Perez, Alejandra
Perez, Alejandra
License/Registration ID: 495159
765 East 175th Street, 1st Floor, Apt. 5 Bronx, NY 10460
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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-117057
Date:
11/24/2025
Inspection Type:
Monitoring
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
Hazards such as wells, holes, pits, etc have compliant barriers in place to prevent access
416.5(f)(2)
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
No portable heaters used in rooms accessible to children, regardless of type or fuel source
416.5(c)
Y
Play equipment is used in a safe manner
416.5(n)(3)
Y
Poisonous, toxic, flammable and dangerous items are inaccessible to children
416.5(j)
N
Safe and adequate water quality maintained in pool and documented
416.5(g)(6)
N/O
Shelter in place drills have been conducted and recorded as required
416.5(b)(5)
Y
*
Suitable precautions are taken to eliminate all safety and health hazards
416.5(a)
N
There must be a cushioned surface under outside play equipment that poses a fall hazard, regardless of height
416.5(n)(5)
Y
Windows above 1st floor have barriers to prevent children from falling out (unless egress window)
416.5(q)
Y
416.7 Program Requirements
Children who choose not to nap cannot be confined to a cot, crib, bed or mat
416.7(t)
Y
Sleeping and napping arrangements are made in writing between the parent and the program
416.7(l)
Y
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)
N
*
One caregiver observed for either 6 children not yet in school or 8 when at least 2 are school age
416.8(j)(1)
N
*
One caregiver present for every 2 children under 2 years in attendance
416.8(j)(3)
N
Two caregivers present when more than 6 children, none of whom are school age, are in care
416.8(j)(2)
N
416.11 Health and Infection Control
All caregivers have knowledge of & access to childrens medical records & all emergency information
416.11(b)(12)
Y
Children in night care shall have a routine that encourages good personal hygiene practices
416.11(i)(5)
N/A
Dishes and utensils washed with hot water after use
416.11(i)(30)
Y
Extensive cleaning done while children are not present
416.11(i)(26)
Y
Medication administration error reported to childs parent immediately and the Office within 24 hours
416.11(f)(10)
Y
Medication administration log completed documenting time & dosage
416.11(f)(9)(i)
Y
Medication administration log completed noting why medication not administered as prescribed
416.11(f)(9)(iii)
Y
Medication(s) are stored appropriately and are inaccessible to children
416.11(f)(17)
Y
Potty chairs are emptied and rinsed in accordance with regulations
416.11(i)(16)
Y
Smoking is prohibited in areas in use by children or in vehicles when children are being transported
416.11(b)(11)
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
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?
11/24/2025
413.4(a)(3)
a search of the New York State Sex Offender Registry; and
Corrected
N
11/24/2025
413.4(c)(3)
a search of the state-based child abuse or neglect repository of any state other than New York where such person lives or lived during the preceding five years.
Corrected
N
11/24/2025
416.5(a)
Suitable precautions must be taken to eliminate all conditions in areas accessible to children which pose a safety or health hazard.
Corrected
Y
11/24/2025
416.5(j)
All matches, lighters, medicines, drugs, detergents, aerosol cans and other poisonous or toxic materials must be stored in their original containers, and must be used in such a way that they will not contaminate play surfaces, food or food preparation areas, or constitute a hazard to children. Such materials must be kept in a place inaccessible to children.
Corrected
Y
11/24/2025
416.6(a)
The Licensee must obtain written consent on forms furnished by the Office or approved equivalents from the parent of the child for any transportation of the children in care at the group family day care home provided or arranged for by a caregiver.
Corrected
N
11/24/2025
416.7(i)
Except while sleeping, awaking or going to sleep, an infant must not be left in a crib, playpen or other confined space for more than 30 minutes at any one time. Other than at meals or snack time, a child must not be left in a high chair for longer than 15 minutes.
