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Child Care Facility Information Name: Austin Christian Academy ID Number: C04DU0895 Phone Number: (904) 333-4290 Capacity: 24 Owner/Director/Staff Responsible: Audrey White Inspection Information Arrival/Departure Time: 02:30 PM to 03:30 PM Staff Present: 1 Children Present: 4 Onsite Visit: No INSPECTION CHECKLIST GENERAL REQUIREMENTS 01. License Displayed/Citation Posted/Advertising ss. 402.3125, 402.318, F.S. 02. Licensed Capacity ss. 402.305(6), rule 65C-22.002(3), 03. Minimum Age Requirements ss. 402.305(2), F.S. && rule 65C-22.001(3), 04. Ratio Sufficient ss. 402.305(4), F.S. && rule 65C-22.001(4), 05. Supervision rule 65C-22.001(5), 65C-22.001(6), 65C-22.002(4) && 65C-22.007 (2), 06. Driver's License, Physician Certification && First Aid/CPR Training rule 65C-22.001(6), 65C-22.006(4), 07. Vehicle Insurance and Inspection ss. 402.305(10), F.S. && rule 65C-22.001(6) Not Applicable Not Applicable 08. Seat Belts/Child Restraints ss. 402.305(10), F.S. && rule 65C-22.001(6), Not Applicable 09. Transportation rule 65C-22.001(6), Not Applicable 10. Planned Activities ss. 402.305(13), F.S. && rule 65C-22.001(7), 11. Field Trip Permission rule 65C-22.001(7), 65C-22.001(6), 12. Child Discipline ss. 402.305(12), F.S. && rule 65C-22.001(8), 13. Discipline Policy rule 65C-22.001(8), PHYSICAL ENVIRONMENT 14. Facility Environment rule 65C-22.002(1), 65C-22.002(7) - (9), 15. Toxic Substances and Hazardous Materials rule 65C-22.002(1), 16. Supplies Labeled/Stored rule 65C-22.002(1), 17. Lighting rule 65C-22.002(2), Page 1 of 5

18. Temperature and Ventilation rule 65C-22.002(2), 19. Indoor Floor Space ss. 402.305(6)F.S., rule 65C-22.002(3), 65C-22.007(3)(a), 65C-22.008(3), 20. Outdoor Area/Square Footage ss. 402.305(6), F.S. && rule 65C-22.002(4), 21. Outdoor Play Area rule 65C-22.002(4), 22. Fencing rule 65C-22.002(4), 23. Individual Bedding rule 65C-22.002(5), 65C-22.002(5), 65C-22.002(10), 65C-22.008(3), 24. Bedding and Linens rule 65C-22.002(10), 25. Nap/Sleep Space Requirements rule 65C-22.002(5), 26. Exit Area Clear rule 65C-22.002(5) and (7), 27. Crib Requirements rule 65C-22.002(5), Not Applicable 28. Toilets and Sinks rule 65C-22.002(6), 29. Potty Chairs rule 65C-22.002(6), Not Applicable 30. Bath Facilities and Supervision rule 65C-22.002(6), 31. Bathroom Supplies and Equipment rule 65C-22.002(6), 32. Operable Phone rule 65C-22.002(7), 33. Fire Drills && Emergency Preparedness rule 65C-22.002(7) Comments Counselor conducted a fire drill with the facility director and 4 children present during the drill. 34. Food Preparation Area 65C-22.002(8), 35. Health and Sanitation rule 65C-22.002(10), 36. Drinking Water Available rule 65C-22.002(10), 37. Sanitary Diapering rule 65C-22.002(10), Not Applicable 38. Diaper Disposal rule 65C-22.002(10), Not Applicable 39. Indoor Equipment rule 65C-22.002(11), 40. Outdoor Equipment rule 65C-22.002(11), Page 2 of 5

