Provider Information Over The Rainbow Preschool 1286 Dunn Avenue Jacksonville, FL 32218 License Information ID Number: CO4DU0326 Phone: 904?757?9957 Type: Child Care Facility Capacity: 20 Fee: 0 Status: Closed Origination Date: 01/24/2002 Approval Date: 11/23/2004 Expiration Date: 11/23/2004 Sub Types: Counselor: Nancy Starling Region: Northeast Circuit: 04 County: Duval Display on Public Web Site Provider Record: Non-Con?dential Mailing Address Street: 1286 Dunn Avenuje City: Jacksonville Contact Information Display: Display Address on Web, Display Phone on Web State: FL Zip+4: 32218+ Phone: 904-757?9957 Fax: Email: Owner Information Director Information Name: Name: Donald Henderson SSN. Ownership: Credential Number: 1527892 Expiration: 04/14/2009 Phone: VPK Endorsement/Exemption:NO Corporate Designee:NO CAHRS (CentralAbuse Hotline Records Search): CAHRS (Central Abuse Hotline Records Search): Facility Size Square Footage: 35 Sq. Ft./Child - F.S. Days and Hours of Operation Monday Tuesday Wednesday Thursday Friday Saturday Sunday Opening Time: 6:00 AM 6:00 AM 6:00 AM 6:00 AM 6:00 AM Closing Time: 6:00 PM 6:00 PM 6:00 PM 6:00 PM 6:00 PM Additional Services Provided Full Day. Half Day. Drop In. Before School, After School, Infant Care, Transportation Gold Seal Accreditation VPK Program Status: Expiration: Status: Print Date: 9/8/2016 Inspection Type I Cl.? I l'o FAMILIES CHILD CARE FACILITY COMPLAINT Authorily: Sections 402 301 - 319. Florida Statutes Chapter Florida Administrative Code Complaint Name of Facility ID Number Over The Rainbow Preschool CO4DU0326 Facility Address Date 1286 Dunn Avenue Jacksonville, FL 32218 09I0112004 Owner I Operator Staff Present Licensed Capacity Children Present I Donald Henderson 2 20 12 Director's Name Director's Credential Certi?cate Number Director's Credential Certificate Expiration Date Donald Henderson 1527892 04I14I09 This is a complaint report. which documents the inspection results for only those standards that were reported to be out of compliance with licensing requirements. 2. Licensed Capacity 402.305(6) Comments GENERAL REQUIREMENTS (65C-22.001) Noncompliance Eacimy was gagag't by 3 gn 31 04. gel: leggy; PT 3:1le LA. Fac?lv is licensed fun 20 children and 23 shaman Due Date . Correction made at time of inspection. StatutefAdministrative Code 402.305 (6) Minimum standards shall be established by the department by rule. A child care facility that holds a valid license on October 1. 1992. must have a minimum of 20 square feet of usable indoor ?oor space for each child and a minimum of 45 square feet of usable outdoor play area for each child. Outdoor play area shall be calculated at the rate of 45 square feet per child in any group using the play area at one time. A minimum play area shall be provided for one half of the licensed capacity. This standard applies as long as the child care facility remains licensed at the site occupied on October 1. 1992. and shall not be affected by any change in the ownership of the site. A child care facility that does not hold a valid license on October 1. 1992. and seeks regulatory approval to operate as a child care faci!ity must have a minimum of 35 square feet of usab!e ?oor space for each child and a mm'mnm of 45 square feet of usable outdoor play area for each child. The minimum standard for outdoor play area does not apply in calculating square footage for children under 1 year of age. However. appropriate outdoor infant equipment shall be substituted for outdoor play space. The centers shall provide facilities and equipment conducive to the physical activities appropriate for the age and physical development of the child. 4. Ratio Suf?cient 402.305(4) Noncompliance Corinments WW 3 infants present the other chmuwaedlm B?gig was algg ragga gg ggri Ing @521 pg as 1 teacher was supervising 8 children in a mixed group of 1 and 2 vr olds. IIJE amr mg; {gtig a mixes! age at includes 1 vr olds is 1 staff to 6 children. Due Date . Correction made at time of inspection. StatutelAdministrative Code 650?22001 The staff?to-children ratio. as established in s. F.S.. is based on primary responsibility for the direct supervision of children and applies at all times while children are in care. In groups of mixed age ranges. where children under 1 year of age are included, one staff member shall be responsible for no more than 4 children of any age group. 2. In groups of mixed age ranges. where children 1 year of age but under 2 years of age are included. one staff member shall be responsible for no more than 6 children of any age group. 