INSPECTION CHECKLIST GENERAL REQUIREMENTS. 01. License Displayed/Citation Posted/Advertising ss , , F.S.
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1 Child Care Facility Information Name: Nana and GeeGee's Preschool ID Number: C04NA0033 Phone Number: (904) Capacity: 44 Owner/Director/Staff Responsible: Becky Moody Inspection Information Type: Routine Date: 07/19/2017 Arrival/Departure Time: 02:00 PM to 02:25 PM Staff Present: 2 Children Present: 13 [School Readiness Inspection] DCF Standards DCF & SR Standards SR Standards INSPECTION CHECKLIST GENERAL REQUIREMENTS 01. License Displayed/Citation Posted/Advertising ss , , F.S. 02. Licensed Capacity ss (6), rule 65C (3), F.A.C. (Form OEL-SR-6202, Section 1 - Capacity, Page 10) 03. Minimum Age Requirements ss (2), F.S. && rule 65C (3), F.A.C. (Form OEL-SR-6202, Section 2 Minimum Age Requirements, Page 13) 04. Ratio Sufficient ss (4), F.S. && rule 65C (4), F.A.C. (Form OEL-SR-6202, Section 3 Ratios, Page 13) 05. Supervision rule 65C (5), 65C (6), 65C (4) && 65C (2), F.A.C. (Form OEL-SR-6202, Section 5 Supervision, Pages 16-17) 06. Driver's License, Physician Certification && First Aid/CPR Training rule 65C (6), 65C (4), F.A.C. (Form OEL-SR-6202, Section 6 Transportation, Page 17-19) 07. Vehicle Insurance and Inspection ss (10), F.S. && rule 65C (6) F.A.C. (Form OEL-SR-6202, Section 6 Transportation, Page 17-19) 08. Seat Belts/Child Restraints ss (10), F.S. && rule 65C (6), F.A.C. (Form OEL-SR-6202, Section 6 Transportation, Pages 17-19) 09. Transportation rule 65C (6), F.A.C. (Form OEL-SR-6202, Section 6 Transportation, Pages 17-19) 10. Planned Activities ss (13), F.S. && rule 65C (7), F.A.C. (Form OEL-SR-6202, Section 7 Planned Activities, Pages 19-20) 11. Field Trip Permission rule 65C (7), 65C (6), F.A.C. (Form OEL-SR-6202, Section 8 Field Trip Activity, Pages 20-21) 12. Child Discipline ss (12), F.S. && rule 65C (8), F.A.C. (Form OEL-SR-6202, Section 9 Child Discipline, Pages 21-22) 13. Discipline Policy rule 65C (8), F.A.C. PHYSICAL ENVIRONMENT 14. Facility Environment rule 65C (1), 65C (7) - (9), F.A.C. (Form OEL-SR-6202, Section 10 Physical Environment, Pages 22-23) Page 1 of 5
2 15. Toxic Substances and Hazardous Materials rule 65C (1), F.A.C. (Form OEL-SR-6202, Section 10 Physical Environment, Pages 22-23) 16. Supplies Labeled/Stored rule 65C (1), F.A.C. (Form OEL-SR-6202, Section 10 Physical Environment, Pages 22-23) 17. Lighting rule 65C (2), F.A.C. (Form OEL-SR-6202, Section 10 Physical Environment, Pages 23-24) 18. Temperature and Ventilation rule 65C (2), F.A.C. (Form OEL-SR-6202, Section 10 Physical Environment, Pages 23-24) 19. Indoor Floor Space ss (6)F.S., rule 65C (3), 65C (3)(a), 65C (3), F.A.C. (Form OEL-SR-6202, Section 1 - Capacity, Page 10),(Form OEL-SR-6202, Section 1.1 Indoor Floor Space, Pages 11-12) 20. Outdoor Area/Square Footage ss (6), F.S. && rule 65C (4), F.A.C. (Form OEL-SR-6202, Section 1 - Capacity, Page 10) 21. Outdoor Play Area rule 65C (4), F.A.C. (Form OEL-SR-6202, Section 7 Planned Activities, Pages 19-20),(Form OEL-SR-6202, Section 10.7 Outdoor Play Area and Section 10.8 Fencing, Pages 25-26) 22. Fencing rule 65C (4), F.A.C. (Form OEL-SR-6202, Section 10.7 Outdoor Play Area and Section 10.8 Fencing, Pages 25-26) 23. Individual Bedding rule 65C (5), 65C (5), 65C (10), 65C (3), F.A.C. (Form OEL-SR-6202, Section 12.4 Bedding and Linens, Page 29),(Form OEL-SR-6202, Section 10.4 Nap and Sleep Space(s)/Safe Sleep Practices, Page 24) 24. Bedding and Linens rule 65C (10), F.A.C. (Form OEL-SR-6202, Section 