KinderCare Learning Center #229

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 diapers.

Ensure that staff wash their hands with soap and running water as required including after changing diapers. 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.

Ensure that staff wash their hands with soap and running water as required including before serving food. 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) — Based on complaint # 24653, the center shall ensure that sanitary conditions are adhered to throughout the center.

Based on complaint # 24653, the center shall ensure that sanitary conditions are adhered to throughout the center. 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:52-7.7(e)(1)(iii) — Ensure diapering surfaces are washed and disinfected after each use.

Ensure diapering surfaces are washed and disinfected after each use. 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:52-7.8(a)(1) — Ensure that children wash their hands with soap and running water as required including after having their diapers changed.

Ensure that children wash their hands with soap and running water as required including after having their diapers changed. 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 intake of food.

Ensure that children wash their hands with soap and running water as required including before intake of food. 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:52-4.3(a)(1) — Ensure that staff are aware of the number of children in their care. In room 3, there were 8 children in care, however staff stated that there were 9 children.

Ensure that staff are aware of the number of children in their care. In room 3, there were 8 children in care, however staff stated that there were 9 children. 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:52-7.7(a)(3)(iv) — Ensure tables are washed and disinfected before each meal.

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

N.J.A.C. 3A:52-4.3(c) — Ensure that adequate staff/child ratios are maintained at all times. In room 1 there were 5 children under 18 months and 1 staff present. In room 4 there were 13 children between the ages of 2 and 2.5 years old and 2 staff present.

Ensure that adequate staff/child ratios are maintained at all times. In room 1 there were 5 children under 18 months and 1 staff present. In room 4 there were 13 children between the ages of 2 and 2.5 years old and 2 staff present. Each classroom needed 1 additional staff in order to maintain the minimum required staff/child ratios. 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:52-5.3(r) — Based on report, ensure that adequate feeding procedures are adhered to at all times, including ensuring that infants are served the correct bottles.

Based on report, ensure that adequate feeding procedures are adhered to at all times, including ensuring that infants are served the correct bottles. 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:52-6.1(a) — Ensure that transition timelines are age and developmentally appropriate in room 4.

Ensure that transition timelines are age and developmentally appropriate in room 4. 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:52-4.8(a) — Based on report, retrain the named staff on ensuring that infants are served the correct bottles.

Based on report, retrain the named staff on ensuring that infants are served the correct bottles. 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) — Complete the CHRI background check for 1 named staff.

Complete the CHRI background check for 1 named 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:52-4.10(a) — Complete the CARI background check for 1 named staff.

Complete the CARI background check for 1 named staff. 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:52-4.1(d) — Complete and maintain on file, a current Staff Records Checklist designated by OOL.

Complete and maintain on file, a current Staff Records Checklist designated by OOL. 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:52-7.8(a)(4) — Ensure that staff throughout the center wash their hands with soap and running water after each diaper change.

Ensure that staff throughout the center wash their hands with soap and running water after each diaper change. 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(b)(7) — Repair or replace the torn basketball nets on the outdoor play area.

Repair or replace the torn basketball nets on the outdoor play area. Regulation: Outdoor maintenance and sanitation requirements are as follows: the center shall comply with the Playground Safety Subcode of the New Jersey Uniform Construction Code, as specified in N.J.A.C. 5:23-11.

N.J.A.C. 3A:52-5.3(a)(1) — Repair the areas of rust on the toilet plumbing in the bathroom of room 6.

Repair the areas of rust on the toilet plumbing in the bathroom of 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) — Replace the missing toilet bolt covers in the bathroom of room 6.

Replace the missing toilet bolt covers in the bathroom of 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:52-7.8(a)(1) — Ensure that children throughout the center wash their hands with soap and running water after diaper changes.

Ensure that children throughout the center wash their hands with soap and running water after diaper changes. 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:52-4.10(a)(4) — Ensure staff without a cleared CARI are not left alone to supervise children at any time.

Ensure staff without a cleared CARI are not left alone to supervise children at any time. Regulation: When a person who is not required to complete a CARI background check is working with children at the center, the center shall ensure oversight of that person 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(e)(1)(iv) — Ensure mouthed toys are washed and sanitized before being given to another child.

Ensure mouthed toys are washed and sanitized before being given to another child. 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: i. Toilet training chairs and potty seats that have first been emptied into a toilet; ii Sinks and faucets used for rinsing a toilet training chair; iv. Toys mouthed by infants and toddlers before being given to another child; and

N.J.A.C. 3A:52-7.7(e)(1)(iii) — Ensure that the staff in room 4 washes and disinfects diapering surfaces after each diaper change.

Ensure that the staff in room 4 washes and disinfects diapering surfaces after each diaper change. 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:52-4.3(j) — 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: Staff members who are under 18 years of age shall be directly supervised by and visible to a staff member who is 18 years of age or older.

N.J.A.C. 3A:52-5.3(r) — Based on information, ensure that adequate supervision is maintained at all times throughout the center. A named staff failed to supervise a named child in a stroller and another child pushed the stroller causing the named child to

Based on information, ensure that adequate supervision is maintained at all times throughout the center. A named staff failed to supervise a named child in a stroller and another child pushed the stroller causing the named child to fall. 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.