Above and Beyond Child Care

N.J.A.C. 3A:52-4.3(c) — Ensure that adequate staff/child ratios are maintained at all times throughout the center. In room 1 there were 16 children age 18 months to 2.5 years old and 2 staff present. One additional staff was needed to maintain the ratio.

Ensure that adequate staff/child ratios are maintained at all times throughout the center. In room 1 there were 16 children age 18 months to 2.5 years old and 2 staff present. One additional staff was needed to maintain the ratio. 5.27.26: In room 1 there were 15 children age 18 months to 2.5 years old sleeping and 1 staff present. One additional staff was needed to maintain the staff/child ratio. 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(a)(1) — Ensure that adequate procedures for tracking children are adhered to at all times throughout the center. In room 1 staff reported 15 children present, 16 were receiving care.

Ensure that adequate procedures for tracking children are adhered to at all times throughout the center. In room 1 staff reported 15 children present, 16 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:52-4.11(a)(5) — Ensure staff without a cleared CHRI are not left alone to supervise children at any time. At the time of the inspection uncleared staff were left to supervise a group of children in room 1.

Ensure staff without a cleared CHRI are not left alone to supervise children at any time. At the time of the inspection uncleared staff were left to supervise a group of children in room 1. Regulation: When a person who is not required to complete a CHRI background check is working with children at the center, the center shall ensure oversight of that person by another staff member and ensure that the person is not left alone to supervise a child or group of children.

N.J.A.C. 3A:52-4.3(a) — Ensure that children are directly supervised at all times including while walking to and from the hallway bathrooms on the 2nd floor.

Ensure that children are directly supervised at all times including while walking to and from the hallway bathrooms on the 2nd floor. 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.

N.J.A.C. 3A:52-7.8(a)(4) — Ensure that staff wash their hands with soap and running water as required including after diapering a child in room 2.

Ensure that staff wash their hands with soap and running water as required including after diapering a child in room 2. 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.

N.J.A.C. 3A:52-6.4(b)(2) — Ensure cots throughout the center are stored so that there is no contact with the sleeping surface of another mat.

Ensure cots throughout the center are stored so that there is no contact with the sleeping surface of another mat. Regulation: i. Each cot used for children between 13 and 18 months of age shall not exceed 14 inches above the floor level. ii. Each cot or mat used for rest and sleep shall be covered with a sheet, blanket or other covering. An additional covering shall be provided for use as a covering for each child. iii. Each mat used for rest and sleep shall be:(1) Placed on a surface that is warm, dry, clean and draft-free; (2) Water-repellent; (3) At least one inch thick; and (4) Stored so that there is no contact with the sleeping surface of another mat, or disinfected after each use, as specified in N.J.A.C. 3A:52-7.7(a)1.

N.J.A.C. 3A:52-7.8(a)(1) — Ensure that children wash their hands with soap and running water as required including after having their diapers changed in room 2.

Ensure that children wash their hands with soap and running water as required including after having their diapers changed in 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:52-7.8(a)(1) — Ensure that children wash their hands with soap and running water as required including before the intake of food in rooms 1 and 2 on the 2nd floor.

Ensure that children wash their hands with soap and running water as required including before the intake of food in rooms 1 and 2 on the 2nd floor. 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:52-6.3(b)(3)(iv)(1) — Ensure that each child's bottle is labeled with the child's name and date in rooms 2 and 3.

Ensure that each child's bottle is labeled with the child's name and date in rooms 2 and 3. 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(q)(2)(i) — Ensure that the center complies with the licensed capacity of the classrooms at all times throughout the center. In room 1, 42 children were present with a room capacity of 29.

Ensure that the center complies with the licensed capacity of the classrooms at all times throughout the center. In room 1, 42 children were present with a room capacity of 29. Regulation: At no time shall a center: i. Allow more children in attendance than the licensed capacity as specified on the license or the Certificate of Life/Safety Approval; ii. Allow more children in attendance than the licensed room capacity;

N.J.A.C. 3A:52-7.7(e)(1)(iii) — Ensure diapering surfaces are washed and disinfected after each use in room 2.

Ensure diapering surfaces are washed and disinfected after each use in room 2. 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:52-7.7(a)(3)(iv) — Ensure tables are washed and disinfected before each meal in room 1.

Ensure tables are washed and disinfected before each meal in room 1. Regulation: Tables used by the children for eating shall be washed and disinfected before each meal.