12.4 Bedding and Linens, Page 29) 25. Nap/Sleep Space Requirements rule 65C (5), F.A.C. (Form OEL-SR-6202, Section 10.4 Nap and Sleep Space(s)/Safe Sleep Practices, Page 24) 26. Exit Area Clear rule 65C (5) and (7), F.A.C. (Form OEL-SR-6202, Section 10.4 Nap and Sleep Space(s)/Safe Sleep Practices, Page 24),(Form OEL-SR-6202, Section 14 Fire Safety and Emergency Preparedness and Response, 27. Crib Requirements rule 65C (5), F.A.C. (Form OEL-SR-6202, Section 10.4 Nap and Sleep Space(s)/Safe Sleep Practices, Page 24) 28. Toilets and Sinks rule 65C (6), F.A.C. (Form OEL-SR-6202, Section Potty Chairs rule 65C (6), F.A.C. (Form OEL-SR-6202, Section Bath Facilities and Supervision rule 65C (6), F.A.C. (Form OEL-SR-6202, Section 5 Supervision, Pages 16-17),(Form OEL-SR-6202, Section 10.6 Page 2 of 5
3 31. Bathroom Supplies and Equipment rule 65C (6), F.A.C. (Form OEL-SR-6202, Section Operable Phone rule 65C (7), F.A.C. (Form OEL-SR-6202, Section 14.2 Fire Safety, Page 33) 33. Fire Drills && Emergency Preparedness rule 65C (7) F.A.C. (Form OEL-SR-6202, Section 14 Fire Safety and Emergency Preparedness and Response, Pages 32-34) 34. Food Preparation Area 65C (8), F.A.C. (Form OEL-SR-6202, Section 17.1 Food Preparation Area and Section 17.2 Food Storage, Pages 37-38) 35. Health and Sanitation rule 65C (10), F.A.C. (Form OEL-SR-6202, Section 12 Health and Sanitation, Page 28) 36. Drinking Water Available rule 65C (10), F.A.C. (Form OEL-SR-6202, Section 12 Health and Sanitation, Page 28) 37. Sanitary Diapering rule 65C (10), F.A.C. (Form OEL-SR-6202, Section 5 Supervision, Pages 16-17),(Form OEL-SR-6202, Section 12.3 Diapering, Pages 28-29) 38. Diaper Disposal rule 65C (10), F.A.C. (Form OEL-SR-6202, Section 12.3 Diapering, Pages 28-29) 39. Indoor Equipment rule 65C (11), F.A.C. (Form OEL-SR-6202, Section 11 Equipment and Furnishings, Pages 26-27) 40. Outdoor Equipment rule 65C (11), F.A.C. (Form OEL-SR-6202, Section 11 Equipment and Furnishings, Pages 26-27) TRAINING 41. Training Requirements ss (2) - (3), F.S. && rule 65C (2) (3), F.A.C. (Form OEL-SR-6202, Section 18 Training Requirements, Pages 26-27) Hour In-Service rule 65C (6), F.A.C. (Form OEL-SR-6202, Section 18 Training Requirements, Pages 26-27) Comments All staff completed 10 hour in service training. 43. Credentialed Staff ss (3), F.S. && rule 65C (7)-(8), F.A.C. HEALTH REQUIREMENTS 44. Communicable Disease Control rule 65C (1), F.A.C. (Form OEL-SR-6202, Section 13 Health-Related Requirements, Pages 30-31) 45. First Aid Requirements rule 65C (2), F.A.C. (Form OEL-SR-6202, Section 13.4 First Aid and Cardiopulmonary Resuscitation Pages 31-32) 46. CPR Requirements rule 65C (2), F.A.C. (Form OEL-SR-6202, Section 13.4 First Aid and Cardiopulmonary Resuscitation Pages 31-32) Page 3 of 5
4 47. Emergency Telephone Numbers rule 65C (2), F.A.C. (Form OEL-SR-6202, Section 15 Emergency Procedures and Notification, Pages 34-35) 48. Accident/ Incident Notification and Documentation rule 65C (2), F.A.C. (Form OEL-SR-6202, Section 15 Emergency Procedures and Notification, Page 35) 49. Medication rule 65C (3),F.A.C. (Form OEL-SR-6202, Section 16 Medication, Pages 35-36) FOOD AND NUTRITION 50. Meals and Snacks rule 65C (1), F.A.C. (Form OEL-SR-6202, Section 17.1 Food Preparation Area and Section 17.2 Food Storage, Pages 37-38),(Form OEL-SR-6202, Section 17 Food and Nutrition Services, Pages 36-42) 51. Meal and Snack Menus rule 65C (1), F.A.C. 52. Food Service rule 65C (3), F.A.C. (Form OEL-SR-6202, Section 17 Food and Nutrition Services, Pages 36-42) 53. Bottles