Dominguez, Jacqueline

Dominguez, Jacqueline

License/Registration ID: 383666

Group Slot Auto Injector
30 Innis Street, 2nd Floor Staten Island, NY 10302
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This Checklist reflects a partial list of the regulatory requirements based on the inspection performed. Additional violations may have been cited that are not included in the inspection checklist.
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Inspection ID:
2025-I-NYCDOH-005079
Date:
01/14/2025
Inspection Type:
Annual Unannounced
Inspection Result:
Violations found
Compliance Status:
Y-Compliant, N-Noncompliant, N/O-Not Observed, N/A-Not Applicable, P/V-Prior Violation
Reg
Compliance Status
413.3 Enforcement of Regulations
* Posting of Compliance History Document
413.3(g)(3)(i)
Y
416.4 Fire Protection
* Paths of egress, both interior and exterior are free of obstructions and debris including ice/snow
416.4(h)(4)
Y
416.5 Safety
All ammunition is secured in a safe storage depository
416.5(x)(1)
Y
All cleaning materials must be used and stored such that they will not present a hazard
416.5(k)
Y
All pets that require a license must be licensed
416.5(l)(2)
Y
Cleaning supplies stored in original containers or mixed/labeled used & stored where inaccessible
416.5(k)
Y
Furniture, play equipment and other materials are sturdy, free of sharp edges and corners
416.5(n)(1)
Y
High chairs must be sturdy and stable and used by children who can sit independently
416.5(u)(1)
Y
* No pools/ponds/water hazards located on or adjacent to the program property; or if present, barriers exist to prevent access
416.5(f)(1)
Y
Poisonous, toxic, flammable and dangerous items are inaccessible to children
416.5(j)
Y
Radiators & pipes have adequate protection to prevent injury when heating system in use
416.5(d)
Y
Shelter in place drills have been conducted and recorded as required
416.5(b)(5)
Y
There must be a cushioned surface under outside play equipment that poses a fall hazard, regardless of height
416.5(n)(5)
Y
Working phone has audible ringtone at all times
416.5(m)(3)
Y
Working phone in visible designated area
416.5(m)(2)
Y
416.7 Program Requirements
Children must be allowed freedom of movement.
416.7(f)
Y
Sleeping and napping arrangements are made in writing between the parent and the program
416.7(l)
N
416.8 Supervision of Children
* Approved provider is the primary caregiver
416.8(e)
Y
* Competent supervision is maintained at all times with exceptions only as specified in regulation
416.8(a)
Y
* One caregiver observed for either 6 children not yet in school or 8 when at least 2 are school age
416.8(j)(1)
Y
* One caregiver present for every 2 children under 2 years in attendance
416.8(j)(3)
Y
Two caregivers present when more than 6 children, none of whom are school age, are in care
416.8(j)(2)
Y
416.11 Health and Infection Control
All caregivers have knowledge of & access to childrens medical records & all emergency information
416.11(b)(12)
Y
Caregiver(s) and staff wash their hands as required
416.11(i)(1)
Y
Consumption of, or being under the influence of alcohol is prohibited
416.11(b)(8)
Y
Equipment used by children is cleaned when soiled or at least weekly
416.11(i)(24)
Y
For evening/night care each child shall have an individual washcloth, towel & toothbrush
416.11(i)(6)
Y
Garbage cans covered and cleaned
416.11(i)(27)
Y
Thermometers and toys washed and disinfected as appropriate
416.11(i)(28)
Y
416.14 Training
* A caregiver certified in First Aid and CPR is present at all times children are in care
416.14(m)
Y
A minimum of five (5) hours of Office-approved training must be obtained each year which addresses topics or subject matters set forth in 416.14(f).
416.14(c)(2)
Y
Each identified staff and volunteer completed Federal Health and Safety training within required timeframes
416.14(b)
Y
Each identified staff supervising children alone completed Federal Health and Safety training.
416.14(b)
Y
First Aid & CPR certificates must be appropriate to the ages of the children in care
416.14(n)
Y
Prior to becoming a Provider, the individual completed Federal Health and Safety training
416.14(b)
Y
Provider completed Federal Health and Safety training within required timeframes
416.14(b)
Y
416.15 Management and Administration
* Numbers and ages of children present are within licensed or registered capacity
416.15(a)(9)
Y
* Office notified of any change to the home or program
416.15(b)(12)
Y
Only approved caregivers have unsupervised contact with the day care children
416.15(b)(20)
Y
Summary of Violations
Date Cited
Regulation
Regulation Description
Compliance Status
Corrected on-Site?
01/14/2025
416.4(d)
In addition to a smoke detector on each floor, there must be a smoke detector located either within rooms where children nap, or in adjoining rooms. In the case of rooms used for napping or sleeping which have doors, a smoke detector is required inside that room.
Corrected
Y
01/14/2025
416.5(i)
Protective caps, covers or permanently installed obstructive devices must be used on all electrical outlets that are accessible to children.
Corrected
Y
01/14/2025
416.5(q)
Windows above the first floor, other than those identified for emergency evacuation, that are accessible to children and which present a fall hazard must be protected by permanent barriers or restrictive locking devices which prevent a window from opening fully and prevent children from falling out of the windows.
Corrected
Y
01/14/2025
416.7(l)
Other than for school age children, sleeping and napping arrangements must be made in writing between the parent and the program. Such arrangements shall include: the area of the home where the child will nap; whether the child will nap on a cot, mat, bed or a crib; and how the napping child will be supervised, consistent with the requirements of section 416.8 of this Part.
Corrected
N
01/14/2025
416.8(d)
Only approved caregivers may be left unsupervised with day care children.
Corrected
N
Date Cited
01/14/2025
Regulation
416.4(d)
Regulation Description
In addition to a smoke detector on each floor, there must be a smoke detector located either within rooms where children nap, or in adjoining rooms. In the case of rooms used for napping or sleeping which have doors, a smoke detector is required inside that room.
Compliance Status
Corrected
Corrected on-Site?
Y
Date Cited
01/14/2025
Regulation
416.5(i)
Regulation Description
Protective caps, covers or permanently installed obstructive devices must be used on all electrical outlets that are accessible to children.
Compliance Status
Corrected
Corrected on-Site?
Y
Date Cited
01/14/2025
Regulation
416.5(q)
Regulation Description
Windows above the first floor, other than those identified for emergency evacuation, that are accessible to children and which present a fall hazard must be protected by permanent barriers or restrictive locking devices which prevent a window from opening fully and prevent children from falling out of the windows.
Compliance Status
Corrected
Corrected on-Site?
Y
Date Cited
01/14/2025
Regulation
416.7(l)
Regulation Description
Other than for school age children, sleeping and napping arrangements must be made in writing between the parent and the program. Such arrangements shall include: the area of the home where the child will nap; whether the child will nap on a cot, mat, bed or a crib; and how the napping child will be supervised, consistent with the requirements of section 416.8 of this Part.
Compliance Status
Corrected
Corrected on-Site?
N
Date Cited
01/14/2025
Regulation
416.8(d)
Regulation Description
Only approved caregivers may be left unsupervised with day care children.
Compliance Status
Corrected
Corrected on-Site?
N
Inspections may be conducted outside of program operating hours and/or off-site (where inspector was not on premises where care is provided) for the following reasons:
For additional information on this program and compliance history, contact:
Office: New York City Dept. of Health - Regional Office
Phone: (646) 632-6305