Blessed Journey Child Care Center

The emergency contact forms for child # 1 were not updated in over 6 months for child # 1 from 7/30/24 to 2/3/25.

During renewal inspection conducted 6/26/2024, verification sheets on file for staff person #2 indicate that staff person #2 has resided in New York (NY) within the past 5 years. There were no NY clearances on file for staff person #2.

During renewal inspection conducted on 6/26/2024, gate limiting access to the kitchen area was open. The child lock on the cabinet underneath the sink was broken. Cabinet underneath the sink in the kitchen area had several cleaning products labeled "keep out of reach of children".

During renewal inspection conducted 6/26/2024, immunizations on file for child #1 do not reflect that child is up to date according to the recommendations of the ACIP. Child #1 has 1 of 2 doses each of Hepatitis B and IPV vaccines and 1 of 3 doses each of DTAP, HIB, and Pneumococcal vaccines. There is no exemption on file. Child #1 is an infant (see LIS code sheet for DOB).

During renewal inspection conducted 6/26/2024, staff indicated that child #5 receives prescription medication daily at the facility. Medication log was from 2023 with no dates from 2024. Child #5 was present during inspection and staff confirmed that child receives medication daily. Additionally, there was Hydrocortisone cream (prescription only) in the medication box for child #6. Hydrocortisone cream was not in the original container.

During renewal inspection conducted 6/26/2024, diaper changing surface was ripped, exposing the foam inside and rendering the surface unable to be sanitized after each use.

During renewal inspection conducted 6/26/2024, health assessments on file for staff person #4 were dated 2/19/2022 and 5/28/2024, which is past 24 months.

During renewal inspection conducted 6/26/2024, initial health assessment on file for staff person #1 did not include tuberculosis screening. Health assessment indicated that TB screening was "negative per patient records" but did not include a date in which screening was completed.

During renewal inspection conducted 6/26/2024, transportation first-aid kit was missing tweezers and gloves.

During renewal inspection conducted 6/26/2024, the following staff persons did not renew pediatric first-aid/CPR before the expiration date of old certificate. Staff person #3: Old pediatric first-aid/CPR certificate expired on 2/12/2024 and was not renewed until 5/22/2024. Staff person #4: Old pediatric first-aid/CPR certificate expired on 2/12/2024 and was not renewed until 5/22/2024. Staff person #5: Old pediatric first-aid/CPR certificate expired on 5/12/2024 and was not renewed until 5/22/2024.

During renewal inspection conducted 6/26/2024, fire safety trainings on file for staff person #5 are dated 6/27/2022 and 12/20/2023, which is past one year.

During renewal inspection conducted 6/26/2024, file for staff person #1 who is employed as an assistant group supervisor, did not have adequate documentation on file verifying a high school diploma or GED and 2 years' experience working with children.

During renewal inspection conducted 6/26/2024, facility's handbook did not include a supervision policy or general daily schedule.

During renewal inspection conducted 6/26/2024, the following information was missing from children's fee agreements: Child #1: Departure time. Release person(s). Child #2: Departure time. Release person(s). Child #4: Release person(s).

During renewal inspection conducted 6/26/2024, the following information was missing from children's emergency contact forms: Child #1: Father's name, home and work addresses, and hone and work telephone numbers. Mother's work address and work telephone number. Child's doctor's name, address, and telephone number. Child #2: Both parents' work addresses and work telephone numbers. Child's doctor's address and telephone number. Child #3: Both parents' work addresses and work telephone numbers. Child #4: Both parents' work addresses and work telephone numbers.

During renewal inspection conducted 6/26/2024, consents for emergency medical care and minor first-aid were marked "N/A" and had no parent signature on emergency contact form of child #2.

During renewal inspection conducted 6/26/2024, staff person #4 obtained 8 hours of child care training for training year 3/10/2023-3/10/2024.

During an unannounced inspection on 10/19/23, child #1 was missing the fourth dose of PCV as recommended by the ACIP. Child #1 must be removed from care until proper documentation is on file.

As of the renewal inspection on 6/26/23, the emergency plan did not address continuity of operations as required.