N.J.A.C. 3A:52-4.3(c) — Ensure that adequate staff/child ratios are maintained at all times throughout the center. In room 1 there were 18 children age 18 months to 2.5 years old and 2 staff present. One additional staff was needed to maintain the ratio.

Ensure that adequate staff/child ratios are maintained at all times throughout the center. In room 1 there were 18 children age 18 months to 2.5 years old and 2 staff present. One additional staff was needed to maintain the ratio. 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:52-6.3(a)(12)(ii) — Ensure that each child's sippy cup is labeled with the child's name in room 1.

Ensure that each child's sippy cup is labeled with the child's name in room 1. Regulation: center shall ensure that these safety and sanitation practices are followed: sippy cups shall be labeled with the child’s name.

N.J.A.C. 3A:52-6.4(i) — Cease the use of pacifier straps or other types of attachment devices in room 2.

Cease the use of pacifier straps or other types of attachment devices in room 2. Regulation: Children shall not use pacifiers with straps or other types of attachment devices.

N.J.A.C. 3A:52-4.11(a)(5) — Ensure staff without a cleared CHRI are not left alone to supervise children at any time. A the time of the inspection uncleared staff were left to supervise groups of children in rooms 1 and 3 on the first floor and room 2 on

Ensure staff without a cleared CHRI are not left alone to supervise children at any time. A the time of the inspection uncleared staff were left to supervise groups of children in rooms 1 and 3 on the first floor and room 2 on the second floor. Regulation: When a person who is not required to complete a CHRI background check is working with children at the center, the center shall ensure oversight of that person by another staff member and ensure that the person is not left alone to supervise a child or group of children.

N.J.A.C. 3A:52-4.3(a)(1) — Ensure that adequate procedures for tracking children are adhered to at all times throughout the center. In room 2 staff reported 10 children present, 8 were receiving care. 5.27.26: In room 5 staff reported 7 children present,

Ensure that adequate procedures for tracking children are adhered to at all times throughout the center. In room 2 staff reported 10 children present, 8 were receiving care. 5.27.26: In room 5 staff reported 7 children present, 7 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:52-5.3(a)(1) — Ensure that the soft climbing pieces in disrepair are replaced or removed in room 2.

Ensure that the soft climbing pieces in disrepair are replaced or removed in room 2. 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) — Eliminate moisture as indicated by stained ceiling tiles located in the 2nd floor staircase and in the hallway of floor 2, near rooms 1 and 2.

Eliminate moisture as indicated by stained ceiling tiles located in the 2nd floor staircase and in the hallway of floor 2, near rooms 1 and 2. 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)(13) — Ensure that the radio cord is secured and out of the reach of children in room 2.

Ensure that the radio cord is secured and out of the reach of children in room 2. Regulation: the center shall ensure that window blind cords and other cords and ropes that present risk of harm are inaccessible to children.

N.J.A.C. 3A:52-5.3(a)(15) — Maintain all mechanical ventilation in a clean and operating condition. Ensure the ceiling vent in the boy's bathroom located on floor 2 is free of dust.

Maintain all mechanical ventilation in a clean and operating condition. Ensure the ceiling vent in the boy's bathroom located on floor 2 is free of dust. Regulation: Indoor maintenance and sanitation requirements are as follows: ventilation outlets shall be clean and free from obstructions, and filters shall be replaced when saturated.

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:52-5.3(o)(1) — Ensure that at least two staff members who have current pediatric first aid and CPR certifications are present at the center at all times and that the training includes a hands-on component in addition to any online training.

Ensure that at least two staff members who have current pediatric first aid and CPR certifications are present at the center at all times and that the training includes a hands-on component in addition to any online training. Regulation: First aid requirements are as follows: at least two staff members who have current certified basic knowledge of first aid principles and cardiopulmonary resuscitation (CPR), as defined by a recognized health organization (such as the American Red Cross), shall be in the center at all times when enrolled children are present. The first aid and CPR training shall include a hands-on training component in addition to any online training coursework.

N.J.A.C. 3A:52-5.4(a)(1) — Ensure that the outlet faceplate cover is secured in room 2.

Ensure that the outlet faceplate cover is secured in room 2. Regulation: For early childhood programs, the following shall apply, all electrical outlets that are accessible to the children shall have protective covers.

N.J.A.C. 3A:52-6.6(e)(3) — Post the center's discipline policy.

Post the center's discipline policy. Regulation: The center shall maintain on file a written policy on the disciplining of children by staff members. The policy shall: 3. Be posted in a prominent location within the center.