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Family Day Care Home Information Name: Becerra Family Day Care Home ID Number: F20CO0003 Address: 510 New Market Rd W City: Immokalee State: FL Zip Code: 34142-3056 Phone Number: (239) 658-0276 Capacity: 10 Owner/Director/Staff Responsible: Leticia Becerra DCF Standards DCF & SR Standards SR Standards Inspection Information Type: Routine Date: 08/09/2017 Arrival/Departure Time: 10:35 AM to 11:15 AM Staff Present: 1 Children Present: 6 [School Readiness Inspection] INSPECTION CHECKLIST STAFFING REQUIREMENTS 01. Operator ss. 402.318, F.S. && rule 65C-20.009(2)(a), F.A.C. (Form OEL-SR-6206, Section 1 Operators, Page 10) 02. Written Plan for Substitute rule 65C-20.009(2)(b), F.A.C. (Form OEL-SR-6206, Section 2 Substitutes/Employees, Page 11) 03. Background Screening Requirements ss. 402.313(3), 402.305(2)(a), 402.302(13), F.S. && rule 65C-20.008(3) && (4), F.A.C. (Form OEL-SR-6206, Section 18.4 Background Screening, Pages 38-39),(Form OEL-SR-6206, Section 4 Supervision, Page 13) 04. Staff Training rule 65C-20.009(1)(a),65C-20.009(3)(d)&(e) && (4), F.A.C. (Form OEL-SR-6206, Section 12.4 First Aid and Cardio Pulmonary Resuscitation, Page 25-26 and Section 17 Training Requirements, Pages 32-35) 05. Indoors and Outdoors Supervision rule 65C-20.009(2)(c)&(5), F.A.C. (Form OEL-SR-6206, Section 4 Supervision, Page 13) HEALTH REQUIREMENTS 06. Animal Immunizations rule 65C-20.010(1)(a), F.A.C. (Form OEL-SR-6206, Section 9 Physical 07. Toxic Substances, Hazardous Materials and Hazardous Items rule 65C-20.010(1)(b), F.A.C. (Form OEL-SR-6206, Section 9 Physical 08. Smoking on Premise rule 65C-20.010(1)(c), F.A.C. (Form OEL-SR-6206, Section 9 Physical Page 1 of 6

Name: Becerra Family Day Care Home License #: F20CO0003 09. Firearms and Weapons rule 65C-20.010(1)(d), F.A.C. (Form OEL-SR-6206, Section 9 Physical 10. Play Areas Clean and Free of Litter rule 65C-20.010(1)(e), F.A.C. (Form OEL-SR-6206, Section 9 Physical 11. Outdoor Time and Play Area Requirements rule 65C-20.010(1)(f)-(h), F.A.C. (Form OEL-SR-6206, Section 9 Physical Environment, Pages 17-21 and Section 10 Equipment and Furnishings, Pages 12. Swimming Pools rule 65C-20.010(1)(i)(j), F.A.C. (Form OEL-SR-6206, Section 9 Physical 13. Appropriate, Safe and Sanitary Bedding rule 65C-20.010(1)( k)-(o), F.A.C. (Form OEL-SR-6206, Section 9.4 Nap and Sleep Space(s)/Safe Sleep Practices, Pages 19-20 and Section 11.4 Bedding and Linens, Pages 23-24) 14. Drinking Water and Single Service Disposables rule 65C-20.010(1)(p)(q), F.A.C. (Form OEL-SR-6206, Section 16 Food and Nutrition, Pages 29-32) 15. Vermin/Pest Control rule 65C-20.010(1)(r), F.A.C. (Form OEL-SR-6206, Section 9 Physical 16. Furnishings, Equipment and Plumbing are Sanitary are Free from Hazards and in Good Repair rule 65C-20.010(1)(s), 2(d), F.A.C. (Form OEL-SR-6206, Section 10 Equipment and Furnishings, Pages 21-22),(Form OEL-SR-6206, Section 9 Physical Environment, Pages 17-21 and Section 13.1 Fire Safety, Page 27) 17. Smoke Detector, Fire Extinguisher, Corded Telephone, Lighting, Temperature and Ventilation rule 65C-20.010(1)(s), F.A.C. (Form OEL-SR-6206, Section 9 Physical Environment, Pages 17-21 and Section 13.1 Fire Safety, Page 27) 18. Nutritious Meals and Snacks Provided rule 65C-20.010(1)(t), F.A.C. (Form OEL-SR-6206, Section 16.1 Food Hygiene, Page 30) 19. Handwashing rule 65C-20.010(2)(a)(d)-(f), F.A.C. (Form OEL-SR-6206, Section 9.6 - Bathrooms and Sinks, Page 20, Section 11.2 - Handwashing, Page 23, and Section 11.3 - Diapering, Page 23) Page 2 of 6

