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Child Care Facility Information Name: Sky Family YMCA ID Number: 580300125 Address: 701 Center Rd City: Venice State: FL Zip Code: 34285-4808 Phone Number: (941) 375-9122 Capacity: 342 Owner/Director/Staff Responsible: Jennifer Harmon Sarasota Standards Sarasota & SR Standards SR Standards Inspection Information 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] 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), F.A.C., 62-133(b)(1) (Form OEL-SR-6202, Section 1 Capacity, Page 10) 03. Minimum Age Requirements ss. 402.305(2), F.S. & rule 65C-22.001(3), F.A.C. 62-132(d)(2) (Form OEL-SR-6202, Section 2 Minimum Age Requirements, Page 13) 04. Ratio Sufficient ss. 402.305(4), F.S. & rule 65C-22.001(4), F.A.C. 62-132(e) (Form OEL-SR-6202, Section 3 Ratios, Page 13) 05. Supervision rule 65C-22.001(5), 65C-22.001(6), 65C-22.002(4) & 65C-22.007 (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 65C22.001(6), 65C-22.006(4), F.A.C. 62-138(1) (Form OEL-SR-6202, Section 6 Transportation, Pages 17-19) 07. Vehicle Insurance and Inspection ss. 402.305(10), F.S. & rule 65C-22.001(6) F.A.C. (Form OEL-SR-6202, Section 6 Transportation, Pages 17-19) 08. Seat Belts/Child Restraints ss. 402.305(10), F.S. && rule 65C-22.001(6), F.A.C., 62-138(2) (Form OEL-SR-6202, Section 6 Transportation, Pages 17-19) 09. Transportation ss. 402.305(10), F.S. & rule 65C-22.001(6), F.A.C. (Form OEL-SR-6202, Section 6 Transportation, Pages 17-19) Page 1 of 7

10. Planned Activities ss. 402.305(13), F.S. & rule 65C-22.001(7), F.A.C. (Form OEL-SR-6202, Section 7 Planned Activities, Pages 19-20) 11. Field Trip Permission rule 65C-22.001(7), 65C-22.001(6), F.A.C. (Form OEL-SR-6202, Section 8 Field Trip Activity, Pages 20-21) 12. Child Discipline ss. 402.305(12), F.S. & rule 65C-22.001(8), F.A.C. (Form OEL-SR-6202, Section 9 Child Discipline, Pages 21-22) 13. Discipline Policy rule 65C-22.001(8), F.A.C. PHYSICAL ENVIRONMENT 14. Facility Environment rule 65C-22.002(1), 65C-22.002(7) - (9), F.A.C., 62-133(c)(4) (Form OEL-SR-6202, Section 10 Physical Environment, Pages 22-23) Noncompliance Non- Description 14-03 An area(s) of the facility was observed to not be in good repair. (Section 10, number 1) [SR] Comments Ceiling damage in VPK and infant room. Due Date 10/02/2017. Violation Level Class 3. 15. Toxic Substances and Hazardous Materials rule 65C-22.002(1), F.A.C. (Form OEL-SR-6202, Section 10 Physical Environment, Pages 22-23) 16. Supplies Labeled/Stored rule 65C-22.002(1), F.A.C. (Form OEL-SR-6202, Section 10 Physical Environment, Pages 22-23) 17. Lighting rule 65C-22.002(2), F.A.C. (Form OEL-SR-6202, Section 10 Physical Environment, Pages 23-24) Noncompliance Non- Description 17-02 Lighting was insufficient to visually observe and supervise children, including during nap time. (Section 10.1, number 3) [SR] Comments Light burnt out in one area of girls bathroom. Due Date 10/02/2017. Violation Level Class 3. 18. Temperature and Ventilation rule 65C-22.002(2), F.A.C. 62-133(a)(8) (Form OEL-SR-6202, Section 10 Physical Environment, Pages 23-24) Page 2 of 7

