Land of Oz

N.J.A.C. 3A:52-5.3(a)(1) — Replace the stained ceiling tils in the corner of room 4.

Replace the stained ceiling tils in the corner of room 4. 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:52-5.2(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:52-4.8(a) — Ensure that all staff complete orientation training within two weeks of hire and annually. One staff member is missing orientation training.

Ensure that all staff complete orientation training within two weeks of hire and annually. One staff member is missing orientation training. 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:52-7.8(a)(4) — Ensure that staff wash their hands with soap and running water as required including after wiping a child's nose. Staff used hand sanitizer in place of handwashing in room 3.

Ensure that staff wash their hands with soap and running water as required including after wiping a child's nose. Staff used hand sanitizer in place of handwashing in room 3. 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:52-7.5(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. Two children are missing antihistamines, one child's epi pens expired and another child's special care plan calls for medication, which is not present at the center. 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(p) — Ensure that all outdoor equipment is sturdy, safe, free of hazards and used in accordance with the manufacturer's instructions. Ensure the landscaping paper is covered and not a tripping hazard on the large playground.

Ensure that all outdoor equipment is sturdy, safe, free of hazards and used in accordance with the manufacturer's instructions. Ensure the landscaping paper is covered and not a tripping hazard on the large playground. 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:52-5.3(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:52-5.3(a)(15) — Maintain all mechanical ventilation in a clean and operating condition. Pertaining to the vent fan in the bathroom between rooms 1 and 2.

Maintain all mechanical ventilation in a clean and operating condition. Pertaining to the vent fan in the bathroom between rooms 1 and 2. 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(a)(1) — Ensure all surfaces are good repair including the wood paneling, on the wall, by the door, in room 2.

Ensure all surfaces are good repair including the wood paneling, on the wall, by the door, in room 2. 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 fraying blue couch in room 2.

Repair/ replace the fraying blue couch in room 2. 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 the AC unit in a clean and sanitary condition in room #2.

Maintain the AC unit in a clean and sanitary condition in room #2. 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:52-7.7(e)(1)(iii) — Ensure that the center washes and disinfects diapering surfaces after each use in room #2.

Ensure that the center washes and disinfects diapering surfaces after each use in room #2. 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: iii. Diapering surfaces;

N.J.A.C. 3A:52-5.3(b)(7) — Repair and/or remove all rusted toys from the outdoor play area and ensure that all outdoor equipment is sturdy, safe, free of hazards and used in accordance with the manufacturer's instructions.

Repair and/or remove all rusted toys from the outdoor play area and ensure that all outdoor equipment is sturdy, safe, free of hazards and used in accordance with the manufacturer's instructions. 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(a)(16) — Repair the step between room #5 and #3 as required.

Repair the step between room #5 and #3 as required. 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:52-7.8(a)(1)(iii) — Ensure that children wash their hands immediately after coming into contact with bodily secretions, including after they blow their noses.

Ensure that children wash their hands immediately after coming into contact with bodily secretions, including after they blow their noses. 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 immediately after coming into contact with blood, fecal matter, urine, vomit, nasal secretions, or other body fluids or secretions.

N.J.A.C. 3A:52-7.8(a)(4)(i) — Ensure that staff wash their hands immediately before preparing or serving food, and before putting on gloves.

Ensure that staff wash their hands immediately before preparing or serving food, and before putting on gloves. Regulation: Handwashing requirements are as follows: staff members shall wash their hands with soap and running water immediately before preparing or serving food.

N.J.A.C. 3A:52-7.7(e)(1)(iii) — Ensure that the center washes and disinfects diapering surfaces after each use in room #2.

Ensure that the center washes and disinfects diapering surfaces after each use in room #2. Regulation: For early childhood programs, the following shall apply: in addition to the items specified in N.J.A.C. 3A:52-7.7(a)3, the following equipment items or surfaces shall be washed and disinfected after each use, diapering surfaces.

N.J.A.C. 3A:52-4.3(c) — Ensure that adequate staff/child ratios are maintained at all times in room #5. Fourteen children between the ages of three and four years were present with one staff, wherein two staff members were needed to maintain ratio.

Ensure that adequate staff/child ratios are maintained at all times in room #5. Fourteen children between the ages of three and four years were present with one staff, wherein two staff members were needed to maintain ratio. Regulation: The following staff/child ratios shall apply, except as specified in 3A:52-4.3(d) through (f): Age Staff/Child Ratio 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

N.J.A.C. 3A:52-4.3(a) — Ensure that children are directly supervised at all times, including walking through hallways in room #1.

Ensure that children are directly supervised at all times, including walking through hallways in room #1. 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.

N.J.A.C. 3A:52-5.3(a)(15) — Ensure to provide mechanical ventilation in the bathroom in room #1.

Ensure to provide mechanical ventilation in the bathroom in room #1. 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(b)(1) — Ensure all outdoor tripping hazards are removed as required near the trees in the play area.

Ensure all outdoor tripping hazards are removed as required near the trees in the play area. 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(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: Environmental condition precautions are as follows: 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.

N.J.A.C. 3A:52-5.3(p) — Repair and/or remove all rusted toys from the outdoor play area and ensure that all outdoor equipment is sturdy, safe, free of hazards and used in accordance with the manufacturer's instructions.

Repair and/or remove all rusted toys from the outdoor play area and 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.