Regina Butler Large Family Childcare Home

03. (03-07)

An annual Attestation of Good Moral Character stating that the individual had not been convicted of specific crimes was not on file. Comments: An Affidavit of Good Moral Character was not available for review for the household member J.J. Technical Assistance: A current affidavit of good moral character must be available for all staff and household members 18 years and older. Per discussion with the Operator, the Affidavit on file with the DOH will be e-mailed to the Operator to maintain on file. Compliance Comments Observed all staff trainings in compliance at the time of the inspection. Training logs for the 2024-2025 year will be monitored at the next inspection. 04. Staff Training rule 65C-20.009(1)(a), 65C-20.009(3)(d) and (e) and (4), 65C-20.013(5) and (6), F.A.C. rule 65C-20.009(1)(a), 65C-20.009(3)(d) and (e) an (Form OEL-SR-6206, Section 12.4 First Aid and Cardio Pulmonary Resuscitation, Page 25-26 and Section 17 Training Requirements, Pages 32-35) Compliance Compliance Comments Adequate supervision observed in the outdoors at the time of the inspection. 05. Indoors and Outdoors Supervision rule 65C-20.009(2)(c) and (5) and rule 65C-20.013(7), F.A.C. rule 65C-20.009(2)(c) and (5) and rule 65C-20.013( (Form OEL-SR-6206, Section 4 Supervision, Page 13) Compliance HEALTH REQUIREMENTS Not Applicable Comments No animals observed at the time of the inspection. 06. Animal Immunizations rule 65C-20.010(1)(a), F.A.C. rule 65C-20.010(1)(a), F.A.C. (Form OEL-SR-6206, Section 9 Physical Environment, Pages 17-21) Not Applicable Source: FL DCF CARES inspection 2026-04-09. View official inspection document (report 65faa939-0d17-49bc-bd06-4229189e3762)

14. (14-04)

Bottles and/or sippy cups were not labeled with the childs first and last name or another system of identification. (Section 16.4, number 4) Health Requirements [SR] Comments: At the time of the inspection, observed 2 childrens cups not labelled in the refrigerator. The Operator labelled the cups at the time of the inspection. Compliance Comments Per Opertor, Orkin conducts the pest control. 15. Vermin/Pest Control rule 65C-20.010(1)(r), F.A.C. rule 65C-20.010(1)(r), F.A.C. (Form OEL-SR-6206, Section 9 Physical Environment, Pages 17-21) Compliance 16. Furnishings and Equipment rule 65C-20.010(1)(s), (2)(d), F.A.C. rule 65C-20.010(1)(s), (2)(d), F.A.C. (Form OEL-SR-6206, Section 10 Equipment and Furnishings, Pages 21-22) Compliance Due: Completed at time of inspection Source: FL DCF CARES inspection 2026-04-09. View official inspection document (report 65faa939-0d17-49bc-bd06-4229189e3762)

21. (21-01)

A potty chair was not cleaned and sanitized or disinfected after each use (Section 9.6, number 2) Health Requirements [SR] Comments: At the time of the inspection, a potty seat or potty chair was not available for diapered children. Technical Assistance : For infants and other children in diapers, there shall be in addition at least one (1) portable infant seat or potty chair . A portable tub was observed in the childrens restroom. 22. Individual Towels and Wash Cloths rule 65C-20.010(2)(f), F.A.C. rule 65C-20.010(2)(f), F.A.C. (Form OEL-SR-6206, Section 9 Physical Environment, Page 20) Compliance Compliance Comments Observed the diapering area clean and sanitized at the time of the inspeciton. 23. Diapering Area Clean and Sanitized rule 65C-20.010(2)(g), F.A.C. rule 65C-20.010(2)(g), F.A.C. (Form OEL-SR-6206, Section 11.3 Diapering, Page 23) Compliance Compliance Comments Observed the first aid kit fully stocked at the time of the inspection. 24. First Aid Kit rule 65C-20.010(3)(a), F.A.C. rule 65C-20.010(3)(a), F.A.C. (Form OEL-SR-6206, Section 12 Health Related Requirements, Pages 25-26) Compliance Compliance Comments Observed the emergency numbers posted on the parent board. 25. Emergency Telephone Information rule 65C-20.010(3)(b)1, F.A.C. rule 65C-20.010(3)(b)1, F.A.C. (Form OEL-SR-6206, Section 14 Emergency Procedures and Notification, Page 28) Compliance Due: 5/11/2026 Source: FL DCF CARES inspection 2026-04-09. View official inspection document (report 65faa939-0d17-49bc-bd06-4229189e3762)

