The Learning Experience

N.J.A.C. 3A:52-5.3(i)(8) — Submit a Safe Building Interior Certification or other approval issued by the DOH.

Submit a Safe Building Interior Certification or other approval issued by the DOH. Regulation: at the time of the initial application, any renewal application, relocation of an existing licensed center, and, as determined by the Office of Licensing, on a case-by-case basis, the facility operator shall submit to the Office of Licensing a Safe Building Interior Certification or other approval issued by the Department of Health that indicates that no further remediation is needed for the interior of the building in which the center is located. the Office of Licensing shall not issue licenses or renewals to child care centers that are co-located in a building or other structure that contains a dry cleaner or nail salon unless the applicant obtains indoor air sampling that demonstrates that there is no impact to the child care center.

N.J.A.C. 3A:52-7.8(a)(1) — Ensure that children wash their hands with soap and running water immediately after using the toilet in Room 106.

Ensure that children wash their hands with soap and running water immediately after using the toilet in Room 106. 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(m)(2) — Ensure that all exits and egress areas are unobstructed at all times. The staff took immediate action to remove the snow from blocking the exit door of Room 120.

Ensure that all exits and egress areas are unobstructed at all times. The staff took immediate action to remove the snow from blocking the exit door of Room 120. 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(e)(1)(iv) — Ensure mouthed toys are washed and sanitized before being given to another child in Room133.

Ensure mouthed toys are washed and sanitized before being given to another child in Room133. 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: i. Toilet training chairs and potty seats that have first been emptied into a toilet; ii Sinks and faucets used for rinsing a toilet training chair; iv. Toys mouthed by infants and toddlers before being given to another child; and

N.J.A.C. 3A:52-4.5(b)(2) — Complete and maintain daily time sheets with arrival and departure times for children in Room 109.

Complete and maintain daily time sheets with arrival and departure times for children in Room 109. Regulation: The director shall have the authority and responsibility for the implementation of policies and procedures for the day-to-day operation of the center, including maintenance of staff attendance records indicating daily hours worked and maintenance of children's daily attendance records, including the daily time of arrival and departure.

N.J.A.C. 3A:52-5.3(a)(1) — Clean and maintain the children's bathroom in Room 112.

Clean and maintain the children's bathroom in Room 112. 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) — Repair/replace the inoperable light in Room 112.

Repair/replace the inoperable light in Room 112. 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) — Secure the bathroom sink in Room 109.

Secure the bathroom sink in Room 109. 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:52-6.2(a)(1) — Ensure that the center has an adequate supply of materials to meet the daily activity needs of the children and the program and ensure all materials used by the children are age-appropriate, non-toxic, and safe for use by childr

Ensure that the center has an adequate supply of materials to meet the daily activity needs of the children and the program and ensure all materials used by the children are age-appropriate, non-toxic, and safe for use by children. Replace the tattered books in Room109. Regulation: The center shall provide a supply of age-appropriate and developmentally appropriate program equipment including play equipment, child-size furniture and supplies that are sufficient to meet the daily activity needs of the children and the program.

N.J.A.C. 3A:52-5.3(b)(1) — Remove the overgrown vegetation in the outdoor play area.

Remove the overgrown vegetation in the outdoor play area. 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:52-5.3(b)(1) — Secure the water hose in the outdoor play area.

Secure the water hose in the outdoor play area. 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:52-5.3(b)(7) — Ensure that all playground equipment use zones have a 6ft clearance around the perimeter.

Ensure that all playground equipment use zones have a 6ft clearance around the perimeter. 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:52-4.8(a) — Based on information, retrain all staff on 1. The center's supervision policy and 2. The center's policies and procedures for tracking children.

Based on information, retrain all staff on 1. The center's supervision policy and 2. The center's policies and procedures for tracking children. 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:52-4.3(a) — Based on information, ensure that adequate supervision is maintained at all times throughout the center. A named child was left unsupervised on the playground for an unknown amount of time.

Based on information, ensure that adequate supervision is maintained at all times throughout the center. A named child was left unsupervised on the playground for an unknown amount of time. 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)(1) — Based on information, ensure that adequate procedures for tracking children are adhered to at all times throughout the center. A named staff failed to count the children upon exiting the playground and did not realize that a nam

Based on information, ensure that adequate procedures for tracking children are adhered to at all times throughout the center. A named staff failed to count the children upon exiting the playground and did not realize that a named child was left unsupervised on the playground. 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:52-7.8(a)(1) — Ensure that children wash their hands with soap and running water as required after having their diaper changed in Room 131.

Ensure that children wash their hands with soap and running water as required after having their diaper changed in Room 131. 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 complaint#24336, the center needs to ensure accident reports are completed as required including all required components which shall include the time of the incident and a written description is provided by the next ope

Based on complaint#24336, the center needs to ensure accident reports are completed as required including all required components which shall include the time of the incident and a written description is provided by the next operating day upon parental request. 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:52-7.6(a) — Based on complaint#24336, the center needs to ensure that parents are notified immediately: when a child bumps his or her head.

Based on complaint#24336, the center needs to ensure that parents are notified immediately: when a child bumps his or her head. 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:52-4.3(c) — Based on complaint#24336, the center needs to ensure that adequate staff/child ratios are maintained at all times throughout the center.

Based on complaint#24336, the center needs to ensure that adequate staff/child ratios are maintained at all times throughout the center. 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:52-7.10(b) — Based on complaint#24336, the center needs to ensure that the Office of Licensing is notified by the next working day when injury occurs at the center and results in a child visiting the emergency room.

Based on complaint#24336, the center needs to ensure that the Office of Licensing is notified by the next working day when injury occurs at the center and results in a child visiting the emergency room. Regulation: The director, sponsor, or sponsor representative shall report the following occurrences to the Office of Licensing by the next working day after the center learns of the occurrence and shall submit documentation to the Office of Licensing within one week of the occurrence of the incident: 1. The occurrence of an injury or illness while under the center’s supervision that results in a child visiting the emergency room; 2. The occurrence of an injury or illness while under the center’s supervision that results in a child’s admittance to the hospital; 3. The death of a child while under the center’s supervision; or 4. The occurrence of an injury or illness that results in a call to 911, on-site medical or transported emergency care, or urgent care.

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.

N.J.A.C. 3A:52-3.4(a) — Provide documentation that the center has current comprehensive general liability insurance coverage.

Provide documentation that the center has current comprehensive general liability insurance coverage. Regulation: The sponsor or sponsor representative shall secure comprehensive general liability insurance coverage for the center and shall maintain on file a copy of the insurance policy or documentation of current insurance coverage.

N.J.A.C. 3A:52-5.3(m)(2) — Ensure that all exits and egress areas are unobstructed in Room 133. Staff took immediate action to remove the paint containers from obstructing the egress exit door.

Ensure that all exits and egress areas are unobstructed in Room 133. Staff took immediate action to remove the paint containers from obstructing the egress exit door. 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:52-4.3(a) — Ensure that children are directly supervised at all times. Staff were observed sitting while children were engaged in gross motor play.

Ensure that children are directly supervised at all times. Staff were observed sitting while children were engaged in gross motor play. 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:52-5.3(b)(7) — Replenish the resilient surfacing throughout the outdoor play area.

Replenish the resilient surfacing throughout the outdoor play area. 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.