Lily's Daycare LLC

32. (32-02)

The Florida Certificate of immunization was not acceptable in that: [ the form was not current (expired)]. FDCH/LFCCH Handbook, Section 8.1, A and B (Section 2.1 Health and Safety, Page 3) Children's Records [SR] Comments: During the time of the inspection, the Licensing Specialist observed 1 child had expired immunization records. During the time of the inspection, the Licensing Specialist provided technical assistance, per the FDCH Handbook:A. The operator is responsible for obtaining for each child in care a current, complete and properly executed Florida Certification of Immunization form, Parts A-1, B, and/or C, DH 680 (July 2010), or the Religious Exemption from Immunization form, DH 681 (July 2008), which are incorporated herein by reference in 65C-22.001(7)(o) and (p), F.A.C., from the custodial parent or legal guardian, within 30 days of enrollment. DH Form 680 and DH Form 681 may be obtained from the local health department. The parent/guardian of a child who has not received the age-appropriate immunizations prior to enrollment and who does not have documented medical or religious exemptions from routine childhood immunizations should provide documentation of a scheduled appointment or arrangement to receive immunizations. Providers must include a general statement in parent handbook/policies to inform parents/guardians, at time of enrollment, that some children in care may not have current immunizations. B. If the custodial parents or legal guardians fail to provide the above required documentation within 30 days of enrollment, the home shall not allow the child to remain in the program. C. Immunizations received out-of-state are acceptable; however, immunizations must be documented on the Florida Certification of Immunization form and must be signed by a physician practicing in the State of Florida. D. Providers may receive additional information on immunization requirements by obtaining the most current edition of the Immunization Guidelines Florida Schools, Child Care Facilities and Family Day Care Homes as referenced in Rule 64D-3.011, F.A.C. E. It is recommended that child care personnel are current with all immunizations routinely recommended for adults by the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC), 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. 33. Health Records FDCH/LFCCH Handbook, Section 8.2 FDCH/LFCCH Handbook, Section 8.2 (Form DEL-SR-6200A) Compliance Compliance Comments During the inspection, the Operator advised the Licensing Specialist that there are currently 10 children enrolled. During the inspection, the Licensing Specialist reviewed 10 of the 10 childrens files. 34. Enrollment Information/ Daily Attendance FDCH/LFCCH Handbook, Section 8.3 & 8.4 FDCH/LFCCH Handbook, Section 8.3 & 8.4 (Form DEL-SR-6200A) Compliance ENFORCEMENT Due: 6/22/2026 Source: FL DCF CARES inspection 2026-05-20. View official inspection document (report b8bff7de-c622-44ac-b8c9-2b36461ef34a)

17. Appropriate, Safe and Sanitary Bedding FDCH/LFCCH Handbook, Section 7.8 (17-02)

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 Health Requirements [SR] Comments: During the time of the inspection, the Licensing Specialist observed a 6-month old in a crib using a pillow, blanket, pacifier with cord attatched, and wearing a bib. During the time of the inspection, this was resolved by the operator removing all items from the crib only leaving the infant and the pacifier (no cord attatched) During the time of the inspection, the Licensing Specialist provided technical assistance, per the LFCCH Handbook:A. A home must include a designated area where each child can sit quietly or lie down to rest or nap. Each child in care must be provided safe and sanitary bedding to be used when napping or sleeping. Linens must be washed at least once a week and more often if soiled or dirty. All bedding and linens must be thoroughly cleaned and sanitized at least once a week and before use by another child. Bedding and linens, when not in use, must be stored in a sanitary manner which prevents the spread of germs or lice from other linens. 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." 18. Vermin/Pest Control FDCH/LFCCH Handbook, Section 7.9 Not Monitored Compliance Comments During the time of the inspection, the Licensing Specialist observed an accordion style door was installed in the bathroom to seperate storage. Source: FL DCF CARES inspection 2025-09-10. View official inspection document (report 7406eb64-985a-490b-8b1a-34dc50ad7df3)

19. (19-06)