11. (11-12)

A resilient surface was not provided beneath and within the fall zone for [rocking toys]. (Section 10.2, number 3) Health Requirements [SR] Comments: At the time of the inspection, observed 3 rocking toys on the outdoor play area. The toys were on artificial grass, however, there was no padding under the artificial grass. The Operator removed the toys at the time of the inspection. T.A - Resilient surfacing must be available on the fall zones of equipment. Not Applicable Comments At the time of the inspection, no swimming pools were observed on site. 12. Swimming Pools rule 65C-20.010(1)(i)(j), F.A.C. rule 65C-20.010(1)(i)(j), F.A.C. (Form OEL-SR-6206, Section 9 Physical Environment, Pages 17-21) Not Applicable 13. Appropriate, Safe and Sanitary Bedding rule 65C-20.010(1)(k)-(o), F.A.C. rule 65C-20.010(1)(k)-(o), F.A.C. (Form OEL-SR-6206, Section 9.4 Nap and Sleep Space(s)/Safe Sleep Practices, Pages 19-20 and Section 11.4 Bedding and Linens, Pages Compliance 14. Drinking Water and Single Service Disposables rule 65C-20.010(1)(p)(q), F.A.C. rule 65C-20.010(1)(p)(q), F.A.C. (Form OEL-SR-6206, Section 16 Food and Nutrition, Pages Compliance Compliance Comments Per Operator, pest control is conducted by the Orkin Man. 15. Vermin/Pest Control rule 65C-20.010(1)(r), F.A.C. rule 65C-20.010(1)(r), F.A.C. (Form OEL-SR-6206, Section 9 Physical Environment, Pages 17-21) Compliance 16. Furnishings and Equipment rule 65C-20.010(1)(s), (2)(d), F.A.C. rule 65C-20.010(1)(s), (2)(d), F.A.C. (Form OEL-SR-6206, Section 10 Equipment and Furnishings, Pages 21-22) Compliance 17. Smoke Detector, Fire Extinguisher, Corded Telephone, Lighting, Temperature and Ventilation rule 65C-20.010(1)(s), F.A.C. rule 65C-20.010(1)(s), F.A.C. (Form OEL-SR-6206, Section 9 Physical Environment, Pages 17-21 and Section 13.1 Fire Noncompliance Source: FL DCF CARES inspection 2025-09-04. View official inspection document (report d81514e0-67e1-4ccb-95ba-771fa100ecfa)

17. (17-02)

The large family child care home did not have an operable corded telephone or the only phone available was portable or cellular. (Section 13.1, number 3) Health Requirements [SR] Comments: At the time of the inspection, observed a corded phone, however, the landline was not working. T.A -Please be advised that a working landline is required in the event of an emergency. Informed the Operator that a satisfactory inspection is required for the renewal of the license. In the event, the violation is not corrected by the expiration of the license, the Operator will have to appear before the CCAC to be issued a provisional license. Due: 9/26/2025 Source: FL DCF CARES inspection 2025-09-04. View official inspection document (report d81514e0-67e1-4ccb-95ba-771fa100ecfa)

17. (17-03)

