Mountain Lakes Country Day School

N.J.A.C. 3A:52-5.3(p) — Ensure that all indoor equipment is sturdy, safe, free of hazards and used in accordance with the manufacturer's instructions. Secure shelving in Toddler 2 room and remove excess storage on top of cabinet.

Ensure that all indoor equipment is sturdy, safe, free of hazards and used in accordance with the manufacturer's instructions. Secure shelving in Toddler 2 room and remove excess storage on top of cabinet. 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:52-4.10(a) — Ensure that CARI background checks are completed as required for the sponsor/sponsor representative and all regularly scheduled staff for the center's license renewal.

Ensure that CARI background checks are completed as required for the sponsor/sponsor representative and 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:52-7.5(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. A named child in the Infant room, requires a physician signature for Health 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:52-7.5(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. A named child in the Preschool 2 room had expired Albuterol. The center shall send back the expired medication and obtain current medication for the child. 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(n)(1) — At the time of the inspection, a toy was observed inside of an evacuation crib. A discussion regarding evacuation cribs being empty was had with classroom staff and administration.

At the time of the inspection, a toy was observed inside of an evacuation crib. A discussion regarding evacuation cribs being empty was had with classroom staff and administration. Regulation: Fire prevention requirements are as follows: the center shall conduct fire drills at least once a month, as specified in the NJUFC. The center shall ensure that fire drills are conducted during each session provided at the center and that one fire drill per year is conducted during nap time, if applicable. The center shall ensure that all children present are evacuated from the building within three minutes during each fire drill.

N.J.A.C. 3A:52-5.3(c)(1) — Provide adequate lighting as required. Ensure all fluorescent tubes and incandescent light bulbs have protective covers or shields. Replace light bulbs in MPR, Toddler 2 and Infant room.

Provide adequate lighting as required. Ensure all fluorescent tubes and incandescent light bulbs have protective covers or shields. Replace light bulbs in MPR, Toddler 2 and Infant room. Regulation: Lighting requirements are as follows: all fluorescent tubes and incandescent light bulbs shall have protective covers or shields. During program activities, at least 20 foot-candles of natural or artificial light shall be provided in all rooms used by the children. This illumination shall be measured three feet above the floor at the farthest point from the light source. Parking areas, pedestrian walkways, or other exterior portions of the premises subject to use by center occupants at night shall be illuminated to provide safe entrance to and egress from the center.

N.J.A.C. 3A:52-5.3(a)(3) — Ensure that all stairways are free of tripping hazards. Repair torn carpet seam in Toddler 2 room (near white shelving units).

Ensure that all stairways are free of tripping hazards. Repair torn carpet seam in Toddler 2 room (near white shelving units). Regulation: Indoor maintenance and sanitation requirements are as follows: stairways shall be free of tripping hazards, such as toys, boxes, loose steps, uneven treads, torn carpeting, raised strips, or uneven risers.

N.J.A.C. 3A:52-5.3(a)(1) — Ensure all surfaces are clean and in good repair including

Ensure all surfaces are clean and in good repair including 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 Clean microwave in Preschool 1 room.

Ensure all surfaces are clean and in good repair including Clean microwave in Preschool 1 room. 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 Clean under changing mat in Infant room.

Ensure all surfaces are clean and in good repair including Clean under changing mat in Infant room. 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 Clean under changing mat in Toddler 1 room.

Ensure all surfaces are clean and in good repair including Clean under changing mat in Toddler 1 room. 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 Clean under changing mat in Toddler room.

Ensure all surfaces are clean and in good repair including Clean under changing mat in Toddler room. 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 Provide a more secure cabinet latch in MPR.

Ensure all surfaces are clean and in good repair including Provide a more secure cabinet latch in MPR. 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:52-4.10(a)(4) — Ensure staff without a cleared CARI are not left alone to supervise children at any time. Renewal CARI's for staff pending.

Ensure staff without a cleared CARI are not left alone to supervise children at any time. Renewal CARI's for staff pending. Regulation: When a person who is not required to complete a CARI background check is working with children at the center, the center shall ensure oversight of that person 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:52-7.7(a)(1)(ii) — Ensure a self-made solution of bleach and water is made daily and in accordance with the manufacturer's instructions. Pre K room did not have the appropriate disinfecting solution.

Ensure a self-made solution of bleach and water is made daily and in accordance with the manufacturer's instructions. Pre K room did not have the appropriate disinfecting solution. Regulation: Disinfectants shall be used as follows: the center shall disinfect those items specified in N.J.A.C. 3A:52-7.7(a)3 with a solution that shall be a self-made solution consisting of one-quarter cup of household bleach to each gallon of water (one tablespoon per quart), which shall be prepared daily and placed in a labeled, sealed container.

N.J.A.C. 3A:52-7.7(a)(1)(i) — Ensure a commercially prepared disinfectant is used in accordance with the manufacturer's instructions.

