Kreative Kids of Mays Landing

N.J.A.C. 3A:52-4.3(c) — Ensure that adequate staff/child ratios are maintained at all times. At the time of the inspection, staff in room 2 had 5 children ages 12-18 months when 2 staff were required.

Ensure that adequate staff/child ratios are maintained at all times. At the time of the inspection, staff in room 2 had 5 children ages 12-18 months when 2 staff were required. Regulation: (c) The following staff/child ratios shall apply, except as specified in (d) through (f) below: 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 (d) The following staff/child ratios shall apply during rest or sleep, when the criteria listed in (d) 1, 2, and 3 below are met: Under 18 months 18 months to under 2 ½ years 2 ½ years and above 1:10 1:12 1:20 2. A sufficient number of staff members shall be in the facility and readily accessible to ensure compliance with the awake staff/child ratios specified in (c) above.

N.J.A.C. 3A:52-7.8(d)(1)(ii)(3) — Ensure that diapering surfaces are flat, smooth, clean, dry, non-absorbent and in good repair. At the time of the inspection, staff was observed diapering on a child's rest time mat.

Ensure that diapering surfaces are flat, smooth, clean, dry, non-absorbent and in good repair. At the time of the inspection, staff was observed diapering on a child's rest time mat. Regulation: the diapering surface shall be flat, smooth, clean, dry, non-absorbent, and in good repair.

N.J.A.C. 3A:52-6.4(b)(1) — Repair and/or replace sleeping equipment that is in disrepair in room 2.

Repair and/or replace sleeping equipment that is in disrepair in room 2. 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:52-7.5(b) — Ensure at least 2 staff are trained on administering Epi-pens.

Ensure at least 2 staff are trained on administering Epi-pens. Regulation: 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: Administration and control of prescription and non-prescription medicines and health care procedures (a) The center shall inform each child’s parent upon enrollment of its policy on administering medication and health care procedures to children, including the provisions specified in N.J.A.C. 3A:52-7.5(b) to (d). The policy shall indicate: 1. Whether the center will administer non-prescription medication or a non-prescribed health care procedure to a child; 2. Whether the center will administer prescription medication or a prescribed health care procedure to a child with a short-term illness; and 3. That the center will provide reasonable accommodations for the administration of medication or health care procedures to a child with special needs, if failure to administer the medication or health care procedure would jeopardize the health of the child or prevent the child from attending the center. 1. Medication and health care procedures shall be administered only after receipt of written approval from the child's parent(s). 2. The center shall: i. Designate those staff members who are trained as specified in N.J.A.C. 3A:52-4.8(a)8 and authorized to administer medication or health care procedures to, or to supervise self-administration of medication or health care procedures by, those children whose parents authorize it; and ii. Ensure that each staff member designated to administer medication and health care procedures is informed of each child's medication and health care needs. 3. All medication and health care equipment shall be kept either in a locked cabinet or in an area that is inaccessible to the children. i. All medication shall be kept in its original container. ii. Medication shall be refrigerated if so indicated on t

N.J.A.C. 3A:52-7.5(b) — Ensure staff are signing the medication administration log when giving medications.

Ensure staff are signing the medication administration log when giving medications. Regulation: 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: Administration and control of prescription and non-prescription medicines and health care procedures (a) The center shall inform each child’s parent upon enrollment of its policy on administering medication and health care procedures to children, including the provisions specified in N.J.A.C. 3A:52-7.5(b) to (d). The policy shall indicate: 1. Whether the center will administer non-prescription medication or a non-prescribed health care procedure to a child; 2. Whether the center will administer prescription medication or a prescribed health care procedure to a child with a short-term illness; and 3. That the center will provide reasonable accommodations for the administration of medication or health care procedures to a child with special needs, if failure to administer the medication or health care procedure would jeopardize the health of the child or prevent the child from attending the center. 1. Medication and health care procedures shall be administered only after receipt of written approval from the child's parent(s). 2. The center shall: i. Designate those staff members who are trained as specified in N.J.A.C. 3A:52-4.8(a)8 and authorized to administer medication or health care procedures to, or to supervise self-administration of medication or health care procedures by, those children whose parents authorize it; and ii. Ensure that each staff member designated to administer medication and health care procedures is informed of each child's medication and health care needs. 3. All medication and health care equipment shall be kept either in a locked cabinet or in an area that is inaccessible to the children. i. All medication shall be kept in its original container. ii. Medication shall be refrigerated

N.J.A.C. 3A:52-7.5(b) — Maintain permission slips to apply sunscreen and diaper rash cream are maintained at the center.