Lighting in the home was not sufficient in that [lighting measured 9.1ftc.]. (Section 9.1) Health Requirements [SR] Comments: At the time of the inspection, observed the lighting measured 9.1ftc in the daycare room. T.A - Please be advised that sufficient lighting is required. Informed the Operator that a satisfactory inspection is required for the renewal of the license. In the event, the violation is not corrected by the expiration of the license, the Operator will have to appear before the CCAC to be issued a provisional license. 18. Nutritious Meals and Snacks Provided rule 65C-20.010(1)(t), F.A.C. rule 65C-20.010(1)(t), F.A.C. (Form OEL-SR-6206, Section 16.1 Food Hygiene, Page 30) Compliance 19. Handwashing rule 65C-20.010(2)(a) and (d)-(f), F.A.C. rule 65C-20.010(2)(a) and (d)-(f), F.A.C. (Form OEL-SR-6206, Section 11 Health and Sanitation, Page 23-24) Compliance 20. Soiled Items rule 65C-20.010(2)(b), F.A.C. rule 65C-20.010(2)(b), F.A.C. (Form OEL-SR-6206, Section 11 Health and Sanitation, Page 23-24) Compliance 21. Potty Chairs Cleaned and Sanitized rule 65C-20.010(2)(c), F.A.C. rule 65C-20.010(2)(c), F.A.C. (Form OEL-SR-6206, Section 11 Health and Sanitation, Page 23-24) Compliance 22. Individual Towels and Wash Cloths rule 65C-20.010(2)(f), F.A.C. rule 65C-20.010(2)(f), F.A.C. (Form OEL-SR-6206, Section 9 Physical Environment, Page 20) Compliance 23. Diapering Area Clean and Sanitized rule 65C-20.010(2)(g), F.A.C. rule 65C-20.010(2)(g), F.A.C. (Form OEL-SR-6206, Section 11.3 Diapering, Page 23) Compliance Compliance Comments At the time of the inspection, the first aid kit was fully stocked. 24. First Aid Kit rule 65C-20.010(3)(a), F.A.C. rule 65C-20.010(3)(a), F.A.C. (Form OEL-SR-6206, Section 12 Health Related Requirements, Pages 25-26) Compliance Compliance Comments Emergency telephone numbers posted in the day care area. 25. Emergency Telephone Information rule 65C-20.010(3)(b)1, F.A.C. rule 65C-20.010(3)(b)1, F.A.C. (Form OEL-SR-6206, Section 14 Emergency Procedures and Notification, Page 28) Compliance Due: 9/26/2025 Source: FL DCF CARES inspection 2025-09-04. View official inspection document (report d81514e0-67e1-4ccb-95ba-771fa100ecfa)

27. (27-06)

