Child Care Center of St. Joseph's Regional Medical Center

N.J.A.C. 3A:52-5.3(q)(1) — Ensure all rooms are approved by the OOL prior to use; make unapproved space inaccessible to children. Including the room located behind room 6.

Ensure all rooms are approved by the OOL prior to use; make unapproved space inaccessible to children. Including the room located behind room 6. Regulation: Space and room requirements are as follows: all space and rooms within the center to be used by children shall be inspected and approved by the Office of Licensing prior to their use. In making its determination, the Office of Licensing shall consider whether the space is too far removed, remote, or isolated from other areas of the center to be used by children. Rooms or areas of the center that are not Office of Licensing-approved for use by children shall be made inaccessible to children.

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. There are 7 missing CARI's.

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. There are 7 missing CARI's. 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:52-5.3(a)(1) — Replace or repair the sink in room 6.

Replace or repair the sink in room 6. 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(c)(1) — Replace the lightbulb in the Pit in the back of the room.

Replace the lightbulb in the Pit in the back of the 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(c)(1) — Ensure all fluorescent tubes and incandescent light bulbs have protective covers or shields in the bathroom in room 9.

Ensure all fluorescent tubes and incandescent light bulbs have protective covers or shields in the bathroom in room 9. 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:52-7.5(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:52-6.2(a)(1) — Ensure that the center has an adequate supply of materials to meet the daily activity needs of the children and the program for room 8 or request a decrease to the license on www.NJCCIS.com. At the time of the inspection, room 8

Ensure that the center has an adequate supply of materials to meet the daily activity needs of the children and the program for room 8 or request a decrease to the license on www.NJCCIS.com. At the time of the inspection, room 8 was set up as a nap room and not a classroom. If requesting the decrease, the new license capacity will be 112. 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:52-4.8(c) — Ensure that all staff complete 12 hours of staff development annually. Missing annual training logs for 10 staff.

Ensure that all staff complete 12 hours of staff development annually. Missing annual training logs for 10 staff. Regulation: The center shall ensure that all staff members who work at the center complete 12 hours of continuing staff development each year. Orientation training as specified in N.J.A.C. 3A:52-4.8(a) may be included for six of the required hours of staff development specified in N.J.A.C. 3A:52-4.8(c) and (d).

N.J.A.C. 3A:52-4.8(a) — Ensure that all staff complete orientation training within two weeks of hire and annually. Missing orientation logs for 11 staff.

Ensure that all staff complete orientation training within two weeks of hire and annually. Missing orientation logs for 11 staff. 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 the sponsor/sponsor representative and all regularly scheduled staff. Missing CHRI background check for 1 new staff.

Ensure that CHRI background checks are completed as required for the sponsor/sponsor representative and all regularly scheduled staff. Missing CHRI background check for 1 new 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:52-4.5(e)(4) — Submit educational documentation including transcripts for the 2 group teachers. Ensure that the staff are associated with the center on www.NJCCIS.com. If the center decreases the license, only 1 group teacher will be necessary

Submit educational documentation including transcripts for the 2 group teachers. Ensure that the staff are associated with the center on www.NJCCIS.com. If the center decreases the license, only 1 group teacher will be necessary. Regulation: For early childhood programs the group teacher(s) shall be scheduled and have the authority and responsibility to work at the center for at least 75 percent of the center's daily operating hour or at least six hours a day, whichever is less and assist the head teacher in implementing the center's child development and activities program.

N.J.A.C. 3A:52-5.3(q)(1) — Ensure all rooms are approved by the OOL prior to use; make unapproved space inaccessible to children. Submit a Life Safety Modification request on www.NJCCIS.com to add the nap room connected to room 6 or submit an Memorandum

Ensure all rooms are approved by the OOL prior to use; make unapproved space inaccessible to children. Submit a Life Safety Modification request on www.NJCCIS.com to add the nap room connected to room 6 or submit an Memorandum of Understanding (MOU) indicating that the space will no longer be used. Regulation: Space and room requirements are as follows: all space and rooms within the center to be used by children shall be inspected and approved by the Office of Licensing prior to their use. In making its determination, the Office of Licensing shall consider whether the space is too far removed, remote, or isolated from other areas of the center to be used by children. Rooms or areas of the center that are not Office of Licensing-approved for use by children shall be made inaccessible to children.