402.305 Minimum standards for the care of children in a licensed child care facility as established by rule of the department must include: 1. For children from birth through 1 year of age. there must be one child care personnel for every four children. For children 1 year of age or older. but under 2 years of age. there must be one child care personnel for every six children. For children 2 years of age or older. but under 3 years of age. there must be one child care personnel for every 11 children. For children 3 years of age or older. but under 4 years of age. there must be one child care personnel for every 15 children. For children 4 years of age or older. but under 5 years of age. there must be one child care personnel for every 20 children. For children 5 years of age or older. there must be one child care personnel for every 25 children. When children 2 years of age and older are in care. the staff?to-children ratio shall be based on the age group with the largest number of children within the group. 749391993.? Starred items inspected on new employeeslchildren only September 1 2004 CF-FSP 5055, May 2001 (Stock Number: 3CF-00191) Page 1 of 3 Irorum prumummr or ILDRIN .. FM. LI ES CHILD CARE FACILITY COMPLAINT Name of Facility ID Number Over The Rainbow Preschool CO4DU0326 5. Supervision Direct/Naptime 3 Noncompliance Comments waoeihieilw r1lr lo' urvi'on. Due Date Correction made at time of inspection. StatuteIAdministrative Code 650-22001 Direct supervision means watching and directing children's activities within the same room or designated outdoor play area and responding to each child's need. Child care personnel at a facility must be assigned to provide direct supervision to a speci?c group of children and be present with that group of children at all times. When caring for school age children. child care personnel shall remain responsible for the supervision of the children in care and capable of responding to emergencies. and are accountable for children at all times. which includes when children are separated from their groups. During nap time, supervision means suf?cient staff in close proximity. within sight and hearing of all the children. All other staff to meet the required staff-to-children ratio shall be within the same building on the same floor and be readily accessible and available to be summoned to ensure the safety of the children. In addition to the number of staff required to meet the staff to child ratio, one additional adult must be present on all field trips away from the child care facility. for the purpose of safety. to assist in providing direct supervision. 2. If a child care facility uses a swimming pool which exceeds 3 feet in depth or uses beach or lake areas for water activities, the child care facility must provide one person with a certified lifeguard certificate or equivalent. unless a certi?ed lifeguard is on duty and present when any children are in the swimming area. In situations where the child care facility provides a person with a certi?ed lifeguard certi?cate or equivalent, that person can also serve as the additional adult to meet the requirement in above. 3. A telephone or other means of communication shall be available to staff responsible for children during all ?eld trips. Cell phones. two?way radio devices, citizen band radios, and other means of instant communication are accepted. PHYSICAL ENVIRONMENT (65C-22.002) 39. Indoor Equipment/Suf?cient. Safe, Suitable, Sanitary Noncompliance Due Date Correction made at time of inspection. StatutefAdministrative Code 650-22002 A child care facility shall make available toys. equipment and furnishings suitable to each child's age and development and of a quantity for each child to be involved in activities. 2. Toys. equipment and furnishings must be safe and maintained in a sanitary condition. HEALTH REQUIREMENTS (65C-22.004) 48. Accident/Incident Documented Compliance Comments Incident report was produced which was signed by parent and teacher. Director also should sign. RECORD KEEPING (65C-22.006) 61. Daily Attendance/Maintained Noncompliance Comments I11 1? Jill: I . .. . Due Date Correction made at time of inspection. StatutelAdministrative Code 650-22006 Daily attendance of children shall be taken and recorded by the child care facility personnel, documenting when each child enters and departs a child care facility or program. Such records shall be maintained for a minimum of four months. Starred items inspected on new employeeslchildren only September 1 2004 CF-FSP 5085, May 2001 (Stock Number; Page 2 of 3 :lmtlilh DIPNIIMWI U: a (HILIJRIN is FAMILIES CHILD CARE FACILITY COMPLAINT Name of Facility ID Number Over The Rainbow Preschool CO4DU0326 by? Nancy Starling Recewed by: Galynda Henderson ??193 02:45 PM to 04:10 PM Date: 09/01/2004 Starred items inspected on new employeeslchildren only CF-FSP 5085, May 2001 (Stock Number: SCF-OO191) September 1, 2004 Page 3 of 3 imini?. o'emtimmi in' emu-MN a FAMILIES CHILD CARE FACILITY INSPECTION CHECKLIST Inspection Tvpe Authority: Sections 402 301 - 319, Florida Statutes Routine Chapter 650-22. Florida Administrative Code Name of Facility ID Number Over The Rainbow Preschool CO4DU0326 Facility Address Date 1286 Dunn Avenue Jacksonville. FL 32218 09I0812004 Owner! Operator Staff Present Licensed Capacity Children Present I Donald Henderson 1 20 0 Director's Name Director's Credential Certificate Number Director's Credential Certi?cate Expiration Date Donald Henderson 1527892 04114109 GENERAL REQUIREMENTS (65C-22.001) 1. License Displayed/Citation Posted 402.3125 Compliance Comments No children were in attendance on this date,although the program is currently licensed. 