Corrected
Y
11/24/2025
416.8(a)
Children cannot be left without competent supervision at any time. Competent supervision includes awareness of and responsibility for the ongoing activity of each child. It requires that all children be within a caregiver's range of vision except as provided in section 416.8(b) of this Part and that the caregiver be near enough to respond when redirection or intervention strategies are needed. Competent supervision must take into account the child's age, emotional, physical and cognitive development.
Corrected
N
11/24/2025
416.8(j)(1)
One caregiver may care for a maximum of six children younger than school age, or eight children when at least two of the eight children are school aged.
Corrected
N
11/24/2025
416.8(j)(2)
Two caregivers must be present when more than six children, none of whom are school age, are in care.
Corrected
N
11/24/2025
416.8(j)(3)
When care is provided for children under the age of two years, there must be at least one caregiver present for every two children under the age of two years in attendance.
Corrected
N
11/24/2025
416.8(p)(1)(i)
Each group family day care home shall require visitors to the home to: sign in upon entry to the premises;
Corrected
N
11/24/2025
416.11(b)(1)
The provider, assistant(s), and substitute(s), must each submit a medical statement on forms furnished by the Office or an approved equivalent from a health care provider:
Corrected
N
11/24/2025
416.11(b)(6)
The initial medical statement for providers, assistants, and substitutes must include the results of a Mantoux tuberculin test or other federally approved tuberculin test performed within the 12 months preceding the date of the application. Thereafter, tuberculin tests are only required at the discretion of the employee's health care provider or at the start of new employment in a different child care program.
Corrected
N
11/24/2025
416.11(h)(1)(i)
The caregivers also must: obtain written consent at the time of admission from the parent which authorizes the provider or other caregivers to obtain emergency health care for the child;
Corrected
N
11/24/2025
416.11(i)(2)
Caregivers and volunteers must ensure that children thoroughly wash their hands or assist children with thoroughly washing their hands with soap and running water when they are dirty, after toileting, before and after food handling or eating, after handling pets or other animals, after contact with any bodily secretion or fluid, and after coming in from outdoors.
Corrected
Y
11/24/2025
416.12(n)
The program must obtain a written statement, from the parent of each infant in care, setting forth the breast milk, formula and feeding schedule instructions for the infant and must be updated as changes are made.
Corrected
N
11/24/2025
416.13(a)(2)
The provider, assistant(s), and substitutes must each meet the following qualifications: have a minimum of either two (2) years of experience caring for children under six years of age, or one (1) year of experience caring for children under six years of age plus six hours of training or education in early childhood development. The phrase "experience caring for children" can mean child-rearing as well as paid and unpaid experience caring for children. The term "training" can mean educational workshops and courses in caring for preschool-age children;
Corrected
N
11/24/2025
416.13(a)(4)
The provider, assistant(s), and substitutes must each meet the following qualifications: provide to the Office the names, addresses and daytime telephone numbers of at least two acceptable references, other than relatives. At least one of the references must be able to attest to the employment history, work record and qualifications, if the person had ever been employed outside the home. At least one of the references must be able to attest to the character, habits and personal qualifications to be a group family day care provider, assistant, or substitute; and
Corrected
N
11/24/2025
416.15(b)(11)(ii)(a)
the forms necessary for the Office to inquire whether the applicant is the subject of an indicated report of child abuse or maltreatment on file with the Statewide Central Register of Child Abuse and Maltreatment,
Corrected
N
11/24/2025
416.15(b)(11)(ii)(b)
the forms necessary to check the register of substantiated category one cases of abuse or neglect maintained by the Justice Center for the Protection of Persons with Special Needs pursuant to Section 495 of the Social Services Law,
Corrected
N
11/24/2025
416.15(b)(11)(ii)(c)
fingerprint images necessary for the Office to conduct a criminal history review,
Corrected
N
11/24/2025
416.15(b)(11)(ii)(d)
a sworn statement indicating whether, to the best of the applicant's knowledge, he or she has ever been convicted of a misdemeanor or felony in New York State or any other jurisdiction
Corrected
N
11/24/2025
416.15(c)(5)
The program must maintain on file at the group family day care home, available for inspection daily attendance records that are filled out at the time a child arrives and departs, and must include arrival and departure times;
Corrected
N
11/24/2025
416.15(c)(6)
The program must maintain on file at the group family day care home, available for inspection children's individual health care plans; parental consents for emergency medical treatment; child's medical statement, immunizations, and any available results of lead screening for children not yet enrolled in kindergarten or a higher grade only; the name and dosage of any medications used by a child, the frequency of administration of such medications, and a record of their administration by caregivers; daily health check documentation; a record of illnesses and injuries occurring while in care; and any indicators of child abuse or maltreatment;
Corrected
N
11/24/2025
416.15(c)(13)
The program must maintain on file at the group family day care home, available for inspection: a daily schedule documenting the arrival and departure times of each caregiver, employees and volunteers;
Corrected
N
11/24/2025
416.15(c)(18)
The program must maintain on file at the group family day care home, available for inspection: the napping agreement for each child in care;
Corrected
N
Date Cited
11/24/2025
Regulation
413.4(a)(3)
Regulation Description
a search of the New York State Sex Offender Registry; and
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
11/24/2025
Regulation
413.4(c)(3)
Regulation Description
a search of the state-based child abuse or neglect repository of any state other than New York where such person lives or lived during the preceding five years.
