3A:52-5.2(a)(5) · The center shall be permitted to obtain a valid fire safety inspection certificate issued by the municipality in which it is located, based on a fire inspection conducted within the preceding 12 months, and submit a copy of the certificate to the Office of Licensing in lieu of a CO or CCO, if the center serves only children 2 ½ years of age or older and is located in a public school building that is used as a public school.

Ensure that all emergency exit doors are easily operable and self-closing throughout the center.

Corrected Corrected by Sep 27, 2024

Category: physical safety. Marked corrected in the state record.

3A:52-4.10(b)(1) · When the center applies for a new or renewal license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall submit to the Department the completed CARI consent forms for all staff members who are or will be working at the center on a regularly scheduled basis. Within two weeks after a new staff member begins working at the center, the sponsor or sponsor representative shall submit to the Department a completed CARI consent form for the new staff member.

Ensure that a CARI background check is completed for 1 named staff for the center's license renewal.

Corrected Corrected by Sep 27, 2024

Category: background checks. Marked corrected in the state record.

3A:52-5.3(p) · Play equipment, materials, and furniture for indoor and outdoor use shall be of sturdy and safe construction, non-toxic, free of hazards, and used in accordance with the manufacturer’s instructions. The center may not use play equipment intended for outdoor use indoors.

Ensure that all cribs in Room 8 are free of hazards and used in accordance with the manufacturer's instructions.

Corrected Corrected by Sep 27, 2024

Category: physical safety. Marked corrected in the state record.

3A:52-5.3(m)(2) · Supplemental evacuation requirements are as follows: cribs, beds, playpens, and cots used for rest or sleep shall be arranged so as to provide access to a three-foot-wide aisle that leads to an unobstructed exit.

In Room 8, arrange cribs to provide access to an unobstructed 3-foot wide aisle that leads to an exit.

Corrected Corrected by Sep 27, 2024

Category: physical safety. Marked corrected in the state record.

3A:52-7.7(e)(1) · For early childhood programs, the following shall apply: in addition to the items specified in N.J.A.C. 3A:52-7.7(a)3, the following equipment items or surfaces shall be washed and disinfected after each use,

Ensure that staff in Room 1 wash then disinfect the diapering surfaces using a two-step process after each use.

Corrected Corrected by Sep 27, 2024

Category: physical safety. Marked corrected in the state record.

3A:52-7.5(b)(10) · The center shall develop and follow a policy on the administration of medication and health care procedures to children, which shall include the following provisions: the center shall store prescribed epinephrine pens in their original boxes with the child’s name and prescription. A special care plan or other documentation from a health care provider shall accompany the epinephrine pen. If two epinephrine pens are required, both shall be available. Each center under the jurisdiction of N.J.S.A. 18A:40-12.5 shall store back-up epinephrine pens on site consistent with the requirements stated at N.J.S.A. 18A:40-12.5.e(1).

Ensure Epi-pens are stored in their original boxes with the child's name and prescription, accompanied by a special care plan or other equivalent documentation from a healthcare provider, and that two are present when two are required by the plan.

Corrected Corrected by Sep 27, 2024

Category: ratio. Marked corrected in the state record.

3A:52-7.5(b)(10) · The center shall develop and follow a policy on the administration of medication and health care procedures to children, which shall include the following provisions: the center shall store prescribed epinephrine pens in their original boxes with the child’s name and prescription. A special care plan or other documentation from a health care provider shall accompany the epinephrine pen. If two epinephrine pens are required, both shall be available. Each center under the jurisdiction of N.J.S.A. 18A:40-12.5 shall store back-up epinephrine pens on site consistent with the requirements stated at N.J.S.A. 18A:40-12.5.e(1).

Ensure that all Epi-pens are stored in their original boxes with the child's name and prescription, accompanied by a special care plan and that two are present when required.

Corrected Corrected by Jul 30, 2024

Category: ratio. Marked corrected in the state record.

3A:52-7.5(b)(7)(i) · The center shall develop and follow a policy on the administration of medication and health care procedures to children, which shall include the following provisions: the center shall maintain on file a record of the following the child's name and parental authorization for the center to administer medication or health care procedures.

Ensure that the center completes and maintains a medication log that includes the child's name and parent authorization to administer medication.

Corrected Corrected by Jul 30, 2024

Category: ratio. Marked corrected in the state record.

3A:52-5.3(p) · Play equipment, materials, and furniture for indoor and outdoor use shall be of sturdy and safe construction, non-toxic, free of hazards, and used in accordance with the manufacturer’s instructions. The center may not use play equipment intended for outdoor use indoors.

Secure the radio cords in room 7.

Corrected Corrected by Jul 30, 2024

Category: physical safety. Marked corrected in the state record.

3A:52-5.6(a) · At least five foot-candles of natural or artificial light shall be provided in all rooms used by children during naptime. The illumination shall be measured three feet above the floor at the farthest point from the light source.

Provide an adequate amount of light in the hallway on the second floor during naptime.

Corrected Corrected by Jul 30, 2024

Category: physical safety. Marked corrected in the state record.

3A:52-5.3(a)(2) · Indoor maintenance and sanitation requirements are as follows: floors, carpeting, walls, window coverings, ceilings, and other surfaces shall be kept clean and in good repair.

Repair or replace the stained ceiling tile in room 1.

Corrected Corrected by Jul 30, 2024

Category: physical safety. Marked corrected in the state record.

3A:52-5.3(b)(1) · Outdoor maintenance and sanitation requirements are as follows: the building, land, walkways, and outdoor play area shall be free from hazards to the health, safety or well-being of the children.

Remove debris from the outdoor stairwell near room 5.

Corrected Corrected by Jul 30, 2024

Category: health medication. Marked corrected in the state record.

