3270.14/3270.21 · 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.

At the time of inspection facility persons# 9 and 10 did not have Health and Safety training on file.

Corrected Corrected by Oct 4, 2023

Category: ratio. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

At the time of inspection staff persons 2, 4, 6, 11 and 12 did not have emergency plan training on file at the facility.

Corrected Corrected by Oct 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(f)(10) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

At the time of investigation staff person #8 did not have pediatric first aid / CPR training on file.

Corrected Corrected by Oct 4, 2023

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety 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.

At the time of inspection staff person# 8 and 12 did not have annual fire safety training on file.

Corrected Corrected by Oct 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

At the time of inspection staff persons #4, 7, and 9 did not have their NJ state clearances on file and facility persons# 4 DHS FBI and NSOR, #5 NSOR, #8 Child Abuse, DHS FBI Clerance NSOR Certificate disclosure on file at the time of inspection.

Corrected Corrected by Oct 4, 2023

Category: supervision. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

At the time of inspection staff persons 2, 5, 6, 7, 10, and 12 did not have verified hours of experience on file.

Corrected Corrected by Oct 4, 2023

Category: supervision. Marked corrected in the state record.

3270.192(3) · A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

At the time of inspection staff persons # 4 did not have Mantoux reading / testing on file.

Corrected Corrected by Oct 4, 2023

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

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

At the time of inspection facility person #12 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file at the facility.

Corrected Corrected by Oct 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Continued noncompliance on 4/17/23 an unannounced inspection was conducted at the facility. Staff persons#1 through 6, 8,10,11, 14, 16,17, 21 and 22 files did not include verification that an annual evaluation has been completed.

Corrected Corrected by Apr 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Continued noncompliance on 4/17/23 an unannounced inspection was conducted at the facility. Staff persons # 1 through 3; 5,6,8,10,11,14,16,17,21,22, and 23 files did not include 12 clock hours of annual child care training.

Corrected Corrected by Apr 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).LACKING REQUIRED HIRING DOCUMENTS: Facility Persons# 7 and 9 must obtain verification of FBI clearances, staff persons# 18 and 23 must obtain verification of state police clearances staff persons#10 and 13 must obtain verification of NSOR clearances staff persons# 2,3 and 21 must obtain verification of child abuse clearances and staff persons # 1,2,7,9,10,12,16,18,19 and 23 must obtain mandated reporter training. The staff persons stated in this citation may not work in child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff persons# 6,11,14,17, and 22 must obtain out of state New Jersey criminal history and child abuse and neglect registry clearances. Staff persons# 10,13, ,6,11,14, 17, and 22 may not work in a child care position at the facility.

Continued noncompliance on 4/17/23 an unannounced inspection was conducted at the facility. Staff persons# 7and 9 files did not include FBI clearance. Staff persons# 18 and 23 files did not include State Police clearances. Staff persons# 10 and13 files did not include NSOR clearance. Staff persons# 2,3, and 21 files did not include Child abuse clearances, and Staff persons# 1,2,7, 9, 10,12,16, 18,19, and 23 files did not include mandated reporter training. Staff Persons # 6,11,14, 17, and 22 must obtain out of state New Jersey criminal history and child abuse and neglect registry clearances. Staff persons# 10,13, ,6,11,14, 17, and 22 may not work in a child care position at the facility.

Corrected Corrected by Apr 27, 2023

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

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

While conducting an unannounced inspection on 4/17/23 it was observed in classroom#2 a total of 10 children older toddlers present only one Teacher. Staff person #12 left the classroom leaving the class out of ratio.

Corrected Corrected by Apr 24, 2023

Category: ratio. Marked corrected in the state record.

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Continued noncompliance on 4/17/23 an unannounced inspection was conducted at the facility. Classroom#1 diapering area did not have any handwashing signs posted. Classroom#3 children's bathroom did not have handwashing signs posted. Third floor girls and boy's bathroom did not have handwashing signs posted.

