Children of America-East Brunswick, LLC

N.J.A.C. 3A:52-7.5(b)(10) — Ensure that 1 named child has an antihistamine present as per the special care plan.

Ensure that 1 named child has an antihistamine present as per the special care plan. 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:52-7.5(b)(10) — Ensure that 1 named child has life saving allergy medication present at the center.

Ensure that 1 named child has life saving allergy medication present at the center. 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:52-7.5(b)(10) — Ensure that 1 named child has non expired Epi-pens present accompanied by a special care plan.

Ensure that 1 named child has non expired Epi-pens present accompanied by a special care plan. 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:52-7.7(c)(1) — Maintain documentation on file including applicable vaccination records, an examination from a licensed veterinarian stating the pet presents no risk to children, and parental notification regarding the presence of the pet at th

Maintain documentation on file including applicable vaccination records, an examination from a licensed veterinarian stating the pet presents no risk to children, and parental notification regarding the presence of the pet at the center. Regulation: Pets shall be permitted in a center only under the following circumstances: pets kept by or located in the center, regardless of ownership, shall be effectively controlled by leash, command, or cage; if sick, removed from the area(s) occupied by children, until the pet has been examined by a licensed veterinarian and has been diagnosed as presenting no risk to the children; domesticated and non-aggressive; free from disease; prohibited from the following areas: areas and surfaces used for food preparation, storage or service; areas used for cleaning or storing of food utensils and dishes; and toilet facilities.

N.J.A.C. 3A:52-5.3(a)(1) — Ensure all surfaces are clean and in good repair including the stained ceiling tile in room 118.

Ensure all surfaces are clean and in good repair including the stained ceiling tile in room 118. 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) — Provide a light cover in the bathroom of room 118.

Provide a light cover in the bathroom of room 118. 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(b)(5) — Ensure that the outdoor garbage receptacle on the play area is covered securely; and maintained in a sanitary manner.

Ensure that the outdoor garbage receptacle on the play area is covered securely; and maintained in a sanitary manner. Regulation: Outdoor maintenance and sanitation requirements are as follows: garbage receptacles shall be: made of durable, leak-proof and nonabsorbent materials; covered in a secure manner and located in an outdoor area; and maintained in a sanitary manner.

N.J.A.C. 3A:52-5.3(b)(1) — Ensure all outdoor hazards are removed from the outdoor play area as required including broken toys and debri.

Ensure all outdoor hazards are removed from the outdoor play area as required including broken toys and debri. 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(b)(1) — Repair or replace the broken storage containers on the outdoor play area.

Repair or replace the broken storage containers on the outdoor play area. 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(m)(2) — Ensure that the egress path to the right of the center is cleared from debri.

Ensure that the egress path to the right of the center is cleared from debri. 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(f)(2) — Securely fasten bathroom equipment including the toilet paper dispenser in room 107.

Securely fasten bathroom equipment including the toilet paper dispenser in room 107. Regulation: Toilet facility requirements are as follows: mirrors, dispensers, and other equipment shall be fastened securely.

N.J.A.C. 3A:52-5.3(n)(1) — Ensure monthly fire drills are conducted during each session provided at the center.

Ensure monthly fire drills are conducted during each session provided at the center. Regulation: Fire prevention requirements are as follows: the center shall conduct fire drills at least once a month, as specified in the NJUFC. The center shall ensure that fire drills are conducted during each session provided at the center and that one fire drill per year is conducted during nap time, if applicable. The center shall ensure that all children present are evacuated from the building within three minutes during each fire drill.

N.J.A.C. 3A:52-5.3(p) — Repair or replace the cracked slide on the outdoor play equipment.

Repair or replace the cracked slide on the outdoor play equipment. Regulation: Play equipment, materials, and furniture for indoor and outdoor use shall be of sturdy and safe construction, non-toxic, free of hazards, and used in accordance with the manufacturer’s instructions. The center may not use play equipment intended for outdoor use indoors.

N.J.A.C. 3A:52-4.8(a) — Ensure that 3 named staff complete orientation training annually.

Ensure that 3 named staff complete orientation training annually. 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:52-6.3(b)(3)(iv)(1) — Ensure that each child's bottle is labeled with the child's name and date in room 114.

Ensure that each child's bottle is labeled with the child's name and date in room 114. 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:52-5.4(a)(6)(i) — Provide a barrier to the kitchen area to prevent accidental access by the children.

Provide a barrier to the kitchen area to prevent accidental access by the children. Regulation: For early childhood programs, the following shall apply, the kitchen facility or food preparation area shall be separated from other areas of the center by a door, gate, screen, or other barrier to prevent accidental access by children.

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:52-5.3(a)(1) — Repair or replace the broken shelf in room 122.

Repair or replace the broken shelf in room 122. 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 replace the carpet that is peeling off the wall in room 124.

Repair or replace the carpet that is peeling off the wall in room 124. 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 replace the laminate that is pealing off the diaper changing table in room 116.

Repair or replace the laminate that is pealing off the diaper changing table in room 116. 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:52-4.3(a)(1) — Ensure that children are adequately tracked at all times and staff are aware of the number of children in their care. In room 107 staff reported 17 children present, 15 were receiving care. 3.10.26: In room 107 staff reported

Ensure that children are adequately tracked at all times and staff are aware of the number of children in their care. In room 107 staff reported 17 children present, 15 were receiving care. 3.10.26: In room 107 staff reported 7 children present, 6 were receiving care. 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:52-9.8(c) — Develop a transportation policy to include the requirement for additional staff while transporting children.

Develop a transportation policy to include the requirement for additional staff while transporting children. Regulation: The center shall have a written policy and procedures to ensure the safe transportation of children, including, but not limited to, ensuring that children are secured in appropriate restraints. The center shall train each regularly-scheduled driver and additional adult as referred to in (a) and (b) above on this policy prior to starting his or her position.

N.J.A.C. 3A:52-9.8(a) — Based on complaint #24929, ensure there are one or two adults in addition to the driver when transporting children as required based on the age and number of children being transported.

Based on complaint #24929, ensure there are one or two adults in addition to the driver when transporting children as required based on the age and number of children being transported. Regulation: (a) When one or more children are being transported, there shall be one adult in addition to the driver who remains in the vehicle when it is in motion, and who remains within sight of the vehicle when it has stopped to accept or discharge children, from the time the first child is picked up until the last child has reached his or her destination. (b) When 13 or more children who are below 2 ½ years of age are being transported, there shall be two adults in addition to the driver who remain in the vehicle when it is in motion, and who remain within sight of the vehicle when it has stopped to accept or discharge children, until fewer than 13 children remain, at which time one adult in addition to the driver shall remain until the last child has reached his or her destination.

N.J.A.C. 3A:52-9.7(a) — Ensure transportation records are maintained on file including a record of each child transported.

Ensure transportation records are maintained on file including a record of each child transported. Regulation: The center shall maintain on file: 1. A record of each child transported; 2. The name and address of each driver; 3. A photostatic copy of each driver’s valid driver’s license; and 4. The year, make and model of each vehicle used by the center to transport children.

N.J.A.C. 3A:52-4.3(a) — Ensure that children are directly supervised at all times in Room 130. Observed staff on cell phone when entered the room.

Ensure that children are directly supervised at all times in Room 130. Observed staff on cell phone when entered the room. 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.