3A:52-5.3(i)(8) · Environmental condition precautions are as follows: at the time of the initial application, any renewal application, relocation of an existing licensed center, and, as determined by the Office of Licensing, on a case-by-case basis, the facility operator shall submit to the Office of Licensing a Safe Building Interior Certification or other approval issued by the Department of Health that indicates that no further remediation is needed for the interior of the building in which the center is located.

Submit a Safe Building Interior Certification or other approval issued by the DOH. Expired 4.1.2023

Corrected Corrected by Sep 4, 2024

Category: health medication. Marked corrected in the state record.

3A:52-5.3(l)(4) · Emergency procedure requirements are as follows: the center shall conduct two lockdown drills per year and maintain on file a record of each lockdown drill. The center shall ensure that lockdown drills are conducted during each session provided at the center.

Ensure that the center conducts at least two lockdown drills per year during each session provided at the center.

Corrected Corrected by Jul 30, 2024

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.11(a)(1) · As a condition of securing a license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall ensure that a Criminal History Record Information (CHRI) fingerprint background check is completed for himself or herself, and for all staff members at least 18 years of age who are or will be working at the center on a regularly- scheduled basis, to determine whether any such person has been convicted of a crime, as specified in P.L. 2000, c. 77 (N.J.S.A. 30:5B-6.10 to 6.17). The sponsor or sponsor representative and each staff member shall complete the electronic fingerprinting process through the vendor authorized by the State to conduct CHRI background checks through the Division of State Police in the Department of Law and Public Safety and the Federal Bureau of Investigation.

Ensure that 2 named staff complete a CHRI background check as required.

Corrected Corrected by Jul 30, 2024

Category: background checks. Marked corrected in the state record.

3A:52-4.10(a)(1) · The sponsor or sponsor representative, and each staff member shall complete a signed consent form provided by the Department that indicates the identifying information necessary to conduct a CARI background check, including the person’s name, address, date of birth, sex, race, and Social Security number. Pursuant to the Federal Privacy Act of 1974 (P.L. 93-579), the Department shall advise each such person that the disclosure of his or her Social Security number is voluntary, and that the Social Security number will only be used for the purpose of conducting a CARI background check.

Ensure that CARI background checks are completed as required for 1 named staff within two weeks of hire.

Corrected Corrected by Jul 30, 2024

Category: background checks. Marked corrected in the state record.

3A:52-5.2(a)(5) · The center shall be permitted to obtain a valid fire safety inspection certificate issued by the municipality in which it is located, based on a fire inspection conducted within the preceding 12 months, and submit a copy of the certificate to the Office of Licensing in lieu of a CO or CCO, if the center serves only children 2 ½ years of age or older and is located in a public school building that is used as a public school.

Ensure that all exits are unobstructed and that the emergency exit doors are easily operable. The staff took immediate action to remove furniture from blocking the emergency exit door.

Corrected Corrected by Apr 16, 2024

Category: physical safety. Marked corrected in the state record.

3A:52-5.3(a)(10) · Indoor maintenance and sanitation requirements are as follows: all corrosive agents, insecticides, bleaches, detergents, polishes, any products under pressure in an aerosol spray can, and any toxic substance shall be stored in a locked cabinet or in an enclosure located in an area not accessible to the children.

Ensure that all toxic substances are inaccessible to the children. Repair the broken lock on the diaper changing table in Room 8.

Corrected Corrected by Jul 30, 2024

Category: physical safety. Marked corrected in the state record.

3A:52-4.6(a) · The center shall maintain on file a Staff Records Checklist designated by the Office of Licensing, as specified in N.J.A.C. 3A:52-4.1(b), indicating that the center has obtained documentation of the applicable staff education and experience, as specified in 3A:52-4.6(b) through (d).

Ensure that the center updates and maintains on file a Staff Records Checklist designated by OOL.

Corrected Corrected by Mar 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.11(a)(1) · As a condition of securing a license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall ensure that a Criminal History Record Information (CHRI) fingerprint background check is completed for himself or herself, and for all staff members at least 18 years of age who are or will be working at the center on a regularly- scheduled basis, to determine whether any such person has been convicted of a crime, as specified in P.L. 2000, c. 77 (N.J.S.A. 30:5B-6.10 to 6.17). The sponsor or sponsor representative and each staff member shall complete the electronic fingerprinting process through the vendor authorized by the State to conduct CHRI background checks through the Division of State Police in the Department of Law and Public Safety and the Federal Bureau of Investigation.

Ensure that 1 named staff completes a CHRI background check as required.

Corrected Corrected by Mar 27, 2023

Category: background checks. Marked corrected in the state record.

3A:52-6.3(b)(3)(iv)(1) · For early childhood programs, the following shall apply, feeding requirements for centers serving children less than 18 months of age are as follows: for bottles, each child's bottle(s) shall be labeled with the child's name and dated.

Ensure that each child's bottle is labeled with the child's name and date in room 8.

Corrected Corrected by Mar 27, 2023

Marked corrected in the state record.

3A:52-4.10(a)(1) · The sponsor or sponsor representative, and each staff member shall complete a signed consent form provided by the Department that indicates the identifying information necessary to conduct a CARI background check, including the person’s name, address, date of birth, sex, race, and Social Security number. Pursuant to the Federal Privacy Act of 1974 (P.L. 93-579), the Department shall advise each such person that the disclosure of his or her Social Security number is voluntary, and that the Social Security number will only be used for the purpose of conducting a CARI background check.

Ensure that the CARI background check is completed as required for 1 named staff within two weeks of hire.

Corrected Corrected by Jul 19, 2023

Category: background checks. Marked corrected in the state record.

3A:52-5.3(a)(15) · Indoor maintenance and sanitation requirements are as follows: ventilation outlets shall be clean and free from obstructions, and filters shall be replaced when saturated.