Sanitary and Labeled rule 65C (2), F.A.C. (Form OEL-SR-6202, Section 5 Supervision, Pages 16-17),(Form OEL-SR-6202, Section 17.4 Breastmilk, Infant Formula and Food, Pages 40-41) 54. Catered Food and Food Provided by Parents 65C (1), F.A.C. 55. Single Service Items rule 65C (8), 65C (10), F.A.C. (Form OEL-SR-6202, Section 12 Health and Sanitation, Page 28) RECORD KEEPING 56. Records ss (2), F.S., rule 65C (3)(c)5., F.A.C. (Form OEL-SR-6202, Section 19.2 Record Keeping/Childrens Files, Page 47) 57. Children's Health/Immunization and Records ss (9), F.S.&& rule 65C (2) - (3), F.A.C. (Form OEL-SR-6202, Section 19.2 Record Keeping/Childrens Files, Page 47),(Form OEL-SR-6202, Section 19.2 Record Keeping/Childrens Files, Page 46),Enrollment Information (Form OEL-SR-6202, Section 19.2 Record Keeping/Childrens Files, Page 47) Comments Counselor observed 3 new children's records. 58. Enrollment Information on File/Current ss (5), (12), F.S. && rule 65C (3), F.A.C. Enrollment Information (Form OEL-SR-6202, Section 19.2 Record Keeping/Childrens Files, Page 47) 59. Personnel Records ss (1), F.S., rule 65C (4), && rule 65C (4) - (5), F.A.C. (Form OEL-SR-6202, Section 18 Training Requirements, Pages 26-27),(Form OEL-SR-6202, Section 13.4 First Aid and Cardiopulmonary Resuscitation Pages 31-32),(Form OEL-SR-6202, Section 19.4 Record Keeping/Personnel Records, Page 48),(Form OEL-SR-6202, Section 19.5 Record Keeping/Background Screening, Page 49) 60. Background Screening Documents ss , F.S. && rule 65C (4), F.A.C. (Form OEL-SR-6202, Section 19.5 Record Keeping/Background Screening, Page 49 Page 4 of 5
5 61. Daily Attendance rule 65C (10) && rule 65C (5), F.A.C. (Form OEL-SR-6202, Section 19.3 Record Keeping/Attendance, Page 48) 62. Emergency Plan/Posted rule 65C (7), F.A.C. (Form OEL-SR-6202, Section 14 Fire Safety and Emergency Preparedness and Response, Pages 32-34) ENFORCEMENT 63. Access/Child Abuse or Neglect/Misrepresentation ss , , F.S. && rule 65C (9),(11), F.A.C. (Form OEL-SR-6202, Section 20 Access and Section 21 Child Safety, Page 50) SCHOOL READINESS 64. Group Size (Form OEL-SR-6202, Section 4 Group Size, Pages 14-15) Counselor Comments If the background screening was submitted to the clearinghouse by May 31, 2017, but the screening is still in process, a violation has not occurred at this time, and no citation would be issued-t/a provided and documented on supplemental sheet. If the background screening was not submitted by May 31, 2017 a violation has not occurred at this time and no citation would be issued. However, it must be documented on the inspection report which personnel records have not been submitted and require the provider to initiate screening within 10 calendar days. The 10 calendar days also includes (if applicable) requesting Out of State abuse, criminal, and sexual predator information. The provider must maintain documentation of the out of state requests and information received. Also, advise providers that a copy of the out of state criminal record results must be forwarded to the background screening unit for review. Verification of initiated screening must be submitted by the provider to their licensing counselor within the established timeframe (ie: submit via fax, mail, , scan, etc. Received by: Becky Moody Date: 07/19/2017 Inspected by: Latonjia Jones Date: 07/19/2017 Page 5 of 5
Type: Routine Date: 08/31/2017 Arrival/Departure Time: 09:45 AM to 11:45 AM Staff Present: 20 Children Present: 87 [School Readiness Inspection]
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