19. Indoor Floor Space ss. 402.305(6) F.S., rule 65C-22.002(3), 65C-22.007(3)(a), 65C-22.008(3), F.A.C, 62-133(b)(1)(2) (Form OEL-SR-6202, Section 1.1 Indoor Floor Space, Pages 11-12) 20. Outdoor Area/Square Footage ss. 402.305(6), F.S. & rule 65C-22.002(4), F.A.C, (Form OEL-SR-6202, Section 1 Capacity, Page 10) 21. Outdoor Play Area rule 65C-22.002(4), F.A.C, 62-133(c)(1)(4) &(6) (Form OEL-SR-6202, Section 10.7 Outdoor Play Area, Pages 25-26) Noncompliance Non- Description 21-02 The outdoor play area was not clean, free from litter, nails, glass or other hazards. (Section 10.7, number 1) [SR] Comments Repair remove damaged cubicle in toddler playground. Due Date 10/02/2017. Violation Level Class 3. 22. Fencing rule 65C-22.002(4), F.A.C, 62-133(c)(3) (Form OEL-SR-6202, Section 10.8 Fencing, Pages 25-26) 23. Individual Bedding rule 65C-22.002(5), 65C-22.002(10), 65C-22.008(3), F.A.C, (Form OEL-SR-6202, Section 12.4 Bedding and Linens, Page 29) 24. Bedding and Linens rule 65C-22.002(10), F.A.C. 62-133(e)(6) (Form OEL-SR-6202, Section 12.4 Bedding and Linens, Page 29) 25. Nap/Sleep Space Requirements rule 65C-22.002(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-22.002(5) and (7), F.A.C. (Form OEL-SR-6202, Section 10.5 Exit Area, Page 25) 27. Crib Requirements rule 65C-22.002(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-22.002(6), F.A.C. (Form OEL-SR-6202, Section 10.6 Bathrooms and Sinks, Page 25) 29. Potty Chairs rule 65C-22.002(6), F.A.C. (Form OEL-SR-6202, Section 10.6 Bathrooms and Sinks, Page 25) Page 3 of 7

30. Bath Facilities and Supervision rule 65C-22.002(6), F.A.C. (Form OEL-SR-6202, Section 10.6 Bathrooms and Sinks, Page 25 and Section 5 Supervision, Pages 16-17) 31. Bathroom Supplies and Equipment rule 65C-22.002(6), F.A.C. 62-133(d) (Form OEL-SR-6202, Section 10.6 Bathrooms and Sinks, Page 25) 32. Operable Phone rule 65C-22.002(7), F.A.C. (Form OEL-SR-6202, Section 14.2 Fire Safety, Page 33) 33. Fire Drills & Emergency Preparedness rule 65C-22.002(7) F.A.C. (Form OEL-SR-6202, Section 14 Fire Safety and Emergency Preparedness and Response, Page 32-34) 34. Food Preparation Area 65C-22.002(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-22.002(10), F.A.C. 62-133(a)(12), 62-135(a) (Form OEL-SR-6202, Section 12 Health and Sanitation, Page 28) 36. Drinking Water Available rule 65C-22.002(10), F.A.C. (Form OEL-SR-6202, Section 12 Health and Sanitation, Page 28) 37. Sanitary Diapering rule 65C-22.002(10), F.A.C. (Form OEL-SR-6202, Section 12.3, Diapering, Pages 28-29) 38. Diaper Disposal rule 65C-22.002(10), F.A.C. (Form OEL-SR-6202, Section 12.3, Diapering, Pages 28-29) 39. Indoor Equipment rule 65C-22.002(11), F.A.C. 62-133(f) (Form OEL-SR-6202, Section 11, Equipment and Furnishings, Pages 26-27) 40. Outdoor Equipment rule 65C-22.002(11), F.A.C. 62-133(c)(2) (Form OEL-SR-6202, Section 11, Equipment and Furnishings, Pages 26-27) Page 4 of 7

