Harrison Learning Center

N.J.A.C. 3A:52-7.3(a) — Obtain and maintain on file, updated universal health record for five (5) named children.

Obtain and maintain on file, updated universal health record for five (5) named 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 examination, immunization, or medical treatme

N.J.A.C. 3A:52-7.8(d)(1)(iii)(4) — Ensure that staff using disposable gloves for diaper changes in Room B, dispose of the gloves after each use and wash their hands after each diaper change.

Ensure that staff using disposable gloves for diaper changes in Room B, dispose of the gloves after each use and wash their hands after each diaper change. Regulation: Staff members who use disposable gloves during a diaper change shall dispose of these gloves after each use and shall wash their hands.

N.J.A.C. 3A:52-7.7(e)(1)(iii) — Ensure diapering surfaces in Room C are washed and disinfected after each use. 5/14/26 Retrain staff on diapering and sanitization procedures.

Ensure diapering surfaces in Room C are washed and disinfected after each use. 5/14/26 Retrain staff on diapering and sanitization procedures. 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:52-6.8(a)(1) — Ensure that the Children's Records Checklist is updated to include current children.

Ensure that the Children's Records Checklist is updated to include current children. Regulation: The center shall complete and maintain on file for each enrolled child a Children’s Records Checklist, signed by the director, sponsor, or sponsor representative and designated by the Office of Licensing, indicating that the center has obtained documentation of the child's name, address, birth date, and date of enrollment; the name(s), home and work address(es), home and work telephone number(s) and signature(s) of the parent(s); the name(s), address(es), and telephone number(s) of any person(s) authorized by the parent(s) to visit the child at the center and/or take the child from the center, as specified in N.J.A.C. 3A:52-6.5(a)1; and the name, address, and telephone number of the child's health care provider; signed authorization from the parent(s) for emergency medical treatment; the parent’s signature attesting to the receipt of the Information to Parents document, as specified in N.J.A.C. 3A:52-3.6(b); the parent’s signature attesting to the receipt of the Information to Parents document, as specified in N.J.A.C. 3A:52-3.6(b).; health information for each child, as follows: for early childhood programs, a record of the child’s health examination and immunizations, as specified in N.J.A.C. 3A:52-7.3(a); and for school-age child care programs, a record of the parent’s statement concerning the child’s health, as specified in N.J.A.C. 3A:52-7.3(b).

N.J.A.C. 3A:52-7.8(a)(1) — Ensure that children in Room B wash their hands with soap and running water as required including before mealtime. 5/14/26 Retrain staff on handwashing procedures.

Ensure that children in Room B wash their hands with soap and running water as required including before mealtime. 5/14/26 Retrain staff on handwashing procedures. 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:52-4.3(c) — Ensure that adequate staff/child ratios are maintained at all times in Room B; including bathroom transitioning time.

Ensure that adequate staff/child ratios are maintained at all times in Room B; including bathroom transitioning time. 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:52-4.1(d) — Obtain and maintain on file, physical and Mantoux test result for a named member of staff.

Obtain and maintain on file, physical and Mantoux test result for a named member of staff. Regulation: the Staff Records Checklist for the current director and all staff members currently working at the center shall be maintained on file at the center.

N.J.A.C. 3A:52-4.8(c) — Ensure that all staff complete 12 hours of staff development annually. Seven (7) staff members have training hours outstanding.

Ensure that all staff complete 12 hours of staff development annually. Seven (7) staff members have training hours outstanding. Regulation: The center shall ensure that all staff members who work at the center complete 12 hours of continuing staff development each year. Orientation training as specified in N.J.A.C. 3A:52-4.8(a) may be included for six of the required hours of staff development specified in N.J.A.C. 3A:52-4.8(c) and (d).

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:52-6.3(a) — Ensure that food is refrigerated until served in classroom C. The children's lunch foods are stored in their lunch bags until served. The center needs to provide ice packs for all lunch bags or refrigerate perishable foods.

Ensure that food is refrigerated until served in classroom C. The children's lunch foods are stored in their lunch bags until served. The center needs to provide ice packs for all lunch bags or refrigerate perishable foods. Regulation: 1. Food served to children who are present during normal mealtime hours or required snack periods, as specified in (b) and (c) below, shall be provided either by the child's parent or by the center. 3. If the center chooses to have parents provide food, the center shall have a supply of food at the center for any child whose parent forgets. 4. If the center provides food, the center shall ensure that the food is stored, prepared, and served in a sanitary manner. 5. Staff members shall advise parents of any repetitive feeding problems experienced by their child. 6. Staff members shall not force-feed or coerce a child to eat against his or her will. 9. Centers that provide meals shall ensure that: i. For children on special diets (for example, due to health reasons, religious belief or parental request), an alternative choice of food is provided by either the center or the child's parent; and ii. Individualized written diets and feeding schedules, if submitted to the center by the child's parent or health care provider, are posted in a location that is accessible to staff members caring for the children, and are followed. 10. The center shall have a supply of food at the center and shall serve a snack to any child who is hungry or has missed a meal. iii. Food left uneaten in a dish shall be discarded; iv. Food shall not be shared among children using the same dish or spoon; and v. Unused portions of food shall be labeled with the child's name, date, and type of food. The food shall be stored in the refrigerator, returned to the parent, or discarded with the parent's consent. All unused food shall be discarded if not consumed by the end of the day.

