Ready Set Grow

N.J.A.C. 3A:52-5.3(a)(1) — Ensure the exit doors leading out of the back of room 1 are repaired. There is a large open gap between the doors where cold air is blowing into the room creating very cold temperatures.

Ensure the exit doors leading out of the back of room 1 are repaired. There is a large open gap between the doors where cold air is blowing into the room creating very cold temperatures. 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:52-4.3(a)(1) — Ensure that children are adequately tracked at all times and staff are aware of the number of children in their care. Staff in room 8 stated they had 16 children however only 15 were present.

Ensure that children are adequately tracked at all times and staff are aware of the number of children in their care. Staff in room 8 stated they had 16 children however only 15 were present. Regulation: The center shall develop and implement an Office of Licensing-approved method to keep track of the location and ensure the safety of all children at all times when under the center’s supervision, including the transfer of supervision from and to parents during arrival and departure and the utilization of off-site locations, including playgrounds and field trips.

N.J.A.C. 3A:52-7.8(a)(4) — Ensure that staff wash their hands with soap and running water as required including before serving food, before making bottles, and after wiping noses.

Ensure that staff wash their hands with soap and running water as required including before serving food, before making bottles, and after wiping noses. 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:52-4.8(a) — Ensure all center staff are re-trained on proper hand washing. Staff were observed wiping noses, making bottles, and feeding children without washing hands only wearing gloves.

Ensure all center staff are re-trained on proper hand washing. Staff were observed wiping noses, making bottles, and feeding children without washing hands only wearing gloves. 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:52-4.8(a) — Ensure all center staff are re-trained on proper surface cleaning using a 2 step process. Staff were not washing tables before meals.

Ensure all center staff are re-trained on proper surface cleaning using a 2 step process. Staff were not washing tables before meals. 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:52-7.6(a) — Ensure that parents are notified immediately when a child bumps his or her head. A child in room 5 fell backward in their chair hitting their head on the floor. Staff did not notify parents.

Ensure that parents are notified immediately when a child bumps his or her head. A child in room 5 fell backward in their chair hitting their head on the floor. Staff did not notify parents. 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:52-6.4(f) — Ensure that each child's bedding and sleeping equipment are stored individually and not piles all together and touching in room 9.

Ensure that each child's bedding and sleeping equipment are stored individually and not piles all together and touching in room 9. Regulation: When cribs, playpens, cots, mats or other Office of Licensing-approved sleeping equipment are stored with sheets, blankets, or other coverings as single units, at least one item of each unit shall be labeled with child-identifying information. (g) When sheets, blankets and other coverings are not stored with sleeping equipment, each of these items shall be: 1. Labeled for each child; and 2. Stored separately for each child.

N.J.A.C. 3A:52-6.4(a) — Cease the use of blankets for children under 12 months of age in room 4. Ensure sleep sacks are worn by infants sleeping in cribs and not loose in the crib with them. 1-6-25: Cease the use of blankets for children under 12 months

Cease the use of blankets for children under 12 months of age in room 4. Ensure sleep sacks are worn by infants sleeping in cribs and not loose in the crib with them. 1-6-25: Cease the use of blankets for children under 12 months of age in room 1. Regulation: (a) For early childhood programs, the center shall provide opportunities for daily rest and sleep as follows: 2. For children from 13 to 18 months of age, the center shall provide daily rest and sleep according to the child's physical needs and ensure that blankets or pillows do not cover the child's face. 4. For children over the age of 18 months and under the age of four years, the center shall provide: i. Daily rest or sleep for each child who attends the center for four or more consecutive hours; ii. Daily rest or sleep for each child who attends the center for fewer than four consecutive hours, but whose individual physical needs call for a rest period while the child is at the center

N.J.A.C. 3A:52-6.4(a) — Provide daily rest/sleep for each child as required, for 3 year old children, in room 8.

