Blessed Journey Child Care Center

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: A renewal inspection was conducted 4/24/2026-5/7/2026. At that time, a sample of children's files was reviewed. Fee agreement on file for Child #2 was not signed by the child's parent/guardian.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3270.123(a)(1)/3270.123(a)(5)

Description: Amount of fee/Designated release persons

Noncompliance Area: A renewal inspection was conducted 4/24/2026-5/7/2026. At that time, a sample of children's files was reviewed. The following information was missing from children's fee agreements: Child #1: Fee amount. Child #2: Release person(s).

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: A renewal inspection was conducted 4/24/2026-5/7/2026. At that time, a sample of children's files was reviewed. The following emergency contact forms were missing the following information: Child #1: Address of child's physician. Child #3: Name and phone number of child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(3)/3270.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: A renewal inspection was conducted 4/24/2026-5/7/2026. At that time, a sample of children's files was reviewed. The following information was missing from children's emergency contact forms: Child #1: Mother's work address and work telephone number. Release persons' addresses. Child #2: Release person's address. Child #3: Both parents' work addresses and work telephone numbers. Child #4: Both parents' work addresses and work telephone numbers. Release persons' addresses.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: A renewal inspection was conducted 4/24/2026-5/7/2026. At that time, the emergency contact form for Child #1 was not present in the space where child was receiving care. Additionally, emergency contact forms were not present with the preschool group while they were playing in the Indoor Gross Motor Room.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.131(b)(1)/3270.131(e)

Description: Infant: updated health report every 6 months/ACIP recommended immunization record

Noncompliance Area: A renewal inspection was conducted 4/24/2026-5/7/2026. At that time, a sample of children's files was reviewed. Most recent health assessment on file for Child #3 is dated 9/25/2025, which is over 6 months ago. Child #3 is a young toddler (see LIS code sheet for date of birth). Additionally, there is neither an immunization history nor a written, signed exemption on file for Child #3. Child #3 has been attending the facility for over 60 days (see LIS code sheet for date of admission).

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection was conducted 4/24/2026-5/7/2026. At that time, the facility's policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. did not include a section for the recognition of potential signs and symptoms of abusive head trauma and did not address the prevention and identification of child maltreatment.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Announcement C-22-03: Updates to Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment Requirements states To maintain compliance with 45 CFR 98.41(a)(1)(vi), in addition to the training requirements, child care providers must have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: · Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; · Strategies for coping with a crying, fussing, or distraught child; and · Address the prevention and identification of child maltreatment.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: A renewal inspection was conducted 4/24/2026-5/7/2026. At that time, staff files were reviewed. Health assessments on file for Staff Person #2 are dated 1/27/2024 and 4/5/2026, which is past 24 months as required.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: A renewal inspection was conducted 4/24/2026-5/7/2026. At that time, several unlabeled bottles were observed in the Infant area.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: A renewal inspection was conducted 4/24/2026-5/7/2026. At that time, a sample of children's files was reviewed. Most recent fee agreement review on file for Child #1 is dated 10/20/2025, which is over 6 months ago.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: A renewal inspection was conducted 4/24/2026-5/7/2026. At that time, a sample of children's files was reviewed. Emergency contact forms for the following children were missing the following information: Child #1: Signed parental consent for emergency medical care and signed parental consent for minor first-aid. Child #4; Signed parental consent for emergency medical care.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: A renewal inspection was conducted 4/24/2026-5/7/2026. During that time, staff files were reviewed. Fire safety training certificates on file for Staff Person #1 are dated 2/19/2023 and 1/13/2026, which is past 12 months. Fire safety training certificates on file for Staff Person #2 are dated 2/29/2024 and 1/13/2023, which is past 12 months. Fire safety training certificates on file for Facility Person #3 are dated 8/1/2022 and 1/13/2026.

Correction Required: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: A complaint investigation was conducted on 12/4/2025. During investigation, a child from staff person #1's group was on the other side of a half-wall while the rest of the group was in a different area. Staff person #1 did not know that child was not with the rest of the group until certification representative asked if that child belonged to their group. Staff person #1 could not see, direct, or assess that child.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in their assigned group. The staff person shall be physically present with the children in their group on the facility premises and on facility excursions off the facility premises. TIERED LIS 1. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in their assigned group. The staff person shall be physically present with the children in their group on the facility premises and on facility excursions off the facility premises. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a policy in order to maintain proper supervision. The supervision policy must include the definition of supervision found in Chapter 3270.4. The policy will ensure that all children are properly assigned to a staff person and supervised at all times. The policy must address procedures for assigning children to a supervision group, procedures for staff transitions, supervision on the playground, and transition times such as visiting the bathroom. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the supervision policy. The operator shall provide a correction date for when the approved policy will be reviewed with all staff.

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: A complaint investigation was conducted on 12/4/2025. At that time, it was verified that facility did not complete or provide parent with an incident report after child #1 fell on their face and injured their nose. Staff admitted to performing minor first-aid on the injury.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: An unannounced monitoring was conducted on 12/4/2025. At that time, files for all staff present were reviewed. The following pre-service trainings were not obtained within 90 days of hire: Staff person #1: Staff person #1 had a pediatric first-aid/CPR certificate in their file dated 7/25/2025. This pre-service training was not completed within 90 days of their date of hire. Additionally, there was no evidence that staff person #1 completed any of the approved CCDBG health and safety courses. Staff person #1 has been employed at the facility for over 90 days (see LIS code sheet). Staff person #3: Staff person #3 completed PA Required Health and Safety for Centers-Group Child Care Part 1 on 7/1/2025. There was no evidence that staff person #3 completed PA Required Health and Safety for Centers-Group Child Care Part 2. Staff person #3 has been employed at the facility for over 90 days (see LIS code sheet).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.