N.J.A.C. 3A:52-6.3(a) — Ensure that food is refrigerated until served in the infant classroom. The bottles of milk were warmed and left on the counter in the kitchenette in classroom 4D. The milk must be warmed as needed and refrigerated until served.

Ensure that food is refrigerated until served in the infant classroom. The bottles of milk were warmed and left on the counter in the kitchenette in classroom 4D. The milk must be warmed as needed and refrigerated until served. Regulation: 1. Food served to children who are present during normal mealtime hours or required snack periods, as specified in (b) and (c) below, shall be provided either by the child's parent or by the center. 3. If the center chooses to have parents provide food, the center shall have a supply of food at the center for any child whose parent forgets. 4. If the center provides food, the center shall ensure that the food is stored, prepared, and served in a sanitary manner. 5. Staff members shall advise parents of any repetitive feeding problems experienced by their child. 6. Staff members shall not force-feed or coerce a child to eat against his or her will. 9. Centers that provide meals shall ensure that: i. For children on special diets (for example, due to health reasons, religious belief or parental request), an alternative choice of food is provided by either the center or the child's parent; and ii. Individualized written diets and feeding schedules, if submitted to the center by the child's parent or health care provider, are posted in a location that is accessible to staff members caring for the children, and are followed. 10. The center shall have a supply of food at the center and shall serve a snack to any child who is hungry or has missed a meal. iii. Food left uneaten in a dish shall be discarded; iv. Food shall not be shared among children using the same dish or spoon; and v. Unused portions of food shall be labeled with the child's name, date, and type of food. The food shall be stored in the refrigerator, returned to the parent, or discarded with the parent's consent. All unused food shall be discarded if not consumed by the end of the day.

N.J.A.C. 3A:52-4.8(a) — Retrain the staff in the following areas: handwashing, proper food storage & cleaning and disinfecting after diapering and tables before meals. Submit the agenda and signatures of attendance to the OOL.

Retrain the staff in the following areas: handwashing, proper food storage & cleaning and disinfecting after diapering and tables before meals. Submit the agenda and signatures of attendance to the OOL. 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:52-7.8(a)(4) — Ensure that staff wash their hands with soap and running water as required including after changing diapers even when gloves are worn.

Ensure that staff wash their hands with soap and running water as required including after changing diapers even when gloves are worn. 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:52-7.8(a)(4) — Ensure that staff wash their hands with soap and running water as required including after cleaning the children's noses even when gloves are worn.

Ensure that staff wash their hands with soap and running water as required including after cleaning the children's noses even when gloves are worn. 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:52-7.8(a)(4) — Ensure that staff wash their hands with soap and running water as required including before preparing food even when gloves are worn.

Ensure that staff wash their hands with soap and running water as required including before preparing food even when gloves are worn. 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:52-7.8(a)(1) — Ensure that children wash their hands with soap and running water as required including after having a diaper change in the toddler classroom.

Ensure that children wash their hands with soap and running water as required including after having a diaper change in the toddler classroom. 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 food is served. The children in the toddler classroom were on the floor having a group activity and then went to the table for a meal

Ensure that children wash their hands with soap and running water as required including before food is served. The children in the toddler classroom were on the floor having a group activity and then went to the table for a meal. 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 lunch. Baby wipes were used in lieu of handwashing with soap and running water in the toddler classroom.

Ensure that children wash their hands with soap and running water as required including before lunch. Baby wipes were used in lieu of handwashing with soap and running water in the toddler classroom. 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:52-5.3(a)(1) — Replace the broken taped mirror in the restroom on the 1st floor.

Replace the broken taped mirror in the restroom on the 1st floor. 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) — Replace the door handle on the black refrigerator.

Replace the door handle on the black refrigerator. 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:52-7.7(e)(1)(iii) — Ensure diapering surfaces are washed and disinfected after each use.

Ensure diapering surfaces are washed and disinfected after each use. 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 the toddler classroom.

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

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.

N.J.A.C. 3A:52-7.8(d)(1)(iii)(4) — Ensure that staff in the toddler classroom using disposable gloves for diaper changes dispose of the gloves after each use and wash their hands after each diaper change.

Ensure that staff in the toddler classroom using disposable gloves for diaper changes dispose of the gloves after each use and wash their hands after each diaper change. Regulation: Staff members who use disposable gloves during a diaper change shall dispose of these gloves after each use and shall wash their hands.