River School Exchange Place-Bright Horizons School

N.J.A.C. 3A:52-7.5(b)(10) — Ensure that both Epi-pens are present when two are required for a named child in Room 5.

Ensure that both Epi-pens are present when two are required for a named child in Room 5. 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:52-5.3(a)(1) — Replace the stained ceiling tiles in Room 3 and in the hallway opposite Room 5..

Replace the stained ceiling tiles in Room 3 and in the hallway opposite Room 5.. 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)(15) — Maintain all mechanical ventilation in a clean condition in Room 5.

Maintain all mechanical ventilation in a clean condition in Room 5. 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(l)(4) — Conduct and document at least two lockdown drills annually.

Conduct and document at least two lockdown drills annually. Regulation: Emergency procedure requirements are as follows: the center shall conduct two lockdown drills per year and maintain on file a record of each lockdown drill. The center shall ensure that lockdown drills are conducted during each session provided at the center.

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

Ensure that all staff complete 12 hours of staff development annually. 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:52-7.5(b) — Ensure that the dosage on the special care plan for a named child's Epi-pen in Room 3 matches the dosage on the Epi-pen package.

Ensure that the dosage on the special care plan for a named child's Epi-pen in Room 3 matches the dosage on the Epi-pen package. Regulation: 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: Administration and control of prescription and non-prescription medicines and health care procedures (a) The center shall inform each child’s parent upon enrollment of its policy on administering medication and health care procedures to children, including the provisions specified in N.J.A.C. 3A:52-7.5(b) to (d). The policy shall indicate: 1. Whether the center will administer non-prescription medication or a non-prescribed health care procedure to a child; 2. Whether the center will administer prescription medication or a prescribed health care procedure to a child with a short-term illness; and 3. That the center will provide reasonable accommodations for the administration of medication or health care procedures to a child with special needs, if failure to administer the medication or health care procedure would jeopardize the health of the child or prevent the child from attending the center. 1. Medication and health care procedures shall be administered only after receipt of written approval from the child's parent(s). 2. The center shall: i. Designate those staff members who are trained as specified in N.J.A.C. 3A:52-4.8(a)8 and authorized to administer medication or health care procedures to, or to supervise self-administration of medication or health care procedures by, those children whose parents authorize it; and ii. Ensure that each staff member designated to administer medication and health care procedures is informed of each child's medication and health care needs. 3. All medication and health care equipment shall be kept either in a locked cabinet or in an area that is inaccessible to the children. i. All medication shall be kept in its original co

N.J.A.C. 3A:52-7.5(b) — Obtain and maintain on file, parental authorization to administer medication to two named children.

Obtain and maintain on file, parental authorization to administer medication to two named children. Regulation: 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: Administration and control of prescription and non-prescription medicines and health care procedures (a) The center shall inform each child’s parent upon enrollment of its policy on administering medication and health care procedures to children, including the provisions specified in N.J.A.C. 3A:52-7.5(b) to (d). The policy shall indicate: 1. Whether the center will administer non-prescription medication or a non-prescribed health care procedure to a child; 2. Whether the center will administer prescription medication or a prescribed health care procedure to a child with a short-term illness; and 3. That the center will provide reasonable accommodations for the administration of medication or health care procedures to a child with special needs, if failure to administer the medication or health care procedure would jeopardize the health of the child or prevent the child from attending the center. 1. Medication and health care procedures shall be administered only after receipt of written approval from the child's parent(s). 2. The center shall: i. Designate those staff members who are trained as specified in N.J.A.C. 3A:52-4.8(a)8 and authorized to administer medication or health care procedures to, or to supervise self-administration of medication or health care procedures by, those children whose parents authorize it; and ii. Ensure that each staff member designated to administer medication and health care procedures is informed of each child's medication and health care needs. 3. All medication and health care equipment shall be kept either in a locked cabinet or in an area that is inaccessible to the children. i. All medication shall be kept in its original container. ii. Medication shall

N.J.A.C. 3A:52-5.2(c) — Provide a current health certificate as required.

Provide a current health certificate as required. Regulation: If the center prepares meals, the center shall obtain a satisfactory Sanitary Inspection Certificate, as specified in N.J.A.C. 8:24, indicating that the kitchen is in compliance with the applicable requirements of the State Sanitary Code. The center shall maintain on file the Sanitary Inspection Certificate. 6.3(a)2 If the center chooses to provide food, the center shall ensure that all food served to children is prepared by either: i. The center on-site or off-site; or ii. A caterer who is licensed, registered, certified, or otherwise approved, as appropriate, by the local or county health department or State Department of Health, as applicable.

N.J.A.C. 3A:52-4.8(d) — Ensure that all credentialed staff complete 20 hours of staff development annually.

Ensure that all credentialed staff complete 20 hours of staff development annually. Regulation: The director, head teacher(s), group teacher(s), and program supervisor(s) shall each complete 20 hours of staff development each year. Recommended topics of training for these staff include educational and physical activity; special needs programming and program development; social-emotional and behavioral development for young children; legal issues, including ADA guidelines and leadership and advocacy.

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

Ensure that all 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:52-5.3(l)(4) — Conduct and document at least two lockdown drills annually.

Conduct and document at least two lockdown drills annually. Regulation: Emergency procedure requirements are as follows: the center shall conduct two lockdown drills per year and maintain on file a record of each lockdown drill. The center shall ensure that lockdown drills are conducted during each session provided at the center.

N.J.A.C. 3A:52-5.2(d) — Provide a current fire certificate as required.

Provide a current fire certificate as required. Regulation: An applicant seeking the renewal of a license or of a Certificate of Life/Safety Approval to continue operating a center shall obtain and maintain on file a fire safety inspection certificate for the building based on a fire inspection conducted within the preceding 12 months. If the center prepares meals, the applicant seeking renewal shall obtain and maintain on file a satisfactory Sanitary Inspection Certificate, as specified in N.J.A.C. 8:24, indicating that the kitchen is in compliance with the applicable requirements of the State Sanitary Code, based on a sanitary inspection conducted within the preceding 12 months.