Childtime Childcare, Inc - Medford

N.J.A.C. 3A:52-5.3(a)(1) — Ensure all screens in the windows are replaced or repaired.

Ensure all screens in the windows are replaced or repaired. 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(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(q)(2)(i) — Based on complaint #25008 ensure the center operates at each rooms capacity due to the flood.

Based on complaint #25008 ensure the center operates at each rooms capacity due to the flood. Regulation: At no time shall a center: i. Allow more children in attendance than the licensed capacity as specified on the license or the Certificate of Life/Safety Approval; ii. Allow more children in attendance than the licensed room capacity;

N.J.A.C. 3A:52-5.2(a)(6)(i) — Submit a copy of the Certificate of Approval, as issued by the local construction official, for changes in the building subject to the NJUCC requiring the issuance of a building permit.

Submit a copy of the Certificate of Approval, as issued by the local construction official, for changes in the building subject to the NJUCC requiring the issuance of a building permit. Regulation: The center shall obtain a new CO issued by the local municipality in which the center is located, and submit a copy to the Office of Licensing, reflecting the building's compliance with provisions of the applicable NJUCC group classification, whenever the center changes the building's group classification to one other than the one prescribed on its original CO; makes a major alteration or renovation, as defined by the NJUCC, of the building or premises in which the center is located; increases the floor area or the number of stories to the building or premises in which the center is located; and relocates to another site.

N.J.A.C. 3A:52-5.2(b) — Ensure the center's fire protective systems are operative at all times.

Ensure the center's fire protective systems are operative at all times. Regulation: An applicant seeking a license or a Certificate of Life/Safety Approval to operate a center shall comply with all applicable provisions of the New Jersey Uniform Fire Code, as specified in N.J.A.C. 5:70 and hereinafter referred to as the NJUFC. The center shall obtain the building's fire safety inspection certificate issued by the municipality in which it is located, based on a fire inspection conducted within the preceding 12 months, reflecting the center's compliance with all applicable provisions of the NJUFC. The center shall maintain on file the building's fire safety inspection certificate.

N.J.A.C. 3A:52-5.3(r) — Ensure the health, safety, and well-being of the children served. The center do not have electricity in some areas of the building and there is no hot water.

Ensure the health, safety, and well-being of the children served. The center do not have electricity in some areas of the building and there is no hot water. 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:52-5.3(r) — a Corrective Action Plan (CAP) from the sponsor on the correct way to handle this type of incident in the future if need be, including ensuring to notify the OOL within 24 hours of incidents, not operating without approvals to ens

a Corrective Action Plan (CAP) from the sponsor on the correct way to handle this type of incident in the future if need be, including ensuring to notify the OOL within 24 hours of incidents, not operating without approvals to ensure the safety of the children etc. 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:52-4.5(a)(3) — Ensure that the center has a table of organization that illustrates lines of authority, responsibility, and job descriptions.

Ensure that the center has a table of organization that illustrates lines of authority, responsibility, and job descriptions. Regulation: The sponsor or sponsor representative shall designate individuals with the authority and responsibility to develop and implement written policies and procedures for the operation of the center, including a table of organization that illustrates lines of authority, responsibility and communication; and job descriptions, titles and qualifications for all center staff.

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 a diaper change.

Ensure that children wash their hands with soap and running water as required including after a diaper change. 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)(4) — Ensure that staff wash their hands with soap and running water as required including after a diaper change.

Ensure that staff wash their hands with soap and running water as required including after a 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:52-4.10(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:52-7.9(a)(1) — Maintain an illness log on file at the center that includes: the child's name; symptoms of illness; actions taken by the center; and dates of exclusion and return.

Maintain an illness log on file at the center that includes: the child's name; symptoms of illness; actions taken by the center; and dates of exclusion and return. Regulation: The center shall maintain on file a log of the initial illnesses, symptoms of illness, or diseases that are exhibited by each child while in the center’s care, as specified in N.J.A.C. 3A:52-7.1(c) and (d). This illness log shall include: the child's name; the date and time the illness, symptoms of illness or diseases were observed at the center; a description of the symptoms of illness manifested by the child; the action taken by the center to assist: the child who is demonstrating symptoms of illness; and the director in determining if exclusion of the child from the center is necessary; any significant change in the child's symptoms of illness; the date, if applicable, that: the child was removed from the center; the child returned to the center with a note from a health care provider attesting to the child's admissibility to the center and recovery from a reportable disease, as specified in N.J.A.C. 8:57; the child returned to the center with a parent’s note attesting that six days have elapsed since the onset of chicken pox, or that all chicken pox sores have dried and crusted; or the child returned to the center symptom-free.

N.J.A.C. 3A:52-7.6(a) — Ensure that parents are notified immediately when: a child is bitten and the skin is broken; a child sustains a head or facial injury, including when a child bumps his or her head.

Ensure that parents are notified immediately when: a child is bitten and the skin is broken; a child sustains a head or facial injury, including when a child bumps his or her head. Regulation: (a) The center shall take immediate necessary action to protect the child from further harm and shall immediately notify the child's parent(s) when one of the following occurs while the child is in the center’s care: 1. A child is bitten and the skin is broken; 2. A child sustains a head or facial injury, including when a child bumps his or her head; 3. A child falls from a height greater than the height of the child; or 4. An injury requiring professional medical care occurs.

N.J.A.C. 3A:52-7.6(e)(1) — Develop a policy for parental notification of injuries since the center is using a method other than a telephone call; maintain on file a record of staff and parental receipt of receipt of the policy.

Develop a policy for parental notification of injuries since the center is using a method other than a telephone call; maintain on file a record of staff and parental receipt of receipt of the policy. Regulation: The center shall develop and follow a written policy for parental notification if a method other than a telephone call is used at the center for parental notification. 1. The center shall distribute a copy of this policy to the parent of each enrolled child and secure and maintain on file a record of each parent’s signature attesting to receipt of this policy.

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:52-7.5(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. 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:52-5.3(m)(2) — Ensure exit from the playground is not obstructed and easily to open.

Ensure exit from the playground is not obstructed and easily to open. 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(i)(5)(ii) — Comply with the requirements of the manual if the center's water testing results reveal elevated levels of lead or copper.

Comply with the requirements of the manual if the center's water testing results reveal elevated levels of lead or copper. Regulation: If the results reveal elevated levels of lead or copper as defined by the New Jersey Department of Environmental Protection, Bureau of Safe Drinking Water, which pose risk of harm to children, the center shall: immediately discontinue use of all drinking water sources in the building; provide bottled water for drinking; provide bottled water for food preparation with approval from the local health official; and notify parents of the children in attendance at the center.

N.J.A.C. 3A:52-5.3(a)(1) — Replace and or replace the rusted bathroom partitions.

Replace and or replace the rusted bathroom partitions. 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 rusted bathroom toilet hardware.

Replace the rusted bathroom toilet hardware. 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) — Clean or repair the bathroom floors.

Clean or repair the bathroom floors. 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) — Clean the microwaves in the classrooms.

Clean the microwaves 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 the stained ceiling tiles.

Replace the stained ceiling tiles. 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) — Clean the cob webs at the front door.

Clean the cob webs at the front door. 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)(15) — Maintain all mechanical ventilation in a clean in the bathrooms.

Maintain all mechanical ventilation in a clean 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.