Name: Becerra Family Day Care Home License #: F20CO0003 20. Soiled Items rule 65C-20.010(2)(b), F.A.C. (Form OEL-SR-6206, Section 9.6 - Bathrooms and Sinks, Page 20, Section 11.2 - Handwashing, Page 23, and Section 11.3 - Diapering, Page 23) 21. Potty Chairs Cleaned and Sanitized rule 65C-20.010(2)(c), F.A.C. (Form OEL-SR-6206, Section 9.6 - Bathrooms and Sinks, Page 20, Section 11.2 - Handwashing, Page 23, and Section 11.3 - Diapering, Page 23) 22. Individually Labeled Towels and Wash Cloths rule 65C-20.010(2)(f), F.A.C. (Form OEL-SR-6206, Section 9 Physical Environment, Page 20) 23. Diapering Area Clean and Sanitized rule 65C-20.010(2)(g), F.A.C. (Form OEL-SR-6206, Section 11.3 Diapering, Page 23) 24. First Aid Kit rule 65C-20.010(3)(a), F.A.C. (Form OEL-SR-6206, Section 12 Health Related Requirements, Pages 25-26) 25. Emergency Telephone Information rule 65C-20.010(3)(b)1., F.A.C. (Form OEL-SR-6206, Section 14 Emergency Procedures and Notification, Page 28) 26. Documented Accidents, Incidents and Health Related Symptoms rule 65C-20.010(3)(b) 2. and 3., F.A.C. (Form OEL-SR-6206, Section 14 Emergency Procedures and Notification, Page 28) 27. Fire Drills/Emergency Preparedness rule 65C-20.010(3)(b)4 through 7, && rule 65C-20.010, F.A.C. (Form OEL-SR-6206, Section 13 Fire Safety and Emergency Preparedness and Response, Pages 26-28) 28. Communicable Disease Control rule 65C-20.010(4), F.A.C. (Form OEL-SR-6206, Section 12 Health Related Requirements, Pages 24-26) 29. Prescription and Non-Prescription Medication rule 65C-20.010(5)(a)(c)(g)(h), F.A.C. (Form OEL-SR-6206, Section 15 Medication, Page 29) 30. Documentation of Dispensed Medication rule 65C-20.010(5)(a)(b)(d)-(f), F.A.C. (Form OEL-SR-6206, Section 15 Medication, Page 29) Page 3 of 6

