The Learning Experience

N.J.A.C. 3A:52-7.8(d)(1)(ii)(3) — Repair the ripped diaper pad in Room 105.

Repair the ripped diaper pad in Room 105. Regulation: the diapering surface shall be flat, smooth, clean, dry, non-absorbent, and in good repair.

N.J.A.C. 3A:52-5.3(a)(16) — Secure the exhaust fan cover in the Room 106 bathroom.

Secure the exhaust fan cover in the Room 106 bathroom. 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)(1) — Repair the rip in the play couch in Room 104.

Repair the rip in the play couch in Room 104. 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)(16) — Repair the hole in the wall over the play kitchen in Room 111.

Repair the hole in the wall over the play kitchen in Room 111. 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:52-7.7(e)(1)(iii) — Ensure diapering surfaces are washed and disinfected after each use in Room 107.

Ensure diapering surfaces are washed and disinfected after each use in Room 107. Regulation: In addition to the items specified in (a)3 above, the following equipment items or surfaces shall be washed and disinfected after each use: iii. Diapering surfaces;

N.J.A.C. 3A:52-7.7(e)(1)(iii) — Ensure diapering surfaces are washed and disinfected after each use in Room 113A.

Ensure diapering surfaces are washed and disinfected after each use in Room 113A. Regulation: In addition to the items specified in (a)3 above, the following equipment items or surfaces shall be washed and disinfected after each use: iii. Diapering surfaces;

N.J.A.C. 3A:52-5.3(a)(16) — Repair the corner of the diaper table where the screw and metal are exposed in Room 105.

Repair the corner of the diaper table where the screw and metal are exposed in Room 105. 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) — Repair the corner of the diaper table where the screw and metal are exposed in Room 113 A.

Repair the corner of the diaper table where the screw and metal are exposed in Room 113 A. 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) — Repair the corner of the diaper table where the screw and metal are exposed in Room 113 B.

Repair the corner of the diaper table where the screw and metal are exposed in Room 113 B. 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:52-4.8(a) — Ensure that all staff complete orientation training within two weeks of hire and annually. Orientation outstanding for 4 staff members.

Ensure that all staff complete orientation training within two weeks of hire and annually. Orientation outstanding for 4 staff members. 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:52-4.8(c) — Ensure that all staff complete staff development annually. Training hours for 2 staff members outstanding.

Ensure that all staff complete staff development annually. Training hours for 2 staff members outstanding. 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:52-5.3(a)(16) — Repair the broken electrical face plate in Room 106.

Repair the broken electrical face plate in Room 106. 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:52-7.8(a)(4) — Ensure that staff wash their hands with soap and running water as required including changing a child's diaper in Room 113A.

Ensure that staff wash their hands with soap and running water as required including changing a child's diaper in Room 113A. 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)(1) — Ensure that children wash their hands with soap and running water as required including after having a diaper change in Room 113A.

Ensure that children wash their hands with soap and running water as required including after having a diaper change in Room 113A. 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)(1) — Ensure that children wash their hands with soap and running water as required including before the intake of food in Room 110.

Ensure that children wash their hands with soap and running water as required including before the intake of food in Room 110. 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)(1) — Ensure that children wash their hands with soap and running water as required including before the intake of food in Room 111.

Ensure that children wash their hands with soap and running water as required including before the intake of food in Room 111. 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:52-7.5(b)(10) — Ensure the correct medication required by the special care plan in present in Room 104. The special care plan calls for Zyrtec. However, Benadryl was present.

Ensure the correct medication required by the special care plan in present in Room 104. The special care plan calls for Zyrtec. However, Benadryl was present. 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:52-6.1(g)(2) — Provide at least four different activity areas with at least four types of supplies and equipment for children under 18 months in Room 105.

Provide at least four different activity areas with at least four types of supplies and equipment for children under 18 months in Room 105. Regulation: For early childhood programs, the following shall apply:centers serving children less than 18 months of age shall provide at least four types of children's daily activities including, but not limited to, sensory; language and dramatic play; manipulative; building; large muscle; music; or other comparable activities; and at least four types of supplies and equipment for each activity area chosen by the center.

N.J.A.C. 3A:52-6.1(g)(2) — Provide at least four different activity areas with at least four types of supplies and equipment for children under 18 months in Room 113B.

Provide at least four different activity areas with at least four types of supplies and equipment for children under 18 months in Room 113B. Regulation: For early childhood programs, the following shall apply:centers serving children less than 18 months of age shall provide at least four types of children's daily activities including, but not limited to, sensory; language and dramatic play; manipulative; building; large muscle; music; or other comparable activities; and at least four types of supplies and equipment for each activity area chosen by the center.

N.J.A.C. 3A:52-5.4(a)(1) — Replace the broken faceplate on the outlet on the blue wall in Room 111.

Replace the broken faceplate on the outlet on the blue wall in Room 111. Regulation: For early childhood programs, the following shall apply, all electrical outlets that are accessible to the children shall have protective covers.

N.J.A.C. 3A:52-5.3(f)(2) — Replace the missing toilet screw covers in Room 104.

Replace the missing toilet screw covers in Room 104. Regulation: Toilet facility requirements are as follows: mirrors, dispensers, and other equipment shall be fastened securely.

N.J.A.C. 3A:52-5.3(a)(16) — Repair the chipped paint in Room 105.

Repair the chipped paint in Room 105. 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:52-7.7(e)(1)(iii) — Ensure a 2 step process is used on the diaper changing area after a diaper change in Room 105. The staff had used both sprays at the same time.

Ensure a 2 step process is used on the diaper changing area after a diaper change in Room 105. The staff had used both sprays at the same time. Regulation: In addition to the items specified in (a)3 above, the following equipment items or surfaces shall be washed and disinfected after each use: iii. Diapering surfaces;

N.J.A.C. 3A:52-7.7(e)(1)(iii) — Ensure a 2 step process is used on the diaper changing area after a diaper change in Room 113A. The staff only used a 1 step process.

Ensure a 2 step process is used on the diaper changing area after a diaper change in Room 113A. The staff only used a 1 step process. Regulation: In addition to the items specified in (a)3 above, the following equipment items or surfaces shall be washed and disinfected after each use: iii. Diapering surfaces;

N.J.A.C. 3A:52-5.3(a)(16) — Repair the hole in the wall in Room 113B.

Repair the hole in the wall in Room 113B. Regulation: Walls shall be painted or otherwise covered whenever there is evidence of: i. Excessive peeling or chipped paint; or ii. Heavily soiled conditions.