Ensure a commercially prepared disinfectant is used in accordance with the manufacturer's instructions. Regulation: Disinfectants shall be used as follows: the center shall disinfect those items specified in N.J.A.C. 3A:52-7.7(a)3 with a solution that shall be a commercially prepared disinfectant that indicates it kills bacteria, viruses, and parasites. This solution shall be used in accordance with label instructions.

N.J.A.C. 3A:52-7.8(d)(1)(ii)(3) — Ensure that diapering surfaces are flat, smooth, clean, dry, non-absorbent and in good repair. Infant room: small tear in changing mat.

Ensure that diapering surfaces are flat, smooth, clean, dry, non-absorbent and in good repair. Infant room: small tear in changing mat. Regulation: the diapering surface shall be flat, smooth, clean, dry, non-absorbent, and in good repair.

N.J.A.C. 3A:52-6.3(b)(3)(iv)(1) — Ensure that each child's bottle is labeled with the child's name and date. Infant room: named child had a sippie cup with milk and no old date on cup.

Ensure that each child's bottle is labeled with the child's name and date. Infant room: named child had a sippie cup with milk and no old date on cup. Regulation: Feeding requirements for centers serving children less than 18 months of age are as follows: for bottles, each child's bottle(s) shall be labeled with the child's name and dated.

N.J.A.C. 3A:52-5.3(e) — Provide protective coverings for all fans that are accessible to children. Secure shelving in Preschool room and remove excess storage on top of cabinet.

Provide protective coverings for all fans that are accessible to children. Secure shelving in Preschool room and remove excess storage on top of cabinet. Regulation: All fans that are accessible to the children shall have a grille, screen, mesh, or other protective covering.

N.J.A.C. 3A:52-7.5(b)(7) — Maintain medication records that include the following: child's name; parental authorization; name of medication or health care procedure; illness being treated; instructions for administration, including the dosage and frequenc

Maintain medication records that include the following: child's name; parental authorization; name of medication or health care procedure; illness being treated; instructions for administration, including the dosage and frequency; the date and time medication was administered and the name or initials of the staff member who administered it; and any adverse effect the medication can have or has had on the child. 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: the center shall maintain on file a record of the following: the child's name and parental authorization for the center to administer medication or health care procedures; the name of the medication or health care procedure; the condition for which the medication or health care procedure is being used; the instructions for administration, including the dosage and frequency; the date and time medication or a health care procedure was administered to a child and the name or initials of the staff member who administered it; and any adverse effect the medication can have or has had on the child.

N.J.A.C. 3A:52-4.8(d)(1) — Ensure that all credentialed staff complete 20 hours of staff development annually. The center shall ensure that all staff development records are completed: document Orientation training hours and obtain staff signatures. All r

Ensure that all credentialed staff complete 20 hours of staff development annually. The center shall ensure that all staff development records are completed: document Orientation training hours and obtain staff signatures. All regularly scheduled staff must have 20 hours of training. Regulation: In lieu of the child care staff development specified in N.J.A.C. 3A:52-4.8(b), 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:52-5.3(a)(16) — Repair and/or paint the walls, bathroom stalls, and other surfaces as required. Repair chipped/rusted black metal trim in bathroom located in Room 1.

Repair and/or paint the walls, bathroom stalls, and other surfaces as required. Repair chipped/rusted black metal trim in bathroom located in Room 1. Regulation: Indoor maintenance and sanitation requirements are as follows: walls shall be painted or otherwise covered whenever there is evidence of: excessive peeling or chipped paint; or heavily soiled conditions.

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 or other equivalent documentation from a healthcare provider, and that two are present when two are r

Ensure Epi-pens are stored in their original boxes with the child's name and prescription, accompanied by a special care plan or other equivalent documentation from a healthcare provider, and that two are present when two are required by the plan. 1 named child's Health Action plan was not available for review at the time of the inspection. The center shall ensure that the Health Action plan is signed by the parent and physician. 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: 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 Epi-pens are stored in their original boxes with the child's name and prescription, accompanied by a special care plan or other equivalent documentation from a healthcare provider, and that two are present when two are r

Ensure Epi-pens are stored in their original boxes with the child's name and prescription, accompanied by a special care plan or other equivalent documentation from a healthcare provider, and that two are present when two are required by the plan. 1 named child's Health Action plan indicated that the child was asthmatic. The center shall verify if the child requires medication for asthma. 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: 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:52-4.8(c) — Ensure that all staff complete 12 hours of staff development annually. The center shall ensure that all staff development records are completed: document Orientation training hours and obtain staff signatures. All regularly schedul

Ensure that all staff complete 12 hours of staff development annually. The center shall ensure that all staff development records are completed: document Orientation training hours and obtain staff signatures. All regularly scheduled staff must have 12 hours of training. Regulation: The center shall ensure that all staff members who work at the center complete 12 hours of continuing staff development each year.