Our Gang at Holy Name Hospital

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:52-6.3(b)(3)(iv)(1) — Ensure that each child's bottle is labeled with the child's name and date in Room 118.

Ensure that each child's bottle is labeled with the child's name and date in Room 118. Regulation: Feeding requirements for centers serving children less than 18 months of age are as follows: for bottles, each child's bottle(s) shall be labeled with the child's name and dated.

N.J.A.C. 3A:52-6.2(a)(1) — Replace the tattered child-sized sofa in Room 120.

Replace the tattered child-sized sofa in Room 120. Regulation: The center shall provide a supply of age-appropriate and developmentally appropriate program equipment including play equipment, child-size furniture and supplies that are sufficient to meet the daily activity needs of the children and the program.

N.J.A.C. 3A:52-7.5(b)(7) — Ensure special care plans are signed by the parent/guardian as required.

Ensure special care plans are signed by the parent/guardian as required. 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:52-4.4(a)(2) — Ensure that a primary caregiver is assigned to each group of four infants or six toddlers.

Ensure that a primary caregiver is assigned to each group of four infants or six toddlers. Regulation: For early childhood programs, the following shall apply for infants (under 18 months of age) and toddlers (18 months to 2½ years of age):a group shall consist of four infants or six toddlers to whom a primary caregiver has been assigned.

N.J.A.C. 3A:52-5.3(a)(1) — Ensure to remove all storage from the cribs in Room 118.

Ensure to remove all storage from the cribs in Room 118. 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:52-4.3(a) — Based on information, ensure that adequate supervision is maintained at all times throughout the center. A named staff left a folding chair unattended and turned her back when a named child climbed onto it and it fell/folded onto h

Based on information, ensure that adequate supervision is maintained at all times throughout the center. A named staff left a folding chair unattended and turned her back when a named child climbed onto it and it fell/folded onto him. A 2nd named staff was completing a training on her cell phone instead of supervising the children. 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.

N.J.A.C. 3A:52-5.2(d) — Provide a current fire certificate as required.

Provide a current fire certificate as required. Regulation: An applicant seeking the renewal of a license or of a Certificate of Life/Safety Approval to continue operating a center shall obtain and maintain on file a fire safety inspection certificate for the building based on a fire inspection conducted within the preceding 12 months. If the center prepares meals, the applicant seeking renewal shall obtain and maintain on file a satisfactory Sanitary Inspection Certificate, as specified in N.J.A.C. 8:24, indicating that the kitchen is in compliance with the applicable requirements of the State Sanitary Code, based on a sanitary inspection conducted within the preceding 12 months.

N.J.A.C. 3A:52-5.3(r) — Based on information, provide a Corrective Action Plan to DCF as required.

Based on information, provide a Corrective Action Plan to DCF as required. Regulation: The center shall take any steps required by the Office of Licensing to correct conditions in the building or center that may endanger the health, safety, and well-being of the children served.

N.J.A.C. 3A:52-4.8(a) — Based on information, retrain all staff on the center's supervision policy.

Based on information, retrain all staff on the center's supervision policy. 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:52-5.3(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:52-4.10(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:52-7.8(a)(4) — Ensure that staff wash their hands with soap and running water as required including after changing each diaper and assisting a child in toileting in room 127.

Ensure that staff wash their hands with soap and running water as required including after changing each diaper and assisting a child in toileting in room 127. 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:52-5.3(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(c)(1) — Repair or replace inoperable light ballasts throughout the center.

Repair or replace inoperable light ballasts throughout the center. Regulation: Lighting requirements are as follows: all fluorescent tubes and incandescent light bulbs shall have protective covers or shields. During program activities, at least 20 foot-candles of natural or artificial light shall be provided in all rooms used by the children. This illumination shall be measured three feet above the floor at the farthest point from the light source. Parking areas, pedestrian walkways, or other exterior portions of the premises subject to use by center occupants at night shall be illuminated to provide safe entrance to and egress from the center.

N.J.A.C. 3A:52-4.3(a)(1) — Ensure that adequate procedures for tracking children are adhered to at all times throughout the center, wherein staff in Room 118 reported 10 children present, when 11 children were present.

