observed 3 of 4 childrens files were missing up-to-date, signed influenza brochures. 8.3 Enrollment Information E. Annually, during the months of August and September, the home must provide parents/guardians with information detailing the causes, symptoms, and transmission of the influenza virus. To assist providers, the Department developed a brochure, CF 175-70, June 2009, Influenza Virus, Guide to Parents, incorporated by reference in 65C-22.001(7)(n), F.A.C., which may be obtained from the Departments website at www.myflfamilies.com/childcare. Due: 5/10/2026 Source: FL DCF CARES inspection 2026-04-10. View official inspection document (report 0473aa00-3931-4be2-a543-fde71ae546c2)

33. Enrollment Information/Daily Attendance FDCH/LFCCH Handbook, Section 8.3 & 8.4 (33-10)

The home did not maintain documentation that the parent(s) or legal guardian(s) of each child were provided information regarding the potential for distracted adults to fail to drop off a child and leave them in the car annually during the months of April and September in that [3 of 4 children's files.].FDCH/LFCCH Handbook, Section 8.3, G Comments: During the inspection, the Licensing Specialist observed that two childrens files were missing up-to-date, signed Distracted Adult Brochures, and one childs file contained a brochure that had expired. During the inspection, the Licensing Specialist provided Technical Assistance (TA) per FDCH Handbook: 8.3 Enrollment Information G. Annually, during the months of April and September, the operator must provide parents with information regarding the potential for distracted parents to fail to drop off a child at the family day care home or the large family child care home and instead leave them in the adults vehicle upon arrival at the adults destination.CF/PI 175-12, brochure, which is incorporated by reference in 65C-22.001(7)(x), F.A.C. and may be obtained from the Departments website at www.myflfamilies.com/childcare. ENFORCEMENT Due: 5/10/2026 Source: FL DCF CARES inspection 2026-04-10. View official inspection document (report 0473aa00-3931-4be2-a543-fde71ae546c2)

16. Appropriate, Safe and Sanitary Bedding FDCH/LFCCH Handbook, Section 7.8 (16-02)

The bedding available was not safe and poses a threat to the health, safety or well-being of a child in care. FDCH/LFCCH Handbook, Section 7.8, A, B and D Comments: During the inspection, the Licensing Specialist observed that blankets, toys, and baby towels were placed inside cribs while infants were sleeping. During the inspection, the Licensing Specialist provided TA per FDCH Handbook "7.8 Appropriate, Safe and Sanitary Bedding B. All personnel that care for infants must follow safe sleep practices as recommended by the American Academy of Pediatrics (AAP) as referenced in Caring for Our Children Basics Health and Safety Foundations for Early Care and Education, which is incorporated by reference in 65C-22.001(7)(v), F.A.C. Cribs, play yards, and playpens used for infants must have tight fitting sheets and no excess bedding, which includes but is not limited to: bumper pads, hanging mobiles, quilts, comforters, receiving blankets, pillows, stuffed animals and cushions. D. Children must not be placed in the cribs, playpens, play yards or other sleeping and napping bedding with items that could pose a strangulation or suffocation risk. Cribs, playpens, play yards other napping and sleeping bedding being used by a child must be placed a minimum of 18 inches away from window blinds, draperies or any window treatment/cover that pose a strangulation hazard." During the inspection, this has been resolved. The Operator removed blankets, toys and baby towels from the cribs. Source: FL DCF CARES inspection 2025-09-16. View official inspection document (report 7dd3da72-f495-431c-9fe0-14b915f00ed9)

16. Appropriate, Safe and Sanitary Bedding FDCH/LFCCH Handbook, Section 7.8 (16-13)

A napping or sleeping infant that is not capable of rolling over on their own was observed not positioned on their back and on a firm surface, or was swaddled, and the provider did not have written authorization for an alternate sleep position from a physician in the childs record.FDCH/LFCCH Handbook, Section 7.8, E Comments: During the inspection, the Licensing Specialist observed one infant was sleeping while swaddled. The Operator confirmed that she did not have written documentation of a physicians authorization for the use of the swaddle. During the inspection, the Licensing Specialist provided TA per FDCH Handbook "7.8 Appropriate, Safe and Sanitary Bedding E. When napping or sleeping, young infants who are not capable of rolling over on their own shall be positioned on their back and on a firm surface to reduce the risk of Sudden Infant Death Syndrome (SIDS), unless an alternative position is authorized in writing by a physician. Sleep sacks that fit according to manufacturers recommendations, do not restrict the infants arms, and will not slide up around the infants face may be used for the comfort of the sleeping infant; however, swaddling shall not be used unless authorized in writing by the childs physician. Written documentation of a physicians authorization shall be maintained in the childs record. Documentation must include the childs name, childs date of birth, description of sleep position required, instructions for the use of any equipment needed, and length of time authorization is valid." During the inspection, this has been resolved. The Operator removed the swaddle from the infant. Source: FL DCF CARES inspection 2025-09-16. View official inspection document (report 7dd3da72-f495-431c-9fe0-14b915f00ed9)