Corrected Corrected by Apr 27, 2023

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

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Continued noncompliance on 4/17/23 an unannounced inspection was conducted at the facility. Staff persons# 2,3,5,7,9,11,14,16,18,19, and 23 files did not include a physical examination. Staff persons # 1through 10;12,14,22 and 23 file did not include the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Corrected Corrected by Apr 27, 2023

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

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Continued noncompliance on 4/17/23 an unannounced inspection was conducted at the facility. Staff persons# 1 through 3; 6,7,9,10,12,14,15,18,19, and 23 files did not include verification of education or child care experience prior to service at the facility.

Corrected Corrected by Apr 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Continued noncompliance on 4/17/23 an unannounced inspection was conducted at the facility. There was no documentation that an annual emergency drill had been conducted at the facility.

Corrected Corrected by Apr 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(1) · Staff persons#1through3,10 through 17, 21,22,24, and 27 shall complete the following required preservice health and safety training within 90 days of hire. Staff persons# 1through 8 through 15, 18,19, and 23 will have until 5/3/23 to complete the required health and safety training. Until such time as the required training has been completed, staff persons#1through 3, 8 through 15, 18,19, and 23 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff persons available to supervise staff persons#1through 3, 8 through 15, 18,19, and 23 staff persons# 1through 3, 8 through 15, 18,19, and 23 may not work in a child care position at the facility.

Continued noncompliance a renewal inspection was conducted on 2/15/23 at the facility. On 4/17/23 an unannounced inspection was conducted at the facility. Staff persons# 1through 3, 8 through 15, 18,19, and 23, has not completed the following required preservice health and safety training within 90 days of hire. The facility's acceptable plan of correction indicated the correction would be implemented by 2/30/2. On 4/17/23 an unannounced inspection was conducted. Staff persons# 1through 4, 8 through 15, 18,19, and 23 still has not completed the following required preservice health and safety training.

Corrected Corrected by Apr 27, 2023

Category: supervision. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

During the renewal inspection conducted on 2/15/23 it was observed staff persons # 1 through 14 and 16 through 27 files did not include 12 clock hours of annual child care training.

Corrected Corrected by Feb 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

During the renewal inspection conducted on 2/15/23 it was observed the facilities liability insurance expired 1/1/23.

Corrected Corrected by Feb 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Persons #1,4,9,11,21,and 23 must obtain verification of FBI clearances, staff persons# 9,18,19,26, and 27 must obtain verification of state police clearances staff persons# 5,9,11,12,15,19,21,22,24,and 27must obtain verification of NSOR clearances staff persons # 4,5 and 16 must obtain verification of child abuse clearances and staff persons # 1,3,4, 9,11, 12, 14, 18,22, and 27must obtain mandated reporter training. The staff persons stated in this citation may not work in child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #4,8,13,15,16,20,25, and 26 must obtain out of state New Jersey criminal history and child abuse and neglect registry clearances. Staff persons# 4,8,13,15,16,20, 25, and 26 may not work in a child care position at the facility.

During the renewal inspection conducted on 2/15/23 it was observed staff persons# ,9,11, files did not include FBI clearance. Staff persons#,26 and 27 files did not include State Police clearances. Staff persons# 11,12, and 15, files did not include NSOR clearance. Staff persons# 4,5, and 16 files did not include Child abuse clearances, and Staff persons# 1,4,9,11,12,14,18, 22, and 27 files did not include mandated reporter training. Staff Persons # 8,13,15,16,20,25, and 26 must obtain out of state New Jersey criminal history and child abuse and neglect registry clearances. Staff persons# 8,13,15,16,20, 25, and 26 may not work in a child care position at the facility.

Corrected Corrected by Feb 25, 2023

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

3270.34(a) · A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6).

During the renewal inspection conducted on 2/15/23 it was observed staff persons# 1 through 8; 10,13; 16 through 20; 23,25, and 26 files did not include verification that an annual evaluation has been completed.

