All Children Smile Preschool and Learning Center Inc.

N.J.A.C. 3A:52-5.3(k)(5) — Cease the use of wading pools.

Cease the use of wading pools. Regulation: Swimming pool requirements are as follows: wading pools that are 24 inches or less, are filled as needed, are portable, and do not have a filtration system are prohibited.

N.J.A.C. 3A:52-7.5(b)(10) — Provide Benadryl for 1 child.

Provide Benadryl for 1 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:52-4.3(c) — Ensure that adequate staff/child ratios are maintained at all times. At the time of the inspection there was 1 staff with 8 children ages 18-24 months in room 2. An additional staff entered the room after the inspection of the room

Ensure that adequate staff/child ratios are maintained at all times. At the time of the inspection there was 1 staff with 8 children ages 18-24 months in room 2. An additional staff entered the room after the inspection of the room started. 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:52-4.8(g) — Retrain all staff on staff / child ratios. Maintain documentation related to staff development on file at the center.

Retrain all staff on staff / child ratios. Maintain documentation related to staff development on file at the center. 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. For staff development provided by the center, the center shall maintain on file documentation or a copy of all staff development materials used.

N.J.A.C. 3A:52-5.3(a)(19) — Test for the presence of radon gas as required.

Test for the presence of radon gas as required. Regulation: the center shall test for the presence of radon gas in each classroom on the lowest floor level used by children at least once every five years and shall post the test results in a prominent location in all buildings at the center, as specified in N.J.S.A. 30:5B-5.2.

N.J.A.C. 3A:52-5.3(b)(7) — Replenish resilient surfacing as required in all play equipment use zones in accordance with ASTM F1292.

Replenish resilient surfacing as required in all play equipment use zones in accordance with ASTM F1292. 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(c)(1) — Ensure that non-working fluorescent tubes are repaired or replaced in room 5.

Ensure that non-working fluorescent tubes are repaired or replaced in room 5. Regulation: Lighting requirements are as follows: all fluorescent tubes and incandescent light bulbs shall have protective covers or shields. During program activities, at least 20 foot-candles of natural or artificial light shall be provided in all rooms used by the children. This illumination shall be measured three feet above the floor at the farthest point from the light source. Parking areas, pedestrian walkways, or other exterior portions of the premises subject to use by center occupants at night shall be illuminated to provide safe entrance to and egress from the center.

N.J.A.C. 3A:52-5.3(m)(2) — Ensure that all exits and egress areas are unobstructed. At the time of the inspection, the center took immediate corrective action. This violation was cited and abated. (Room 6).

Ensure that all exits and egress areas are unobstructed. At the time of the inspection, the center took immediate corrective action. This violation was cited and abated. (Room 6). 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:52-7.7(a)(2) — Ensure that all surfaces are cleaned with soap and water prior to disinfecting. (Room 2)

Ensure that all surfaces are cleaned with soap and water prior to disinfecting. (Room 2) Regulation: All areas to be disinfected shall first be washed with soap and water.

N.J.A.C. 3A:52-7.8(a)(1) — Ensure that children three months of age and older wash their hands with soap and running water immediately after having diapers changed as required. (Room 2)

Ensure that children three months of age and older wash their hands with soap and running water immediately after having diapers changed as required. (Room 2) 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:52-3.6(b) — Maintain at the center and distribute to all families and staff, a copy of the Information to Parents document designated by the OOL; maintain on file a record of parental and staff receipt of the policy.

Maintain at the center and distribute to all families and staff, a copy of the Information to Parents document designated by the OOL; maintain on file a record of parental and staff receipt of the policy. Regulation: The center shall distribute a copy of the Information to Parents document to each child’s parent(s) upon enrollment and to every person upon becoming a staff member and secure and maintain on file a record of each parent’s and staff member’s signature attesting to receipt of the document.