Type: Routine Date: 08/23/2017 Arrival/Departure Time: 03:35 PM to 06:00 PM Staff Present: 3 Children Present: 6 INSPECTION CHECKLIST

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1 Child Care Facility Information Name: Golden Triangle Learning Center of Leesburg ID Number: C05LA0202 Address: County Road 473 City: Leesburg State: FL Zip Code: Phone Number: (352) Capacity: 38 Owner/Director/Staff Responsible: Lucy Walsh Inspection Information Type: Routine Date: 08/23/2017 Arrival/Departure Time: 03:35 PM to 06:00 PM Staff Present: 3 Children Present: 6 INSPECTION CHECKLIST GENERAL REQUIREMENTS 01 License Displayed/Citation Posted/Advertising ss , , FS Compliance 02 Licensed Capacity ss (6), rule 65C-22002(3), FAC Compliance 03 Minimum Age Requirements ss (2), FS && rule 65C-22001(3), FAC Compliance In the Director absence, the staff person in charge must be at least 21 year of age 04 Ratio Sufficient ss (4), FS && rule 65C-22001(4), FAC Compliance During today s inspec on, 3 staff and 6 children were observed in the following manner: Mixed group: 2:5 (1/infant; 2/3's; 1/1's; 1/2's) 1 Volunteer was in the front office with an infant (She stated the infant is her granddaughter and she was not enrolled at the facility, Volunteer also started volunteer as today) 05 Supervision rule 65C-22001(5), 65C-22001(6), 65C-22002(4) && 65C (2), FAC Compliance Provider was given technical assistance that direct supervision is ac vely watching and direc ng children ac vi es 06 Driver's License, Physician Certification && First Aid/CPR Training rule 65C-22001(6), 65C-22006(4), FAC Not Applicable Not Applicable The facility does not provide transporta on 07 Vehicle Insurance and Inspection ss (10), FS && rule 65C-22001(6) FAC Not Applicable Not Applicable The facility does not provide transporta on 08 Seat Belts/Child Restraints ss (10), FS && rule 65C-22001(6), FAC Not Applicable Not Applicable The facility does not provide transporta on Page 1 of 9

2 09 Transportation rule 65C-22001(6), FAC Not Applicable Not Applicable The facility does not provide transporta on 10 Planned Activities ss (13), FS && rule 65C-22001(7), FAC Noncompliance The facility's written plan of scheduled activities was not followed Counselor observed that the facilities planned activities were not followed Picture taken Due Date 09/01/ The facility's plan of scheduled activities was not posted in a place accessible to the custodial parents or legal guardians Counselor observed that the facilities planned schedule activities activities were not posted anywhere in the classroom Picture taken Due Date 09/01/ Field Trip Permission rule 65C-22001(7), 65C-22001(6), FAC Not Applicable Not Applicable The facility does not provide field trips 12 Child Discipline ss (12), FS && rule 65C-22001(8), FAC Compliance 13 Discipline Policy rule 65C-22001(8), FAC Compliance Technical assistance was given to add to the facility discipline policy that "children may not be denied ac ve play as a consequence of misbehavior" During today's inspec on the counselor observed The Child Care Facility do provide wri en no fica on of the facility's disciplinary policy to parents and legal guardians PHYSICAL ENVIRONMENT 14 Facility Environment rule 65C-22002(1), 65C-22002(7) - (9), FAC Noncompliance Areas of the facility were found to be in need of cleaning Counselor observed that a big black garbage bag full of garbage was left open in the hallway of the facility and in the facility's kitchen a snack bag of goldfish cracker was open and not dated Counselor observed that the facility's infant room was not ready for the children in care because the wall was missing paint Picture taken Due Date 09/01/ A safety deficiency having a low potential for harm to the children in care was observed Counselor observed that in the infant room was a four drawer dresser that the safety locks were broken, and posted as safety deficiency also the protective covers for electrical outlet behind the crib were uncovered Picture Taken Due Date 09/01/2017 Page 2 of 9

