The Learning Experience at Cherry Hill

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 for 2 named children in room 113.

Ensure Epi-pens are stored in their original boxes with the child's name and prescription for 2 named children in room 113. 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:52-7.8(d)(1)(ii)(3) — Ensure that diapering surfaces are in good repair in rooms 118, 120, and 134.

Ensure that diapering surfaces are in good repair in rooms 118, 120, and 134. Regulation: the diapering surface shall be flat, smooth, clean, dry, non-absorbent, and in good repair.

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:52-5.3(a)(1) — Based on Complaint #24907, ensure all surfaces are clean and in good repair including sinks and fixtures.

Based on Complaint #24907, ensure all surfaces are clean and in good repair including sinks and fixtures. 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) — Remove protruding screws from the walls in room 112.

Remove protruding screws from the walls in room 112. 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) — Repair or remove broken play furniture in room 112.

Repair or remove broken play furniture in room 112. 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) — Repair or remove torn vinyl furniture in rooms 112 and 113.

Repair or remove torn vinyl furniture in rooms 112 and 113. 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:52-6.1(b)(7) — Ensure that the use of television, computers, and other video equipment is for educational and instructional use, is age and developmentally appropriate, is not used as a substitute for planned activities, and is not used for pa

Ensure that the use of television, computers, and other video equipment is for educational and instructional use, is age and developmentally appropriate, is not used as a substitute for planned activities, and is not used for passive viewing in room 114. Regulation: The use of a television, computers, and other video equipment shall be limited to educational and instructional use, shall be age and developmentally appropriate, and shall not be used as a substitute for planned activities or for passive viewing.

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. Removed snow obstructing exits.

Ensure that all exits and egress areas are unobstructed and that the emergency exit doors are easily operable. Removed snow obstructing exits. 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(m)(2) — Ensure that all exits and egress areas are unobstructed. Removed exterior bench obstructing exit.

Ensure that all exits and egress areas are unobstructed. Removed exterior bench obstructing exit. 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:52-7.8(a)(1) — Ensure that children wash their hands with soap and running water as required including immediately after diapering.

Ensure that children wash their hands with soap and running water as required including immediately after diapering. 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:52-5.3(r) — Based on information, ensure that a safe environment is maintained at all times throughout the center. A named child was bitten multiple ties by another child.

Based on information, ensure that a safe environment is maintained at all times throughout the center. A named child was bitten multiple ties by another child. 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) — 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:52-4.3(c) — Based on information, ensure that adequate staff/child ratios are maintained at all times throughout the center.

Based on information, ensure that adequate staff/child ratios are maintained at all times throughout the center. 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:52-4.3(c) — Based on information, ensure that adequate staff/child ratios are maintained at all times throughout the center. There were 21 children with 2 staff, when a 3rd staff was required.

Based on information, ensure that adequate staff/child ratios are maintained at all times throughout the center. There were 21 children with 2 staff, when a 3rd staff was required. 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:52-7.6(a) — Based on information, ensure that parents are notified of biting incidents occurring at the center as required.

Based on information, ensure that parents are notified of biting incidents occurring at the center as required. 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:52-6.6(a) — Based on information, ensure that staff utilize positive methods of guidance and discipline. A named staff restrained a named child by holding him in her lap while she was seated when the named child misbehaved. Additionally, the n

Based on information, ensure that staff utilize positive methods of guidance and discipline. A named staff restrained a named child by holding him in her lap while she was seated when the named child misbehaved. Additionally, the named staff utilized the bathroom to separate the children from the class. Regulation: (a) The methods of guidance and discipline used shall: 1. Be positive; 2. Be consistent with the age and developmental needs of the children; and 3. Lead to the child's ability to develop and maintain self-control. (b) Staff members shall not discipline children for failing to eat or sleep or for soiling themselves. (c) Staff shall not withhold active play time as a means of discipline unless the child's actions or behavior present a danger to themselves or others. (d) Children may be removed from a group activity to another area, provided that the child so removed is either under the supervision of another staff member or continuously visible to a staff member.

N.J.A.C. 3A:52-4.8(a) — Based on information, retrain all staff on 1. Maintaining a safe environment, 2. Maintaining adequate staff/child ratios, 3. Notifying parents of biting incidents as required and 4. Completing incident reports for biting incidents

Based on information, retrain all staff on 1. Maintaining a safe environment, 2. Maintaining adequate staff/child ratios, 3. Notifying parents of biting incidents as required and 4. Completing incident reports for biting incidents as required. 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:52-4.8(a) — Based on information, retrain all staff on 1. Maintaining adequate staff/child ratios and 2. The center's discipline policy.

Based on information, retrain all staff on 1. Maintaining adequate staff/child ratios and 2. The center's discipline 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:52-7.6(b)(6) — Based on information, ensure that incident reports for biting incidents are completed as required.

Based on information, ensure that incident reports for biting incidents are completed as required. 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:52-5.3(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:52-6.3(b)(3)(iv)(1) — Ensure that each child's bottle in rooms 134 and 135 are labeled with the date.

Ensure that each child's bottle in rooms 134 and 135 are labeled with the date. 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:52-5.3(d)(1) — Ensure that a minimum temperature of 68 degrees Fahrenheit is maintained in room 134.

Ensure that a minimum temperature of 68 degrees Fahrenheit is maintained in room 134. 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:52-4.6(c)(3) — Provide documentation that 1 group teacher meets the required qualifications as specified in the manual.

Provide documentation that 1 group teacher meets the required qualifications as specified in the manual. Regulation: For early childhood programs, the following shall apply: the group teacher shall meet the requirements for experience and education

N.J.A.C. 3A:52-4.6(c)(1) — Provide documentation that 1 head teacher meets the required qualifications as specified in the manual.

Provide documentation that 1 head teacher meets the required qualifications as specified in the manual. Regulation: For early childhood programs, the following shall apply: or all centers, the head teacher or consulting head teacher shall meet the qualification requirements specified in one of the seven options set forth in N.J.A.C. 3A:52-4.6(c) for education and experience.