Maintain all mechanical ventilation in a clean condition throughout the center.

Corrected Corrected by Mar 27, 2023

Category: physical safety. Marked corrected in the state record.

3A:52-5.3(a)(16) · Indoor maintenance and sanitation requirements are as follows: walls shall be painted or otherwise covered whenever there is evidence of

Repair and/or paint the wall in room 9 by the sink.

Corrected Corrected by Mar 27, 2023

Category: physical safety. Marked corrected in the state record.

3A:52-5.3(a)(2) · Indoor maintenance and sanitation requirements are as follows: floors, carpeting, walls, window coverings, ceilings, and other surfaces shall be kept clean and in good repair.

Ensure that all ceiling tiles surrounding the ceiling vents are kept clean throughout the center.

Corrected Corrected by Mar 27, 2023

Category: physical safety. Marked corrected in the state record.

3A:52-6.1(g)(2) · For early childhood programs, the following shall apply: centers serving children less than 18 months of age shall provide at least four types of children's daily activities including, but not limited to, sensory; language and dramatic play; manipulative; building; large muscle; music; or other comparable activities; and at least four types of supplies and equipment for each activity area chosen by the center.

Ensure that room 8 which cares forr children under 18 months of age provide at least four different activity areas and that each area contains at least four types of supplies and equipment.

Corrected Corrected by Mar 27, 2023

Category: physical safety. Marked corrected in the state record.

3A:52-5.3(p) · Play equipment, materials, and furniture for indoor and outdoor use shall be of sturdy and safe construction, non-toxic, free of hazards, and used in accordance with the manufacturer’s instructions. The center may not use play equipment intended for outdoor use indoors.

Ensure that all electrical cords are secured and inaccessible to children at all times in room 6.

Corrected Corrected by Mar 27, 2023

Category: physical safety. Marked corrected in the state record.

3A:52-7.7(e)(1)(iv) · For early childhood programs, the following shall apply: in addition to the items specified in N.J.A.C. 3A:52-7.7(a)3, the following equipment items or surfaces shall be washed and disinfected after each use, toys mouthed by infants and toddlers before being given to another child.

Ensure that the staff in room 8 washes and disinfects toys mouthed by infants and toddlers before being given to another child.

Corrected Corrected by Mar 27, 2023

Category: physical safety. Marked corrected in the state record.

3A:52-6.4(i) · Children shall not use pacifiers with straps or other types of attachment devices.

Cease the use of pacifier straps or other types of attachment devices in room 8.

Corrected Corrected by Mar 27, 2023

Marked corrected in the state record.

3A:52-7.5(b)(10) · The center shall develop and follow a policy on the administration of medication and health care procedures to children, which shall include the following provisions: the center shall store prescribed epinephrine pens in their original boxes with the child’s name and prescription. A special care plan or other documentation from a health care provider shall accompany the epinephrine pen. If two epinephrine pens are required, both shall be available. Each center under the jurisdiction of N.J.S.A. 18A:40-12.5 shall store back-up epinephrine pens on site consistent with the requirements stated at N.J.S.A. 18A:40-12.5.e(1).

Ensure that all Epi-pens are stored in their original boxes with the child's name and prescription, accompanied by a special care plan and that two are present when required.

Corrected Corrected by Mar 27, 2023

Category: ratio. Marked corrected in the state record.

3A:52-4.5(b)(2)(ii) · The director shall have the authority and responsibility for the implementation of policies and procedures for the day-to-day operation of the center, including maintenance of children's daily attendance records, including the daily time of arrival and departure.

Ensure that the center maintains daily time sheets for the children that indicate the children's arrival and departure times: For a 2 week period of time

Corrected Corrected by Jan 7, 2022

Category: ratio. Marked corrected in the state record.

3A:52-5.3(a)(2) · Indoor maintenance and sanitation requirements are as follows: floors, carpeting, walls, window coverings, ceilings, and other surfaces shall be kept clean and in good repair.

Ensure that all surfaces are kept in good repair: Replace/repair the missing foam tile on the stairs in the outdoor play area

Corrected Corrected by Mar 29, 2022

Category: physical safety. Marked corrected in the state record.

3A:52-5.2(a)(8) · The center shall obtain a Life Hazard Use Registration certificate applicable to the center’s licensed capacity and ages served pursuant to the Uniform Fire Safety Act, N.J.S.A. 52:27D-192 et seq. The center shall post this document in a prominent location within the center.

Provide a current life/hazard use registration certificate applicable to the center's ages served.

Corrected Corrected by Nov 22, 2021

Category: ratio. Marked corrected in the state record.

3A:52-4.8(g)(3) · The center shall maintain on file documentation of the date, time, topic, presenter, and attendance for all staff development and orientation completed by center staff members. The center shall record each staff member’s completion of staff development and orientation on the Staff Records Checklist, as specified in N.J.A.C. 3A:52-4.1(b).

Ensure that all staff complete orientation training within two weeks of hire and annually and that the completion of the training is documented on the Staff Records Checklist: 3 staff Note: 11.22.2021 4 staff

Corrected Corrected by Jan 7, 2022

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.11(b)(1) · When the center applies for a new license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall ensure that each staff member at least 18 years of age who is or will be working at the center on a regularly scheduled basis completes the CHRI fingerprinting process specified in N.J.A.C. 3A:52-4.11(a). Within two weeks after a new staff member begins working at the center, the sponsor or sponsor representative shall ensure that the new staff member completes the CHRI fingerprinting process specified in N.J.A.C. 3A:52-4.11(a).

Ensure that all new staff submit a CHRI background check within two weeks of hire: 1 staff Note: 11.22.2021 2 staff

Corrected Corrected by Jan 7, 2022

Category: background checks. Marked corrected in the state record.