2. Licensed Capacity 402.305(6) Compliance 3. Minimum Age/in Charge Compliance 4. Ratio Sufficient 402.305(4) Not Monitored 5. Supervision Direct/Naptime 3 Not Monitored 6. Driver's License/Physical Not Applicable Comments Transportation is not provided. 7. Vehicle Inspected/Insured 316.615 Not Monitored 8. Seat Belts/Child Restraints Not Monitored 9. Transportation Log Maintained Not Monitored 10. Planned Activities Posted and Followed Compliance 11. Field Trip Posted/Permission Not Monitored 12. Child Discipline/Compliance Not Monitored 13. Discipline Policy AvailablelReview Compliance Comments Discussed adding more speci?c wording, as was found in previous year's written policy. PHYSICAL ENVIRONMENT (650-21002) 14. Clean/Good Repair Compliance 15. No Toxic/Hazardous Materials Compliance 16. Supplies Labeled/Stored Compliance 17. Sufficient Lighting Compliance 18. Temperature and Ventilation Compliance 19. Indoor Space/Square Footage 402.305(6) Compliance 20. Outdoor Area/Square Footage 402.305(6) Compliance 21. Outdoor Play Area Noncompliance Comments I to be mowed. Due Date 09/18/2004 StatutelAdministrative Code Starred items inspected on new employeesfchildren only September 8 2004 CF-FSP 5085, May 2001 (Stock Number: Page 1 Of 5 I LCIIU at I 51.51"? Cll? I LDRIN 5 FAMILIES CHILD CARE FACILITY INSPECTION CHECKLIST Name of Facility ID Number Over The Rainbow Preschool C04DU0326 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 650-22002 The outdoor play area shall be clean, free of litter, nails, glass and other hazards. 1. The outdoor play area shall provide shade. 2. During outdoor play, personnel must situate themselves in the outdoor play area so that all children can be observed and direct supervision provided. Infants in care shall be provided opportunities for outdoor time each day that weather permits. Fencing Comments End [gage gigkgj is missing nails are protruding. Post is missino from buildinn to fence corner. Due Date 09/13/2004 StatuteIAdministrative Code 650-22002 The facility's outdoor play area shall be fenced in accordance with accepted safety practices and local ordinances to prevent access by children to all water hazards, within or adjacent to outdoor play areas, such as pools, ditches, retention and fish ponds. The outdoor play area shall have and maintain safe and adequate fencing or walls a minimum of four (4) feet in height. Fencing, including gates, must be continuous and shall not have gaps that would allow children to exit the outdoor play area. The base of the fence must remain at ground level. free from erosion or build-up, to prevent inside or outside access by children or animals. A fence is not required if all the following conditions are met: 1. The children using the outdoor play area are in five-year?old kindergarten and grades one or above; 2. In addition to the established staff-to-children ratios, for the purpose of safety, an additional staff member is present, during all times of outdoor activities, to assist in providing direct supervision; 3. The outdoor play area is not located adjacent to a congested, heavily traf?cked location or near any major intersections, crowded business areas, or water hazards; and 4. The department or local licensing agency has provided written authorization to the program to operate without a fence. Individual Bedding Bedding/Linens Safe/Sanitary 18" Around Nap Space Comments Cribs are properly spaced. Exit Area Clear Crib Requirements Toilets/Basins Required/Accessipie/Maintained Plumbing/Potty Chairs Operating/Sanitized Bath Facilities Available/Supervised Bathroom Supplies/Equipment Available Operable Phone Fire Drill Window Screens Proper Handwashing Drinking Water Available Sanitary Diapering Area/Location Proper Disposal of Soiled Diapers Indoor Equipment/Sufficient, Safe. Suitable, Sanitary 65C?22002(9(a) Outdoor Equipment/Suitable, Safe, Maintained Comments un mov fr to lay area. eremov ru' nd Noncompliance Compliance Compliance Compliance Compliance Compliance Compliance Compliance Compliance Compliance Compliance Compliance Compliance Not Monitored Compliance Compliance Compliance Compliance Noncompliance Starred items inspected on new employeeslchildren only 5085, May 2001 (Stock Number: 3CF-00191) September 8, 2004 Page 2 of 5 HGIUUA AMEN IAMI CHILD CARE FACILITY INSPECTION CHECKLIST Name of Facility ID Number Over The Rainbow Preschool CO4DU0326 41. 