Memorial Day Nursery

N.J.A.C. 3A:52-4.8(a) — Based on information, retrain all staff on the center's supervision policy.

Based on information, retrain all staff on the center's supervision policy. 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. Two named staff were not adequately supervising the children and using their cell phones for over 10 minutes and a named child

Based on information, ensure that adequate supervision is maintained at all times throughout the center. Two named staff were not adequately supervising the children and using their cell phones for over 10 minutes and a named child was hit by 2 other children. 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:52-4.10(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. Missing renewal CARI background checks for all staff.

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. Missing renewal CARI background checks for all staff. 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:52-7.6(a) — Ensure that parents are notified immediately when: a child is bitten and the skin is broken; a child sustains a head or facial injury, including when a child bumps his or her head; a child falls from a height greater than the heigh

Ensure that parents are notified immediately when: a child is bitten and the skin is broken; a child sustains a head or facial injury, including when a child bumps his or her head; a child falls from a height greater than the height of the child; or an injury requiring professional medical care occurs. 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:52-7.3(a) — Ensure health records are maintained on file as required. Missing updated Universal Health Records for 3 children.

Ensure health records are maintained on file as required. Missing updated Universal Health Records for 3 children. Regulation: (a) For early childhood programs, the following shall apply: 1. Each child not enrolled in a public or private school shall have had a health examination performed by a health care provider within: i. Six months prior to admission, for children who are 2½ years of age or younger; or ii. One year prior to admission, for children above 2½ years of age. 2. For each child not enrolled in a public or private school, upon admission, the center shall maintain on file at the center a Universal Child Health Record (Department of Health Form CH-14) or its equivalent, updated annually, along with an immunization record , and a special care plan, if applicable. A 30-day grace period is permitted in N.J.A.C. 8:57- 4.5(e): i. For children coming from other states or countries in accordance with N.J.A.C. 8:57-4.6 and 4.7; and ii. For children who are in foster care or experiencing homelessness as defined by the McKinney-Vento Act, 42 U.S.C. § 11434a(2). 3. For children enrolled in a public or private school, 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 specific needs that may require special accommodations. 4. If immunizations are contraindicated for medical reasons, the center may choose to admit the child, provided that the parent submits to the center a written statement from a health care provider attesting to the following: i. The reason the immunization is medically contraindicated; and ii. The specific time period that the immunization is medically contraindicated. 5. A child shall be exempted from a physical examination, immunization, or medical treatment if the parent objects thereto in a written statement submitted to the center, signed by the parent, explaining how the examination, immuniz

N.J.A.C. 3A:52-6.5(a) — Maintain at the center and distribute to all families, a written policy on the release of children that includes all required components. Edit the policy to include all of the required components and redistribute the policy for sig

Maintain at the center and distribute to all families, a written policy on the release of children that includes all required components. Edit the policy to include all of the required components and redistribute the policy for signature. Regulation: (a) The center shall maintain on file and follow a written policy on the release of children, which shall include: 1. The provision that each child may be released only to the child's parent(s) or person(s) authorized by the parent(s), as specified in N.J.A.C. 3A:52-6.8(a)3, to take the child from the center and to assume responsibility for the child in an emergency if the parent(s) cannot be reached; 61 2. The provision that, if a particular non-custodial parent has been denied access, or granted limited access, to the child by a court order, the center shall secure documentation to this effect, maintain a copy on file, and comply with the terms of the court order; 3. Written procedures to be followed by staff member(s) if the parent(s) or person(s) authorized by the parent(s), as specified in (a)1 above, fails to pick up a child at the time of the center's daily closing. The procedures shall require that: i. The child is supervised at all times; ii. Staff members attempt to contact the parent(s) or person(s) authorized by the parents; and iii. An hour or more after closing time, and provided that other arrangements for releasing the child to his or her parent(s) or authorized person(s) have failed and the staff member(s) cannot continue to supervise the child at the center, the staff member shall call the Department's State Central Registry Hotline (1-877 NJ ABUSE/1-877-652-2873) to seek assistance in caring for the child until the parent(s) or person(s) authorized by the child's parent(s) is able to pick up the child; and 4. Written procedures to be followed by a staff member(s) if the parent(s) or person(s) authorized by the parent(s), as specified in (a)1 above, appear to be physically or emotionally impaired to th

N.J.A.C. 3A:52-4.8(d) — Ensure that all credentialed staff complete 20 hours of staff development annually. Missing annual training logs for all staff.

Ensure that all credentialed staff complete 20 hours of staff development annually. Missing annual training logs for all staff. Regulation: 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:52-4.8(c) — Ensure that all staff complete 12 hours of staff development annually. Missing annual training logs for all staff.

Ensure that all staff complete 12 hours of staff development annually. Missing annual training logs for all 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:52-4.11(a) — Ensure that CHRI background checks are completed as required for the sponsor/sponsor representative and all regularly scheduled staff. Missing CHRI background checks for 2 staff.