3 Name: Golden Triangle Learning Center of Leesburg License #: C05LA Toxic Substances and Hazardous Materials rule 65C-22002(1), FAC Compliance During today's inspec on the counselor observed that all toxic and hazardous material were kept out of the reach of children 16 Supplies Labeled/Stored rule 65C-22002(1), FAC Compliance During today's inspec on the counselor observed that all cleaning supplies were labeled and stored out of the reach of children in care 17 Lighting rule 65C-22002(2), FAC Compliance 18 Temperature and Ventilation rule 65C-22002(2), FAC Compliance During today's inspec on the counselor observed temperature was maintained between 65 and 82 degrees Fahrenheit at all mes 19 Indoor Floor Space ss (6)FS, rule 65C-22002(3), 65C-22007(3)(a), 65C-22008(3), FAC Compliance 20 Outdoor Area/Square Footage ss (6), FS && rule 65C-22002(4), FAC Compliance 21 Outdoor Play Area rule 65C-22002(4), FAC Noncompliance The outdoor play area was not clean, free from litter, nails, glass or other hazards Counselor observed the grass level was high and full of weeds Picture taken Due Date 09/01/ The facility did not provide shade on the playground Counselor observed that the outdoor playground had no shade area Picture taken Due Date 09/01/ Fencing rule 65C-22002(4), FAC Compliance 23 Individual Bedding rule 65C-22002(5), 65C-22002(5), 65C-22002(10), 65C-22008(3), FAC Compliance During today's inspec on the counselor observed bedding used is sufficient and meets all requirements Page 3 of 9

4 24 Bedding and Linens rule 65C-22002(10), FAC Not Monitored Not Monitored During today inspec on, there were no children napping However, cots/mats are available for children in care 25 Nap/Sleep Space Requirements rule 65C-22002(5), FAC Not Monitored Not Monitored During today s inspec on, no children were observed napping However, provider was given technical assistance to maintain 18 inches between mats/cots 26 Exit Area Clear rule 65C-22002(5) and (7), FAC Compliance 27 Crib Requirements rule 65C-22002(5), FAC Compliance A sufficient number of cribs were observed in the infant classroom during today s inspec on The cribs observed met CPSC guidelines 28 Toilets and Sinks rule 65C-22002(6), FAC Noncompliance The facility did not adequately keep the toilet and bath facilities used by the children clean and/or sanitized or disinfected Counselor observed bathroom and toilet used by the children was not properly clean or disinfected Picture taken Due Date 09/01/ Potty Chairs rule 65C-22002(6), FAC Not Applicable Not Applicable Po y lids were used in lieu of po y chairs 30 Bath Facilities and Supervision rule 65C-22002(6), FAC Compliance Technical assistance : Children must receive supervision and care in accordance with their age and required needs, and be accounted for at all mes while bathing or toile ng 31 Bathroom Supplies and Equipment rule 65C-22002(6), FAC Compliance Bathrooms have soap, toilet paper and paper towels for use 32 Operable Phone rule 65C-22002(7), FAC Compliance Technical assistance was providing to the Director, Employees and Owners' reference having a working corded telephone available at all mes in the event of a power outage 33 Fire Drills && Emergency Preparedness rule 65C-22002(7) FAC Compliance REMINDER: Each licensure year, conduct monthly fire drills, (12) Prior to the license renewal inspec on, a nap me fire drill, an alternate exit fire drill, and a fire drill with the Counselor are required Up to three emergency drills, such as a lockdown, severe weather, bomb scare, etc, may be subs tuted for a fire drill The owner stated that they just open the facility on 8/21/2017 Page 4 of 9

