Child Care Facility Information Name: Deliverance Tabernacle Child Development Center ID Number: C01ES0184 Address: 1780 W Detroit Blvd City: Pensacola State: FL Zip Code: 32534-1631 Phone Number: (850) 969-1903 Capacity: 345 Owner/Director/Staff Responsible: Latavia Blunt Inspection Information Type: Routine Date: 07/27/2017 Arrival/Departure Time: 02:16 PM to 03:43 PM Staff Present: 6 Children Present: 51 [School Readiness Inspection] DCF Standards DCF & SR Standards SR Standards INSPECTION CHECKLIST GENERAL REQUIREMENTS 01 License Displayed/Citation Posted/Advertising ss 4023125, 402318, FS 02 Licensed Capacity ss 402305(6), rule 65C-22002(3), FAC (Form OEL-SR-6202, Section 1 - Capacity, Page 10) 03 Minimum Age Requirements ss 402305(2), FS && rule 65C-22001(3), FAC (Form OEL-SR-6202, Section 2 Minimum Age Requirements, Page 13) 04 Ratio Sufficient ss 402305(4), FS && rule 65C-22001(4), FAC (Form OEL-SR-6202, Section 3 Ratios, Page 13) Noncompliance Non- Description 04-01 A ratio of [2] staff for [7] children is required There were [1] staff for [7] children observed (Section 3, numbers 1 9) [SR] The toddler room had 6 toddler and 1 preschooler Preschooler was removed from classroom Due Date Completed at time of inspection Violation Level Class 2 - Technical Support 05 Supervision rule 65C-22001(5), 65C-22001(6), 65C-22002(4) && 65C-22007 (2), FAC (Form OEL-SR-6202, Section 5 Supervision, Pages 16-17) 06 Driver's License, Physician Certification && First Aid/CPR Training rule 65C-22001(6), 65C-22006(4), FAC (Form OEL-SR-6202, Section 6 Transportation, Page 17-19) 07 Vehicle Insurance and Inspection ss 402305(10), FS && rule 65C-22001(6) FAC (Form OEL-SR-6202, Section 6 Transportation, Page 17-19) 08 Seat Belts/Child Restraints ss 402305(10), FS && rule 65C-22001(6), FAC (Form OEL-SR-6202, Section 6 Transportation, Pages 17-19) Page 1 of 8
09 Transportation rule 65C-22001(6), FAC (Form OEL-SR-6202, Section 6 Transportation, Pages 17-19) 10 Planned Activities ss 402305(13), FS && rule 65C-22001(7), FAC (Form OEL-SR-6202, Section 7 Planned Activities, Pages 19-20) 11 Field Trip Permission rule 65C-22001(7), 65C-22001(6), FAC (Form OEL-SR-6202, Section 8 Field Trip Activity, Pages 20-21) 12 Child Discipline ss 402305(12), FS && rule 65C-22001(8), FAC (Form OEL-SR-6202, Section 9 Child Discipline, Pages 21-22) 13 Discipline Policy rule 65C-22001(8), FAC PHYSICAL ENVIRONMENT 14 Facility Environment rule 65C-22002(1), 65C-22002(7) - (9), FAC (Form OEL-SR-6202, Section 10 Physical Environment, Pages 22-23) 15 Toxic Substances and Hazardous Materials rule 65C-22002(1), FAC (Form OEL-SR-6202, Section 10 Physical Environment, Pages 22-23) 16 Supplies Labeled/Stored rule 65C-22002(1), FAC (Form OEL-SR-6202, Section 10 Physical Environment, Pages 22-23) 17 Lighting rule 65C-22002(2), FAC (Form OEL-SR-6202, Section 10 Physical Environment, Pages 23-24) 18 Temperature and Ventilation rule 65C-22002(2), FAC (Form OEL-SR-6202, Section 10 Physical Environment, Pages 23-24) 19 Indoor Floor Space ss 402305(6)FS, rule 65C-22002(3), 65C-22007(3)(a), 65C-22008(3), FAC (Form OEL-SR-6202, Section 1 - Capacity, Page 10),(Form OEL-SR-6202, Section 11 Indoor Floor Space, Pages 11-12) Page 2 of 8
20 Outdoor Area/Square Footage ss 402305(6), FS && rule 65C-22002(4), FAC (Form OEL-SR-6202, Section 1 - Capacity, Page 10) 21 Outdoor Play Area rule 65C-22002(4), FAC (Form OEL-SR-6202, Section 7 Planned Activities, Pages 19-20),(Form OEL-SR-6202, Section 107 Outdoor Play Area and Section 108 Fencing, Pages 25-26) Noncompliance Non- Description 21-02 The outdoor play area was not clean, free from litter, nails, glass or other hazards (Section 107, number 1) [SR] Facility's play ground had several active ant beds Treat Send receipt/ Due Date 07/31/2017 Violation Level Class 3 22 Fencing rule 65C-22002(4), FAC (Form