Grace Nursery School

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

Maintain all mechanical ventilation in clean condition in the Fellowship Hall. 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:52-3.4(a) — Provide documentation that the center has current comprehensive general liability insurance coverage.

Provide documentation that the center has current comprehensive general liability insurance coverage. Regulation: The sponsor or sponsor representative shall secure comprehensive general liability insurance coverage for the center and shall maintain on file a copy of the insurance policy or documentation of current insurance coverage.

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

Ensure that all 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:52-4.11(a) — Ensure that CHRI background checks are completed as required for the sponsor/sponsor representative and all regularly scheduled staff. 4 CHRI clearances are outstanding.

Ensure that CHRI background checks are completed as required for the sponsor/sponsor representative and all regularly scheduled staff. 4 CHRI clearances are outstanding. Regulation: 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). If a staff member refuses to consent to a CHRI background check, the sponsor or sponsor representative shall immediately terminate the staff member’s employment at the center.

N.J.A.C. 3A:52-4.10(a) — Ensure that CARI background checks are completed as required for the sponsor/sponsor representative and all regularly scheduled staff for the center's license renewal.

Ensure that CARI background checks are completed as required for the sponsor/sponsor representative and all 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:52-4.8(c) — Ensure that all staff complete staff development annually.

Ensure that all staff complete staff development annually. Regulation: The center shall ensure that all staff members who work at the center complete 12 hours of continuing staff development each year. Orientation training as specified in N.J.A.C. 3A:52-4.8(a) may be included for six of the required hours of staff development specified in N.J.A.C. 3A:52-4.8(c) and (d).

N.J.A.C. 3A:52-7.11(b) — Maintain on file a record of parental receipt of the communicable disease policy.

Maintain on file a record of parental receipt of the communicable disease policy. Regulation: The center shall distribute a copy of the communicable disease policy to the parent of each enrolled child and secure and maintain on file a record of each parent’s signature attesting to receipt of the policy.

N.J.A.C. 3A:52-4.10(b)(1) — Ensure that CARI background checks are completed as required for 1 new staff member.

Ensure that CARI background checks are completed as required for 1 new staff member. Regulation: 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. Until the results of the CARI background check for a new staff member have been received from the Department, the center shall ensure oversight of the new staff member by another staff member, and ensure that person is not left alone to supervise a child or group of children.

N.J.A.C. 3A:52-7.7(a)(3)(iv) — Ensure tables are washed and disinfected before each meal in Room 13.

Ensure tables are washed and disinfected before each meal in Room 13. Regulation: Tables used by the children for eating shall be washed and disinfected before each meal.

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.

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. 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.

N.J.A.C. 3A:52-7.5(b)(10) — Ensure the medication specified on the special care plan is present for 2 children.

Ensure the medication specified on the special care plan is present for 2 children. Regulation: (9) 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: before administering a health care procedure associated with a child’s health condition, such as the use of a blood glucose monitor, nebulizer, or epinephrine pen, the center shall ensure that all staff members who administer the procedure are taught to do so by the child’s parent or another appropriately-trained person. There shall be at least two staff members present at the center who are trained in such health care procedures. 10. 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).

N.J.A.C. 3A:52-6.8(a)(1) — Complete and maintain on file, a current Children's Records Checklist designated by OOL.

Complete and maintain on file, a current Children's Records Checklist designated by OOL. Regulation: The center shall complete and maintain on file for each enrolled child a Children’s Records Checklist, signed by the director, sponsor, or sponsor representative and designated by the Office of Licensing, indicating that the center has obtained documentation of the child's name, address, birth date, and date of enrollment; the name(s), home and work address(es), home and work telephone number(s) and signature(s) of the parent(s); the name(s), address(es), and telephone number(s) of any person(s) authorized by the parent(s) to visit the child at the center and/or take the child from the center, as specified in N.J.A.C. 3A:52-6.5(a)1; and the name, address, and telephone number of the child's health care provider; signed authorization from the parent(s) for emergency medical treatment; the parent’s signature attesting to the receipt of the Information to Parents document, as specified in N.J.A.C. 3A:52-3.6(b); the parent’s signature attesting to the receipt of the Information to Parents document, as specified in N.J.A.C. 3A:52-3.6(b).; health information for each child, as follows: for early childhood programs, a record of the child’s health examination and immunizations, as specified in N.J.A.C. 3A:52-7.3(a); and for school-age child care programs, a record of the parent’s statement concerning the child’s health, as specified in N.J.A.C. 3A:52-7.3(b).

N.J.A.C. 3A:52-7.5(b)(10) — Replace the expired epi-pens for 1 child.

Replace the expired epi-pens for 1 child. Regulation: (9) 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: before administering a health care procedure associated with a child’s health condition, such as the use of a blood glucose monitor, nebulizer, or epinephrine pen, the center shall ensure that all staff members who administer the procedure are taught to do so by the child’s parent or another appropriately-trained person. There shall be at least two staff members present at the center who are trained in such health care procedures. 10. 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).