Ensure that CHRI background checks are completed as required for the sponsor/sponsor representative and all regularly scheduled staff. Missing CHRI background checks for 2 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:52-4.1(d) — Complete and maintain on file, a current Staff Records Checklist designated by OOL. Ensure that all active staff are listed on the Staff Records Checklist.

Complete and maintain on file, a current Staff Records Checklist designated by OOL. Ensure that all active staff are listed on the Staff Records Checklist. 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:52-4.1(d) — Complete and maintain on file, a current Staff Records Checklist designated by OOL. Ensure that all of the required components of the checklist are available at the center.

Complete and maintain on file, a current Staff Records Checklist designated by OOL. Ensure that all of the required components of the checklist are available at the center. 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:52-6.8(k) — Ensure the center's social media policy includes all required components. Edit the policy to include all of the required components and redistribute the policy for signature.

Ensure the center's social media policy includes all required components. Edit the policy to include all of the required components and redistribute the policy for signature. Regulation: The center shall develop and follow a written policy on the use of social media including, but not limited to the use of social networking sites and other websites; the use of e-mail, text messages, and other electronic means of communication with staff and parents; the types of social media that the center uses, the methods and devices the staff use to communicate with the parent, the guidelines for appropriate conduct by staff members, and the guidelines for parents, including but not limited to, prohibiting the posting of photographs or videos of any child other than their own.

N.J.A.C. 3A:52-3.6(b) — Maintain at the center and distribute to all families and staff, a copy of the Information to Parents document designated by the OOL; maintain on file a record of parental and staff receipt of the policy. Edit the policy to include

Maintain at the center and distribute to all families and staff, a copy of the Information to Parents document designated by the OOL; maintain on file a record of parental and staff receipt of the policy. Edit the policy to include all of the required components and redistribute the policy for signature. Regulation: The center shall distribute a copy of the Information to Parents document to each child’s parent(s) upon enrollment and to every person upon becoming a staff member and secure and maintain on file a record of each parent’s and staff member’s signature attesting to receipt of the document.

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

Ensure that all staff complete orientation training within two weeks of hire and annually. Missing completed and signed orientation logs for all 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:52-7.11(b) — Maintain on file a record of parental receipt of the communicable disease policy. Edit the policy to include all of the required components and redistribute the policy for signature.

Maintain on file a record of parental receipt of the communicable disease policy. Edit the policy to include all of the required components and redistribute the policy for signature. Regulation: The center shall distribute a copy of the communicable disease policy to the parent of each enrolled child and secure and maintain on file a record of each parent’s signature attesting to receipt of the policy.

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(a)(1) — Ensure all surfaces are in good repair. The first toilet in the bathroom between rooms 6 and 7 was slow to flush.

Ensure all surfaces are in good repair. The first toilet in the bathroom between rooms 6 and 7 was slow to flush. 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(d)(3) — Remove electric space heaters in the front office. Center staff shut off space heater to remove from the building.

Remove electric space heaters in the front office. Center staff shut off space heater to remove from the building. Regulation: Heating requirements are as follows: the center shall not use portable liquid fuel-burning or wood-burning heating appliances or electric space heaters.

N.J.A.C. 3A:52-6.6(e)(3) — Edit the policy to include all of the required components. Post the center's discipline policy.

Edit the policy to include all of the required components. Post the center's discipline policy. Regulation: The center shall maintain on file a written policy on the disciplining of children by staff members. The policy shall: 3. Be posted in a prominent location within the center.

N.J.A.C. 3A:52-6.8(j)(1) — Ensure the center's expulsion policy includes : circumstances; methods to notify parents; sufficient time limits; and reasons for immediate expulsion. Edit the policy to include all of the required components and redistribute th

Ensure the center's expulsion policy includes : circumstances; methods to notify parents; sufficient time limits; and reasons for immediate expulsion. Edit the policy to include all of the required components and redistribute the policy for signature. Regulation: The center shall develop and follow a written policy on the expulsion of children from enrollment at the center. The expulsion policy shall include: the circumstances under which a child may be expelled; the method that the center will use to notify parents of concerns that could lead to expulsion, such as written notification or a parent conference; sufficient time limits before expulsion to enable parents to make alternative child care arrangements or to take the necessary corrective action to allow the child to remain at the center, except as specified in N.J.A.C. 3A:52-6.8(j)1iv; and circumstances that may warrant immediate expulsion of a child from the center, such as potentially dangerous behavior by a child or parent.(2) The center shall not expel a child based solely on the child’s parent making a complaint to the Office of Licensing regarding a center’s alleged violations of the licensing rules or questioning a center directly regarding policies and procedures.

N.J.A.C. 3A:52-7.5(b)(7) — Ensure medication records are completed as required including parental authorization for the center to give medication.

Ensure medication records are completed as required including parental authorization for the center to give medication. 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.