Provide daily rest/sleep for each child as required, for 3 year old children, in room 8. Regulation: (a) For early childhood programs, the center shall provide opportunities for daily rest and sleep as follows: 2. For children from 13 to 18 months of age, the center shall provide daily rest and sleep according to the child's physical needs and ensure that blankets or pillows do not cover the child's face. 4. For children over the age of 18 months and under the age of four years, the center shall provide: i. Daily rest or sleep for each child who attends the center for four or more consecutive hours; ii. Daily rest or sleep for each child who attends the center for fewer than four consecutive hours, but whose individual physical needs call for a rest period while the child is at the center

N.J.A.C. 3A:52-6.3(a) — Ensure that bottles are stored in a sanitary manner. In room 9, a used bottle was mixed in with toys and bottles were being stored in a bin touching other bottles with no caps.

Ensure that bottles are stored in a sanitary manner. In room 9, a used bottle was mixed in with toys and bottles were being stored in a bin touching other bottles with no caps. Regulation: 1. Food served to children who are present during normal mealtime hours or required snack periods, as specified in (b) and (c) below, shall be provided either by the child's parent or by the center. 3. If the center chooses to have parents provide food, the center shall have a supply of food at the center for any child whose parent forgets. 4. If the center provides food, the center shall ensure that the food is stored, prepared, and served in a sanitary manner. 5. Staff members shall advise parents of any repetitive feeding problems experienced by their child. 6. Staff members shall not force-feed or coerce a child to eat against his or her will. 9. Centers that provide meals shall ensure that: i. For children on special diets (for example, due to health reasons, religious belief or parental request), an alternative choice of food is provided by either the center or the child's parent; and ii. Individualized written diets and feeding schedules, if submitted to the center by the child's parent or health care provider, are posted in a location that is accessible to staff members caring for the children, and are followed. 10. The center shall have a supply of food at the center and shall serve a snack to any child who is hungry or has missed a meal. iii. Food left uneaten in a dish shall be discarded; iv. Food shall not be shared among children using the same dish or spoon; and v. Unused portions of food shall be labeled with the child's name, date, and type of food. The food shall be stored in the refrigerator, returned to the parent, or discarded with the parent's consent. All unused food shall be discarded if not consumed by the end of the day.

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:52-7.6(b)(6) — Ensure accident reports are completed as required including all required components and a written description is provided by the next operating day upon parental request. A child in room 5 fell backward in their chair hitting th

Ensure accident reports are completed as required including all required components and a written description is provided by the next operating day upon parental request. A child in room 5 fell backward in their chair hitting their head on the floor and staff did not complete an accident report. 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:52-7.5(b)(10) — Ensure children requiring Epi-pens have a special care plan on file at the center, all medications are onsite at the center, medications are not expired and both Epi-pens are onsite when required. 1-6-26: Ensure the parent sig

Ensure children requiring Epi-pens have a special care plan on file at the center, all medications are onsite at the center, medications are not expired and both Epi-pens are onsite when required. 1-6-26: Ensure the parent signature is on children's care plans. 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:52-6.4(b)(1) — Repair and/or replace sleeping equipment that is in disrepair. Remove or repair the broken crib in room 7.

Repair and/or replace sleeping equipment that is in disrepair. Remove or repair the broken crib in room 7. Regulation: 1. For children 12 months of age and younger, the center shall provide for each child a crib, that complies with the Consumer Product Safety Commission's (CPSC) Federal Safety Standards for Full-Size and Non-Full-Size Baby Cribs; 16 CFR 1219 and 1220, which is incorporated herein by reference, and can be obtained through the CPSC's website at View official inspection document Education-Centers/cribs , playpen, or other Office of Licensing-approved sleeping equipment that meets the following requirements: i. Each cot used for children between 13 and 18 months of age shall not exceed 14 inches above the floor level. iii. Each mat used for rest and sleep shall be: (1) Placed on a surface that is warm, dry, clean and draft-free; (2) Water-repellent; (3) At least one inch thick; and (4) Stored so that there is no contact with the sleeping surface of another mat, or disinfected after each use, as specified in N.J.A.C. 3A:52-

N.J.A.C. 3A:52-6.4(a)(1) — Ensure children under 12 months of age are initially placed in a face-up sleeping position in room 4. 1-6-25: Ensure children under 12 months of age are initially placed in a face-up sleeping position in room 1.

Ensure children under 12 months of age are initially placed in a face-up sleeping position in room 4. 1-6-25: Ensure children under 12 months of age are initially placed in a face-up sleeping position in room 1. Regulation: 1. For children 12 months of age and younger, the center shall ensure that each child is initially placed in a face-up sleeping position unless a different position is indicated in writing by the child's health care provider.

