The Learning Experience

N.J.A.C. 3A:52-4.3(c) — Ensure that adequate staff/child ratios are maintained at all times including Room 109 with 16 school-aged children and 2 more coming to the door with 1 staff.

Ensure that adequate staff/child ratios are maintained at all times including Room 109 with 16 school-aged children and 2 more coming to the door with 1 staff. 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(a) — Based on report, retrain all staff on immediate notification to parents on head injuries.

Based on report, retrain all staff on immediate notification to parents on head injuries. 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:52-7.6(a) — Based on report, ensure that parents are notified immediately when a child sustains a head injury.

Based on report, ensure that parents are notified immediately when a child sustains a head injury. Regulation: (a) The center shall take immediate necessary action to protect the child from further harm and shall immediately notify the child's parent(s) when one of the following occurs while the child is in the center’s care: 1. A child is bitten and the skin is broken; 2. A child sustains a head or facial injury, including when a child bumps his or her head; 3. A child falls from a height greater than the height of the child; or 4. An injury requiring professional medical care occurs.

N.J.A.C. 3A:52-6.4(b)(2) — Ensure sleeping mats with foam showing are repaired or replaced at the center.

Ensure sleeping mats with foam showing are repaired or replaced at the center. 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:52-4.11(a) — Ensure that CHRI background checks are completed as required for the sponsor/sponsor representative and all regularly scheduled staff. Three staff require fingerprint background clearances.

Ensure that CHRI background checks are completed as required for the sponsor/sponsor representative and all regularly scheduled staff. Three staff require fingerprint background clearances. Regulation: As a condition of securing a license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall ensure that a Criminal History Record Information (CHRI) fingerprint background check is completed for himself or herself, and for all staff members at least 18 years of age who are or will be working at the center on a regularly- scheduled basis, to determine whether any such person has been convicted of a crime, as specified in P.L. 2000, c. 77 (N.J.S.A. 30:5B-6.10 to 6.17). If a staff member refuses to consent to a CHRI background check, the sponsor or sponsor representative shall immediately terminate the staff member’s employment at the center.

N.J.A.C. 3A:52-4.1(d) — Complete and maintain on file, a current Staff Records Checklist designated by OOL.

Complete and maintain on file, a current Staff Records Checklist designated by OOL. 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:52-4.5(a)(3) — Ensure that the center has a table of organization that illustrates line of authority is updated.

Ensure that the center has a table of organization that illustrates line of authority is updated. Regulation: The sponsor or sponsor representative shall designate individuals with the authority and responsibility to develop and implement written policies and procedures for the operation of the center, including a table of organization that illustrates lines of authority, responsibility and communication; and job descriptions, titles and qualifications for all center staff.

N.J.A.C. 3A:52-5.3(a)(8) — Ensure pesticides are applied outside of operating hours and in accordance with manufacturer's instructions. There are ants by the window in Room 107.

Ensure pesticides are applied outside of operating hours and in accordance with manufacturer's instructions. There are ants by the window in Room 107. Regulation: Indoor maintenance and sanitation requirements are as follows: pesticides for indoor and outdoor use shall be used in accordance with the manufacturer's directions and in keeping with the applicable provisions specified in N.J.A.C. 7:30-10, Pesticide Control Code. No pesticides shall be applied in or around a child care center during operating hours. Before applying pesticides, all toys and non-permanent play equipment shall be removed from outdoor and indoor play areas.

N.J.A.C. 3A:52-5.3(a)(16) — Repair and/or paint surfaces including the chipped paint on walls or doors in Rooms 109 and 114.

Repair and/or paint surfaces including the chipped paint on walls or doors in Rooms 109 and 114. Regulation: Walls shall be painted or otherwise covered whenever there is evidence of: i. Excessive peeling or chipped paint; or ii. Heavily soiled conditions.

N.J.A.C. 3A:52-5.3(a)(1) — Ensure all surfaces are clean and in good repair including providing coverage such as containers or clear bags for items like clothes or diapers in the bathrooms.

Ensure all surfaces are clean and in good repair including providing coverage such as containers or clear bags for items like clothes or diapers in the bathrooms. 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) — Ensure all surfaces are clean and in good repair including removing items that are stored in the bathroom in Room 122.