N.J.A.C. 3A:52-5.3(m)(2) — Ensure secondary exits are not blocked by furniture in the gym. A play table was moved at the time of inspection.

Ensure secondary exits are not blocked by furniture in the gym. A play table was moved at the time of inspection. Regulation: 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.

N.J.A.C. 3A:52-5.3(m)(2) — Ensure emergency exit stairs in the gym are cleared of snow immediately. Landscapers were called at the time of inspection to clear the pathway.

Ensure emergency exit stairs in the gym are cleared of snow immediately. Landscapers were called at the time of inspection to clear the pathway. Regulation: 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.

N.J.A.C. 3A:52-7.8(a)(1) — Ensure that children wash their hands with soap and running water as required including before the intake of food in Room 13.

Ensure that children wash their hands with soap and running water as required including before the intake of food in Room 13. Regulation: Handwashing requirements are as follows: the center shall ensure that children three months of age and older wash their hands with soap and running water before intake of food; immediately after using the toilet or having diapers changed; immediately after coming into contact with blood, fecal matter, urine, vomit, nasal secretions, or other body fluids or secretions; immediately after coming in contact with an animal's body secretions; and immediately after outdoor play. (2)for children under three months of age or for those children three months of age and older wherein hand washing with soap and running water may not be developmentally appropriate, the center may use an alternate means for hand washing, including but not limited to disposable baby wipes.

N.J.A.C. 3A:52-7.8(a)(4) — Ensure that staff wash their hands with soap and running water as required including before swerving food in Room 18.

Ensure that staff wash their hands with soap and running water as required including before swerving food in Room 18. Regulation: Handwashing requirements are as follows: staff members shall wash their hands with soap and running water immediately before preparing or serving food; after toileting; after assisting a child in toileting; after caring for a child who appears to be sick; after coming in contact with an animal's body secretions; and after coming into contact with blood, fecal matter, urine, vomit, nasal secretions, or other body fluids or secretions. 7.8(d)3- Staff members hands are washed after changing each diaper.

N.J.A.C. 3A:52-7.8(a)(4) — Ensure that staff wash their hands with soap and running water as required including before serving food in Room 13.

Ensure that staff wash their hands with soap and running water as required including before serving food in Room 13. Regulation: Handwashing requirements are as follows: staff members shall wash their hands with soap and running water immediately before preparing or serving food; after toileting; after assisting a child in toileting; after caring for a child who appears to be sick; after coming in contact with an animal's body secretions; and after coming into contact with blood, fecal matter, urine, vomit, nasal secretions, or other body fluids or secretions. 7.8(d)3- Staff members hands are washed after changing each diaper.

N.J.A.C. 3A:52-4.1(d) — Ensure all staff members have a signed criminal disclosure statement of file.

Ensure all staff members have a signed criminal disclosure statement of file. Regulation: the Staff Records Checklist for the current director and all staff members currently working at the center shall be maintained on file at the center.

N.J.A.C. 3A:52-4.1(d) — Ensure all staff members have a signed application on file.

Ensure all staff members have a signed application on file. Regulation: the Staff Records Checklist for the current director and all staff members currently working at the center shall be maintained on file at the center.

N.J.A.C. 3A:52-4.1(d) — Ensure all staff members have a physical and Mantoux result on file.

Ensure all staff members have a physical and Mantoux result on file. Regulation: the Staff Records Checklist for the current director and all staff members currently working at the center shall be maintained on file at the center.

N.J.A.C. 3A:52-7.5(b)(10) — 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 r

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. There are 2 children missing the original epi pen boxes. 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 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).

N.J.A.C. 3A:52-7.3(a)(2) — Ensure that a Universal Health Record is completed upon enrollment and updated annually, including the immunization records and special care plans as required by state and local laws and regulations. There are 4 children who req

Ensure that a Universal Health Record is completed upon enrollment and updated annually, including the immunization records and special care plans as required by state and local laws and regulations. There are 4 children who require an updated care plan with a physician signature. Regulation: For early childhood programs, the following shall apply: 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)

N.J.A.C. 3A:52-5.3(q)(2)(iii) — Comply with the written conditions of the center's license including approved space for specific classrooms. Ensure to submit the appropriate request for the utilization of room #13.

Comply with the written conditions of the center's license including approved space for specific classrooms. Ensure to submit the appropriate request for the utilization of room #13. Regulation: Space and room requirements are as follows: at no time shall a center operate in violation of the written conditions on its license or Certificate of Life/Safety Approval including, but not limited to, capacity or age restrictions for specific classrooms.

N.J.A.C. 3A:52-5.3(p) — Ensure that all indoor equipment is sturdy, safe, free of hazards. Repair or replace the metal basement cabinets near the bathroom.

Ensure that all indoor equipment is sturdy, safe, free of hazards. Repair or replace the metal basement cabinets near the bathroom. Regulation: 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.