Kids Interactive Day School

N.J.A.C. 3A:52-5.3(l)(4) — Conduct and document at least two lockdown drills annually.

Conduct and document at least two lockdown drills annually. Regulation: Emergency procedure requirements are as follows: the center shall conduct two lockdown drills per year and maintain on file a record of each lockdown drill. The center shall ensure that lockdown drills are conducted during each session provided at the center.

N.J.A.C. 3A:52-5.3(a)(19) — Test for the presence of radon gas as required.

Test for the presence of radon gas as required. Regulation: the center shall test for the presence of radon gas in each classroom on the lowest floor level used by children at least once every five years and shall post the test results in a prominent location in all buildings at the center, as specified in N.J.S.A. 30:5B-5.2.

N.J.A.C. 3A:52-5.3(a)(10) — Ensure diaper creams are kept out of reach in Room 1.

Ensure diaper creams are kept out of reach in Room 1. 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)(10) — Ensure diaper creams are kept out of reach in Room 5.

Ensure diaper creams are kept out of reach in Room 5. 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) — Repair or replace the ripped climbing mats in Room 6.

Repair or replace the ripped climbing mats in Room 6. 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) — Repair the rusted bathroom stall in the bathroom near Room 10.

Repair the rusted bathroom stall in the bathroom near Room 10. 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:52-7.7(a)(2) — Ensure there is a 2 step process being used to wash and disinfect at required times in Room 10.

Ensure there is a 2 step process being used to wash and disinfect at required times in Room 10. Regulation: All areas to be disinfected shall first be washed with soap and water.

N.J.A.C. 3A:52-7.7(a)(2) — Ensure there is a 2 step process being used to wash and disinfect at required times in Room 4.

Ensure there is a 2 step process being used to wash and disinfect at required times in Room 4. Regulation: All areas to be disinfected shall first be washed with soap and water.

N.J.A.C. 3A:52-7.5(b)(10) — Ensure the medication prescribed on the special care plan is present at the center in room 7.

Ensure the medication prescribed on the special care plan is present at the center in room 7. 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:52-7.5(b)(10) — Replace the expired medication in Room 7.

Replace the expired medication in Room 7. 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:52-6.4(b)(1)(i) — Ensure all cribs have a mattress provided by the manufacturer. One crib in Room 4 had a sleeping mat in the crib with a sleeping child.

Ensure all cribs have a mattress provided by the manufacturer. One crib in Room 4 had a sleeping mat in the crib with a sleeping child. Regulation: Each crib or playpen shall be equipped with: a firm, waterproof, snugly fitting mattress; a clean, snugly fitting sheet; top rails that are at least 19 inches above the mattress and slats that are not more than 2 3/8 inches apart.

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:52-7.5(b) — Dispose of expired medications in Room 6.

Dispose of expired medications in Room 6. 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 the label. iii. Unused

N.J.A.C. 3A:52-7.5(b) — Obtain parental permission for all diaper cream applications.

Obtain parental permission for all diaper cream applications. 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 th

N.J.A.C. 3A:52-6.4(f) — Ensure bedding is stored separately in Room 6.

Ensure bedding is stored separately in Room 6. Regulation: When cribs, playpens, cots, mats or other Office of Licensing-approved sleeping equipment are stored with sheets, blankets, or other coverings as single units, at least one item of each unit shall be labeled with child-identifying information. (g) When sheets, blankets and other coverings are not stored with sleeping equipment, each of these items shall be: 1. Labeled for each child; and 2. Stored separately for each child.

N.J.A.C. 3A:52-6.4(a)(2) — Cease the use of blankets for children under 12 months of age in Room 4.

Cease the use of blankets for children under 12 months of age in Room 4. Regulation: For early childhood programs, the center shall ensure that blankets or pillows do not cover the child's face.

N.J.A.C. 3A:52-6.4(a)(2) — Ensure that blankets or pillows do not cover children's faces in Room 6.

Ensure that blankets or pillows do not cover children's faces in Room 6. Regulation: For early childhood programs, the center shall ensure that blankets or pillows do not cover the child's face.

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:52-4.11(b) — Ensure that CHRI background checks are completed as required for 1 new staff member.

Ensure that CHRI background checks are completed as required for 1 new 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). Until the center receives the results of the CHRI background check for a new staff member, the center shall ensure oversight of that person by another staff member and ensure that the person is not alone to supervise a child or group of children.

N.J.A.C. 3A:52-6.4(f) — Ensure each child's bedding is kept separately in Rooms 5 and 6.

Ensure each child's bedding is kept separately in Rooms 5 and 6. Regulation: When cribs, playpens, cots, mats or other Office of Licensing-approved sleeping equipment are stored with sheets, blankets, or other coverings as single units, at least one item of each unit shall be labeled with child-identifying information. (g) When sheets, blankets and other coverings are not stored with sleeping equipment, each of these items shall be: 1. Labeled for each child; and 2. Stored separately for each child.

N.J.A.C. 3A:52-6.1(a) — Based on complaint #24721, ensure the children have activities throughout the day in Room 6. The children were observed climbing on furniture and not participating in activities.

Based on complaint #24721, ensure the children have activities throughout the day in Room 6. The children were observed climbing on furniture and not participating in activities. 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:52-4.3(c) — Based on complaint # 24721, ensure that adequate staff/child ratios are maintained at all times. A staff member was observed leaving a classroom to use the restroom leaving the classroom with 6 children ( ages 11-15 months) with 1

Based on complaint # 24721, ensure that adequate staff/child ratios are maintained at all times. A staff member was observed leaving a classroom to use the restroom leaving the classroom with 6 children ( ages 11-15 months) with 1 staff member. 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:52-4.3(c) — Based on complaint #24721, ensure that adequate staff/child ratios are maintained at all times. The director and staff stated that there are mornings where the infant room is left out of ratio for approximately 15 - 30 minutes whe

Based on complaint #24721, ensure that adequate staff/child ratios are maintained at all times. The director and staff stated that there are mornings where the infant room is left out of ratio for approximately 15 - 30 minutes when staff call out of children arrive early. 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:52-4.3(c) — Ensure that adequate staff/child ratios are maintained at all times. A staff member was observed leaving a classroom due to a child having behavior issues, leaving 1 staff member with 12 children (7 children - 18 months and 5 chil

Ensure that adequate staff/child ratios are maintained at all times. A staff member was observed leaving a classroom due to a child having behavior issues, leaving 1 staff member with 12 children (7 children - 18 months and 5 children- 2.5 years). 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:52-4.3(a) — Ensure that children are directly supervised at all times including while the children are napping. At the time of inspection, a staff member was in the hallway working on a bulletin board while there were 3 infants (0-12 months)

Ensure that children are directly supervised at all times including while the children are napping. At the time of inspection, a staff member was in the hallway working on a bulletin board while there were 3 infants (0-12 months) sleeping in Room 1. 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.