TRAINING 41. Training Requirements ss. 402.305(2) - (3), F.S. & rule 65C-22.003(2) (3), F.A.C. (Form OEL-SR-6202, Section 18 Training Requirements, Pages 42-44) 42. 10-Hour In-Service rule 65C-22.003(6), F.A.C. 62-133(a)(11) (Form OEL-SR-6202, Section 18 Training Requirements, Pages 42-44) 43. Credentialed Staff ss.402.305(3), F.S. & rule 65C-22.003(7)-(8), F.A.C. HEALTH REQUIREMENTS 44. Communicable Disease Control rule 65C-22.004(1), F.A.C. (Form OEL-SR-6202, Section 13 Health Related Requirements, Pages 30-31) 45. First Aid Requirements rule 65C-22.004(2), F.A.C. 62-132(f) (Form OEL-SR-6202, Section 13.4 First Aid and Cardiopulmonary Resuscitation, Pages 31-32) 46. CPR Requirements rule 65C-22.004(2), F.A.C. 62-132(f) (Form OEL-SR-6202, Section 13.4 First Aid and Cardiopulmonary Resuscitation, Pages 31-32) 47. Emergency Telephone Numbers rule 65C-22.004(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-22.004(2), F.A.C. (Form OEL-SR-6202, Section 15 Emergency Procedures and Notification, Page 35) 49. Medication rule 65C-22.004(3),F.A.C. 62-133(e)(5) (Form OEL-SR-6202, Section 16 Medication, Pages 35-36) FOOD AND NUTRITION 50. Meals and Snacks rule 65C-22.005(1), F.A.C. (Form OEL-SR-6202, Section 17 Food and Nutrition Services, Pages 36-42) Page 5 of 7

51. Meal and Snack Menus rule 65C-22.005(1), F.A.C. 52. Food Service rule 65C-22.005(3), F.A.C. (Form OEL-SR-6202, Section 17 Food and Nutrition Services, Pages 36-42) 53. Bottles Sanitary and Labeled rule 65C-22.005(2), F.A.C (Form OEL-SR-6202, Section 17.4 Breastmilk, Infant Formula and Food, Pages 40-41) 54. Catered food and food provided by parents 65C-22.005(1), F.A.C. (Form OEL-SR-6202, Section 17 Food and Nutrition Services, Pages 36-42) 55. Single Service Items rule 65C-22.0011(8), 65C-22.002(10), F.A.C. (Form OEL-SR-6202, Section 17.5 Dishwashing and Sanitation, Page 41) RECORD KEEPING 56. Records ss. 402.3054(2), F.S., rule 65C-22.006(3)(c)5., F.A.C. (Form OEL-SR-6202, Section 19.4 Record Keeping/Personnel Records, Page 48) 57. Children's Health/Immunization and Records ss. 402.305(9), F.S.& rule 65C22.006(2) - (3), F.A.C. 62-136(a) (Form OEL-SR-6202, Section 19.2 record Keeping/Children s Files, Page 47) 58. Enrollment Information on File/Current ss. 402.3125(5), 402.305(12), F.S. & rule 65C-22.006(3), F.A.C. (Form OEL-SR-6202, Section 19.2 record Keeping/Children s Files, Page 47) 59. Personnel Records ss. 402.3055(1), F.S., rule 65C-22.003(4), & rule 65C22.006(4) - (5), F.A.C. (Form OEL-SR-6202, Section 19.4 Record Keeping/Personnel Records, Page 48) 60. Background Screening Documents ss. 402.3054, F.S. & rule 65C-22.006(4), F.A.C. (Form OEL-SR-6202, Section 19.5 Record Keeping/Background Screening, Page 49) 61. Daily Attendance rule 65C-22.001(10) & rule 65C-22.006(5), F.A.C. 62-136(d)(2) (Form OEL-SR-6202, Section 19.3 Record Keeping/Attendance, Page 48) Page 6 of 7

62. Emergency Plan/Posted rule 65C-22.002(7), F.A.C. (Form OEL-SR-6202, Section 14.2 Fire Safety, Pages 33-34) ENFORCEMENT 63. Access/Child Abuse or Neglect/Misrepresentation ss. 402.311, 402.319, F.S. & rule 65C-22.001(9),(11), F.A.C. (Form OEL-SR-6202, Section 20 Access and Section 21 Child Safety, 64. Water System DEP/DOH Standards 62-133 (e)(1) 65. Liquid Waste 62-133 (e)(1) 66. Solid Waste DEP/DOH Standards 62-133 (e)(1) SCHOOL READINESS 67. Group Size (Form OEL-SR-6202, Section 4 Group Size, Pages 14-15) Counselor Comments 8/29/2017 list of employees for review. 2nd Visit Date/Time Date: 08/29/2017 Arrival/Departure: 02:45 PM to 04:15 PM Received by: Jennifer Harmon Date: 08/31/2017 Inspected by: Jill Jacoby Date: 08/31/2017 Page 7 of 7