Maintain permission slips to apply sunscreen and diaper rash cream are maintained at the center. Regulation: 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: Administration and control of prescription and non-prescription medicines and health care procedures (a) The center shall inform each child’s parent upon enrollment of its policy on administering medication and health care procedures to children, including the provisions specified in N.J.A.C. 3A:52-7.5(b) to (d). The policy shall indicate: 1. Whether the center will administer non-prescription medication or a non-prescribed health care procedure to a child; 2. Whether the center will administer prescription medication or a prescribed health care procedure to a child with a short-term illness; and 3. That the center will provide reasonable accommodations for the administration of medication or health care procedures to a child with special needs, if failure to administer the medication or health care procedure would jeopardize the health of the child or prevent the child from attending the center. 1. Medication and health care procedures shall be administered only after receipt of written approval from the child's parent(s). 2. The center shall: i. Designate those staff members who are trained as specified in N.J.A.C. 3A:52-4.8(a)8 and authorized to administer medication or health care procedures to, or to supervise self-administration of medication or health care procedures by, those children whose parents authorize it; and ii. Ensure that each staff member designated to administer medication and health care procedures is informed of each child's medication and health care needs. 3. All medication and health care equipment shall be kept either in a locked cabinet or in an area that is inaccessible to the children. i. All medication shall be kept in its original container. ii. Medication shall be

N.J.A.C. 3A:52-7.3(a) — Ensure current the Universal Health Record Forms are maintained at the center for 2 children.

Ensure current the Universal Health Record Forms are maintained at the center for 2 children. Regulation: (a) For early childhood programs, the following shall apply: 1. Each child not enrolled in a public or private school shall have had a health examination performed by a health care provider within: i. Six months prior to admission, for children who are 2½ years of age or younger; or ii. One year prior to admission, for children above 2½ years of age. 2. For each child not enrolled in a public or private school, upon admission, the center shall maintain on file at the center a Universal Child Health Record (Department of Health Form CH-14) or its equivalent, updated annually, along with an immunization record , and a special care plan, if applicable. A 30-day grace period is permitted in N.J.A.C. 8:57- 4.5(e): i. For children coming from other states or countries in accordance with N.J.A.C. 8:57-4.6 and 4.7; and ii. For children who are in foster care or experiencing homelessness as defined by the McKinney-Vento Act, 42 U.S.C. § 11434a(2). 3. For children enrolled in a public or private school, the center shall obtain a written statement from each child's parent indicating: I. That the child is in good health and can participate in the normal activities of the program; and ii. Any conditions or specific needs that may require special accommodations. 4. If immunizations are contraindicated for medical reasons, the center may choose to admit the child, provided that the parent submits to the center a written statement from a health care provider attesting to the following: i. The reason the immunization is medically contraindicated; and ii. The specific time period that the immunization is medically contraindicated. 5. A child shall be exempted from a physical examination, immunization, or medical treatment if the parent objects thereto in a written statement submitted to the center, signed by the parent, explaining how the examination, immunization, or medical t

N.J.A.C. 3A:52-6.1(a) — Ensure that children's activities are accessible to children to choose freely except during lunch and naptime.

Ensure that children's activities are accessible to children to choose freely except during lunch and naptime. Regulation: (a) The center shall develop and provide a variety of children's planned activities, geared to the ages and developmental levels of the children served, that: 1. Promote the development of language, thinking and problem-solving skills, curiosity, exploration, large and small muscles, coordination and movement skills, social competence, self-esteem, and positive self-identity; and 2. Are relevant to the cultural background of the children and foster intercultural awareness. (b) 1. Time frames for each activity are geared to the age and developmental level of each child served and are flexible enough to accommodate spontaneous occurrences or children's suggestions and inquiries; 2. Children have opportunities to choose materials freely and materials are accessible at all times except during lunch and nap time; 3. Children are presented with and encouraged to participate in a mixture of active and quiet experiences; 4. Both staff-directed and child-selected activities are provided; 5. Children are: i. Encouraged, but not required, to participate in every group activity; and ii. Provided with the time and space within the area to be apart from the group and to participate in an alternate activity if they choose to do so;

N.J.A.C. 3A:52-5.3(l) — Maintain a written emergency plan in a readily accessible location that includes all required components. Additionally, add a written plan for evacuating non ambulatory children out of room 6 and room 2.

Maintain a written emergency plan in a readily accessible location that includes all required components. Additionally, add a written plan for evacuating non ambulatory children out of room 6 and room 2. Regulation: (l) Emergency procedure requirements are as follows: 1. The center shall prepare written emergency procedures delineating: i. The location of the first aid kit and any additional first aid supplies; ii. The name, address and telephone number of the physician retained by the center or of the health facility to be used in emergencies; iii. An alternate indoor location that operates during the same operating hours as the center. The center shall: (1) Select an alternate indoor location within safe walking distance; or (2) Develop a written procedure for obtaining emergency transportation to the alternate location; iv. The hospital or clinic to which injured or ill children will be taken; v. The telephone numbers for obtaining police, fire, ambulance and poison control services, including the National Poison Emergency Hotline at (800) 222-1222; vi. The location of written authorization from parent(s) for emergency medical care for each child; vii. A diagram showing how the center is to be evacuated in case of emergency from each classroom and the outdoor play area; viii. The location of fire alarms and fire extinguishers; and ix. Procedures for ensuring children’s safety and communicating with parents in the event of evacuation, lockdown, natural or civil disaster, and other emergencies. The procedures shall indicate: (1) The plan for informing parents of their children’s whereabouts; and (2) The local law enforcement agency or emergency management office that has been notified of the center’s identifying information, as specified in (l)3 below. 2. The emergency procedures shall be readily accessible in a designated location within the center. 3. The center shall ensure that the appropriate local law enforcement agency or emergency management office is not

N.J.A.C. 3A:52-4.8(a) — Ensure that 1 staff complete orientation training within two weeks of hire and annually.

