Desiree Bruce Family Day Care Home

2025

1. High riskStandard 193/25/2025

   19. (19-04)

   The home did not have an operable corded telephone available during hours of operation.FDCH/LFCCH Handbook, Section 7.12, A (Section 2.4.B.2 Health and Safety, Page 3) Health Requirements [SR] Comments: During the time of the inspection, the Licensing Specialist observed the fire extinguisher certifications are valid until 2-2026 and the smoke detector was operational. The Operator did not have an operational corded phone. During the time of the inspection, the Licensing Specialist provided technical assistance, per the FDCH Handbook: A. The home shall have at least one operable corded telephone." Compliance Comments During the inspection, the Operator advised that the facility provides meals and snacks to the children that are in care. ***The provider is a food program participant. **** 20. Nutritious Meals and Snacks Provided FDCH/LFCCH Handbook, 7.13 and 7.14 FDCH/LFCCH Handbook, 7.13 and 7.14 (Form DEL-SR-6200A) Compliance 21. Hygiene and Sanitation FDCH/LFCCH Handbook, Section 7.15 & 7.16 FDCH/LFCCH Handbook, Section 7.15 & 7.16 (Form DEL-SR-6200A) Compliance 22. Individually Labeled Towels and Wash Cloths FDCH/LFCCH Handbook, Section 7.17 FDCH/LFCCH Handbook, Section 7.17 (Form DEL-SR-6200A) Compliance Source: FL DCF CARES inspection 2025-03-25. View official inspection document (report 3e6883d5-f361-4ca6-8e2a-f87413610340)

   Not corrected
2. Medium-High riskStandard 283/25/2025

   28. (28-11)

   The home does not have documentation for all child care personnel on the required annual refresher education of the homes exposure plan. FDCH/LFCCH Handbook, Section 7.23 (Section 2.1 Health and Safety, Page 3) Health Requirements [SR] Comments: During the time of the inspection, the Licensing Specialist observed 1 personnel did not have documentation of the annual refresher of the home's exposure plan. During the time of the inspection, the Licensing Specialist provided technical assistance, per the FDCH Handbook: There are three common modes of transmission for the spread of microorganisms in child care settings: contact, droplet, and airborne. Many common infections encountered in the child care setting are transmitted by direct or indirect contact. Child care providers shall develop a written exposure plan regarding universal safety precautions, recommended by the Centers for Disease Control and Prevention (CDC), to follow in the event there is exposure to blood and potentially infectious fluids. Personnel are required to be educated on the homes exposure plan regarding standard precautions before beginning to work and annually thereafter. Written documentation that child care personnel have participated in the homes annual refresher education for the exposure plan, and understand the proper procedures in the event there is exposure to blood and potentially infectious fluids must be retained for 12 months and be available for licensing to review." 29. Medication FDCH/LFCCH Handbook, Section 7.24 FDCH/LFCCH Handbook, Section 7.24 (Form DEL-SR-6200A) Noncompliance Source: FL DCF CARES inspection 2025-03-25. View official inspection document (report 3e6883d5-f361-4ca6-8e2a-f87413610340)

   Not corrected
3. Medium-High riskStandard 293/25/2025

   29. (29-01)

   A prescription or non-prescription medication, specifically [1 tub of Aquaphor, 1 tub of A+D ointment, 1 tube of Neosporin, and 1 tube of Diaper Rash cream ], was dispensed without written authorization from the custodial parent or legal guardian. FDCH/LFCCH Handbook, Section 7.24, A and L (Section 2.1 Health and Safety, Page 3) Health Requirements [SR] Comments: During the time of the inspection, the Licensing Specialist observed 1 tub of Aquaphor, 1 tub of A+D ointment, 1 tube of Neosporin, 1 tube of Diaper Rash cream, and 1 bottle of bug spray was dispensed without written authorization from the custodial parent or legal guardian. During the time of the inspection, this was resolved by the Operator discarding the creams and bug spray. During the time of the inspection, the Licensing Specialist provided technical assistance, per the FDCH Handbook: A. The operator must have written authorization from the custodial parent or legal guardian to dispense prescription and non-prescription medications. This authorization must be dated and signed by the custodial parent or legal guardian and must contain the childs name; the name of the medication to be dispensed; and the date, time and amount of dosage to be given. This record shall be initialed or signed by the child care personnel who gave the medication. 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 personnel must never administer a medication that is prescribed for one child to another child. L. Use of diaper creams and insect repellant may only be utilized with written permission from parents/guardians. Manufacturer instructions should be followed." Source: FL DCF CARES inspection 2025-03-25. View official inspection document (report 3e6883d5-f361-4ca6-8e2a-f87413610340)

   Not corrected
4. Medium-High riskStandard 293/25/2025

   29. (29-10)

   Medication which had expired or was no longer being administered was not returned to the custodial parent or legal guardian or discarded if the child is no longer enrolled. FDCH/LFCCH Handbook, Section 7.24, I (Section 2.1 Health and Safety, Page 3) Health Requirements [SR] Comments: During the time of the inspection, the Licensing Specialist observed 1 tub of Aquaphor, 1 tub of A+D ointment, 1 tube of Neosporin, and 1 tube of Diaper Rash cream were expired. During the time of the inspection, this was resolved by the Operator discarding the creams. During the time of the inspection, the Licensing Specialist provided technical assistance, per the FDCH Handbook: I. Medication which has expired or is no longer being administered shall be returned to the custodial parent or legal guardian or discarded if the child is no longer enrolled in care at the home." 30. Documentation of Dispensed Medication FDCH/LFCCH Handbook, Section 7.24 FDCH/LFCCH Handbook, Section 7.24 (Form DEL-SR-6200A) Compliance CHILDREN'S RECORDS 31. Immunization Records FDCH/LFCCH Handbook, Section 8.1 FDCH/LFCCH Handbook, Section 8.1 (Form DEL-SR-6200A) Compliance 32. Health Records FDCH/LFCCH Handbook, Section 8.2 FDCH/LFCCH Handbook, Section 8.2 (Form DEL-SR-6200A) Compliance Compliance Comments During the time of the inspection, the Licensing Specialist monitored 4 out of 4 children's enrollment records. 33. Enrollment Information/Daily Attendance FDCH/LFCCH Handbook, Section 8.3 & 8.4 /Daily Attendance FDCH/LFCCH Handbook, Section 8.3 (Form DEL-SR-6200A) Compliance ENFORCEMENT 34. Access to the Premises/Misrepresentation FDCH/LFCCH Handbook, Section 9.1 FDCH/LFCCH Handbook, Section 9.1 (Form DEL-SR-6200A) Compliance Source: FL DCF CARES inspection 2025-03-25. View official inspection document (report 3e6883d5-f361-4ca6-8e2a-f87413610340)

   Not corrected