3A:52-4.10(b)(1) · When the center applies for a new or renewal license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall submit to the Department the completed CARI consent forms for all staff members who are or will be working at the center on a regularly scheduled basis. Within two weeks after a new staff member begins working at the center, the sponsor or sponsor representative shall submit to the Department a completed CARI consent form for the new staff member.

Ensure that all staff submit a CARI background check upon renewal: 17 staff Note: 11.22.2021 2 staff

Corrected Corrected by Jan 7, 2022

Category: background checks. Marked corrected in the state record.

3A:52-4.5(a)(3)(i)(1) · The sponsor or sponsor representative shall designate individuals with the authority and responsibility to develop and implement written policies and procedures for the operation of the center, including a table of organization that illustrates lines of authority, responsibility and communication.

Ensure that the center has a table of organization that illustrates lines of authority, responsibility and communication.

Corrected Corrected by Mar 29, 2022

Category: ratio. Marked corrected in the state record.

3A:52-4.5(b)(2)(i) · The director shall have the authority and responsibility for the implementation of policies and procedures for the day-to-day operation of the center, including maintenance of staff attendance records indicating daily hours worked.

Ensure that the center maintains daily time sheets for staff that indicate the hours the staff worked at the center: For a 2 week period of time

Corrected Corrected by Jan 7, 2022

Category: ratio. Marked corrected in the state record.

3A:52-5.3(b)(7) · Outdoor maintenance and sanitation requirements are as follows: the center shall comply with the Playground Safety Subcode of the New Jersey Uniform Construction Code, as specified in N.J.A.C. 5:23-11.

Ensure that all playground equipment meets public playground design standards (ASTM F-1487): Cease use of the pony rockers that do not meet required design standards The center took immediate action during this inspection and removed the pony rockers from the outdoor play area

Corrected Corrected by Oct 15, 2021

Category: physical safety. Marked corrected in the state record.

3A:52-5.3(r) · The center shall take any steps required by the Office of Licensing to correct conditions in the building or center that may endanger the health, safety, and well-being of the children served.

Ensure the children's safety: Relocate/remove the ladder in Room 3 The center took immediate action and relocated the ladder during this inspection

Corrected Corrected by Oct 15, 2021

Category: health medication. Marked corrected in the state record.

3A:52-5.3(p) · Play equipment, materials, and furniture for indoor and outdoor use shall be of sturdy and safe construction, non-toxic, free of hazards, and used in accordance with the manufacturer’s instructions. The center may not use play equipment intended for outdoor use indoors.

Repair and/or remove all broken and/or rusted toys from the outdoor play area The center took immediate action during this inspection and removed the broken toys from the side of the building

Corrected Corrected by Oct 15, 2021

Category: physical safety. Marked corrected in the state record.

3A:52-5.3(a)(10) · Indoor maintenance and sanitation requirements are as follows: all corrosive agents, insecticides, bleaches, detergents, polishes, any products under pressure in an aerosol spray can, and any toxic substance shall be stored in a locked cabinet or in an enclosure located in an area not accessible to the children.

Ensure that all toxic substances are inaccessible to the children: Cleaners under the sink in Room 5 The center took immediate action during this inspection and relocated the cleaners to ensure they are inaccessible to the children

Corrected Corrected by Oct 15, 2021

Category: physical safety. Marked corrected in the state record.

3A:52-5.3(i)(5)(i) · Environmental condition precautions are as follows: at the time of the initial application, any renewal application, relocation of an existing licensed center and, in the discretion of the Office of Licensing, any other time, the applicant or facility operator shall certify in writing that the center provides a potable water supply provided by a public community water system. If the facility is supplied by a public community water system, the applicant or facility operator shall provide documentation of water testing conducted by a laboratory certified by the Department of Environmental Protection for water testing for lead and copper from all faucets and other sources used for drinking water or food preparation and at least 50 percent of all indoor water faucets utilized by the center.

Complete and submit a DCF Drinking Water Testing Statement of Assurance and a copy of the center's water testing completed by a laboratory certified by the Department of Environmental Protection. Note: 11.22.2021 Submit DCF Drinking Water Forms

Corrected Corrected by Jan 7, 2022

Category: ratio. Marked corrected in the state record.

3A:52-5.3(b)(6) · Outdoor maintenance and sanitation requirements are as follows: centers that provide outdoor space shall maintain all fencing in proper condition.

Ensure that the black gate in the outdoor play area is maintained in good condition so it opens and closes easily

Corrected Corrected by Mar 29, 2022

Category: physical safety. Marked corrected in the state record.

3A:52-5.3(b)(7) · Outdoor maintenance and sanitation requirements are as follows: the center shall comply with the Playground Safety Subcode of the New Jersey Uniform Construction Code, as specified in N.J.A.C. 5:23-11.

Ensure that all playground equipment meets public playground design standards (ASTM F-1487): Cease use and remove all noncompliant equipment: small slide and rockers The center took immediate action during this inspection and removed the slide and the rockers from the outdoor play area

Corrected Corrected by Mar 29, 2022

Category: physical safety. Marked corrected in the state record.

3A:52-4.11(b)(1) · When the center applies for a new license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall ensure that each staff member at least 18 years of age who is or will be working at the center on a regularly scheduled basis completes the CHRI fingerprinting process specified in N.J.A.C. 3A:52-4.11(a). Within two weeks after a new staff member begins working at the center, the sponsor or sponsor representative shall ensure that the new staff member completes the CHRI fingerprinting process specified in N.J.A.C. 3A:52-4.11(a).

Ensure that all new staff submit a CHRI background check within two weeks of hire: 2 new staff

Corrected Corrected by Apr 20, 2022

Category: background checks. Marked corrected in the state record.