OEL-SR-6202, Section 107 Outdoor Play Area and Section 108 Fencing, Pages 25-26) 23 Individual Bedding rule 65C-22002(5), 65C-22002(5), 65C-22002(10), 65C-22008(3), FAC (Form OEL-SR-6202, Section 124 Bedding and Linens, Page 29),(Form OEL-SR-6202, Section 104 Nap and Sleep Space(s)/Safe Sleep Practices, Page 24) 24 Bedding and Linens rule 65C-22002(10), FAC (Form OEL-SR-6202, Section 124 Bedding and Linens, Page 29) 25 Nap/Sleep Space Requirements rule 65C-22002(5), FAC (Form OEL-SR-6202, Section 104 Nap and Sleep Space(s)/Safe Sleep Practices, Page 24) 26 Exit Area Clear rule 65C-22002(5) and (7), FAC (Form OEL-SR-6202, Section 104 Nap and Sleep Space(s)/Safe Sleep Practices, Page 24),(Form OEL-SR-6202, Section 14 Fire Safety and Emergency Preparedness and Response, Pages 32-34) 27 Crib Requirements rule 65C-22002(5), FAC (Form OEL-SR-6202, Section 104 Nap and Sleep Space(s)/Safe Sleep Practices, Page 24) 28 Toilets and Sinks rule 65C-22002(6), FAC (Form OEL-SR-6202, Section 106 Bathrooms and Sinks, Page 25) 29 Potty Chairs rule 65C-22002(6), FAC (Form OEL-SR-6202, Section 106 Bathrooms and Sinks, Page 25) Not Applicable Page 3 of 8
30 Bath Facilities and Supervision rule 65C-22002(6), FAC (Form OEL-SR-6202, Section 5 Supervision, Pages 16-17),(Form OEL-SR-6202, Section 106 Bathrooms and Sinks, Page 25) 31 Bathroom Supplies and Equipment rule 65C-22002(6), FAC (Form OEL-SR-6202, Section 106 Bathrooms and Sinks, Page 25) 32 Operable Phone rule 65C-22002(7), FAC (Form OEL-SR-6202, Section 142 Fire Safety, Page 33) 33 Fire Drills && Emergency Preparedness rule 65C-22002(7) FAC (Form OEL-SR-6202, Section 14 Fire Safety and Emergency Preparedness and Response, Pages 32-34) 34 Food Preparation Area 65C-22002(8), FAC (Form OEL-SR-6202, Section 171 Food Preparation Area and Section 172 Food Storage, Pages 37-38) 35 Health and Sanitation rule 65C-22002(10), FAC (Form OEL-SR-6202, Section 12 Health and Sanitation, Page 28) 36 Drinking Water Available rule 65C-22002(10), FAC (Form OEL-SR-6202, Section 12 Health and Sanitation, Page 28) 37 Sanitary Diapering rule 65C-22002(10), FAC (Form OEL-SR-6202, Section 5 Supervision, Pages 16-17),(Form OEL-SR-6202, Section 123 Diapering, Pages 28-29) 38 Diaper Disposal rule 65C-22002(10), FAC (Form OEL-SR-6202, Section 123 Diapering, Pages 28-29) 39 Indoor Equipment rule 65C-22002(11), FAC (Form OEL-SR-6202, Section 11 Equipment and Furnishings, Pages 26-27) 40 Outdoor Equipment rule 65C-22002(11), FAC (Form OEL-SR-6202, Section 11 Equipment and Furnishings, Pages 26-27) Noncompliance Page 4 of 8
Non- Description 40-02 The play equipment was not safe for the children to use in that [Additional railing needs to be added to wooden play set Children may not play on wooden play set until re-inspection conducted by counselor] (Section 112, numbers 2 and 4) [SR] Due Date 08/04/2017 Violation Level Class 2 Non- Description 40-04 A resilient surface was not provided beneath and within the fall zone for [add resilient surfacing to all fall areas of wooden slide] (Section 112, number 3) [SR] Due Date 08/04/2017 Violation Level Class 2 TRAINING 41 Training Requirements ss 402305(2) - (3), FS && rule 65C-22003(2) (3), FAC (Form OEL-SR-6202, Section 18 Training Requirements, Pages 26-27) Noncompliance Non- Description 41-11 Program personnel did not complete training requirements prior to unsupervised contact with or care of children, or if supervised, within 90 days of beginning employment or service with the program (Section 181) [SR] OEL training nor DCF training was completed Staff took only 3 of the require OEL courses Staff can not have unsupervised contact with children until courses are taken Due Date 07/31/2017 Violation Level Class 3 42 10-Hour In-Service rule 65C-22003(6), FAC (Form OEL-SR-6202, Section 18 Training Requirements, Pages 26-27) Reviewed 43 Credentialed