3270.113(a) · 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.

During the complaint investigation on 10/24/24 it was determined that there was a lack of supervision by staff person #1 and staff person #2 during outside play.

Corrected Corrected by Oct 4, 2024

Category: supervision. Marked corrected in the state record.

3270.31(e)(4)(i) · 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.

During the renewal inspection on 02/08/24 the file reviewed for staff person #1 contained an expired First Aid/CPR certification dated 06/04/21.

Corrected Corrected by Feb 12, 2024

Category: ratio. 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). 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 #2 may not work in a childcare position at the facility.

During the renewal inspection on 02/08/24 the file reviewed for staff person #2 hired (see code sheet) did not contain an updated Department of Human Services approved FBI clearance. FBI clearance reviewed in file was from the Department of Education. DHS FBI clearance in file dated 09/13/18 which is more than 60 months old. There is no application in the file for an updated DHS FBI clearance.

Corrected Corrected by Feb 15, 2024

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

3270.113(a) · 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.

A child was injured (bruised on forehead and eye) due to lack in supervision by staff person #1 and #2 in the play yard.

Corrected Corrected by Oct 13, 2023

Category: supervision. 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 time of inspection, recently hired staff person # 1 did not have training regarding the facility emergency plan documented in their record.

Corrected Corrected by Oct 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(b)/3270.192(2)(i) · A staff person shall be 18 years of age or older. A facility person's record shall include verification of age.

At time of inspection, staff persons #1 and #2 did not have proof of age documented in their records.

Corrected Corrected by Oct 13, 2023

Category: recordkeeping. 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 time of inspection, staff person #2 did not have proof of education and staff person #3 did not have proof of experience to help qualify them for their positions as Assistant Group Supervisors at facility.

Corrected Corrected by Oct 13, 2023

Category: supervision. Marked corrected in the state record.

3270.151(a) · 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.

At time of inspection, staff person #1 did not have initial health assessment within the 12 months prior to providing initial service documented in their record.

Corrected Corrected by Oct 13, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. 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 time of inspection, staff person # 1 did not have an initial negative TB screening that meets the requirements at time of hire.

Corrected Corrected by Oct 13, 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 time of inspection, staff person #1 did not have two non-family references documented in their records as required per regulations.

Corrected Corrected by Oct 13, 2023

Category: recordkeeping. Marked corrected in the state record.

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.

During the renewal inspection, certification representative reviewed facility files and the policy for Shaken Baby Syndrome and Child Maltreatment did not address child maltreatment per Announcement C-22-03 that was issued on January 24,2022.

Corrected Corrected by Mar 23, 2023

Category: ratio. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

During the renewal inspection, certification representative reviewed the facility files and the emergency plan was not updated to include continuity of operations or specific staff duties and continuity of operations per announcement c-22-04,issued 4/19/22.

Corrected Corrected by Mar 23, 2023

Category: ratio. 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.

During the renewal inspection, certification representative reviewed 6 staff files and there was no staff evaluation for staff #1.

Corrected Corrected by Mar 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.76/3270.77(a) · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

During the renewal inspection, certification representative conducted a facility walk through and there was chipped paint throughout in the following areas: grass room on the purple wall near the white couch.

Corrected Corrected by Mar 23, 2023

Category: physical safety. 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, certification representative conducted a facility walk through and there were no labels on the rest equipment throughout the facility.

Corrected Corrected by Mar 23, 2023

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

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

During the renewal inspection, certification representative reviewed 5 children's file and the agreement forms for child #1, child #2, child #3, child #4 and child #5 didn't include release persons.

Corrected Corrected by Mar 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

During the renewal inspection, certification representative reviewed 5 children's file and the file for child #2 doesn't include their health insurance policy number on the emergency contact form.

Corrected Corrected by Mar 23, 2023

Category: health medication. 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, certification representative reviewed 5 children's file and the emergency contact forms for child #2,child #3, child #4 and child #5 didn't have an address for the release person.

Corrected Corrected by Mar 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

During the renewal inspection, certification representative reviewed 6 staff files and the file for staff #3 did not include a verification of experience.

Corrected Corrected by Mar 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.192(4) · 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.

During the renewal inspection, certification representative reviewed 6 staff files and the files for staff #2 shows that they lived in NJ within the last 5 yrs and there were no NJ clearances in their files

Corrected Corrected by Mar 23, 2023

Category: background checks. 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, certification representative reviewed the facility files and the emergency plan did not include accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions

Corrected Corrected by Mar 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(1)/3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

During the renewal inspection, certification representative reviewed the facility files and the emergency plan did not include information on how staff are to respond in the event of a lock down, shelter in place, and evacuation

Corrected Corrected by Mar 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.113(a)(1) · 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 his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH AND UPON ENTERING THE ORANGE ROOM THERE WAS A CHILD UNATTENDED IN THE BATHROOM.

Corrected Corrected by Feb 14, 2022

Category: supervision. Marked corrected in the state record.

3270.166(6) · Neither an infant nor a toddler is permitted to sleep with a bottle in his mouth.

DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH AND IN THE INFANT ROOM CHILD #1 HAD A SIPPY CUP WHILE LAYING DOWN IN THE CRIB.

Corrected Corrected by Feb 14, 2022

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

3270.192(4) · 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 #1 and Facility Person #2 may not work in a child care position at the facility.

DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED 7 STAFF FILES AND THE FILES OF STAFF #2 WAS MISSING THE NSOR CLEARANCE AND STAFF#1 WAS MISSING THEIR FBI CLEARANCE THAT IS REQUIRED BY CPSL.

Corrected Corrected by Feb 14, 2022

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

3270.31(h) · All staff persons shall complete the professional development under subsection (f).

DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED 7 STAFF FILES AND THE FILE FOR STAFF #4 DID NOT CONTAIN THE 10HR HEALTH AND SAFETY TRAINING.

Corrected Corrected by Feb 14, 2022

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

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

During an initial inspection the certification rep took the temperature of the water. The temperature read 115 F. "implemented on site"

Corrected Corrected by Sep 3, 2021

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

3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

During the initial inspection the certification rep reviewed the facilities emergency plan. The plan did not include an "lock-down" procedure. "Implemented on site"

Corrected Corrected by Sep 3, 2021

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