Hedwig Gruenewald Early Childhood Ctr. Of Cong. B'nai Israel

N.J.A.C. 3A:52-5.3(q)(1) — Ensure all rooms are approved by the OOL prior to use; make unapproved space inaccessible to children. There were 11 children, ages 0-2.5 years old, with 3 staff in the unapproved MPR.

Ensure all rooms are approved by the OOL prior to use; make unapproved space inaccessible to children. There were 11 children, ages 0-2.5 years old, with 3 staff in the unapproved MPR. Regulation: Space and room requirements are as follows: all space and rooms within the center to be used by children shall be inspected and approved by the Office of Licensing prior to their use. In making its determination, the Office of Licensing shall consider whether the space is too far removed, remote, or isolated from other areas of the center to be used by children. Rooms or areas of the center that are not Office of Licensing-approved for use by children shall be made inaccessible to children.

N.J.A.C. 3A:52-5.3(b)(1) — Ensure all outdoor hazards are removed from the outdoor play area as required including the overgrown vegetation and the branches protruding through the fence.

Ensure all outdoor hazards are removed from the outdoor play area as required including the overgrown vegetation and the branches protruding through the fence. Regulation: Outdoor maintenance and sanitation requirements are as follows: 1. The building, land, walkways, and outdoor play area shall be free from hazards to the health, safety or well-being of the children. 2. The outdoor play area shall be graded or provided with drains to dispose of surface water.

N.J.A.C. 3A:52-5.3(a)(1) — Ensure all surfaces are clean and in good repair including the ceiling in the kitchen.

Ensure all surfaces are clean and in good repair including the ceiling in the kitchen. 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:52-6.4(b)(1)(ii) — Ensure cribs are free of pillows and soft bedding. A sleeping infant, below 12 months old, was observed using a pillow in their crib.

Ensure cribs are free of pillows and soft bedding. A sleeping infant, below 12 months old, was observed using a pillow in their crib. Regulation: Sleeping equipment shall be free of pillows and soft bedding, including, but not limited to bumper pads, when occupied by a sleeping child.

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 is labeled with the child's name and date.

Ensure that each child's bottle is labeled with the child's name and 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:52-7.3(a) — Ensure health records are maintained on file as required including annually updated Universal Health Records for all enrolled children.

Ensure health records are maintained on file as required including annually updated Universal Health Records for all enrolled children. 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

N.J.A.C. 3A:52-4.10(a) — Ensure that CARI background checks are completed as required for 3 staff for the center's license renewal.

Ensure that CARI background checks are completed as required for 3 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) — Maintain on file 1 special care plan updated annually by the physician and ensure all necessary medication is onsite and not expired.

Maintain on file 1 special care plan updated annually by the physician and ensure all necessary medication is onsite and not expired. 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:52-6.4(a)(2) — Cease the use of blankets for children under 12 months of age. An infant, below 12 months old, was observed sleeping in their crib with a blanket in Room 108.

Cease the use of blankets for children under 12 months of age. An infant, below 12 months old, was observed sleeping in their crib with a blanket in Room 108. Regulation: For early childhood programs, the center shall ensure that blankets or pillows do not cover the child's face.

N.J.A.C. 3A:52-5.3(n)(4) — Ensure that all fire extinguishers are serviced and tagged annually and recharged if necessary.

Ensure that all fire extinguishers are serviced and tagged annually and recharged if necessary. Regulation: Fire prevention requirements are as follows: all fire extinguishers shall be visually inspected once a month, and serviced and tagged at least once a year and recharged, if necessary, as specified in the NJUFC.

N.J.A.C. 3A:52-5.2(d) — Provide a current fire certificate as required.

Provide a current fire certificate as required. Regulation: An applicant seeking the renewal of a license or of a Certificate of Life/Safety Approval to continue operating a center shall obtain and maintain on file a fire safety inspection certificate for the building based on a fire inspection conducted within the preceding 12 months. If the center prepares meals, the applicant seeking renewal shall obtain and maintain on file a satisfactory Sanitary Inspection Certificate, as specified in N.J.A.C. 8:24, indicating that the kitchen is in compliance with the applicable requirements of the State Sanitary Code, based on a sanitary inspection conducted within the preceding 12 months.

N.J.A.C. 3A:52-4.8(g)(3) — Ensure that all staff complete orientation training within two weeks of hire and annually and that the completion of the training is documented on the Staff Records Checklist.

Ensure that all staff complete orientation training within two weeks of hire and annually and that the completion of the training is documented on the Staff Records Checklist. Regulation: The center shall maintain on file documentation of the date, time, topic, presenter, and attendance for all staff development and orientation completed by center staff members. The center shall record each staff member’s completion of staff development and orientation on the Staff Records Checklist, as specified in N.J.A.C. 3A:52-4.1(b).

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:52-4.8(d)(1) — Ensure that all credentialed staff complete 20 hours of staff development annually.

Ensure that all credentialed staff complete 20 hours of staff development annually. Regulation: In lieu of the child care staff development specified in N.J.A.C. 3A:52-4.8(b), the director, head teacher(s), group teacher(s), and program supervisor(s) shall each complete 20 hours of staff development each year. Recommended topics of training for these staff include educational and physical activity.

N.J.A.C. 3A:52-4.8(c) — Ensure that all staff complete 12 hours of staff development annually.

Ensure that all staff complete 12 hours of staff development annually. Regulation: The center shall ensure that all staff members who work at the center complete 12 hours of continuing staff development each year.

N.J.A.C. 3A:52-4.11(a)(1) — Ensure that 2 staff complete a CHRI background check as required.

Ensure that 2 staff complete a CHRI background check as required. 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). The sponsor or sponsor representative and each staff member shall complete the electronic fingerprinting process through the vendor authorized by the State to conduct CHRI background checks through the Division of State Police in the Department of Law and Public Safety and the Federal Bureau of Investigation.