The Children's Place of Music and Learning, Inc.

N.J.A.C. 3A:52-4.3(a)(1) — Ensure that children are adequately tracked at all times and staff are aware of the number of children in their care. At the time of the inspection, staff indicated there were 17 children present when there were 15. 6/4/26 Staff

Ensure that children are adequately tracked at all times and staff are aware of the number of children in their care. At the time of the inspection, staff indicated there were 17 children present when there were 15. 6/4/26 Staff in room 9 had to count the number of children 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:52-7.5(b)(10) — Provide current EPI pens for 1 named child.

Provide current EPI pens for 1 named child. 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:52-6.3(a)(12)(ii) — Ensure that each child's sippy cup is labeled with the child's name.

Ensure that each child's sippy cup is labeled with the child's name. Regulation: center shall ensure that these safety and sanitation practices are followed: sippy cups shall be labeled with the child’s name.

N.J.A.C. 3A:52-7.8(a)(1) — Ensure that children wash their hands with soap and running water as required after each diaper change.

Ensure that children wash their hands with soap and running water as required after each 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)(1) — Ensure that children wash their hands with soap and running water as required after outdoor play.

Ensure that children wash their hands with soap and running water as required after outdoor play. 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 after each diaper change.

Ensure that staff wash their hands with soap and running water as required 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:52-5.4(a)(4) — Ensure that hot tap water does not exceed 110 degrees Fahrenheit. At the time of the inspection, the sinks between room 1 and 2 registered 113.5 degrees and the sink in room 9 registered at 119.3 degrees.

Ensure that hot tap water does not exceed 110 degrees Fahrenheit. At the time of the inspection, the sinks between room 1 and 2 registered 113.5 degrees and the sink in room 9 registered at 119.3 degrees. 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(a)(1) — Ensure all surfaces are clean and in good repair including the vents in the bathrooms between room 1 and 2.

Ensure all surfaces are clean and in good repair including the vents in the bathrooms between room 1 and 2. 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:52-7.11(a) — Update the center's Communicable Disease Policy to include that parents will be notified in writing if their child has been exposed to any communicable disease and maintain on file parental signatures attesting to the receipt of t

Update the center's Communicable Disease Policy to include that parents will be notified in writing if their child has been exposed to any communicable disease and maintain on file parental signatures attesting to the receipt of the updated policy. Regulation: (a) Each center shall develop a written policy on the management of communicable diseases. This policy shall include the following: 1. The list of illnesses and symptoms of illness for which a child will be separated from the group and possibly sent home, as specified in N.J.A.C. 3A:52-7.1(c); 2. The list of diseases for which a child will not be readmitted to the center unless accompanied by a statement from the child's health care provider, as specified in N.J.A.C. 3A:52-7.1(d); and 78 3. Assurance that during any outbreak of an excludable disease at the center, as specified in N.J.A.C. 3A:52-7.1(d), each parent whose child may have been exposed to the disease shall receive a written notice of the outbreak.

N.J.A.C. 3A:52-6.8(d) — Ensure that the center gets individual written permission slips that include applicable transportation information as required by OOL.

Ensure that the center gets individual written permission slips that include applicable transportation information as required by OOL. Regulation: Staff member(s) shall inform the parent(s) of enrolled children in advance of any field trip(s), outing(s), or special event(s) involving the transportation of children away from the center. The center shall provide each parent with the name and telephone number of any bus company providing service. Before taking a child on such a field trip, outing, or special event, the center shall secure individual written consent slips signed by a parent for his or her child(ren) for each proposed field trip, outing or special event.

N.J.A.C. 3A:52-6.4(f) — Ensure that each child's bedding is stored separately.

Ensure that each child's bedding is stored separately. Regulation: When cribs, playpens, cots, mats or other Office of Licensing-approved sleeping equipment are stored with sheets, blankets, or other coverings as single units, at least one item of each unit shall be labeled with child-identifying information. (g) When sheets, blankets and other coverings are not stored with sleeping equipment, each of these items shall be: 1. Labeled for each child; and 2. Stored separately for each child.

N.J.A.C. 3A:52-4.3(a) — Ensure that children are directly supervised at all times. At the time of the inspection, on 2 occasions children were observed walking in the hallways without proper supervision.

Ensure that children are directly supervised at all times. At the time of the inspection, on 2 occasions children were observed walking in the hallways without proper supervision. 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:52-2.3(d) — Ensure that the center prevents co-mingling by allowing the separate programs to have and use their own entrance/exits at all times.

Ensure that the center prevents co-mingling by allowing the separate programs to have and use their own entrance/exits at all times. Regulation: The requirements for co-location of a center within a multi-use building are as follows, during operating hours, the Office of Licensing may require the center to operate in a separate room, floor, or section of the building; have or use a separate entrance or toilet facility; meet any other physical plant, staffing, program, or other operational requirements that are deemed necessary to protect the children from serious risk of harm stemming from the co-location; not share common areas, such as hallways, gyms, or bathrooms; and have a schedule for outdoor time, if the outdoor play area is shared.