5 34 Food Preparation Area 65C-22002(8), FAC Compliance The counselor provided technical assistance to staff for use of gloves, proper head covering, wear clean garments, keep all areas clean and keep waste in a leak proof nonabsorbent container with a ght fi ng lid The 3 compartment or 2 compartment sinks with hand washing sinks were observed and have the appropriate labeling for wash, sani ze, and disinfect The thermometers were observed with the appropriate temperatures in both the refrigerator and freezer Technical assistance was provided reference maintain all food inside the refrigerator labeled and dated Picture taken 35 Health and Sanitation rule 65C-22002(10), FAC Compliance During today s inspec on, a child was observed to wash his/her hands appropriately a er toile ng 36 Drinking Water Available rule 65C-22002(10), FAC Compliance 37 Sanitary Diapering rule 65C-22002(10), FAC Compliance Diapering is done on a clean, non-permeable surface All necessary supplies for diapering are at the diapering sta on (s) 38 Diaper Disposal rule 65C-22002(10), FAC Compliance Plas c lined container with secure cover is provided for soiled items 39 Indoor Equipment rule 65C-22002(11), FAC Compliance Toys, equipment, and furnishing must remain age appropriate, clean, safe, and free from hazards 40 Outdoor Equipment rule 65C-22002(11), FAC Noncompliance The ground cover or other protective surface under the [slide, merry go round and monkey bars] was not maintained Counselor observed that the ground cover at the fall zone area was not maintained Picture taken Due Date 09/01/2017 TRAINING 41 Training Requirements ss (2) - (3), FS && rule 65C-22003(2) (3), FAC Noncompliance The employee(s) did not complete the 40 clock-hour Introductory Child Care Training requirement Counselor observed that the employee mentioned on the supplemental did not completed her 40 hours Introductory Child Care Training requirement within a year of employment The employee beginning working at another child care facility on August 8, 2016 Picture taken All staff shall be proficient in the use and operation of a fire extinguisher Reminder: Staff is required to complete the fire extinguisher training within 30 days of hire Due Date 09/15/2017 Page 5 of 9

6 42 10-Hour In-Service rule 65C-22003(6), FAC Compliance Technical assistance was given to the Director to ensure that all current staff complete 10 hours of in-service training before June 30, 2018 The fiscal year is July 1 to June Credentialed Staff ss402305(3), FS && rule 65C-22003(7)-(8), FAC Compliance Technical assistance: Director is required to be on site the majority of the opera ng hours A licensed child care facility must have a minimum of one creden aled staff member for every 20 children HEALTH REQUIREMENTS 44 Communicable Disease Control rule 65C-22004(1), FAC Compliance 45 First Aid Requirements rule 65C-22004(2), FAC Compliance Provider s FA expires on 7/11/19 46 CPR Requirements rule 65C-22004(2), FAC Compliance Provider s CPR expires on 7/11/19 47 Emergency Telephone Numbers rule 65C-22004(2), FAC Compliance Emergency telephone numbers are posted in the facility 48 Accident/ Incident Notification and Documentation rule 65C-22004(2), FAC Compliance Technical assistance was provide reference all accidents and incidents which occur at a facility or while a child is in the care of facility staff must be documented on the day they occur This documenta on must be shared with the custodial parent or legal guardian on the date of occurrence 49 Medication rule 65C-22004(3),FAC Not Applicable Not Applicable Provider does not dispense medica on FOOD AND NUTRITION 50 Meals and Snacks rule 65C-22005(1), FAC Not Monitored Not Monitored Meal and snack menus shall be planned, wri en, dated, and posted at the beginning of each week in a conspicuous place accessible to parents Any menu subs tu on shall be noted on the menu 51 Meal and Snack Menus rule 65C-22005(1), FAC Noncompliance Page 6 of 9

7 51-03 The facility's menu was not conspicuously posted in an area accessible to custodial parents or legal guardian Counselor observed that the menu for August 2017 was not posted Due Date 09/01/ Food Service rule 65C-22005(3), FAC Not Monitored Not Monitored Meal and snack menus shall be planned, wri en, dated, and posted at the beginning of each week in a conspicuous place accessible to parents Any menu subs tu on shall be noted on the menu 53 Bottles Sanitary and Labeled rule 65C-22005(2), FAC Noncompliance Bottles and sippy cups were not labeled with the child's first and last name Counselor observed the Infant bottle and sippy cups in the infant room were not labeled with child's first and last name Picture taken Due Date 09/01/ Catered Food and Food Provided by Parents 65C-22005(1), FAC Not Applicable Not Applicable Catered food is not provided 55 Single Service Items rule 65C (8), 65C-22002(10), FAC Compliance RECORD KEEPING 56 Records ss (2), FS, rule 65C-22006(3)(c)5, FAC Noncompliance Records or copies of records are not being maintained at the facility for review by the licensing authority Counselor observed the Owners' and volunteer records were not maintained at the facility for review by the licensing counselor Due Date 09/01/ A Volunteer Acknowledgement was not completed on the first day of volunteering for the volunteer(s) Counselor observed the volunteer acknowledgement was not completed on the first day of volunteering by the volunteer Due Date 09/01/ Children's Health/Immunization and Records ss (9), FS&& rule 65C-22006(2) - (3), FAC Compliance Annually, during the months of August and September, parents of children enrolled are to be provided informa on detailing the causes, symptoms, and transmission of the influenza virus Page 7 of 9