Ensure that 1 staff complete orientation training within two weeks of hire and annually. 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:52-4.10(a) — Ensure that CARI background checks are completed as required for the sponsor/sponsor representative and 1 regularly scheduled staff for the center's license renewal.

Ensure that CARI background checks are completed as required for the sponsor/sponsor representative and 1 regularly scheduled staff for the center's license renewal. Regulation: As a condition of securing a new or renewal license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall provide for himself or herself, and shall obtain from all staff members who are or will be working at the center on a regularly scheduled basis, written consent for the Department to conduct a Child Abuse Record Information (CARI) background check to determine whether an incident of child abuse or neglect has been substantiated against any such person. If a staff member refused to consent to a CARI background check, the sponsor or sponsor representative shall immediately terminate the staff member's employment at the center.

N.J.A.C. 3A:52-7.5(b)(7) — Ensure medication records are completed as required including parent permission for 1 named child's medication.

Ensure medication records are completed as required including parent permission for 1 named child's medication. Regulation: 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; the name of the medication or health care procedure; the condition for which the medication or health care procedure is being used; the instructions for administration, including the dosage and frequency; the date and time medication or a health care procedure was administered to a child and the name or initials of the staff member who administered it; and any adverse effect the medication can have or has had on the child.

N.J.A.C. 3A:52-5.3(b)(7) — Remove the Step 2 slide with landing from the play area.

Remove the Step 2 slide with landing from the play area. Regulation: 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.

N.J.A.C. 3A:52-5.3(a)(16) — Clean or repaint the wall and doorframe in room 1.

Clean or repaint the wall and doorframe in room 1. Regulation: Walls shall be painted or otherwise covered whenever there is evidence of: i. Excessive peeling or chipped paint; or ii. Heavily soiled conditions.

N.J.A.C. 3A:52-5.3(a)(16) — Clean or repaint the wall and doorframe in room 2.

Clean or repaint the wall and doorframe in room 2. Regulation: Walls shall be painted or otherwise covered whenever there is evidence of: i. Excessive peeling or chipped paint; or ii. Heavily soiled conditions.

N.J.A.C. 3A:52-5.3(a)(15) — Maintain all mechanical ventilation in a clean and operating condition.

Maintain all mechanical ventilation in a clean and operating condition. Regulation: Indoor maintenance and sanitation requirements are as follows: ventilation outlets shall be clean and free from obstructions, and filters shall be replaced when saturated.

N.J.A.C. 3A:52-5.3(a)(10) — Ensure that all cleaners in room 3 are inaccessible to the children. The center took immediate corrective action and that the violation is cited and abated.

Ensure that all cleaners in room 3 are inaccessible to the children. The center took immediate corrective action and that the violation is cited and abated. Regulation: 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.

N.J.A.C. 3A:52-5.3(a)(1) — Ensure the floor vents in room 2 are rust free.

Ensure the floor vents in room 2 are rust free. Regulation: (a) Indoor maintenance and sanitation requirements are as follows: 1. The center shall be free of moisture resulting from water leaks or seepage. 2. Floors, carpeting, walls, window coverings, ceilings, and other surfaces shall be kept clean and in good repair. 4. Carpeting shall be securely fastened to the floor. 9. Toilets, wash basins, kitchen sinks, and other plumbing shall be maintained in good operating and sanitary condition.

N.J.A.C. 3A:52-5.3(a)(1) — Ensure toilet fixtures in the bathroom are rust free in room 2.

Ensure toilet fixtures in the bathroom are rust free in room 2. Regulation: (a) Indoor maintenance and sanitation requirements are as follows: 1. The center shall be free of moisture resulting from water leaks or seepage. 2. Floors, carpeting, walls, window coverings, ceilings, and other surfaces shall be kept clean and in good repair. 4. Carpeting shall be securely fastened to the floor. 9. Toilets, wash basins, kitchen sinks, and other plumbing shall be maintained in good operating and sanitary condition.

N.J.A.C. 3A:52-5.3(i)(5)(i) — Complete and submit a DCF Drinking Water Testing Checklist and Statement of Assurance and a copy of the center's water testing completed by a laboratory certified by the Department of Environmental Protection. Submit a copy o

Complete and submit a DCF Drinking Water Testing Checklist and Statement of Assurance and a copy of the center's water testing completed by a laboratory certified by the Department of Environmental Protection. Submit a copy of the public school's drinking water test results. Regulation: 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.