Tiny Hands Learning Center

N.J.A.C. 3A:52-4.8(a) — Ensure staff that work with children in room 6 are re-trained on safe sleep practices for children under 12 months and propping bottles.

Ensure staff that work with children in room 6 are re-trained on safe sleep practices for children under 12 months and propping bottles. Regulation: (a) Topics of orientation training shall include all of the following: 1. Supervising and tracking all children, as specified in N.J.A.C. 3A:52-4.3(a); 2. Understanding center operations, policies and procedures, as specified in N.J.A.C. 3A:52-4.5(b)3; 3. Implementing group size limits and primary caregiver responsibilities, as applicable, as specified in N.J.A.C. 3A:52-4.4; 4. Recognizing and reporting child abuse or neglect, as specified in N.J.A.C. 3A:52-4.9; 5. Evacuating the center and using the fire alarms, as specified in N.J.A.C. 3A:52-5.3(l); 6.Implementing the center’s release policy, as specified in N.J.A.C. 3A:52-6.5; 7. Implementing the center's statement of policy on the disciplining of children, as specified in N.J.A.C. 3A:52-6.6; 8. 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; 9. Implementing safe sleep practices to prevent Sudden Infant Death Syndrome; 10. Preventing Shaken Baby Syndrome and Abusive Head Trauma; 11. Recognizing and responding to injuries and emergencies, including the prevention of and response to emergencies due to food-related allergies and other allergic reactions; and 12. Including children with special needs in the center’s program.

N.J.A.C. 3A:52-6.4(a)(1) — Ensure children under 12 months of age are initially placed in a face-up sleeping position in room 6. The center took immediate corrective action and that the violation is cited and abated.

Ensure children under 12 months of age are initially placed in a face-up sleeping position in room 6. The center took immediate corrective action and that the violation is cited and abated. Regulation: 1. For children 12 months of age and younger, the center shall ensure that each child is initially placed in a face-up sleeping position unless a different position is indicated in writing by the child's health care provider.

N.J.A.C. 3A:52-6.4(b)(1) — Ensure that approved sleeping equipment is provided for each child as required. Ensure children in room 6 are not napping in bouncy seats. The center took immediate corrective action and that the violation is cited and abated.

Ensure that approved sleeping equipment is provided for each child as required. Ensure children in room 6 are not napping in bouncy seats. The center took immediate corrective action and that the violation is cited and abated. Regulation: 1. 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 View official inspection document Education-Centers/cribs , playpen, or other Office of Licensing-approved sleeping equipment that meets the following requirements: i. Each cot used for children between 13 and 18 months of age shall not exceed 14 inches above the floor level. iii. Each mat used for rest and sleep shall be: (1) Placed on a surface that is warm, dry, clean and draft-free; (2) Water-repellent; (3) At least one inch thick; and (4) Stored so that there is no contact with the sleeping surface of another mat, or disinfected after each use, as specified in N.J.A.C. 3A:52-

N.J.A.C. 3A:52-6.3(b)(3)(vii) — Ensure that bottles are not propped at any time in room 6. The center took immediate corrective action and that the violation is cited and abated.

Ensure that bottles are not propped at any time in room 6. The center took immediate corrective action and that the violation is cited and abated. Regulation: Feeding requirements for centers serving children less than 18 months of age are as follows: when a child is feeding, the bottle shall not be propped at any time.

N.J.A.C. 3A:52-6.3(b)(3)(vii) — Ensure that bottles are not propped at any time in room 6. The center took immediate corrective action and that the violation is cited and abated.

Ensure that bottles are not propped at any time in room 6. The center took immediate corrective action and that the violation is cited and abated. Regulation: Feeding requirements for centers serving children less than 18 months of age are as follows: when a child is feeding, the bottle shall not be propped at any time.

N.J.A.C. 3A:52-5.3(o)(1) — Ensure that at least two staff members who have current pediatric first aid and CPR certifications are present at the center at all times and that the training includes a hands-on component in addition to any online training.

Ensure that at least two staff members who have current pediatric first aid and CPR certifications are present at the center at all times and that the training includes a hands-on component in addition to any online training. Regulation: First aid requirements are as follows: at least two staff members who have current certified basic knowledge of first aid principles and cardiopulmonary resuscitation (CPR), as defined by a recognized health organization (such as the American Red Cross), shall be in the center at all times when enrolled children are present. The first aid and CPR training shall include a hands-on training component in addition to any online training coursework.

N.J.A.C. 3A:52-4.3(a) — Ensure that children are directly supervised at all times in room 2, wherein a staff left a child unattended in the room to walk another child to the bathroom around a corner in the same room that was out of line of sight.

Ensure that children are directly supervised at all times in room 2, wherein a staff left a child unattended in the room to walk another child to the bathroom around a corner in the same room that was out of line of sight. Regulation: 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. 1. At least one staff member shall be physically present in the room or area in which children are napping and shall be able to summon other staff members without leaving the room or area. 3. Naptime preparations shall have been completed and all children 18 months or above are resting or sleeping, while all children under 18 months of age are sleeping.

N.J.A.C. 3A:52-6.4(i) — Cease the use of pacifier straps or other types of attachment devices in room 6. The center took immediate corrective action and that the violation is cited and abated.

Cease the use of pacifier straps or other types of attachment devices in room 6. The center took immediate corrective action and that the violation is cited and abated. Regulation: Children shall not use pacifiers with straps or other types of attachment devices.

N.J.A.C. 3A:52-4.11(b)(1) — Provide a CHRI background check result for 1 staff member.

Provide a CHRI background check result for 1 staff member. Regulation: 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).