8 58 Enrollment Information on File/Current ss (5), (12), FS && rule 65C-22006(3), FAC Noncompliance Incomplete enrollment information on CF-FSP Form 5219 or equivalent form was found for the child(ren) Counselor observed child enrolled at the facility his record was incomplete, the date of enrollment was blank Picture taken Reviewed 5 of 5 children files (A-Z) Due Date 09/01/ Personnel Records ss (1), FS, rule 65C-22003(4), && rule 65C-22006(4) - (5), FAC Noncompliance The facility did not have a complete record on file for the child care personnel Counselor observed the facility did not have a compete record on file for the child care personnel and volunteer Reviewed and updated all 3 staff files Due Date 09/01/ Background Screening Documents ss , FS && rule 65C-22006(4), FAC Compliance The Child Care Development Block Grant Reauthoriza on of 2014 requires each state, including Florida, to cer fy that all child care personnel have been screened and are eligibility to work in child care based on the new elements To facilitate this cer fica on, child care providers, nonpublic schools, religious exempt child care provides, public schools providing child care, large family child care homes and family day care homes must rescreen personnel to include all owners, operators, child care personnel, household members, subs tutes and volunteers by September 2017 The rescreening must include level 2 screening, search of sexual predator and sexual offender registry, and child abuse and neglect registry of any state in which the applicant resided during the preceding 5 years The Department is asking child Care Providers to begin scheduling rescreening in September 2016 for anyone that was screened prior to July 1st, 2016 Providers will have nine months to rescreen all required owners, operators, child care personnel, household members, volunteers and subs tutes 61 Daily Attendance rule 65C-22001(10) && rule 65C-22006(5), FAC Noncompliance Staff did not record the daily attendance of children Counselor observed the staff present did not record the daily attendance for present children Technical assistance was provided reference maintain daily attendance updated with arrival, departure time and parent's signature Due Date 09/01/ Emergency Plan/Posted rule 65C-22002(7), FAC Compliance The plan must facilitate parent/guardian reunifica on onsite and offsite Addi onally, the plan must include accommoda ons for infants and toddlers, if applicable, and must describe how the facility will meet the needs of all children, including children with special needs or with chronic medical condi ons, during and following an emergency event ENFORCEMENT Page 8 of 9

9 Name: Golden Triangle Learning Center of Leesburg License #: C05LA Access/Child Abuse or Neglect/Misrepresentation ss , , FS && rule 65C-22001(9),(11), FAC Compliance The updated informa on of the Rilya Wilson Act was provided to the Director during this inspec on Pursuant to Florida Stature 39604, the Rilya Wilson Act requires children from birth to school entry age who are under court ordered services and enrolled in a licensed early educa on or child care program to be enrolled to par cipate in a child care program five (5) days per week Due to this legislature, there are repor ng requirements for child care providers who service this popula on (birth to school entry age and under court ordered protec ve supervision) or in the custody of the Department of Children & Families or Community Based Care Lead Agency Report to Kids Central Incorporated (Marion, Lake, Sumter, Citrus and Hernando): RilyaWilson@kidscenrtralincorg If further assistance is needed, please contact Kids Central Incorporated at: 901 Industrial Drive, Ste 200 Wildwood, FL ATTN: Kevin Maloney 1 A child enrolled and iden fied under the Rilya Wilson Act may not be withdrawn from the program without the prior wri en approval of the Family Safety Program Office of the Department of Children and Family Services or the community-based lead agency 2 If a child included in the Rilya Wilson Act is absent from the program on a day when he or she is supposed to be present and the person with whom the child resides, whether the parent or caregiver, fails to mely report the absence, the absence is considered to be unexcused The program shall report any unexcused absence or seven consecu ve excused absences of a child who is enrolled in the program and covered by this act to the local designated staff of the Family Safety Program Office of the Department of Children and Family Services or the community based lead agency by the end of the business day following the unexcused absence or the seventh consecu ve excused absence Received by: Lucy Walsh Date: 08/23/2017 Inspected by: Angie Rivera Date: 08/23/2017 Page 9 of 9

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