Ensure all surfaces are clean and in good repair including removing items that are stored in the bathroom 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) — Ensure all surfaces are clean and in good repair including the sticky floor and carpet with crumbs in Room 107.

Ensure all surfaces are clean and in good repair including the sticky floor and carpet with crumbs in Room 107. 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)(7) — Due to current construction of a new surface for the playground, provide documentation that the playground surfacing meets ASTM F1292.

Due to current construction of a new surface for the playground, provide documentation that the playground surfacing meets 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(b)(1) — The outdoor play area is currently being renovated.

The outdoor play area is currently being renovated. Regulation: Outdoor maintenance and sanitation requirements are as follows: The building, land, walkways, and outdoor play area shall be free from hazards to the health, safety or well-being of the children.

N.J.A.C. 3A:52-5.3(b)(1) — Ensure all outdoor hazards are removed from the outdoor play area as required including all equipment from the current construction happening on the playground.

Ensure all outdoor hazards are removed from the outdoor play area as required including all equipment from the current construction happening on the playground. 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:52-4.1(d) — Complete and maintain on file, a current Staff Records Checklist designated by OOL.

Complete and maintain on file, a current Staff Records Checklist designated by OOL. 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:52-6.1(g)(1) — Ensure that the children go outdoors daily. The center has had their playground being worked on for the past week and there has been no outdoor activity.

Ensure that the children go outdoors daily. The center has had their playground being worked on for the past week and there has been no outdoor activity. Regulation: For early childhood programs, the following shall apply: the center shall provide daily outdoor activities at an outdoor play area, park or playground, or on a walk, weather permitting.

N.J.A.C. 3A:52-5.3(p) — Ensure that all outdoor equipment is sturdy, safe, free of hazards and used in accordance with the manufacturer's instructions.

Ensure that all outdoor equipment is sturdy, safe, free of hazards and used in accordance with the manufacturer's instructions. 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:52-4.3(a) — Based on information, ensure adequate supervision is maintained at all times throughout the center. Two named staff were not aware of how a child sustained a scratch on their nose.

Based on information, ensure adequate supervision is maintained at all times throughout the center. Two named staff were not aware of how a child sustained a scratch on their nose. 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:52-4.3(a) — Ensure that children are directly supervised at all times including in the Twaddler Room which had several different children at different times climb on a sensory table to a shelf next to it and stand before staff realized what w

Ensure that children are directly supervised at all times including in the Twaddler Room which had several different children at different times climb on a sensory table to a shelf next to it and stand before staff realized what was happening. 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:52-4.3(a) — Ensure that children are directly supervised at all times including the Presch0ol One Room when it was circle time and one staff was one the ground and one was standing with her back to the children that left the circle and were ov

Ensure that children are directly supervised at all times including the Presch0ol One Room when it was circle time and one staff was one the ground and one was standing with her back to the children that left the circle and were over at the computer table behind 2 standing shelves out of sight. The children were pulling at the computer keyboard and desktop without intervention. 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 staff wipe children's noses.

Ensure that staff wash their hands with soap and running water as required including after staff wipe children's noses. 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 immediately after using the toilet. Preschool One Room had a child leave the bathroom with no handwashing.

Ensure that children wash their hands with soap and running water as required including immediately after using the toilet. Preschool One Room had a child leave the bathroom with no handwashing. 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:52-7.6(b)(6) — Based on information, ensure that incident reports are completed as required.

Based on information, ensure that incident reports are completed as required. Regulation: (b) The center shall maintain on file a written record of each incident resulting in an injury as specified in (a) above. These records shall include the following: 1. The name of the injured child; 2. The date, time and location of the incident; 3. The name and address of the center; 4. The name of the person completing the report; 5. The date the report was completed; and 6. A written description of the following: i. The incident; ii. The injury to the child; iii. The names of witnesses to the incident; and iv. The follow-up action taken by the center, including: (1) Application of first aid; and (2) Consultation or treatment by a licensed physician or other health care provider, if applicable. (d) Upon request of the child's parent, the center shall provide a written description of the incident by the end of the next operating day.

N.J.A.C. 3A:52-6.4(b)(2) — Ensure sleeping mats with foam showing are repaired or replaced at the center.

Ensure sleeping mats with foam showing are repaired or replaced at the center. 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.