MKB's Over the Rainbow Child Care Center

2025

1. High risk5/5/2025

   N.J.A.C. 3A:52-4.3(a) — Ensure that children are directly supervised at all time. In room 4 a named staff was behind the closet wall an unable to maintain direct supervision of children. In room 2 a named staff was assisting a child in the bathroom and w

   Ensure that children are directly supervised at all time. In room 4 a named staff was behind the closet wall an unable to maintain direct supervision of children. In room 2 a named staff was assisting a child in the bathroom and was unable to maintain direct supervision of two named children behind the wall who had baskets over their faces. 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.

   Corrected 5/19/2025
2. Medium risk2/5/2025

   N.J.A.C. 3A:52-7.7(e)(1)(iv) — Ensure that the center washes and disinfects toys mouthed by infants before they are given to another child.

   Ensure that the center washes and disinfects toys mouthed by infants before they are given to another child. Regulation: For early childhood programs, the following shall apply: in addition to the items specified in N.J.A.C. 3A:52-7.7(a)3, the following equipment items or surfaces shall be washed and disinfected after each use, toys mouthed by infants and toddlers before being given to another child.

   Corrected 2/24/2025
3. Medium-High risk2/5/2025

   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.

   Corrected 3/11/2025
4. Medium-Low risk2/5/2025

   N.J.A.C. 3A:52-7.7(e)(1)(iv) — Ensure that the center washes and disinfects toys mouthed by infants before they are given to another child.

   Ensure that the center washes and disinfects toys mouthed by infants before they are given to another child. 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: i. Toilet training chairs and potty seats that have first been emptied into a toilet; ii Sinks and faucets used for rinsing a toilet training chair; iv. Toys mouthed by infants and toddlers before being given to another child; and

   Corrected 3/11/2025
5. Medium-High risk2/5/2025

   N.J.A.C. 3A:52-5.3(a)(1) — Repair the broken tile by the handwashing sink in room 1.

   Repair the broken tile by the handwashing sink in room 1. 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.

   Corrected 3/11/2025
6. Medium-High risk2/5/2025

   N.J.A.C. 3A:52-7.8(a)(1) — Ensure that staff in room 4 wash their hands immediately after each diaper change.

   Ensure that staff in room 4 wash their hands immediately 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.

   Corrected 3/11/2025
7. Medium-High risk2/5/2025

   N.J.A.C. 3A:52-7.8(a)(4) — Ensure that staff in room 4 wash their hands after coming into contact with nasal secretions.

   Ensure that staff in room 4 wash their hands after coming into contact with nasal secretions. 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.

   Corrected 3/11/2025
8. High risk2/5/2025

   N.J.A.C. 3A:52-7.6(a) — Ensure that parents are notified immediately when a child sustains a head or facial injury.

   Ensure that parents are notified immediately when a child sustains a head or facial injury. 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.

   Corrected 3/11/2025
9. Medium-High risk2/5/2025

   N.J.A.C. 3A:52-7.8(a)(4)(vi) — Ensure that staff in room 4 wash their hands after coming into contact with nasal secretions.

   Ensure that staff in room 4 wash their hands after coming into contact with nasal secretions. Regulation: Handwashing requirements are as follows: staff members shall wash their hands with soap and running water immediately after coming into contact with blood, fecal matter, urine, vomit, nasal secretions, or other body fluids or secretions.

   Corrected 2/24/2025
10. Medium-High risk2/5/2025

    N.J.A.C. 3A:52-7.8(a)(4)(iii) — Ensure that staff in room 4 wash their hands immediately after each diaper change.

    Ensure that staff in room 4 wash their hands immediately after each diaper change. Regulation: Handwashing requirements are as follows: staff members shall wash their hands with soap and running water immediately after assisting a child in toileting.

    Corrected 2/24/2025
11. High risk2/5/2025

    N.J.A.C. 3A:52-7.6(a)(2) — Ensure that parents are notified immediately when a child sustains a head or facial injury.

    Ensure that parents are notified immediately when a child sustains a head or facial injury. Regulation: The center shall take immediate necessary action to protect the child from further harm and shall immediately notify the child's parent(s) when a child sustains a head or facial injury, including when a child bumps his or her head.

    Corrected 2/24/2025
12. Medium-High risk2/5/2025

    N.J.A.C. 3A:52-5.3(a)(2) — Repair the broken tile by the handwashing sink in room 1.

    Repair the broken tile by the handwashing sink in room 1. Regulation: Indoor maintenance and sanitation requirements are as follows: floors, carpeting, walls, window coverings, ceilings, and other surfaces shall be kept clean and in good repair.

    Corrected 2/24/2025
13. Medium-High risk2/5/2025

    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: All centers shall comply with the following requirements, the center shall ensure that these safety and sanitation practices are followed: sippy cups shall be labeled with the child’s name.

    Corrected 2/24/2025