Ensure that adequate procedures for tracking children are adhered to at all times throughout the center, wherein staff in Room 118 reported 10 children present, when 11 children were present. Regulation: The center shall develop and implement an Office of Licensing-approved method to keep track of the location and ensure the safety of all children at all times when under the center’s supervision, including the transfer of supervision from and to parents during arrival and departure and the utilization of off-site locations, including playgrounds and field trips.

N.J.A.C. 3A:52-5.3(p) — Ensure that bumbo seats are used according to the warning labels, which require belts.

Ensure that bumbo seats are used according to the warning labels, which require belts. 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.

N.J.A.C. 3A:52-6.3(a)(4) — Ensure that food is not prepared or placed near sinks used for hand washing in the infant room.

Ensure that food is not prepared or placed near sinks used for hand washing in the infant room. Regulation: All centers shall comply with the following requirements, if the center provides food, the center shall ensure that the food is stored, prepared, and served in a sanitary manner.

N.J.A.C. 3A:52-5.3(a)(13) — Ensure that all window blind cords are inaccessible to the children in Room 118.

Ensure that all window blind cords are inaccessible to the children in Room 118. Regulation: Indoor maintenance and sanitation requirements are as follows: the center shall ensure that window blind cords and other cords and ropes that present risk of harm are inaccessible to children.

N.J.A.C. 3A:52-5.3(a)(18) — Ensure that the toaster oven in Room E20 is secured to a stable surface and out of the reach of children.

Ensure that the toaster oven in Room E20 is secured to a stable surface and out of the reach of children. Regulation: Indoor maintenance and sanitation requirements are as follows: ensure that microwave ovens, toaster ovens, and other portable devices used to heat or prepare food are out of children's reach, secured on a stable surface, and not in use when children are in the area in order to ensure the safety of children.

N.J.A.C. 3A:52-4.3(a) — Ensure adequate supervision is maintained at all times. Although adequate staff were physically present in the infant room, supervision was not adequate to prevent children from eating food that dropped on the floor while other ch

Ensure adequate supervision is maintained at all times. Although adequate staff were physically present in the infant room, supervision was not adequate to prevent children from eating food that dropped on the floor while other children were eating. 1/8/24-unable to abate as children were still able to access food that fell on the floor while they were seated at the table. 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.

N.J.A.C. 3A:52-4.8(a)(9) — Retrain all staff who work in or cover shifts in the infant room on implementing safe sleep practices to prevent Sudden Infant Death Syndrome. Submit training information with staff signatures to OOL.

Retrain all staff who work in or cover shifts in the infant room on implementing safe sleep practices to prevent Sudden Infant Death Syndrome. Submit training information with staff signatures to OOL. Regulation: Topics of orientation training shall include implementing safe sleep practices to prevent Sudden Infant Death Syndrome.

N.J.A.C. 3A:52-6.1(e) — Ensure that pacifiers are removed when children are crawling or walking.

Ensure that pacifiers are removed when children are crawling or walking. Regulation: The center shall ensure that pacifiers are removed when the children are crawling or walking.

N.J.A.C. 3A:52-6.4(a)(1) — Ensure that children under 12 months of age are initially placed in a face-up position in their sleeping equipment, unless it is contraindicated in writing by the child's health care provider.

Ensure that children under 12 months of age are initially placed in a face-up position in their sleeping equipment, unless it is contraindicated in writing by the child's health care provider. Regulation: For early childhood programs, the center shall provide opportunities for daily rest and sleep as follows: for children 12 months of age and younger, the center shall ensure that each child is initially placed in a face-up sleeping position unless a different position is indicated in writing by the child's health care provider.

N.J.A.C. 3A:52-5.3(a)(9) — Repair rusting area under the soap dispenser in the bathroom near Room 135.

Repair rusting area under the soap dispenser in the bathroom near Room 135. Regulation: Indoor maintenance and sanitation requirements are as follows: toilets, wash basins, kitchen sinks, and other plumbing shall be maintained in good operating and sanitary condition.