copy STATE OF FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES To: Parsons’ Little Scholars Creative Child Care Certified Mail: 7012 3460 0002 3963 7070 6505 Fort Caroline Road Return Receipt Requested Jacksonville, FL 32277 ADMINISTRATIVE COMPLAINT YOU ARE HEREBY NOTIFIED the Department has imposed a Civil Penalty in the amount of Fifty Dollars ($50.00). The Department's authority and grounds to impose this sanction are explained below: 1. The Department of Children and Families is authorized by section 402.310, Florida Statutes, to sanction Parsons’ Little Scholars Creative Child Care for violations of child care licensing standards in sections 402.301 ~ 402.319, Florida Statutes, and chapter 65C-22, Florida Administrative Code. 2. Parsons’ Little Scholars Creative Child Care is licensed under chapter 402, Florida Statutes, and chapter 65C-22, Florida Administrative Code, to operate a child care facility known as Parsons’ Little Scholars Creative Child Care License #CO04DU0330 located at 6505 Fort Caroline Road, Jacksonville, FL 32277. The facility license is currently a REGULAR License. 3. During a Routine inspection on January 8, 2015 DCF Licensing Counselor, Katarina Diaz, observed that: The required Background Screening Document CF-FSP Form 5131, was not on file for newly hired staff T.1. 4. The foregoing facts violate Florida Administrative Code 65C-22.006(4)(d) which states: Screening information must be documented on CF-FSP Form 5131, July 2012, Background Screening and Personnel File Requirements, which is incorporated by reference and may be obtained from the department’s website www.myflorida.com/childcare. 5. The violation described above is a Class Il violation of child care licensing standards. It is the facility's second (2) Class II violation of Child Care Facility Standards Classifications Summary #60 Background Screening Documents within a two-year period. The same violation was previously cited on August 20, 2014 at which time they received technical assistance and an administrative waming. The fine imposed for this violation is Fifty Dollars ($50.00). If you do not wish to contest the findings of this administrative complaint, please submit © cas /er ‘der made payable to the Florida Department of Children and Families, Child Care Regulation Office, 5920 Arlington Expressway, P.O. Box 2417, Jacksonville, FL 32231 if you wish to contest the findings of this administrative complaint and/or the sanctions imposed you may do so as provided in the notification of nghts below. NOTIFICATION OF RIGHTS UNDER CHAPTER 120, FLORIDA STATUTES IF YOU BELIEVE THE DEPARTMENT'S DECISION IS IN ERROR, YOU MAY REQUEST AN ADMINISTRATIVE HEARING TO CONTEST THE DECISION. YOUR REQUEST FOR AN ADMINISTRATIVE HEARING MUST BE IN WRITING AND MUST BE RECEIVED BY THE DEPARTMENT WITHIN 21 DAYS OF YOUR RECEIPT OF THIS NOTICE. FAILURE TO REQUEST AN ADMINISTRATIVE HEARING WITHIN THE 21 DAYS PROVIDED SHALL CONSTITUTE A WAIVER OF THE RIGHT TO A HEARING. You may submit your request for an administrative hearing to the Department at the following addresses: David Tucker Chief Legal Counsel Department of Children & Families P. O. Box 2417 Jacksonville, FL. 32231-0083 Please note that a request for an administrative hearing must comply with section 120.569(2)(c), Florida Statutes, and Rules 28-106.201(2), Florida Administrative Code. Those provisions require a petition for administrative hearing fo include: (a) The name and address of each agency affected and each (b) (c) (d) e) (f) (h) agency’s file or identification number, if known; The name, address, and telephone number of the petitioner; the name, address, and telephone number of the petitioner's representative, if any, which shall be the address for service purposes during the course of the proceeding; An explanation of how the petitioner's substantial interests will be affected by the agency determination; A statement of when and how the petitioner received notice of the agency decision; A statement of all disputed issues of material facts. If there are none, the petition must so indicate; A concise statement of the ultimate facts alleged, including the specific facts the petitioner contends warrant reversal or modification of the agency’s proposed action; A statement of the specific rules or statutes the petitioner contends require reversal or modification of the agency's proposed action, including an explanation of how the alleged facts relate to the specific rules or statutes; and A statement of the relief sought by the petitioner, stating precisely the action petitioner wishes the agency to take with respect to the agency’s proposed action. Section 120.569, Florida Statutes, and rule 28-106.201(4), Florida Administrative Code, require a petition to be dismissed if it is not in substantial compliance with the requirements above. Mediation as described in section 120.573, Florida Statutes, may be available if agreed to by all parties, and on such terms as agreed to by all parties. The right ta an administrative proceeding is not affected when mediation does not result in a settlement. CERTIFICATE OF SERVICE | HEREBY CERTIFY that a true and correct copy of the foregoing has been furnished by certified mail retum receipt no. 7012 3460 0002 3963 7070 Parsons’ Little Scholars Creative Child Care, 6505 Fort Caroline Road, Jacksonville, FL 32277 this Ae m day of January 28. fo co “oy / / Je fy va VL . IZ we | Deut Pamela Buckh Safety Program Tranager

Docket for Case No: 15-000963