Mara Family Day Care Center

N.J.A.C. 3A:52-5.3(a)(15) — Based on complaint, the center needs to ensure to provide and maintain adequate ventilation throughout the center and including hallways.

Based on complaint, the center needs to ensure to provide and maintain adequate ventilation throughout the center and including hallways. 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(n)(1) — Ensure fire drills are conducted during each session provided at the center, one fire drill per year is conducted during nap time, if applicable, and all children are evacuated from the building within three minutes during each

Ensure fire drills are conducted during each session provided at the center, one fire drill per year is conducted during nap time, if applicable, and all children are evacuated from the building within three minutes during each fire drill. Regulation: Fire prevention requirements are as follows: the center shall conduct fire drills at least once a month, as specified in the NJUFC. The center shall ensure that fire drills are conducted during each session provided at the center and that one fire drill per year is conducted during nap time, if applicable. The center shall ensure that all children present are evacuated from the building within three minutes during each fire drill.

N.J.A.C. 3A:52-5.3(m)(2) — Ensure that all exits and egress areas are unobstructed. Remove the slab of ceiling tiles from the rear exit leading to the second floor.

Ensure that all exits and egress areas are unobstructed. Remove the slab of ceiling tiles from the rear exit leading to the second floor. 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(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)(1) — Ensure to repair and maintain the radiators in the children's bathroom.

Ensure to repair and maintain the radiators in the children's bathroom. 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 broken toilet in the children's bathroom.

Repair the broken toilet in the children's bathroom. 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:52-7.8(a)(1) — Ensure that children wash their hands with soap and running water after a diaper change in Room 114.

Ensure that children wash their hands with soap and running water after a diaper change in Room 114. 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:52-4.8(a) — Based on complaint#24878, the center needs to ensure that all staff are following the cell phone policy at all times.

Based on complaint#24878, the center needs to ensure that all staff are following the cell phone policy at all times. 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:52-3.4(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:52-7.3(a) — Ensure that all physician prescribed medication include a special care plan and is kept on file at the center.

Ensure that all physician prescribed medication include a special care plan and is kept on file at the center. 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, immunizatio

N.J.A.C. 3A:52-4.11(a) — Ensure that a CHRI background check is completed as required for the sponsor/sponsor representative.

Ensure that a CHRI background check is completed as required for the sponsor/sponsor representative. 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:52-7.5(b)(10) — Ensure Epi-pens are stored in their original boxes with the child's name and prescription, accompanied by a special care plan that includes procedures for contacting parents and emergency medical services, and both epi-pens are

Ensure Epi-pens are stored in their original boxes with the child's name and prescription, accompanied by a special care plan that includes procedures for contacting parents and emergency medical services, and both epi-pens are present when two are required. 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(a)(1) — Ensure to clean and maintain the mechanical ventilation in Room 203.

Ensure to clean and maintain the mechanical ventilation in Room 203. 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 to clean and maintain the mechanical ventilation in the hallway near Room 211.

Ensure to clean and maintain the mechanical ventilation in the hallway near Room 211. 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(d)(3) — Based on complaint# 24871, the center needs to ensure to cease and remove electric space heaters.

Based on complaint# 24871, the center needs to ensure to cease and remove electric space heaters. Regulation: Heating requirements are as follows: the center shall not use portable liquid fuel-burning or wood-burning heating appliances or electric space heaters.

N.J.A.C. 3A:52-5.3(d)(1) — Based on complaint#24871, the center needs to ensure that a minimum temperature of 68 degrees Fahrenheit is maintained in all areas used by the children including hallways and bathrooms.

Based on complaint#24871, the center needs to ensure that a minimum temperature of 68 degrees Fahrenheit is maintained in all areas used by the children including hallways and bathrooms. Regulation: a minimum temperature of 68 degrees Fahrenheit shall be maintained in all areas used by children, including, but not limited to, classrooms and bathrooms.

N.J.A.C. 3A:52-4.10(b)(1) — Ensure that a CARI background check is completed as required for the sponsor representative.

Ensure that a CARI background check is completed as required for the sponsor representative. 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(a) — Ensure that a CHRI background check is completed as required for (4) regularly scheduled staff.

Ensure that a CHRI background check is completed as required for (4) regularly scheduled staff. 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:52-7.8(a)(4) — Ensure that staff wash their hands with soap and running water as required prior to serving a meal in Room 114.

Ensure that staff wash their hands with soap and running water as required prior to serving a meal in Room 114. 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:52-7.6(b)(6) — Ensure accident reports are completed as required including all required components and a written description is provided by the next operating day upon parental request.

Ensure accident reports are completed as required including all required components and a written description is provided by the next operating day upon parental request. Regulation: (b) The center shall maintain on file a written record of each incident resulting in an injury as specified in (a) above. These records shall include the following: 1. The name of the injured child; 2. The date, time and location of the incident; 3. The name and address of the center; 4. The name of the person completing the report; 5. The date the report was completed; and 6. A written description of the following: i. The incident; ii. The injury to the child; iii. The names of witnesses to the incident; and iv. The follow-up action taken by the center, including: (1) Application of first aid; and (2) Consultation or treatment by a licensed physician or other health care provider, if applicable. (d) Upon request of the child's parent, the center shall provide a written description of the incident by the end of the next operating day.

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 that includes procedures for contacting parents and emergency medical services, and both epi-pens are

Ensure Epi-pens are stored in their original boxes with the child's name and prescription, accompanied by a special care plan that includes procedures for contacting parents and emergency medical services, and both epi-pens are present when two are required. 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(i)(8) — Submit a Safe Building Interior Certification or other approval issued by the DOH.

Submit a Safe Building Interior Certification or other approval issued by the DOH. Regulation: at the time of the initial application, any renewal application, relocation of an existing licensed center, and, as determined by the Office of Licensing, on a case-by-case basis, the facility operator shall submit to the Office of Licensing a Safe Building Interior Certification or other approval issued by the Department of Health that indicates that no further remediation is needed for the interior of the building in which the center is located. the Office of Licensing shall not issue licenses or renewals to child care centers that are co-located in a building or other structure that contains a dry cleaner or nail salon unless the applicant obtains indoor air sampling that demonstrates that there is no impact to the child care center.

N.J.A.C. 3A:52-5.3(a)(16) — Repair and/or paint the wall in Room 207.

Repair and/or paint the wall in Room 207. 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 and/or paint the wall in Room 215.

Repair and/or paint the wall in Room 215. 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 and/or paint window sills in Room 131.

Repair and/or paint window sills in Room 131. Regulation: Walls shall be painted or otherwise covered whenever there is evidence of: i. Excessive peeling or chipped paint; or ii. Heavily soiled conditions.