Staff ss402305(3), FS && rule 65C-22003(7)-(8), FAC HEALTH REQUIREMENTS 44 Communicable Disease Control rule 65C-22004(1), FAC (Form OEL-SR-6202, Section 13 Health-Related Requirements, Pages 30-31) 45 First Aid Requirements rule 65C-22004(2), FAC (Form OEL-SR-6202, Section 134 First Aid and Cardiopulmonary Resuscitation Pages 31-32) 46 CPR Requirements rule 65C-22004(2), FAC (Form OEL-SR-6202, Section 134 First Aid and Cardiopulmonary Resuscitation Pages 31-32) 47 Emergency Telephone Numbers rule 65C-22004(2), FAC (Form OEL-SR-6202, Section 15 Emergency Procedures and Notification, Pages 34-35) Page 5 of 8
48 Accident/ Incident Notification and Documentation rule 65C-22004(2), FAC (Form OEL-SR-6202, Section 15 Emergency Procedures and Notification, Page 35) 49 Medication rule 65C-22004(3),FAC (Form OEL-SR-6202, Section 16 Medication, Pages 35-36) FOOD AND NUTRITION 50 Meals and Snacks rule 65C-22005(1), FAC (Form OEL-SR-6202, Section 171 Food Preparation Area and Section 172 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-22005(1), FAC 52 Food Service rule 65C-22005(3), FAC (Form OEL-SR-6202, Section 17 Food and Nutrition Services, Pages 36-42) 53 Bottles Sanitary and Labeled rule 65C-22005(2), FAC (Form OEL-SR-6202, Section 5 Supervision, Pages 16-17),(Form OEL-SR-6202, Section 174 Breastmilk, Infant Formula and Food, Pages 40-41) 54 Catered Food and Food Provided by Parents 65C-22005(1), FAC 55 Single Service Items rule 65C-220011(8), 65C-22002(10), FAC (Form OEL-SR-6202, Section 12 Health and Sanitation, Page 28) RECORD KEEPING 56 Records ss 4023054(2), FS, rule 65C-22006(3)(c)5, FAC (Form OEL-SR-6202, Section 192 Record Keeping/Children s Files, Page 47) All staff and 45 child records reviewed 57 Children's Health/Immunization and Records ss 402305(9), FS&& rule 65C-22006(2) - (3), FAC (Form OEL-SR-6202, Section 192 Record Keeping/Children s Files, Page 47),(Form OEL-SR-6202, Section 192 Record Keeping/Children s Files, Page 46),Enrollment Information (Form OEL-SR-6202, Section 192 Record Keeping/Children s Files, Page 47) Page 6 of 8
58 Enrollment Information on File/Current ss 4023125(5), 402305(12), FS && rule 65C-22006(3), FAC Enrollment Information (Form OEL-SR-6202, Section 192 Record Keeping/Children s Files, Page 47) 59 Personnel Records ss 4023055(1), FS, rule 65C-22003(4), && rule 65C-22006(4) - (5), FAC (Form OEL-SR-6202, Section 18 Training Requirements, Pages 26-27),(Form OEL-SR-6202, Section 134 First Aid and Cardiopulmonary Resuscitation Pages 31-32),(Form OEL-SR-6202, Section 194 Record Keeping/Personnel Records, Page 48),(Form OEL-SR-6202, Section 195 Record Keeping/Background Screening, Page 49) 60 Background Screening Documents ss 4023054, FS && rule 65C-22006(4), FAC (Form OEL-SR-6202, Section 195 Record Keeping/Background Screening, Page 49 Be es nolonger employed, may not return un l further no ce 61 Daily Attendance rule 65C-22001(10) && rule 65C-22006(5), FAC (Form OEL-SR-6202, Section 193 Record Keeping/Attendance, Page 48) 62 Emergency Plan/Posted rule 65C-22002(7), FAC (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 402311, 402319, FS && rule 65C-22001(9),(11), FAC (Form OEL-SR-6202, Section 20 Access and Section 21 Child Safety, SCHOOL READINESS 64 Group Size (Form OEL-SR-6202, Section 4 Group Size, Pages 14-15) Noncompliance Non- Description 64-01 A group size of no more than [30] children is required for age group A group size of [38] children was observed (Section 4, numbers 1 8) [SR] A group size of 38 children to 1 teacher was observed Children were ages 2 yrs - 4yrs Counselor is assisted Director with modifications to classroom size Due Date 07/31/2017 Violation Level Class 2 Page 7 of 8
Counselor Inspection completed by C Gulley & S Primm Received by: Latavia Blunt Date: 07/27/2017 Inspected by: Shacondra Primm Date: 07/27/2017 Page 8 of 8