As of the renewal inspection on 6/26/23, the letter to parents regarding the emergency plan did not address the facility's lock down procedures, or accommodations for infants/toddlers, children with special needs, or children with chronic medical conditions.

As of the renewal inspection on 6/26/23, the most recent health assessment on file for child #3, a young toddler, was dated 9/16/22.

As of the renewal inspection on 6/26/23, staff #2, #3, #4, and #6 have not completed the required update to the Health and Safety training.

As of the renewal inspection on 6/26/23, there was no documentation of mandated reporter training for staff #5.

As of the renewal inspection on 6/26/23, there was no high school diploma on file to qualify staff #1 for the stated Assistant Group Supervisor position.

As of the renewal inspection on 6/26/23, there was no health insurance policy number for child #2.

During the renewal inspection on 6/26/23, the emergency contact information for child #1 and #2 was not in the child care space where the children were receiving care.

As of the renewal inspection on 6/26/23, the most recent update to the emergency contact information for child #3 was 9/8 and for the fee agreement it was 9/12. The most recent update to the emergency contact information for child #4 was 10/18 and for the fee agreement it was 10/3.

During the renewal inspection on 6/26/23, the emergency information in the child care spaces had not been updated when the master file was updated.

As of the renewal inspection on 6/26/23, there was no parental consent for the administration of minor first aid for child #4 and #5.

As of the renewal inspection on 6/26/23, staff #3 had not completed the required 12 hours of annual child care training.

As of 6/29/22 during the renewal inspection, the most recent emergency plan training for staff #2 was 6/15/21 and for staff #4 it was 6/18/21.

On 6/29/22 during the renewal inspection, there was a spray bottle of Lysol accessible to children in the SA/PS room.

On 6/29/22 during the renewal inspection, there were several cots used by the children that were ripped at the seam.

On 6/29/22 during the renewal inspection, an infant was asleep in a crib that did not have 2 feet of space on three sides as required.

On 6/29/22 during the renewal inspection, there was yogurt in a child's lunch box that was sitting on top of the shelving units.

As of 6/29/22 during the renewal inspection, the only health assessment on file for child #1 was dated 4/7/22, more than 60 days after the first day of attendance (see code sheet for start date).

As of 6/29/22 during the renewal inspection, there was no policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment as required by 45 CFR 98.41(a)(1)(vi).

As of 6/29/22 during the renewal inspection, there was no written evaluation for staff #4 who has been employed for over one year (see code sheet for date of hire).

As of 6/29/22 during the renewal inspection, there was no documentation to qualify staff #3 for the stated Assistant Group Supervisor position.

As of 6/29/22 during the renewal inspection, there was only one written, nonfamily reference for staff #1.

On 4/11/22 during an unannounced inspection, there was no TB screening at initial employment for Staff #2.

On 4/11/22 during an unannounced inspection, the health assessment for Staff #2 did not include an exam for communicable disease and the physician's assessment of the staff's suitability to provide child care. The health assessment for staff #4 did not include the physician's assessment of the staff's suitability to provide child care.

On 4/11/22 during an unannounced inspection, an emergency drill had not been conducted by the facility.

On 4/11/22 during an unannounced inspection, the most recent fire drill was on 1/12/22.

On 4/11/22 during an unannounced inspection, Staff #2 did not have an approved Pediatric 1st Aid/CPR training within 90 days of hire (see staff list for hire dates)

On 4/11/22 during an unannounced inspection, Staff #2 and #4 did not have the required Health and Safety training within 90 days of hire (see staff list for hire dates)

On 4/11/22 during an unannounced inspection, Staff #4 did not complete the required CPSL training within 90 days of hire (see staff sheet for hire date).

On 4/11/22 during an unannounced inspection, Staff #1, #2, #3, and #4 were missing documentation of a high school diploma and 2 years of experience to qualify for the identified Assistant Group Supervisor position.

On 4/11/22 during an unannounced inspection, there was no verification of age for Staff #1, #2, #3, or #4.

On 4/11/22 during an unannounced inspection, there were no written references on file for Staff #1, #2, #3, and #4.