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:52-4.10(a)(4) — Ensure staff without a cleared CARI, CHRI and Orientation training are not left alone to supervise children at any time. At the time of the inspection, an outside therapist was alone with a child without clearances and training

Ensure staff without a cleared CARI, CHRI and Orientation training are not left alone to supervise children at any time. At the time of the inspection, an outside therapist was alone with a child without clearances and training as required. 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:52-7.8(a)(4) — Ensure that staff wash their hands with soap and running water as required after each diaper change. At the time of the inspection, staff was observed changing gloves and not washing hands as required.

Ensure that staff wash their hands with soap and running water as required after each diaper change. At the time of the inspection, staff was observed changing gloves and not washing hands as required. 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) — Ensure that children wash their hands with soap and running water as required after outdoor play.

Ensure that children wash their hands with soap and running water as required after outdoor play. 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:52-7.5(b) — Ensure that medication required in addition to an EPI pen is not expired.

Ensure that medication required in addition to an EPI pen is not expired. 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: Administration and control of prescription and non-prescription medicines and health care procedures (a) The center shall inform each child’s parent upon enrollment of its policy on administering medication and health care procedures to children, including the provisions specified in N.J.A.C. 3A:52-7.5(b) to (d). The policy shall indicate: 1. Whether the center will administer non-prescription medication or a non-prescribed health care procedure to a child; 2. Whether the center will administer prescription medication or a prescribed health care procedure to a child with a short-term illness; and 3. That the center will provide reasonable accommodations for the administration of medication or health care procedures to a child with special needs, if failure to administer the medication or health care procedure would jeopardize the health of the child or prevent the child from attending the center. 1. Medication and health care procedures shall be administered only after receipt of written approval from the child's parent(s). 2. The center shall: i. Designate those staff members who are trained as specified in N.J.A.C. 3A:52-4.8(a)8 and authorized to administer medication or health care procedures to, or to supervise self-administration of medication or health care procedures by, those children whose parents authorize it; and ii. Ensure that each staff member designated to administer medication and health care procedures is informed of each child's medication and health care needs. 3. All medication and health care equipment shall be kept either in a locked cabinet or in an area that is inaccessible to the children. i. All medication shall be kept in its original container. ii. Medication shall be refrigerated if so ind

N.J.A.C. 3A:52-7.5(b) — Ensure that prescription medication is in it's original box.

Ensure that prescription medication is in it's original box. 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: Administration and control of prescription and non-prescription medicines and health care procedures (a) The center shall inform each child’s parent upon enrollment of its policy on administering medication and health care procedures to children, including the provisions specified in N.J.A.C. 3A:52-7.5(b) to (d). The policy shall indicate: 1. Whether the center will administer non-prescription medication or a non-prescribed health care procedure to a child; 2. Whether the center will administer prescription medication or a prescribed health care procedure to a child with a short-term illness; and 3. That the center will provide reasonable accommodations for the administration of medication or health care procedures to a child with special needs, if failure to administer the medication or health care procedure would jeopardize the health of the child or prevent the child from attending the center. 1. Medication and health care procedures shall be administered only after receipt of written approval from the child's parent(s). 2. The center shall: i. Designate those staff members who are trained as specified in N.J.A.C. 3A:52-4.8(a)8 and authorized to administer medication or health care procedures to, or to supervise self-administration of medication or health care procedures by, those children whose parents authorize it; and ii. Ensure that each staff member designated to administer medication and health care procedures is informed of each child's medication and health care needs. 3. All medication and health care equipment shall be kept either in a locked cabinet or in an area that is inaccessible to the children. i. All medication shall be kept in its original container. ii. Medication shall be refrigerated if so indicated on the

N.J.A.C. 3A:52-7.8(a)(4) — Ensure that staff wash their hands with soap and running water as required after blowing their nose.

Ensure that staff wash their hands with soap and running water as required after blowing their nose. 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) — Cease the use of the playground equipment for children under 2 years of age or provide documentation from the manufacturer or a certified playground inspector indicating that the playground equipment meets ASTM F2373 for childre

Cease the use of the playground equipment for children under 2 years of age or provide documentation from the manufacturer or a certified playground inspector indicating that the playground equipment meets ASTM F2373 for children under 2.5 years of age. 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) — Clean vents throughout the center.

Clean vents throughout the center. 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:52-7.5(b)(10) — Provide an updated care plan for 1 named child requiring an EPI pen.

Provide an updated care plan for 1 named child requiring an EPI pen. 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) — Provide ventilation in the upstairs bathroom or a screen for the window.

Provide ventilation in the upstairs bathroom or a screen for the window. 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:52-4.5(e)(4) — Provide documentation for the group teacher as indicated in the OOL manual.

Provide documentation for the group teacher as indicated in the OOL manual. Regulation: For early childhood programs the group teacher(s) shall be scheduled and have the authority and responsibility to work at the center for at least 75 percent of the center's daily operating hour or at least six hours a day, whichever is less and assist the head teacher in implementing the center's child development and activities program.