The operator did not have a written emergency preparedness plan or the emergency preparedness plan was incomplete. (Section 13.3, number 1) Health Requirements [SR] Comments: At the time of the inspection, the lockdown procedure was not available for review as part of the emergency preparedness plan. TA- Lockdown procedure is required to be included in the emergency preparedness plan. 28. Communicable Disease Control rule 65C-20.010(4), F.A.C. rule 65C-20.010(4), F.A.C. (Form OEL-SR-6206, Section 12 Health Related Requirements, Pages 24-26) Compliance Not Applicable Comments Per Operator, medication is not currently administered. 29. Prescription and Non-Prescription Medication rule 65C-20.010(5)(a)(c)(g)(h), F.A.C. rule 65C-20.010(5)(a)(c)(g)(h), F.A.C. (Form OEL-SR-6206, Section 15 Medication, Page 29) Not Applicable 30. Documentation of Dispensed Medication rule 65C-20.010(5)(a)(b)(d)-(f), F.A.C. rule 65C-20.010(5)(a)(b)(d)-(f), F.A.C. (Form OEL-SR-6206, Section 15 Medication, Page 29) Not Applicable HEALTH RECORDS Compliance Comments At the time of the inspection, observed current immunizations and physicals. 31. Immunization Records rule 65C-20.011(1)(a) rule 65C-20.011(1)(a) (Form OEL-SR-6206, Section 18.2 Record Keeping/Childrens Files, Pages 36-38) Compliance 32. Student Health and Records rule 65C-20.011(1)(b)(c), F.A.C. and s. 402.3131, F.S. rule 65C-20.011(1)(b)(c), F.A.C. and s. 402.3131, (Form OEL-SR-6206, Section 18.2 Record Keeping/Childrens Files, Pages 36-38) Compliance Compliance Comments At the time of the inspection, observed all children's files in compliance. 33. Enrollment Information (65C-20.011(1)(b)(c) and s. 402.3131, F.A.C.) (65C-20.011(1)(b)(c) and s. 402.3131, F.A.C.) (Form OEL-SR-6206, Section 18.2 Record Keeping/Childrens Files, Pages 36-38) Compliance ENFORCEMENT 34. Access to the Premises/Misrepresentation ss. 409.319, F.S. and rule 65C-20.012(4), F.A.C. ss. 409.319, F.S. and rule 65C-20.012(4), F.A.C. (Form OEL-SR-6206, Section 19 Access and Section 20 Child Safety, Page 40) Compliance Due: 9/26/2025 Source: FL DCF CARES inspection 2025-09-04. View official inspection document (report d81514e0-67e1-4ccb-95ba-771fa100ecfa)

45. (45-02)

: The annual fire inspection showed : 7/3/2024. Source: FL DCF CARES inspection 2025-03-07. View official inspection document (report 49957423-7bba-4211-a78b-bfca071b7bde)

48. Outdoor Play Area rule 65C-20.013(11)(c)1 & 2, F.A.C. (48-03)

The home's fencing, walls or gate area had gaps that could allow children to exit the outdoor play area. Large Family [SR] Comments: Observed the outside area, the small gate that surround the play area, is not secured, there is gap/opening at the lower part of the home. 49. Outdoor Equipment rule 65C-20.010(1)(h), F.A.C. Not Monitored 50. Emergency Plan/Posted rule 65C-20.010(3)(a)4., F.A.C. Not Monitored 51. Child Abuse or Neglect/Misrepresentation ss. 402.319, F.S. and rule 65C-20.010(7), F.A.C. Not Monitored Source: FL DCF CARES inspection 2025-03-07. View official inspection document (report 49957423-7bba-4211-a78b-bfca071b7bde)

13. Appropriate, Safe and Sanitary Bedding rule 65C-20.010(1)(k)-(o), F.A.C. (13-14)

A minimum distance of 18 inches was not maintained between each napping space. Health Requirements [SR] Comments: Observed nap time during the time of inspection, the children are sleeping on cots/ in between furniture . Also, the baby crib is close to the shelve that have item stored on top. there is not minimum of 18 inches of sleep space for the children. The provider created space during the time of inspection. Source: FL DCF CARES inspection 2025-02-26. View official inspection document (report c92dd77b-9b38-4828-9bf8-02e7831eeb97)

45. Fire Safety rule 65C-20.013(11)(a), F.A.C. (45-02)

The operator did not have an annual inspection for Uniform Fire Safety Standards for Child Care completed. Comments: The annual fire inspection was not current, The date showed 8/1/2023. Source: FL DCF CARES inspection 2025-02-26. View official inspection document (report c92dd77b-9b38-4828-9bf8-02e7831eeb97)

48. Outdoor Play Area rule 65C-20.013(11)(c)1 & 2, F.A.C. (48-03)

The home's fencing, walls or gate area had gaps that could allow children to exit the outdoor play area. Large Family [SR] Comments: Observed the outside area, the small gate that surround the play area, is not secured, there is gap/opening at the lower part of the home. Source: FL DCF CARES inspection 2025-02-26. View official inspection document (report c92dd77b-9b38-4828-9bf8-02e7831eeb97)