STATE OF FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES Storybook Schoo! 209 West Oak Ridge Road Orlando, FL 32809 Certified Mail Return Receipt No. 7013 2630 0002 0240 8798 ADMINISTRATIVE COMPLAINT YOU ARE HEREBY NOTIFIED that the Department has imposed a Civil Penalty in the amount of $50. 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 Storybook School for violations of child care licensing standards in sections 402.301- 402.319, Florida Statutes, and chapter 65C-22, Florida Administrative Code. 2. Storybook School is licensed under chapter 402, Florida Statutes, and chapter 65C-22, Florida Administrative Code, to operate a child care facility known as Storybook School located at 209 West Oak Ridge Road, Orlando, FL 32809. The facility license is currently a Regular License. 3. Respondent committed a Class HI licensing violation of 65C-22.001(4) & 402.305(4), Florida Administrative Code, with respect to Ratio Sufficient. On August 8, 2012, a ratio of Istaff for 5 children is required. There was/were a volunteer who did not meet the requirement of a child care personnel staff for five children observed. The inspection for August 8, 2012 is attached as Exhibit “A”. On January 29, 2014 a ratio of 1 staff for 6 one year old children is required. There was/were | staff for 11, one year old children observed. The inspection for January 29, 2014 Exhibit “B”. 4. The above referenced violation constitutes grounds to levy this Civil Penalty pursuant to s. 402.305(4), F.S., in that the above referenced conduct of Respondent constitutes a violation of the minimum standards, rules and regulations for the operation of'a Child Care Facility. 5. The violation described above is a Class I] violation of child care licensing standards. It is the facility’s second occurrence of a Class II of Ratio Sufficient — standard within a two year period. Technical assistance was given to the provider in regards of Ratio Sufficient. The fine imposed for this violation is $50. 6. The total fine imposed by this Administrative Complaint is $50 (fifty dollars). PAYMENT OF FINE, IF NOT CONTESTED If you do not wish to contest the findings of the administrative complaint, payment of the fine amount can be made by money order or cashier’s check directly to the Department of Children and Families, Child Care Regulations Office. The mailing address is Department of Children and Families Attention: Child Care Licensing Office 400 West Robinson Street S-929 Orlando, Florida 32801-9425 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 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 address: T. Shane DeBoard, Esquire Department of Children and Families C/O District Legal Office, S-1129 400 West Robinson Street Orlando, Florida 32801-9425 Please note 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, when read together, require a petition for administrative hearing to include: (a) The name and address of each agency affected and each agency’s file or identification number, if known; (b) 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; (c) An explanation of how the petitioner’s substantial interests will be affected by the agency determination; (d) A statement of when and how the petitioner received notice of the agency decision; : (e) A statement of all disputed issues of material facts. If there are none, the petition must so indicate; (f) 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; (g) 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 (h) 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 the Department to dismiss a petition which 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 to an administrative proceeding is not affected when mediation does not result in a settlement. CERTIFICATE OF SERVICE IHEREBY CERTIFY that a true and correct copy of the foregoing has been furnished by certified mail return receipt to Rosemary Smith Director of, Storybook School 209 West Oak Ridge Road Orlando, FL 32809, by U.S. Certified Mail, Return Receipt Requested, in accordance with s. 120.60(3), Florida Statutes, this {st day of. Rp. a ,20. Avida Rosa Child Care Licensing Supervisor 400 West Robinson Street $-929 Orlando, Florida 32801-9425 (407) 552-0493

Docket for Case No: 14-002065