3A:52-4.8(g)(3) · The center shall maintain on file documentation of the date, time, topic, presenter, and attendance for all staff development and orientation completed by center staff members. The center shall record each staff member’s completion of staff development and orientation on the Staff Records Checklist, as specified in N.J.A.C. 3A:52-4.1(b).

Ensure that all staff complete orientation training within two weeks of hire: 2 new staff

Corrected Corrected by Apr 20, 2022

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.8(a)(9) · Topics of orientation training shall include implementing safe sleep practices to prevent Sudden Infant Death Syndrome.

Ensure that all staff are re-trained in implementing safe sleep practices including the proper use of bibs and ensuring they are removed when a child is placed to sleep in a crib Staff re-trained on 4.9.2022

Corrected Corrected by Apr 20, 2022

Category: recordkeeping. Marked corrected in the state record.

3A:52-5.2(a)(5) · The center shall be permitted to obtain a valid fire safety inspection certificate issued by the municipality in which it is located, based on a fire inspection conducted within the preceding 12 months, and submit a copy of the certificate to the Office of Licensing in lieu of a CO or CCO, if the center serves only children 2 ½ years of age or older and is located in a public school building that is used as a public school.

Repair/replace the exit door in Room 7, that leads directly to the exterior, to ensure it is easily operable: closes easily

Corrected Corrected by Jul 13, 2022

Category: physical safety. Marked corrected in the state record.

3A:52-7.5(b)(10) · The center shall develop and follow a policy on the administration of medication and health care procedures to children, which shall include the following provisions: the center shall store prescribed epinephrine pens in their original boxes with the child’s name and prescription. A special care plan or other documentation from a health care provider shall accompany the epinephrine pen. If two epinephrine pens are required, both shall be available. Each center under the jurisdiction of N.J.S.A. 18A:40-12.5 shall store back-up epinephrine pens on site consistent with the requirements stated at N.J.S.A. 18A:40-12.5.e(1).

Ensure that all medications required by a named child's special needs health care plan are provided by the parent: benadryl

Corrected Corrected by Apr 20, 2022

Category: ratio. Marked corrected in the state record.

3A:52-6.4(b)(1)(ii) · The center shall provide sleeping equipment for children 12 months of age and younger, the center shall provide for each child a crib, that complies with the Consumer Product Safety Commission's (CPSC) Federal Safety Standards for Full- Size and Non-Full-Size Baby Cribs; 16 CFR 1219 and 1220, which is incorporated herein by reference, and can be obtained through the CPSC's website at https://www.cpsc.gov/Safety-Education/Safety- Education-Centers/cribs , playpen, or other Office of Licensing-approved sleeping equipment that meets the following requirement that sleeping equipment shall be free of pillows and soft bedding, including, but not limited to bumper pads, when occupied by a sleeping child.

Ensure that sleeping equipment is free of hazards when occupied by a sleeping child: Remove bibs when infants are sleeping in a crib The center took immediate action during this inspection and removed a name child's bib who was sleeping in a crib

Corrected Corrected by Mar 29, 2022

Category: physical safety. Marked corrected in the state record.

3A:52-7.5(b)(7)(ii) · The center shall develop and follow a policy on the administration of medication and health care procedures to children, which shall include the following provisions: the center shall maintain on file a record of the following the name of the medication or health care procedure.

Ensure that the center maintains on file a special needs health care plan for a named child that is required to use a cranial remolding helmet

Corrected Corrected by Apr 20, 2022

Category: ratio. Marked corrected in the state record.

3A:52-7.7(e)(1)(iii) · For early childhood programs, the following shall apply: in addition to the items specified in N.J.A.C. 3A:52-7.7(a)3, the following equipment items or surfaces shall be washed and disinfected after each use, diapering surfaces.

Ensure that the center washes and disinfects diapering surfaces after each use: Ensure the named staff in Room 2 use a 2 step process to properly clean & disinfect diapering surfaces after each use

Corrected Corrected by May 20, 2022

Category: health medication. Marked corrected in the state record.

3A:52-4.8(a)(1) · Topics of orientation training shall include supervising and tracking all children, as specified in N.J.A.C. 3A:52-4.3(a).

Re-train the named staff in Room 7 in the following core area: tracking children Staff retrained on 4.25.2022

Corrected Corrected by May 2, 2022

Category: supervision. Marked corrected in the state record.

3A:52-4.8(a)(8) · Topics of orientation training shall include implementing health practices, including medication administration and responding to symptoms of illness, as specified in N.J.A.C. 3A:52-7.1 through 7.11.

Re-train the named staff in Room 2 in the following core area: cleaning & disinfecting Staff retrained on 5.2.2022

Corrected Corrected by May 2, 2022

Category: ratio. Marked corrected in the state record.

3A:52-4.3(a)(2) · The center shall ensure that all staff members are trained in the method of keeping track of children and know how many children are in their care at all times.

Ensure that the staff are aware of the number of children in their care at all times: In Room 7 9 children were present; the named staff tracked 10

Corrected Corrected by May 20, 2022

Marked corrected in the state record.

3A:52-4.8(a)(1) · Topics of orientation training shall include supervising and tracking all children, as specified in N.J.A.C. 3A:52-4.3(a).

RE-TRAIN ALL STAFF IN THE FOLLOWING CORE AREA: PROPER CLASSROOM SUPERVISION STAFF RE-TRAINED ON 10.16.2019

Corrected Corrected by Oct 18, 2019

Category: supervision. Marked corrected in the state record.

3A:52-4.8(a)(11) · Topics of orientation training shall include recognizing and responding to injuries and emergencies, including the prevention of and response to emergencies due to food-related allergies and other allergic reactions.

