STATE OF FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES To: Happy Acres Ranch Inc Certified Mail: 7012 3050 0002 0677 3371 d/b/a Happy Acres Ranch Return Receipt Requested 7117 Crane Avenue Jacksonville, FL 32216 ADMINISTRATIVE COMPLAINT YOU ARE HEREBY NOTIFIED the Department has imposed a Civil Penalty in the amount of Two Hundred Dollars ($200.00) and Revocation of the Gold Seal Status. 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 Happy Acres Ranch Inc d/b/a Happy Acres Ranch for violations of child care licensing standards in sections 402.301 - 402.319, Florida Statutes, and chapter 65C-22, Florida Administrative Code. 2. Happy Acres Ranch Inc is licensed under chapter 402, Florida Statutes, and chapter 65C-22, Florida Adrninistrative Code, to operate a child care facility known as Happy Acres Ranch License #C04DU0168 located at 7117 Crane Avenue, Jacksonville, FL 32216. The facility's license is currently a REGULAR License. Violation #1 3. During a Complaint Investigation on April 30, 2015 DCF Licensing Counselor Rosebud Hilliard determined that: A child was not adequately supervised and left the facility premises without the knowledge or awareness of the staff. A five (5) year old child W.B. left the premises without the knowledge or permission of the staff member D.T., who was assigned to supervise that child. A staff member A.V. leaving to run a personal errand saw the child leave the property and run down the street. The staff member returned the child to the facility. 4. The foregoing facts violate Florida Administrative Code 65C-20.001(5){a) which states: Direct supervision means actively watching and directing children's activities within the same room or designated outdoor play area, and responding to the needs of each child. Child care personnel at a facility must be assigned to provide direct supervision to a specific 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, shall be capable of responding to emergencies, and are accountable for children at ali times, including when children are separated from their groups. 5. The violation described above is a Class | violation of child care licensing standards. It is the facility's first (1*) Class I violation of Child Care Facility Standards Classifications Summary #5 Supervision within a two-year period. The fine imposed for this violation is One Hundred Dollars ($100.00) and Revocation of the Gold Seal Status. Violation #2 6. During a Complaint Investigation on April 30, 2015 DCF Licensing Counselor Rosebud Hilliard determined that: As a mandated reporter, the owner, operator, employee or substitute failed to report suspected child abuse or neglect as required in section 39.201, Florida Statutes. The provider failed to call the Abuse Hotline when a child left the premises without staff's knowledge or staff's permission. The incident occurred at 5 p.m. on April 30, 2015 and a staff member A.V. self-reported the incident to the Child Care Regulation office the next morning. 7. The foregoing facts violate Florida Administrative Code 65C-20.001(11)(b) which states: Failure to perform the duties of a mandatory reporter pursuant to Section 39.201, F.S., constitutes a violation of the standards in Sections 402.301-.319, F.S. 8. The violation described above is a Class | violation of child care licensing standards. It is the facility's first (1") Class | violation of Child Care Facility Standards Classifications Summary #63 Access/Child Abuse or Neglect/Misrepresentation within a two-year period. The fine imposed for this violation is One Hundred Dollars ($100.00) and Revocation of the Gold Seal Status. 