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
11/24/2025
Regulation
416.5(a)
Regulation Description
Suitable precautions must be taken to eliminate all conditions in areas accessible to children which pose a safety or health hazard.
Compliance Status
Corrected
Corrected on- Site?
Y
Date Cited
11/24/2025
Regulation
416.5(j)
Regulation Description
All matches, lighters, medicines, drugs, detergents, aerosol cans and other poisonous or toxic materials must be stored in their original containers, and must be used in such a way that they will not contaminate play surfaces, food or food preparation areas, or constitute a hazard to children. Such materials must be kept in a place inaccessible to children.
Compliance Status
Corrected
Corrected on- Site?
Y
Date Cited
11/24/2025
Regulation
416.6(a)
Regulation Description
The Licensee must obtain written consent on forms furnished by the Office or approved equivalents from the parent of the child for any transportation of the children in care at the group family day care home provided or arranged for by a caregiver.
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
11/24/2025
Regulation
416.7(i)
Regulation Description
Except while sleeping, awaking or going to sleep, an infant must not be left in a crib, playpen or other confined space for more than 30 minutes at any one time. Other than at meals or snack time, a child must not be left in a high chair for longer than 15 minutes.
Compliance Status
Corrected
Corrected on- Site?
Y
Date Cited
11/24/2025
Regulation
416.8(a)
Regulation Description
Children cannot be left without competent supervision at any time. Competent supervision includes awareness of and responsibility for the ongoing activity of each child. It requires that all children be within a caregiver's range of vision except as provided in section 416.8(b) of this Part and that the caregiver be near enough to respond when redirection or intervention strategies are needed. Competent supervision must take into account the child's age, emotional, physical and cognitive development.
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
11/24/2025
Regulation
416.8(j)(1)
Regulation Description
One caregiver may care for a maximum of six children younger than school age, or eight children when at least two of the eight children are school aged.
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
11/24/2025
Regulation
416.8(j)(2)
Regulation Description
Two caregivers must be present when more than six children, none of whom are school age, are in care.
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
11/24/2025
Regulation
416.8(j)(3)
Regulation Description
When care is provided for children under the age of two years, there must be at least one caregiver present for every two children under the age of two years in attendance.
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
11/24/2025
Regulation
416.8(p)(1)(i)
Regulation Description
Each group family day care home shall require visitors to the home to: sign in upon entry to the premises;
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
11/24/2025
Regulation
416.11(b)(1)
Regulation Description
The provider, assistant(s), and substitute(s), must each submit a medical statement on forms furnished by the Office or an approved equivalent from a health care provider:
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
11/24/2025
Regulation
416.11(b)(6)
Regulation Description
The initial medical statement for providers, assistants, and substitutes must include the results of a Mantoux tuberculin test or other federally approved tuberculin test performed within the 12 months preceding the date of the application. Thereafter, tuberculin tests are only required at the discretion of the employee's health care provider or at the start of new employment in a different child care program.