RE-TRAIN ALL STAFF IN THE FOLLOWING CORE AREA: IMMEDIATE PARENTAL NOTFICATION OF REQUIRED INJURIES STAFF RE-TRAINED ON 10.6.2019

Corrected Corrected by Oct 18, 2019

Category: nutrition. Marked corrected in the state record.

3A:52-7.6(a)(2) · The center shall take immediate necessary action to protect the child from further harm and shall immediately notify the child's parent(s) when a child sustains a head or facial injury, including when a child bumps his or her head.

BASED ON COMPLAINT...INTERVIEW AND DOCUMENTION CONFIRMED THAT A NAMED PARENT WAS NOT IMMEDIATELY NOTFIED WHEN A NAMED CHILD RECEIVED AN INJURY UNDER HER EYE

Corrected Corrected by Oct 25, 2019

Marked corrected in the state record.

3A:52-4.3(c) · The following staff/child ratios shall apply, except as specified in 3A:52-4.3(d) through (f): Age Staff/Child Ratio Under 18 months - 1:4 18 months up to 2 ½ years - 1:6 2 ½ years up to 4 years - 1:10 4 years - 1:12 5 years and older - 1:15

BASED ON COMPLAINT...INTERVIEW WITH THE STAFF CONFIRMED THAT IN THE PAST THERE HAVE BEEN 1 STAFF ALONE WITH MORE THAN 8 CHILDREN, UNDER THE AGE OF 2 1/2 YEARS, AT MONING DROP OFF TIME

Corrected Corrected by Oct 25, 2019

Category: ratio. Marked corrected in the state record.

3A:52-4.3(a) · The children shall be supervised directly by a staff member at all times, including during outdoor activities, rest and sleep, and walking through hallways. Toileting procedures shall be supervised by a staff member as appropriate for the ages and developmental needs of the children.

BASED ON COMPLAINT...INTERVIEW WITH THE DIRECTOR AND STAFF CONFIRMED THAT, UPON THEIR REVIEW OF THE CENTER'S VIDEO RECORDINGS ON THE DAY OF THE INCIDENT, THEY WERE ABLE TO DETERMINE THAT A NAMED CHILD PUSHED ANOTHER NAMED CHILD CAUSING THEM TO FALL; THE FALL RESULTED IN AN INJURY UNDER THEIR EYE FURTHER INTERVIEW REVEALED THAT, ALTHOUGH THE STAFF WERE PRESENT, THEY WERE NOT DIRECTLY SUPERVISING THE CHILDREN AT THE TIME OF THE INCIDENT, AND THEY DID NOT KNOW THE NAMED CHILD HAD SUSTAINED AN INJURY TO THEIR UNDER THEIR EYE UNTIL AFTER THEY WOKE UP FROM THEIR NAP SEVERAL HOURS LATER

Corrected Corrected by Oct 25, 2019

Category: supervision. Marked corrected in the state record.

3A:52-6.1(e) · The center shall ensure that pacifiers are removed when the children are crawling or walking.

ENSURE PACIFIERS ARE REMOVED WHEN CHILDREN ARE CRAWLING: INFANT CRAWLING WITH A PACIFIER; PACIFIER REMOVED DURING THIS INSPECTION

Corrected Corrected by Jul 5, 2019

Marked corrected in the state record.

3A:52-5.3(b)(3)(i) · the building structure shall be maintained to prevent water from entering.

MAINTAIN THE BUILDING FREE OF LEAKS: 2ND FLOOR ROOF REPAIRED ON 6.4.2019; DOCUMENTATION SUBMITTED

Corrected Corrected by Jul 5, 2019

Category: physical safety. Marked corrected in the state record.

3A:52-5.2(a)(5) · The center shall be permitted to obtain a valid fire safety inspection certificate issued by the municipality in which it is located, based on a fire inspection conducted within the preceding 12 months, and submit a copy of the certificate to the Office of Licensing in lieu of a CO or CCO, if the center serves only children 2 ½ years of age or older and is located in a public school building that is used as a public school.

ENSURE THAT EXIT DOORS ARE EASILY OPERATIONAL: REPAIR/REPLACE PANIC BAR ON THE EXIT DOOR LEADING OUT OF ROOM 6 NOTE: 5.16.2019 ENSURE THAT EGRESS AREAS ARE CLEAR AT ALL TIMES: REMOVE ALL EXTRA STORAGE FROM THE 2ND FLOOR EGRESS AREA THAT LEADS TO THE EXTERIOR STAIRCASE

Corrected Corrected by May 16, 2019

Category: physical safety. Marked corrected in the state record.

3A:52-5.6(a) · At least five foot-candles of natural or artificial light shall be provided in all rooms used by children during naptime. The illumination shall be measured three feet above the floor at the farthest point from the light source.

PROVIDE ENOUGH LIGHT, AT NAP TIME, TO BE ABLE TO SEE ALL OF THE CHILDREN IN THE ROOM; ROOM 7 LIGHT INCREASED IN ROOM 7 DURING THIS INSPECTION

Corrected Corrected by May 16, 2019

Category: physical safety. Marked corrected in the state record.

3A:52-4.3(d) · The following staff/child ratios shall apply during rest or sleep, when the criteria listed in 3A:52-4.3(d) 1, 2, and 3 are met: Age Staff/Child Ratio Under 18 months - 1:10 18 months to under 2 ½ years - 1:12 2 ½ years and above - 1:20

MAINTAIN REQUIRED RATIOS AT NAP TIME: 14 CHILDREN 18 MONTHS-2 1/2 YRS WITH 1 STAFF; 2 STAFF REQUIRED

Corrected Corrected by Jun 4, 2019

Category: ratio. Marked corrected in the state record.