Corrected Corrected by Feb 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

During the renewal inspection conducted on 2/15/23 it was observed in classrooms# 2 and 4 had spray bottles of bleach and water that were not labeled.

Corrected Corrected by Feb 25, 2023

Category: ratio. Marked corrected in the state record.

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

During the renewal inspection conducted on 2/15/23 it was observed classrooms # 1 through 10 did not have all required emergency phone numbers posted.

Corrected Corrected by Feb 25, 2023

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

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

During the renewal inspection conducted on 2/15/23 it was observed classrooms #5 and 6 first aid kits did not include scissors.

Corrected Corrected by Feb 25, 2023

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

During the renewal inspection conducted on 2/15/23 it was observed classroom#1 diapering area did not have any handwashing signs posted. Classroom#3 children's bathroom did not have handwashing signs posted.

Corrected Corrected by Feb 25, 2023

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

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

During the renewal inspection conducted on 2/15/23 it was observed classroom #1 did not label any of the children's rest equipment. Classroom #3 did not label child#9 and 10 rest equipment.

Corrected Corrected by Feb 25, 2023

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

During the renewal inspection conducted on 2/15/23 it was observed that classroom # 1 and 6 refrigerator did not have a thermometer to ensure that required temperature is maintained.

Corrected Corrected by Feb 25, 2023

Category: nutrition. Marked corrected in the state record.

3270.123(a) · An agreement shall be signed by the operator and the parent.

During the renewal inspection conducted on 2/15/23 it was observed that child# 1 through 8 agreement form was not signed by the operator.

Corrected Corrected by Feb 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

During the renewal inspection conducted on 2/15/23 it was observed that child# 1 and 2 emergency contact form did not include telephone number of the child's physician or source of medical care.

Corrected Corrected by Feb 25, 2023

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

3270.124(b)(4)/3270.182(5) · Emergency contact information must include the written consent signed by a parent for emergency medical care. 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.

During the renewal inspection conducted on 2/15/23 it was observed child # 2 and 6 emergency contact did not include written consent signed by a parent for emergency medical care, also did not include signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Corrected Corrected by Feb 25, 2023

Category: ratio. Marked corrected in the state record.

3270.124(b)(7) · 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.

During the renewal inspection conducted on 2/15/23 it was observed child# 1throuh 3 and 6 and 8 emergency contact did not include addresses of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Feb 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

During the renewal inspection conducted on 2/15/23 it was observed staff persons# 3,4,5,7,9,11,13,16,18,21,22,27 files did not include a physical examination. Staff persons # 1through 10; 11,12, 14;16 through 23; 26 and 27 file did not include the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Corrected Corrected by Feb 25, 2023

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

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

During the renewal inspection conducted on 2/15/23 it was observed child # 11 and 12 bottles was not labeled

Corrected Corrected by Feb 25, 2023

Marked corrected in the state record.

3270.192(1) · A facility person's record shall include the name, address and telephone number of the facility person.

During the renewal inspection conducted on 2/15/23 it was observed staff persons # 1 through 27 files did not include the name, address and telephone number of the facility person.

Corrected Corrected by Feb 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

During the renewal inspection conducted on 2/15/23 it was observed that staff persons# 1,3,4,5,8,9,11,12,14,16,17,21,22,23, and 27 files did not include verification of education or child care experience prior to service at the facility.

Corrected Corrected by Feb 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

During the renewal inspection conducted on 2/15/23 it was observed that the emergency plan did not include accommodations for toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Feb 25, 2023

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

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

During the renewal inspection conducted on 2/15/23 it was observed there was no documentation that an annual emergency drill had been conducted at the facility.

Corrected Corrected by Feb 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(1) · Staff persons shall complete professional development in the prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements within 90 days of hire.

During the renewal inspection conducted on 2/15/23 it was observed that staff persons# 1,3,4;10 through 17; 21, 22, 24, and 27 files did not include health and safety training.

Corrected Corrected by Feb 25, 2023

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