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
11/24/2025
Regulation
416.11(h)(1)(i)
Regulation Description
The caregivers also must: obtain written consent at the time of admission from the parent which authorizes the provider or other caregivers to obtain emergency health care for the child;
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
11/24/2025
Regulation
416.11(i)(2)
Regulation Description
Caregivers and volunteers must ensure that children thoroughly wash their hands or assist children with thoroughly washing their hands with soap and running water when they are dirty, after toileting, before and after food handling or eating, after handling pets or other animals, after contact with any bodily secretion or fluid, and after coming in from outdoors.
Compliance Status
Corrected
Corrected on- Site?
Y
Date Cited
11/24/2025
Regulation
416.12(n)
Regulation Description
The program must obtain a written statement, from the parent of each infant in care, setting forth the breast milk, formula and feeding schedule instructions for the infant and must be updated as changes are made.
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
11/24/2025
Regulation
416.13(a)(2)
Regulation Description
The provider, assistant(s), and substitutes must each meet the following qualifications: have a minimum of either two (2) years of experience caring for children under six years of age, or one (1) year of experience caring for children under six years of age plus six hours of training or education in early childhood development. The phrase "experience caring for children" can mean child-rearing as well as paid and unpaid experience caring for children. The term "training" can mean educational workshops and courses in caring for preschool-age children;
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
11/24/2025
Regulation
416.13(a)(4)
Regulation Description
The provider, assistant(s), and substitutes must each meet the following qualifications: provide to the Office the names, addresses and daytime telephone numbers of at least two acceptable references, other than relatives. At least one of the references must be able to attest to the employment history, work record and qualifications, if the person had ever been employed outside the home. At least one of the references must be able to attest to the character, habits and personal qualifications to be a group family day care provider, assistant, or substitute; and
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
11/24/2025
Regulation
416.15(b)(11)(ii)(a)
Regulation Description
the forms necessary for the Office to inquire whether the applicant is the subject of an indicated report of child abuse or maltreatment on file with the Statewide Central Register of Child Abuse and Maltreatment,
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
11/24/2025
Regulation
416.15(b)(11)(ii)(b)
Regulation Description
the forms necessary to check the register of substantiated category one cases of abuse or neglect maintained by the Justice Center for the Protection of Persons with Special Needs pursuant to Section 495 of the Social Services Law,
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
11/24/2025
Regulation
416.15(b)(11)(ii)(c)
Regulation Description
fingerprint images necessary for the Office to conduct a criminal history review,
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
11/24/2025
Regulation
416.15(b)(11)(ii)(d)
Regulation Description
a sworn statement indicating whether, to the best of the applicant's knowledge, he or she has ever been convicted of a misdemeanor or felony in New York State or any other jurisdiction
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
11/24/2025
Regulation
416.15(c)(5)
Regulation Description
The program must maintain on file at the group family day care home, available for inspection daily attendance records that are filled out at the time a child arrives and departs, and must include arrival and departure times;
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
11/24/2025
Regulation
416.15(c)(6)
Regulation Description
The program must maintain on file at the group family day care home, available for inspection children's individual health care plans; parental consents for emergency medical treatment; child's medical statement, immunizations, and any available results of lead screening for children not yet enrolled in kindergarten or a higher grade only; the name and dosage of any medications used by a child, the frequency of administration of such medications, and a record of their administration by caregivers; daily health check documentation; a record of illnesses and injuries occurring while in care; and any indicators of child abuse or maltreatment;
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
11/24/2025
Regulation
416.15(c)(13)
Regulation Description
The program must maintain on file at the group family day care home, available for inspection: a daily schedule documenting the arrival and departure times of each caregiver, employees and volunteers;
Compliance Status
Corrected
Corrected on- Site?
N
Date Cited
11/24/2025
Regulation
416.15(c)(18)
Regulation Description
The program must maintain on file at the group family day care home, available for inspection: the napping agreement for each child in care;
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