3A:52-5.3(a)(1) · Indoor maintenance and sanitation requirements are as follows: the center shall be free of moisture resulting from water leaks or seepage.

ELIMINATE MOISTURE RESULTING FROM LEAKS OR SEEPAGE: 2ND FLOOR ROOF REPAIRED ON 6.4.2019; DOCUMENTATION SUBMITTED

Corrected Corrected by Jul 5, 2019

Category: physical safety. Marked corrected in the state record.

3A:52-5.3(b)(7) · Outdoor maintenance and sanitation requirements are as follows: the center shall comply with the Playground Safety Subcode of the New Jersey Uniform Construction Code, as specified in N.J.A.C. 5:23-11.

REMOVE/CEASE USE OF THE BLOW UP SLIDE/BOUNCER IN THE OUTDOOR PLAY AREA THAT DOES NOT MEET REQUIRED PLAYGROUND STANDARDS BOUNCER/SLIDE REMOVED DURING THIS INSPECTION

Corrected Corrected by Jul 5, 2019

Category: physical safety. Marked corrected in the state record.

3A:52-5.3(b)(6) · Outdoor maintenance and sanitation requirements are as follows: centers that provide outdoor space shall maintain all fencing in proper condition.

MAINTAIN IN GOOD CONDITION THE GATE IN THE OUTDOOR PLAY AREA THAT LEADS TO THE REAR EGRESS: GATE IS DRAGGING

Corrected Corrected by Aug 22, 2019

Category: physical safety. Marked corrected in the state record.

3A:52-6.3(a)(4) · All centers shall comply with the following requirements, if the center provides food, the center shall ensure that the food is stored, prepared, and served in a sanitary manner.

ENSURE STAFF FOLLOW FOOD SAFETY GUIDELINES WHEN SERVING SNACKS TO INFANTS & TODDLERS: TODDLER IN ROOM 8 SERVED WHOLE GRAPES; POSSIBLE CHOKING HAZARD GRAPES CUT DURING THIS INSPECTION TO ELIMINATE A POSSIBLE CHOKING HAZARD

Corrected Corrected by Aug 22, 2019

Category: health medication. Marked corrected in the state record.

3A:52-6.4(i) · Children shall not use pacifiers with straps or other types of attachment devices.

CEASE USE OF PACIFIER STRAPS: PACIFIER STRAP REMOVED DURING THIS INSPECTION ABATED 7.5.2019 NOTE: 7.5.2019 CEASE USE OF PACIFIER ATTACHMENTS: CHILD SLEEPING IN A CRIB WITH AN ATTACHMENT ON THEIR PACIFER PACIFIER REMOVED DURING THIS INSPECTION

Corrected Corrected by Aug 22, 2019

Marked corrected in the state record.

3A:52-5.3(a)(2) · Indoor maintenance and sanitation requirements are as follows: floors, carpeting, walls, window coverings, ceilings, and other surfaces shall be kept clean and in good repair.

1. REPLACE STAINED CEILING TILES: ON THE SECOND FLOOR; HALLWAY 2. REPLACE STAINED CEILING TILES: ON THE SECOND FLOOR; GIRLS BATHROOM

Corrected Corrected by Sep 23, 2019

Category: physical safety. Marked corrected in the state record.

3A:52-4.8(a)(3) · Topics of orientation training shall include implementing group size limits and primary caregiver responsibilities, as applicable, as specified in N.J.A.C. 3A:52-4.4.

1. RE-TRAIN ALL STAFF IN THE FOLLOWING CORE AREA: PROPER USE OF PACIFIERS STAFF RE-TRAINED ON 8.28.2019 2. RE-TRAIN ALL STAFF IN THE FOLLOWING CORE AREA: SAFE TODDLER FEEDING PROCEDURES STAFF RE-TRAINED ON 8.28.2019

Corrected Corrected by Sep 23, 2019

Category: ratio. Marked corrected in the state record.

3A:52-5.3(a)(2) · Indoor maintenance and sanitation requirements are as follows: floors, carpeting, walls, window coverings, ceilings, and other surfaces shall be kept clean and in good repair.

KEEP SPECIFIED SURFACES IN GOOD REPAIR: REPAIR/RELOCATE THE GATE LATCH ON THE GATE IN THE OUTDOOR PLAY AREA THAT LEADS TO THE REAR EGRESS TO ENSURE IT OPENS AND CLOSES EASILY

Corrected Corrected by Sep 23, 2019

Category: physical safety. Marked corrected in the state record.

3A:52-5.3(m)(2) · Supplemental evacuation requirements are as follows: cribs, beds, playpens, and cots used for rest or sleep shall be arranged so as to provide access to a three-foot-wide aisle that leads to an unobstructed exit.

ENSURE THAT EXIT DOORS ARE NOT BLOCKED BY FURNITURE: REMOVE THE CHAIRS FROM IN FRONT OF THE EXIT DOOR IN ROOM 5 THE CHAIRS WERE RELOCATED DURING THIS INSPECTION

Corrected Corrected by Sep 23, 2019

Category: physical safety. Marked corrected in the state record.

3A:52-5.3(p) · Play equipment, materials, and furniture for indoor and outdoor use shall be of sturdy and safe construction, non-toxic, free of hazards, and used in accordance with the manufacturer’s instructions. The center may not use play equipment intended for outdoor use indoors.

ENSURE INDOOR EQUIPMENT IS SAFE AND FREE OF HAZARDS: ENSURE THE ELECTRICAL WIRE FOR THE RADIO IN ROOM 5 IS SECURELY FASTENED TO THE WALL OR OTHERWISE MADE INACCESSIBLE TO THE CHILDREN THE ELECTRICAL WIRE FOR THE RADIO WAS RELOCATED DURING THIS INSPECTION

Corrected Corrected by Sep 23, 2019

Category: physical safety. Marked corrected in the state record.