TRAINING 41. Training Requirements ss. 402.305(2) - (3), F.S. && rule 65C-22.003(2) (3), 42. 10-Hour In-Service rule 65C-22.003(6), Comments The care provider has completed and documented 10 hours in-service training on form 5268 for the fiscal year ending June 30, 2017. 43. Credentialed Staff ss.402.305(3), F.S. && rule 65C-22.003(7)-(8), HEALTH REQUIREMENTS 44. Communicable Disease Control rule 65C-22.004(1), 45. First Aid Requirements rule 65C-22.004(2), 46. CPR Requirements rule 65C-22.004(2), 47. Emergency Telephone Numbers rule 65C-22.004(2), 48. Accident/ Incident Notification and Documentation rule 65C-22.004(2), 49. Medication rule 65C-22.004(3), Not Applicable FOOD AND NUTRITION 50. Meals and Snacks rule 65C-22.005(1), 51. Meal and Snack Menus rule 65C-22.005(1), 52. Food Service rule 65C-22.005(3), 53. Bottles Sanitary and Labeled rule 65C-22.005(2), Not Applicable Not Applicable Comments The facility program does not provide infant care services. 54. Catered Food and Food Provided by Parents 65C-22.005(1), 55. Single Service Items rule 65C-22.0011(8), 65C-22.002(10), Comments Counselor viewed 2 staff records and 4 children's records. RECORD KEEPING 56. Records ss. 402.3054(2), F.S., rule 65C-22.006(3)(c)5., Page 3 of 5

57. Children's Health/Immunization and Records ss. 402.305(9), F.S.&& rule 65C-22.006(2) - (3), Comments Counselor viewed 6 children's health/immunization records. Technical assistance was provided concerning influenza booklets for the parents. Please provide the parents the influenza booklets. The months of August and September are the designated months for the beginning of the new school year for children. The influenza booklets need to have either month for compliance purposes with this standard. The parents will need to read and sign these forms. The signed forms need to be filed away in the child's immunization or health record. 58. Enrollment Information on File/Current ss. 402.3125(5), 402.305(12), F.S. && rule 65C-22.006(3), Comments Counselor viewed 4 children's enrollment information on file. 59. Personnel Records ss. 402.3055(1), F.S., rule 65C-22.003(4), && rule 65C-22.006(4) - (5), Comments Counselor viewed 2 personnel records. 60. Background Screening Documents ss. 402.3054, F.S. && rule 65C-22.006(4), Comments Technical assistance provided to the facility director concerning background screening for a staff member. The staff member's background screening is due to expire August 23, 2017. This date is less than 10 days away. The staff member needs to update their background screening in Clearinghouse within 10 days to stay in compliance with this standard. The facility director will need to provide verification that staff member has updated or submitted the screening in Clearinghouse within the ten days. The staff member has acknowledged the information concerning her background screening. 61. Daily Attendance rule 65C-22.001(10) && rule 65C-22.006(5), 62. Emergency Plan/Posted rule 65C-22.002(7), ENFORCEMENT 63. Access/Child Abuse or Neglect/Misrepresentation ss. 402.311, 402.319, F.S. && rule 65C-22.001(9),(11), Page 4 of 5

Counselor Comments Technical assistance was provided regarding the new School Readiness standards that were adopted in rule 6M-4.620, that became effective on October 24, 2016. To access the new health and safety requirements visit the following link: https://www.flrules.org/gateway/ruleno.asp?title=office%20of%20early%20learning%20-%20school%20readiness% 20Program&ID=6M-4.620. Please be advised that child care providers participating in the child care subsidy School Readiness program must be monitored annually for compliance with the new standards. More frequent inspections may occur if non-compliance standards require a follow re-inspection or if complaints are received. Specific technical assistance was provided regarding: Pre-Service Training- Training must be completed within 90 days of the date of hire with a program participating in the School Readiness program. The training must be documented on the Departments training transcript or the Early Learning Florida transcript. This is referred to as pre-service training and personnel who have not completed all the pre-service training requirements may not be allowed any unsupervised contact with or care of children in a school readiness program. Expulsion Policy - Each school readiness program must have written policies and procedures regarding discipline and expulsion of children in care. A copy of the current policies must be available to the inspection authorities to review. Verification that the program has provided the parent or guardian a written copy of the disciplinary and expulsion policies used by the program must be documented in the child's file with the signature of the custodial parent or legal guardian. (Due June 30, 2017) Emergency Preparedness - The plan must facilitate parent/guardian reunification onsite and offsite. Additionally the plan must include accommodations 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 conditions, during and following an emergency event, (Due June 30, 2017) Please be advised that the results of this inspection will be shared with the Early Learning Coalition as a component of the program's School Readiness contract file. If you have additional questions concerning the new rule changes you may contact your licensing counselor or local licensing office. Received by: Audrey White Date: 08/16/2017 Inspected by: Freddie Holmes Date: 08/16/2017 Page 5 of 5