42. 43. 50. 51. 52. 53. 54. 55. 56. 57'. . CPR SI. . Emergency Telephone Numbers . Accident/incident Documented . Medicine Labeled/Stored/Authorized Due Date 09/13/2004 Statute/Administrative Code 650-22002 A child care facility shall provide and maintain equipment and play activities suitable to each child's age and development. 2. All play equipment shall be securely anchored, unless portable by design. in good repair, maintained in safe condition. and placed to ensure safe usage by the children. Maintenance shall include checks at least every other month. of all supports, above and below the ground, all connectors, and moving parts. 3. Permanent playground equipment must have a ground cover or other protective surface under the equipment which provides resilience and is maintained to reduce the incidence of injuries to children in the event of falls. 4. All equipment. fences. and objects on the facility's premises shall be free of sharp, broken and jagged edges and properly placed to prevent overcrowding or safety hazards in any one area. 5. All equipment used in the outdoor play area shall be constructed to allow for water drainage and maintained in a safe and sanitary condition. TRAINING (rise-22.003) 40-Hour Training 402.305(2) 10-Hour ln-Service Sufficient Credentialed Staff HEALTH REQUIREMENTS (65C-22.004) . Proper Isolation Area/Utilized . First Aid Staff/Supplies ran II FOOD AND NUTRITION (650-22005) Meals/Snacks Quality/Quantity Comments Parents provide meals and snacks. Menu/Substitutions Posted/Dated/Accessible Individual/Supervised Feeding Bottles Sanitary and Labeled Sufficient Seating Single Service Items RECORD KEEPING (650-22006) Records Available Children's Health/Immunization Records Comments Two children's files lacked current immunization forms 630. See supplement. Due Date 09/18/2004 Statute/Administrative Code 650-22006 Within 30 days of enrollment. unless statutorily exempted. each child shall have on file at the facility a Compliance Not Monitored Compliance Compliance Compliance Compliance Compliance Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Compliance Not Applicable Compliance Noncompliance Starred items inspected on new employees/children only 5085. May 2001 (Stock Number: SCF-001Q1) September 8, 2004 Page 3 of 5 m. an: I as cmmusu a Immes CHILD CARE FACILITY INSPECTION CHECKLIST Name of Facility ID Number Over The Rainbow Preschool C04DU0326 examination has been completed may be documented on the State of Florida, Department of Health, DH Form 3040, OR a signed statement by authorized professionals that indicates the results of the components included in the health examination. The Student Health Examination shall be completed by a person given statutory authority to perform health examinations. The Student Health Examination is valid for two (2) years from the date the physical was performed. (0) Within 30 days of enrollment, each child shall have on ?le and keep current a completed DH Form 680, Florida Certification of Immunization Part B, or (July 2001), or DH Form 681, Religious Exemption from immunization (May1999). DH forms 680 and 681 can be obtained from the local county health department. The DH Form 680, Florida Certification of Immunization Parts A-1, Certificate of Immunization for K-12 Excluding 7th Grade Requirements or Part Temporary Medical Exemption, shall be signed by a physician or authorized personnel licensed under the provisions of Chapter 458, 459, or 460, F.S and shall document vaccination for the prevention of diphtheria, pertussis, tetanus, poliomyelitis, rubeola, rubella, mumps, and Haemophilus in?uenza type (HIB), and effective July 1, 2001, completion of the varicella vaccination. The DH Form 680, Florida Certi?cation of Immunization Part C, Permanent Medical Exemption, shall be dated and signed by a physician licensed under the provisions of Chapter 458 or 459, PS. Immunizations received out of state are acceptable, however, immunizations must be documented on DH Form 680 and signed by a practicing physician in the State of Florida. 58. Enrollment information on File/Current Noncompliance Comments Due Date 09/13/2004 StatuteiAdministrative Code 650?22006 (4) The facility operator shall obtain enrollment information from the child?s custodial parent or legal guardian, prior to accepting a child in care. This information shall be documented on CF-FSP Form 5219, Dec. 02, Child Care Application for Enrollment, which is incorporated by reference, or an equivalent form that contains all the information required by the department's form. Enrollment information shall be kept current and on file. The child shall not be released to any person other than the personis) authorized. or in the manner authorized in writing. by the custodial parent or legal guardians. There shall be signed statements that the child care facility has provided the following information to parents: 1. The department's child care facility brochure, 175?24, March 2002, Know Your Child Care Center, which is incorporated by reference. Local licensing agencies may use an equivalent brochure approved by the department's district licensing office containing all the information required by the department. 