Project LEAL-North Brunswick Twp Dept of Parks, Rec & Commun

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:52-4.3(a) — Ensure that children are directly supervised at all times. At the time of the inspection, children were observed walking between the gym and the cafeteria unsupervised.

Ensure that children are directly supervised at all times. At the time of the inspection, children were observed walking between the gym and the cafeteria unsupervised. 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:52-4.4(c) — Limit group size to 30 school-age children.

Limit group size to 30 school-age children. Regulation: For school-age child care programs, the following shall apply: 1. A group shall consist of the number of children: i. Occupying an individual room or occupying a specific area within a large room. The area shall be defined by a visible barrier, partition, or any other room divider or separation having a height above the eye level of the children who use that area; or ii. Engaged together in a particular activity at any given time, regardless of whether the room or area within a large room is divided or partitioned. 2. Each group shall be limited to a maximum of 30 children except during meals, outdoor activities, and specially-scheduled events.

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:52-7.5(b)(10) — Ensure that 1 named child has an asthma action plan accompanied with the Albuterol.

Ensure that 1 named child has an asthma action plan accompanied with the Albuterol. 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:52-7.5(b)(10) — Ensure that 1 named child has an antihistamine present as per the care plan.

Ensure that 1 named child has an antihistamine present as per the care plan. 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:52-7.5(b)(10) — Ensure that 1 named child has an antihistamine and Albuterol present as per the special care plan, as well as an asthma action plan.

Ensure that 1 named child has an antihistamine and Albuterol present as per the special care plan, as well as an asthma action plan. 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:52-4.10(b)(1) — Ensure that CARI background checks are completed as required for 4 named staff.

Ensure that CARI background checks are completed as required for 4 named staff. Regulation: Within two weeks after a new staff member begins working at the center, the sponsor or sponsor representative shall submit to the Department a completed CARI consent form for the new staff member. Until the results of the CARI background check for a new staff member have been received from the Department, the center shall ensure oversight of the new staff member by another staff member, and ensure that person is not left alone to supervise a child or group of children.

N.J.A.C. 3A:52-7.6(b)(6) — Ensure accident reports are completed as required including all required components.

Ensure accident reports are completed as required including all required components. 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:52-3.5(b) — Ensure that the center provides, in writing or by e-mail, the center's telephone number that provides direct on-site contact during operating hours to all parents.

Ensure that the center provides, in writing or by e-mail, the center's telephone number that provides direct on-site contact during operating hours to all parents. Regulation: The center shall provide parents of all enrolled children with its telephone number, either in writing or by e-mail. This telephone number shall provide parents direct on-site contact during operating hours.

N.J.A.C. 3A:52-4.8(e) — Ensure that the center director designee completes the OOL's Understanding Licensing training within 90 days of hire.

Ensure that the center director designee completes the OOL's Understanding Licensing training within 90 days of hire. Regulation: Directors shall complete staff development in understanding licensing regulations as provided by the Office of Licensing within 90 days of hire. Such staff development may be included in the required 20 hours of staff development specified in N.J.A.C. 3A:52-4.8(d).

N.J.A.C. 3A:52-7.5(b) — Develop and follow a policy for the administration of medication at the center.

Develop and follow a policy for the administration of medication at the center. 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 be refrigerated if

N.J.A.C. 3A:52-7.3(b) — Ensure children with special medical needs listed on their enrollment application provide documentation from a medical provider or submit an updated enrollment application.

Ensure children with special medical needs listed on their enrollment application provide documentation from a medical provider or submit an updated enrollment application. Regulation: (b) For school-age child care programs, the following shall apply: 1. 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 special needs that may require special accommodations.

N.J.A.C. 3A:52-6.1(f) — Ensure that a written outline of daily activities is maintained on file.

Ensure that a written outline of daily activities is maintained on file. Regulation: Prepare and maintain on file a written outline of the center's daily activities

N.J.A.C. 3A:52-4.8(a) — Ensure that all staff complete orientation training within two weeks of hire and annually.

Ensure that all staff complete orientation training within two weeks of hire and 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:52-4.11(a) — Ensure that CHRI background checks are completed as required for all regularly scheduled staff.

Ensure that CHRI background checks are completed as required for all regularly scheduled staff. 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:52-4.10(a) — Ensure that CARI background checks are completed as required for all regularly scheduled staff for the center's license renewal.

Ensure that CARI background checks are completed as required for all regularly scheduled staff for the center's license renewal. Regulation: As a condition of securing a new or renewal license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall provide for himself or herself, and shall obtain from all staff members who are or will be working at the center on a regularly scheduled basis, written consent for the Department to conduct a Child Abuse Record Information (CARI) background check to determine whether an incident of child abuse or neglect has been substantiated against any such person. If a staff member refused to consent to a CARI background check, the sponsor or sponsor representative shall immediately terminate the staff member's employment at the center.

N.J.A.C. 3A:52-4.10(a) — Ensure that CARI background checks are completed as required for the sponsor/sponsor representative for the center's license renewal.

Ensure that CARI background checks are completed as required for the sponsor/sponsor representative for the center's license renewal. Regulation: As a condition of securing a new or renewal license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall provide for himself or herself, and shall obtain from all staff members who are or will be working at the center on a regularly scheduled basis, written consent for the Department to conduct a Child Abuse Record Information (CARI) background check to determine whether an incident of child abuse or neglect has been substantiated against any such person. If a staff member refused to consent to a CARI 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:52-7.5(b)(10) — Ensure Epi-pens are stored in their original boxes with the child's name and prescription, accompanied by a special care plan that includes procedures for contacting parents and emergency medical services, and both epi-pens are

Ensure Epi-pens are stored in their original boxes with the child's name and prescription, accompanied by a special care plan that includes procedures for contacting parents and emergency medical services, and both epi-pens are present when two are required. 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(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:52-4.5(a)(3) — Ensure that the center has a table of organization that illustrates lines of authority, responsibility, and job descriptions.

Ensure that the center has a table of organization that illustrates lines of authority, responsibility, and job descriptions. 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(i)(5)(i) — Submit a copy of the public school's drinking water test results.

Submit a copy of the public school's drinking water test results. Regulation: Environmental condition precautions are as follows: at the time of the initial application, any renewal application, relocation of an existing licensed center and, in the discretion of the Office of Licensing, any other time, the applicant or facility operator shall certify in writing that the center provides a potable water supply provided by a public community water system. If the facility is supplied by a public community water system, the applicant or facility operator shall provide documentation of water testing conducted by a laboratory certified by the Department of Environmental Protection for water testing for lead and copper from all faucets and other sources used for drinking water or food preparation and at least 50 percent of all indoor water faucets utilized by the center.