9. You are further advised the violations described above requires the Department to Revoke your Gold Seal Quality Care designation as provided in section 402.281, Florida Statutes, which states: The child care provider must not have had any class | violations, as defined by rule, within the 2 years preceding its application for designation as a Goid Seal Quality Care provider. Commission of a class | violation shail be grounds for termination of the designation as a Gold Seal Quality Care provider until the provider has no Class | violations for a period of 2 years. if you do not wish to contest the findings of this administrative complaint, please submit a cashier's check or money order made payable to the Florida Department of Children and Families, Child Care Regulation Office, 5920 Arlington Expressway, P.O. Box 2417, Jacksonville, FL 32231. RIGHT TO ADMINISTRATIVE PROCEEDING IF YOU BELIEVE THE PROPOSED ACTION DESCRIBED IN THIS ADMINISTRATIVE COMPLAINT IS IN ERROR, YOU MAY REQUEST AN ADMINISTRATIVE HEARING IN ACCORDANCE WITH THE ENCLOSED “NOTIFICATION OF RIGHTS UNDER CHAPTER 120, FLORIDA STATUTES” NOTIFICATION OF RIGHTS UNDER CHAPTER 120, FLORIDA STATUTES IF YOU BELIEVE THE DEPARTMENT’S DECISION IS IN ERROR, YOU MAY REQUEST AN ADMINISTRATIVE HEARING UNDER SECTIONS 120.569 AND 120.57, FLORIDA STATUTES, TO CONTEST THE DECISION. YOUR REQUEST FOR AN ADMINISTRATIVE HEARING MUST BE RECEIVED BY THE DEPARTMENT BY 5:00, P.M., NO LATER THAN 21 CALENDAR DAYS AFTER YOU RECEIVED THE DEPARTMENT’S ADMINISTRATIVE COMPLAINT. You must submit your request for an administrative hearing to the Department at the following address: David Tucker Chief Legal Counsel Department of Children & Families P. O. Box 2417 Jacksonville, FL. 32231-0083 IF YOUR REQUEST FOR AN ADMINISTRATIVE HEARING IS NOT RECEIVED BY THE DEPARTMENT BY THE ABOVE DEADLINE, YOU WILL HAVE WAIVED YOUR RIGHTS TO A HEARING AND THE DEPARTMENT'S PROPOSED ACTION WILL BE FINAL. ANY DENIAL, SUSPENSION, REVOCATION OR OTHER ACTION CONCERNING YOUR LICENSE OR REGISTRATION WILL BE EFFECTIVE ON THAT DATE OR ON ANY LATER EFFECTIVE DATE STATED IN THE ADMINISTRATIVE COMPLAINT, AND ANY PENALTY OR FINE IMPOSED MUST BE PAID WITHIN 30 DAYS THEREAFTER OR ANY EARLIER TIME PROVIDED IN THE ADMINISTRATIVE COMPLAINT. If you disagree with the facts stated in the Department's administrative complaint, you may request a formal administrative hearing under section 120.57(1), Florida Statutes. At a formal hearing, you may present evidence and arguments on all issues involved, and question the witnesses called by the Department. You have the right to be represented by counsel or other qualified representative. If you do not disagree with the facts stated in the Department's administrative complaint, you may request an informal administrative hearing under section 120.57(2), Florida Statutes. At an informal hearing, you may present your argument or a written statement for consideration by the Department. You have the right to be represented by counsel or other qualified representative. Your request for an administrative hearing must meet the requirements of Rule 28- 106.2015(5), Florida Administrative Code, must be prepared legibly on 8% by 11 inch white paper, and include all of the following items: (a) Your name, address, email address (if any) and telephone number. (b) The name, address, email address (if any) and telephone number of your attorney or qualified representative, if any. (c) A statement requesting an administrative hearing. (d) A statement of all facts in the administrative complaint with which you disagree. If you do not disagree with any of the facts stated in the administrative complaint, you must say so. (e) A statement of when and how you received the administrative complaint. (f) A statement identifying the file number of the administrative complaint, if shown on the administrative complaint. Section 120.569, Florida Statutes, and rule 28-106.201(4), Florida Administrative Code, require the Department to dismiss your request for hearing if it is not in substantial compliance with the requirements above. Mediation as described in section 120.573, Florida Statutes, is not available. However, other forms of mediation or informal dispute resolution may be available after a timely request for an administrative hearing has been received, if agreed to by ail parties, and on such terms as agreed to by all parties. The right to an administrative proceeding is not affected when mediation or informal dispute resolution 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 return receipt no. 7012 3050 0002 0677 3371 to Happy Acres Ranch Inc d/b/a Happy Acres Ranch, 7117 Crane Avenue, Jacksonville, FL 32216 this A‘4_ day of August / y Safety Program Mgnager

Docket for Case No: 15-004809