2. The child care facility's written disciplinary practices. 59. Personnel Records Compliance 60. Form 5131/Screening Documents 435.04 Noncompliance Comments One gmgigygek Hgiagked emgloyment historv in file as we? as 5131 form. The latter was Enraged during the igspegtign. Due Date 09/0912004 StatuteiAdministrative Code 650-22006 (5) Records shall be maintained and kept current on all child care personnel, as defined by s. F.S. These shall include: Level 2 screening information documented on CF-FSP Form 5131, Apr 03, Background Screening and Personnel File Requirements. 435.04 (1) All employees in positions designated by law as positions of trust or responsibility shall be required to undergo security background investigations as a condition of employment and continued employment. For the purposes of this subsection, security background investigations shall include, but not be limited to, employment history checks, fingerprinting for all purposes and checks in this subsection, statewide criminal and juvenile records checks through the Florida Department of Law Enforcement, and federal criminal records checks through the Federal Bureau of investigation, and may include local criminal records checks through local law enforcement agencies. (2) The security background investigations under this section must ensure that no persons subject to the provisions of this section have been found guilty of, regardless of adjudication, or entered a plea of nolo contendere or guilty to. any offense prohibited under any of the provisions of the Florida Statutes or under any similar statute of another jurisdiction. (4) Under penalty of perjury, all employees in such positions of trust or responsibility shall attest to meeting the requirements for qualifying for employment and agreeing to inform the employer immediately if convicted of any of the disqualifying offenses while employed by the employer. Each employer of employees in such positions of trust or responsibilities which is licensed or Starred items inspected on new emptoyeesichildren only September 8 2004 CF-FSP 5085, May 2001 (Stock Number: SCF-00191) Page 4 of 5 (If ?l CHILDREN alumnus: CHILD CARE FACILITY INSPECTION CHECKLIST Name of Facility ID Number Over The Rainbow Preschool C04DU0326 registered by a state agency shall submit to the licensing agency annually, under penalty of perjury. an affidavit of compliance with the provisions of this section. 61. Daily Attendance/Maintained Not Monitored 62. Emergency Plan/Posted 63. OTHER Compliance Not Applicable InspeCIEd by: Nancy Starling Rece'VEd by: Donald Henderson Date: 09/08/2004 ?"135 10:00 AM to 01:00 PM Starred items inspected on new employeeslchildren only September 8 2004 Page 5 of 5 CF-FSP 5085, May 2001 (Stock Number: 3CF-00191) v\v toium emu meat in: I LON-EN -i a rmrues CHILD CARE FACILITY REINSPECTION CHECKLEST Inspection Type Reinspection Authority: Sections 402 301 - 319, Honda Statutes Chapter 650-22. Florida Administrative Code Name of Facility ID Number Over The Rainbow Preschool CO4DU0326 Facility Address Date 1286 Dunn Avenue Jacksonville, FL 32218 10I06f2004 Owner I Operator Staff Present Licensed Capacity Children Present I Donald Henderson t) 20 0 Director's Name Director's Credential Certificate Number Director's Credential Certi?cate Expiration Date Donald Henderson 1527892 04l14l09 This is a re-inspection report, which documents completion of noncompliance items from the initial report as the corrective actions become due. Additional noncompliance items may be documented at the time of re-inspection. PHYSICAL ENVIRONMENT (656-22002) 21. Outdoor Play Area Compliance Comments Per corrective action statement received 9-29-04. branches were removed and grass mowed. Bucket was emptied. 22. Fencing Compliance 40. Outdoor Equipment/Suitable, Safe, Maintained Compliance Comments Space shuttle toy was removed until repaired. RECORD KEEPING (650-22006) 57. Children's Health/Immunization Records Compliance Comments Children's files have been updated. 58. Enrollment information on File/Current Compliance Comments Enrollment form is now on file for each sibling. Inspected by: Nancy Starling Received by: Na Date: 10/06/2004 Time: 03:18 PM to 03:25 PM Starred items inspected on new employeeslchildren only CF-FSP 5085. May 2001 (Stock Number: (SOP-00191) October 6. 2004 Page 1 of 1