Name: Becerra Family Day Care Home License #: F20CO0003 HEALTH RECORDS 31. Immunization Records rule 65C-20.011(1)(a), F.A.C. (Form OEL-SR-6206, Section 18.2 Record Keeping/Children s Files, Pages 36-38) 32. Student Health and Records rule 65C-20.011(1)(b)(c), F.A.C. && s. 402.313, F.S. (Form OEL-SR-6206, Section 18.2 Record Keeping/Children s Files, Pages 36-38) 33. Enrollment Information rule 65C-20.011(2), F.A.C. (Form OEL-SR-6206, Section 18.2 Record Keeping/Children s Files, Pages 36-38) Comments There are currently 6 children enrolled. All files were reviewed during today's inspec on. ENFORCEMENT 34. Access to the Premises/Misrepresentation ss. 402.319, F.S. && rule 65C-20.012(4), F.A.C. (Form OEL-SR-6206, Section 19 Access and Section 20 Child Safety, Page 40) 35. Licensed Capacity ss. 402.302(7), F.S. (Form OEL-SR-6206, Section 3 Ratios/Group Size, Page 12) 36. Child Discipline ss. 402.305(12)(a), F.S. && rule 65C-20.010(6), F.A.C. (Form OEL-SR-6206, Section 8 Child Discipline, Pages 16-17) 37. Transportation and Supervision rule 65C-20.010(1)(c) && (8), F.A.C. (Form OEL-SR-6206, Section 4 Supervision, Page 13),(Form OEL-SR-6206, Section 5 Transportation (If Applicable, Pages 38. Child Abuse or Neglect ss. 402.319, F.S. && rule 65C-20.010(7), F.A.C. (Form OEL-SR-6206, Section 20 Child Safety, Page 40) SCHOOL READINESS 39. Planned Activities (Form OEL-SR-6206 Section 6 Planned Activities, Page 16) Page 4 of 6

Name: Becerra Family Day Care Home License #: F20CO0003 Counselor Comments Updated Background Screening Process Instructions for Child Care Owner/Operator/Employers are outlined below. More details and links to instructions for each step are available online at www.myflfamilies.com/backgroundscreening. 1. Complete a search for the individual in the Background Screening Clearinghouse. a. For individuals who are already in the Clearinghouse: i. If the individual s status is DCF Child Care Eligible add individual to roster and proceed to steps 2-5. ii. If the Clearinghouse indicates an Agency Review is required select Initiate Agency Review (no cost) iii. If the individual has had a break in service for more than 90 days or needs to be rescreened by May 2017 select Initiate Resubmission b. For individuals who are not in the Clearinghouse: i. Select Initiate Screening. ii. Schedule a fingerprinting through a Clearinghouse-compatible Live Scan Vendor. 2. Check criminal records for every state the individual has lived outside of Florida in the last five years. Forward results to the DCF Background Screening Unit for review at bgs.outofstate.admin@myflfamilies.com. 3. Check child abuse and neglect registry for every state outside of Florida the individual has lived in for the last five years. 4. Check sexual offender/predator registry for every state outside of Florida the individual has lived in for the last five years. 5. Check employment history with each employer for whom the individual has worked in the last five years. Try at least three times to contact the employer, and keep records of these contacts for your files. Pending Results from Out-of-State Records While you are waiting for the out of state results, if the individual meets the Florida Level 2 screening requirements, DCF may grant provisional hiring status for 45 days while the out-of-state check is pending. During provisional employment, the individual must be in the line of sight of an employee who has already met all screening/training requirements. 6. DCF s Background Screening Unit will issue an eligible or non-eligible result for employment through the Clearinghouse upon completion of searches and results from other states, if applicable. Note: Keep a copy, on-site at the child care program, of documentation of all elements in the process in the individual s personnel file for review by the licensing authority. Technical Assistance was provided regarding the new School Readiness standards that were adopted in rule 6M-4.620, F.A.C. 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. School Readiness standards are established in three different handbooks depending on the program type. Standards include but are not limited to preservice training, group size, expulsion policy, and emergency preparedness. Providers are encouraged to review the handbook requirements and make necessary changes in order to comply when the standards are effective. To access the handbooks visit the following link: https://www.flrules.org/gateway/reference.asp?no=ref-07457 Please be advised that School Readiness inspections conducted by the Department 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: Leticia Becerra Date: 08/09/2017 Inspected by: Angel Felix Date: 08/09/2017 Page 5 of 6

Name: Becerra Family Day Care Home License #: F20CO0003 Page 6 of 6