Little Darlings of Mt. Laurel, Inc.

N.J.A.C. 3A:52-7.3(a) — Ensure health records are maintained on file as required including Universal Health Records.

Ensure health records are maintained on file as required including Universal Health Records. 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, immunization, or medical trea

N.J.A.C. 3A:52-5.3(f)(2) — Securely fasten bathroom equipment including hot water knob in room 8.

Securely fasten bathroom equipment including hot water knob in room 8. Regulation: Toilet facility requirements are as follows: mirrors, dispensers, and other equipment shall be fastened securely.

N.J.A.C. 3A:52-5.3(d)(1) — Ensure that a minimum temperature of 68 degrees Fahrenheit is maintained in all areas used by the children.

Ensure that a minimum temperature of 68 degrees Fahrenheit is maintained in all areas used by the children. 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:52-5.3(a)(15) — Maintain all mechanical ventilation in a clean condition in the bathrooms.

Maintain all mechanical ventilation in a clean condition in the bathrooms. 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(a)(1) — Repair boarders in the classrooms.

Repair boarders in the classrooms. 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 stained ceiling tile.

Replace stained ceiling tile. 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:52-4.10(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:52-7.5(b)(10) — Ensure inhalers are accompanied by a special care plan that includes procedures for contacting parents and emergency medical services. 3 children.

Ensure inhalers are accompanied by a special care plan that includes procedures for contacting parents and emergency medical services. 3 children. 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:52-6.8(a)(1) — Complete and maintain on file, a current Children's Records Checklist designated by OOL.

Complete and maintain on file, a current Children's Records Checklist designated by OOL. Regulation: The center shall complete and maintain on file for each enrolled child a Children’s Records Checklist, signed by the director, sponsor, or sponsor representative and designated by the Office of Licensing, indicating that the center has obtained documentation of the child's name, address, birth date, and date of enrollment; the name(s), home and work address(es), home and work telephone number(s) and signature(s) of the parent(s); the name(s), address(es), and telephone number(s) of any person(s) authorized by the parent(s) to visit the child at the center and/or take the child from the center, as specified in N.J.A.C. 3A:52-6.5(a)1; and the name, address, and telephone number of the child's health care provider; signed authorization from the parent(s) for emergency medical treatment; the parent’s signature attesting to the receipt of the Information to Parents document, as specified in N.J.A.C. 3A:52-3.6(b); the parent’s signature attesting to the receipt of the Information to Parents document, as specified in N.J.A.C. 3A:52-3.6(b).; health information for each child, as follows: for early childhood programs, a record of the child’s health examination and immunizations, as specified in N.J.A.C. 3A:52-7.3(a); and for school-age child care programs, a record of the parent’s statement concerning the child’s health, as specified in N.J.A.C. 3A:52-7.3(b).

N.J.A.C. 3A:52-5.4(a)(4) — Ensure the center has hot water.

Ensure the center has hot water. Regulation: For early childhood programs, the following shall apply, a supply of hot tap water not exceeding 110 degrees Fahrenheit and cold running water shall be provided.

N.J.A.C. 3A:52-5.3(m)(2) — Ensure that all exits and egress areas are unobstructed and that the emergency exit doors are easily operable in room 7.

Ensure that all exits and egress areas are unobstructed and that the emergency exit doors are easily operable in room 7. 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:52-7.6(b)(6) — Ensure accident reports are completed as required including all required components.

Ensure accident reports are completed as required including all required components. 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:52-5.2(a)(8) — Provide a current life/hazard use registration certificate applicable to the center's licensed capacity and ages served.

Provide a current life/hazard use registration certificate applicable to the center's licensed capacity and ages served. Regulation: The center shall obtain a Life Hazard Use Registration certificate applicable to the center’s licensed capacity and ages served pursuant to the Uniform Fire Safety Act, N.J.S.A. 52:27D-192 et seq. The center shall post this document in a prominent location within the center.

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:52-4.11(a) — Ensure that CHRI background checks are completed as required for the sponsor/sponsor representative and all regularly scheduled staff. 2 staff.

Ensure that CHRI background checks are completed as required for the sponsor/sponsor representative and all regularly scheduled staff. 2 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.