Toys, equipment and/or furnishings were not maintained in a sanitary condition and not cleaned and sanitized or disinfected immediately following exposure to bodily fluids. FDCH/LFCCH Handbook, Section 7.10, C (Section 2.1 Health and Safety, Page 3) Health Requirements [SR] Comments: During the time of the inspection, the Licensing Specialist observed toys, art supplies, and general daycare storage in the bathroom tub next to the toilet. Only a shower curtain and a mesh gate separated the storage items from the rest of the bathroom. During the time of the inspection, the Licensing Specialist provided technical assistance, per the LFCCH Handbook: C. Toys, equipment, and furnishings must be safe and maintained in a sanitary condition. The program must follow a routine schedule of cleaning, sanitizing and disinfecting toys, equipment, and furnishings. These items must be cleaned and sanitized or disinfected immediately or prior to another childs use if exposed to bodily fluids, such as saliva. Homes must have a written routine schedule for cleaning, sanitizing and disinfecting equipment, materials, furnishings, and play areas. This schedule must include items to be cleaned, sanitized or disinfected on a daily or weekly basis. Daily indoor equipment items include but are not limited to: counter/table tops, toys, floors, diaper pails, toilets, and sinks. Weekly indoor equipment items include but are not limited to: linens, machine washable cloth toys, play activity centers, dress- up clothes, cribs, mats, and cots." Compliance Comments During the inspection, the smoke detector was tested and was operational. The fire extinguisher certification is valid until 4-2026. During the inspection, the Operator had an operational corded phone. The last approved fire inspection is dated 5-19-25. 20. Smoke Detector, Fire Extinguisher, Telephone, Lighting, Temperature and Ventilation FDCH/LFCCH Handbook, Sections 7.11 & 7.12 FDCH/LFCCH Handbook, Sections 7.11 & 7.12 (Form DEL-SR-6200A) Compliance Source: FL DCF CARES inspection 2025-06-04. View official inspection document (report 87aabd66-8573-44de-b973-50d0770c9e48)

29. (29-11)

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 4 staff did not have documentation on the required annual refresher education of the homes 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." 30. Medication FDCH/LFCCH Handbook, Section 7.24 FDCH/LFCCH Handbook, Section 7.24 (Form DEL-SR-6200A) Compliance 31. Documentation of Dispensed Medication FDCH/LFCCH Handbook, Section 7.24 FDCH/LFCCH Handbook, Section 7.24 (Form DEL-SR-6200A) Compliance Source: FL DCF CARES inspection 2025-06-04. View official inspection document (report 87aabd66-8573-44de-b973-50d0770c9e48)

32. (32-02)

The Florida Certificate of immunization was not acceptable in that: [ the form was not current (expired)]. FDCH/LFCCH Handbook, Section 8.1, A and B (Section 2.1 Health and Safety, Page 3) Children's Records [SR] Comments: During the time of the inspection, the Licensing Specialist observed 1 child with expired immunization records. During the time of the inspection, the Licensing Specialist provided technical assistance, per the FDCH Handbook: A. The operator is responsible for obtaining for each child in care a current, complete and properly executed Florida Certification of Immunization form, Parts A-1, B, and/or C, DH 680 (July 2010), or the Religious Exemption from Immunization form, DH 681 (July 2008), which are incorporated herein by reference in 65C-22.001(7)(o) and (p), F.A.C., from the custodial parent or legal guardian, within 30 days of enrollment. DH Form 680 and DH Form 681 may be obtained from the local health department. The parent/guardian of a child who has not received the age-appropriate immunizations prior to enrollment and who does not have documented medical or religious exemptions from routine childhood immunizations should provide documentation of a scheduled appointment or arrangement to receive immunizations. Providers must include a general statement in parent handbook/policies to inform parents/guardians, at time of enrollment, that some children in care may not have current immunizations. B. If the custodial parents or legal guardians fail to provide the above required documentation within 30 days of enrollment, the home shall not allow the child to remain in the program." 33. Health Records FDCH/LFCCH Handbook, Section 8.2 FDCH/LFCCH Handbook, Section 8.2 (Form DEL-SR-6200A) Compliance Compliance Comments During the inspection, the Operator advised the Licensing Specialist that there are currently 12 children enrolled. During the inspection, the Licensing Specialist reviewed 12 of the 12 childrens files. 34. Enrollment Information/ Daily Attendance FDCH/LFCCH Handbook, Section 8.3 & 8.4 FDCH/LFCCH Handbook, Section 8.3 & 8.4 (Form DEL-SR-6200A) Compliance ENFORCEMENT 35. Access to the Premises/ Misrepresentation FDCH/LFCCH Handbook, Section 9.1 FDCH/LFCCH Handbook, Section 9.1 (Form DEL-SR-6200A) Compliance 36. Child Safety FDCH/LFCCH Handbook, Section 9.2 FDCH/LFCCH Handbook, Section 9.2 (Form DEL-SR-6200A) Compliance Source: FL DCF CARES inspection 2025-06-04. View official inspection document (report 87aabd66-8573-44de-b973-50d0770c9e48)