3A:52-5.3(q)(2)(ii) · Space and room requirements are as follows: at no time shall a center allow more children in attendance than the licensed room capacity.

MAINTAIN SPACE & ROOM CAPACITIES, AS REQUIRED: ROOM 5: CAPACITY 16; 21 CHILDREN PRESENT THE DIRECTOR TOOK IMMEDIAE ACTION AND MOVED 6 CHILDREN TO ROOM 4 FOR NAP TO REDUCE THE CAPACITY OF THE ROOM

Corrected Corrected by Oct 1, 2019

Marked corrected in the state record.

3A:52-4.4(a)(4) · For early childhood programs, the following shall apply for infants (under 18 months of age) and toddlers (18 months to 2½ years of age): if more than 12 infants or 20 toddlers occupy an individual room or a specific area within a large room, areas for up to 12 infants or 20 toddlers shall be defined by visible barriers, partitions, or any other room dividers or separations having a height above the eye level of the children who use those areas.

MAINTAIN REQUIRED GROUP SIZE LIMITS AT ALL TIMES: 21 CHILDREN AGES 18 MONTHS - 2 1/2 YEARS PRESENT IN ROOM 5; THE GROUP SIZE LIMIT FOR THIS AGE GROUP IS 20

Corrected Corrected by Oct 1, 2019

Category: ratio. Marked corrected in the state record.

3A:52-4.3(a) · The children shall be supervised directly by a staff member at all times, including during outdoor activities, rest and sleep, and walking through hallways. Toileting procedures shall be supervised by a staff member as appropriate for the ages and developmental needs of the children.

ENSURE CHILDREN ARE PROPERLY SUPERVISED AT ALL TIMES: THE STAFF WERE NOT DIRECTLY SUPERVISING THE TODDLERS IN ROOM 5: CHILDREN WERE WALKING INTO EACH OTHER, GRABBING TOYS FROM ONE ANOTHER AND PUSHING EACH OTHER TRYING TO GIVE THEMSELVES SPACE DUE TO THE FACT THAT THE ROOM WAS OVERCAPACITY; THE STAFF WERE NOT PROPERLY SUPERVISING THE CHILDREN IN THE ROOM

Corrected Corrected by Oct 1, 2019

Category: supervision. Marked corrected in the state record.

3A:52-4.3(c) · The following staff/child ratios shall apply, except as specified in 3A:52-4.3(d) through (f): Age Staff/Child Ratio Under 18 months - 1:4 18 months up to 2 ½ years - 1:6 2 ½ years up to 4 years - 1:10 4 years - 1:12 5 years and older - 1:15

MAINTAIN REQUIRED STAFF/CHILD RATIOS AT ALL TIMES: 21 CHILDREN PRESENT IN ROOM 5 WITH 3 STAFF; 4 REQUIRED

Corrected Corrected by Oct 1, 2019

Category: ratio. Marked corrected in the state record.

3A:52-4.8(a)(3) · Topics of orientation training shall include implementing group size limits and primary caregiver responsibilities, as applicable, as specified in N.J.A.C. 3A:52-4.4.

RE-TRAIN STAFF IN THE FOLLOWING CORE AREA: IMPLEMENTING GROUP SIZE LIMITS

Corrected Corrected by Oct 8, 2019

Category: ratio. Marked corrected in the state record.

3A:52-4.8(a)(1) · Topics of orientation training shall include supervising and tracking all children, as specified in N.J.A.C. 3A:52-4.3(a).

RE-TRAIN ALL STAFF IN THE FOLLOWING CORE AREA: PROPER CLASSROOM SUPERVISION

Corrected Corrected by Oct 8, 2019

Category: supervision. Marked corrected in the state record.

3A:52-6.4(a)(2) · For early childhood programs, the center shall provide opportunities for daily rest and sleep as follows: for children from 13 to 18 months of age, the center shall provide daily rest and sleep according to the child's physical needs and ensure that blankets or pillows do not cover the child's face.

ENSURE SLEEPING EQUIPMENT IS FREE OF ALL HAZARDS WHEN OCCUPIED BY A SLEEPING INFANT: REMOVE BIBS WHEN AN INFANT IS SLEEPING IN A CRIB BIB REMOVED DURING THIS INSPECTION RE-TRAIN ALL STAFF IN THE FLLOWNG CORE AREA: SAFE INFANT SLEEP PRACTICES

Corrected Corrected by Oct 8, 2019

Category: physical safety. Marked corrected in the state record.

3A:52-5.6(c)(1)(iii) · For rooms and areas used by children, except as specified in N.J.A.C. 3A:52-5.6(e), the following monitoring requirements shall apply: the center shall equip every room or area designated for use by children, except for kitchen and toilet facilities, with one of the following options in order to promote maximum visibility and audibility: security mirror(s) in hallways that reflect activities in the room(s) used by children.

PROVIDE A SECURITY MIRROR TO ENSURE MAXIMUM VISIBILITY OF THE CORNER, IN THE CRIB AREA IN ROOM 8, TO SUPPLEMENT THE CENTER'S EXISTING MONITORING SYSTEM

Corrected Corrected by Oct 25, 2019

Marked corrected in the state record.

3A:52-5.2(a)(5) · The center shall be permitted to obtain a valid fire safety inspection certificate issued by the municipality in which it is located, based on a fire inspection conducted within the preceding 12 months, and submit a copy of the certificate to the Office of Licensing in lieu of a CO or CCO, if the center serves only children 2 ½ years of age or older and is located in a public school building that is used as a public school.

MAINTAIN ON FILE A CURRENT FIRE CERTIFICATE

Corrected Corrected by Nov 8, 2019

Category: physical safety. Marked corrected in the state record.