16. Appropriate, Safe and Sanitary Bedding FDCH/LFCCH Handbook, Section 7.8 (16-14)

A minimum distance of 18 inches was not maintained around each individual napping space. FDCH/LFCCH Handbook, Section 7.8, M Comments: During the inspection, the Licensing Specialist observed that the required minimum distance of 18 inches between children's napping spaces was not maintained. The two sleeping mats were placed contact with each other. During the inspection, the Licensing Specialist provided TA per FDCH Handbook "7.8 Appropriate, Safe and Sanitary Bedding M. Napping spaces shall not be under furniture, against furniture that may create a hazard, or blocking exit routes. A minimum distance of 18 inches must be maintained around individual napping spaces, except a maximum of two sides of a napping space may be against a solid barrier, such as a wall. The solid side of a crib does not meet the requirement of a solid barrier." During the inspection, this has been resolved. The Operator replaced the sleeping mats and ensured that the minimum 18-inch spacing requirement was met. Due: Completed at time of inspection Source: FL DCF CARES inspection 2025-09-16. View official inspection document (report 7dd3da72-f495-431c-9fe0-14b915f00ed9)

19. (19-04)

The home did not have an operable corded telephone available during hours of operation.FDCH/LFCCH Handbook, Section 7.12, A Comments: During the inspection, the Licensing Specialist observed that the family day care home didn't have an operable corded telephone. During the inspection, the Licensing Specialist provided Technical Assistance (TA) per FDCH Handbook " Telephone, Lighting, Temperature and Ventilation A. The home shall have at least one operable corded telephone." Compliance Comments During the inspection, the Operator advised that she is a Food Program participant providing meals and snacks to the children that are in care. Source: FL DCF CARES inspection 2025-09-16. View official inspection document (report 7dd3da72-f495-431c-9fe0-14b915f00ed9)

25. Emergency Information FDCH/LFCCH Handbook, Section 7.20 (25-04)

The operator did not have a written plan for reporting and managing any incident or unusual occurrence that is threatening to the health, safety, or welfare of the children or child care personnel to the licensing authority. FDCH/LFCCH Handbook, Section 7.20, H Comments: During the inspection, the Licensing Specialist observed that the emergency plan was not posted out. The Operator advised the Licensing Specialist that she didn't have a written emergency plan. During the inspection, the Licensing Specialist provided TA per FDCH Handbook "7.20 Emergency Procedures and Notification The operator shall have a procedure for responding when an immediate emergency medical response is required. Emergency procedures must be posted and readily accessible. The operator shall develop contingency plans for emergencies or disaster situations when it may not be possible to follow standard emergency procedures. All child care personnel must be trained to manage in an emergency. A. Emergency telephone numbers (including ambulance, fire, police, poison control center, Florida Abuse Hotline, the county public health unit); the homes address, and directions to the home (including major intersections and local landmarks) must be posted on or near all telephones and shall be used to protect the health, safety and well-being of any child in care. B. To meet the immediate needs of the child, child care personnel shall call 911 or other emergency numbers in the event of an emergency. C. Custodial parents or legal guardian shall be notified immediately in the event of any serious illness, accident, injury or emergency involving their child and their specific instructions regarding action to be taken under such circumstances shall be obtained and followed. If the custodial parent or legal guardian cannot be reached, child care personnel must contact those persons designated by the custodial parent or legal guardian to be contacted under these circumstances and shall follow the written instructions provided by the custodial parent or legal guardian. D. All accidents, incidents or unusual occurrences that are threatening to the health, safety, or welfare of a child, and observed health related signs and symptoms, which occur at a home, on field trips or during transportation, must be documented on the day they occur. Documentation shall include the name of the affected party, date and time of occurrence, description of occurrence, actions taken, and signature of operator and custodial parent or legal guardian. This documentation must be shared with the custodial parent or legal guardian on the date of occurrence. E. Records of accidents, incidents, and observed health related signs and symptoms must be maintained for 12 months. F. If the parent or legal guardian does not pick up the child on the date of occurrence of the accident or incident, the individual authorized to pick up the child must sign and be provided a copy of the accident/incident form. G. After the occurrence of an incident that involved the serious injury or death of a child, the operator must notify the licensing authority immediately in order for the licensing authority to ensure health standards are met for continued operation as a family day care home. H. The home must have a written plan for reporting and managing any incident or unusual occurrence that is threatening to the health, safety, or welfare of the children or child care personnel to the licensing authority. The following types of incidents must be addressed: 1. Lost or missing child; 2. Suspected maltreatment of a child; 3. Injuries or illness requiring hospitalization or emergency treatment; 4. Death of child or child care personnel; 5. Presence of a threatening individual who attempts or succeeds in gaining entrance to the home" Due: 9/23/2025 Source: FL DCF CARES inspection 2025-09-16. View official inspection document (report 7dd3da72-f495-431c-9fe0-14b915f00ed9)