N.J.A.C. 3A:52-6.1(g)(3) — Ensure rooms 6 and 7 are set up with the required supplies or removed from the center's license.

Ensure rooms 6 and 7 are set up with the required supplies or removed from the center's license. Regulation: For early childhood programs, the following shall apply: centers serving children 18 months of age and older shall provide at least five types of children's daily activities including, but not limited to, language; science and mathematics; manipulative; large muscle; building; art; music; drama; or other comparable activities; and at least five types of supplies and equipment for each daily activity chosen by the center.

N.J.A.C. 3A:52-5.4(a)(4) — Ensure that sinks throughout the center have a supply of warm water that does not exceed 110 degrees.

Ensure that sinks throughout the center have a supply of warm water that does not exceed 110 degrees. Regulation: For early childhood programs, the following shall apply, a supply of hot tap water not exceeding 110 degrees Fahrenheit and cold running water shall be provided.

N.J.A.C. 3A:52-5.3(m)(2) — Arrange cribs, cots, and sleeping equipment to provide access to an unobstructed 3-foot wide aisle that leads to an exit in room 3.

Arrange cribs, cots, and sleeping equipment to provide access to an unobstructed 3-foot wide aisle that leads to an exit in room 3. Regulation: Supplemental evacuation requirements are as follows: cribs, beds, playpens, and cots used for rest or sleep shall be arranged so as to provide access to a three-foot-wide aisle that leads to an unobstructed exit.

N.J.A.C. 3A:52-5.3(m)(2) — Ensure that all exits and egress areas are unobstructed. In room 7, cots were blocking the exit. In room 9, the diaper changing table was blocking the exit. In room 1, staff rocking chairs and infant seats were in front of th

Ensure that all exits and egress areas are unobstructed. In room 7, cots were blocking the exit. In room 9, the diaper changing table was blocking the exit. In room 1, staff rocking chairs and infant seats were in front of the exit door. Abated at the time of inspection. Regulation: Supplemental evacuation requirements are as follows: cribs, beds, playpens, and cots used for rest or sleep shall be arranged so as to provide access to a three-foot-wide aisle that leads to an unobstructed exit.

N.J.A.C. 3A:52-5.3(b)(7) — Ensure that children do not have access to exposed tarp in the outdoor play area.

Ensure that children do not have access to exposed tarp in the outdoor play area. 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(b)(7) — Provide documentation from the manufacturer indicating the ages permitted to use the outdoor playground equipment.

Provide documentation from the manufacturer indicating the ages permitted to use the outdoor playground equipment. 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(b)(1) — Repair the hole in the building wall in the outdoor play area.

Repair the hole in the building wall in the outdoor play area. Regulation: Outdoor maintenance and sanitation requirements are as follows: 1. The building, land, walkways, and outdoor play area shall be free from hazards to the health, safety or well-being of the children. 2. The outdoor play area shall be graded or provided with drains to dispose of surface water.

N.J.A.C. 3A:52-5.3(a)(13) — Ensure that cords and wires are inaccessible to the children including phone cords and bottle warmers in rooms 4, 8 and 9.

Ensure that cords and wires are inaccessible to the children including phone cords and bottle warmers in rooms 4, 8 and 9. Regulation: the center shall ensure that window blind cords and other cords and ropes that present risk of harm are inaccessible to children.

N.J.A.C. 3A:52-5.3(a)(10) — Ensure that diaper creams are inaccessible to the children in rooms 2 and 8.

Ensure that diaper creams are inaccessible to the children in rooms 2 and 8. Regulation: Indoor maintenance and sanitation requirements are as follows: all corrosive agents, insecticides, bleaches, detergents, polishes, any products under pressure in an aerosol spray can, and any toxic substance shall be stored in a locked cabinet or in an enclosure located in an area not accessible to the children.

N.J.A.C. 3A:52-5.3(a)(1) — Ensure area rugs throughout the center are cleaned. Ensure the floors are cleaned in rooms 5 and 9. Ensure staples are removed from the floor in room 9 and 11. Ensure the large amount of loose staples are removed from the wal

Ensure area rugs throughout the center are cleaned. Ensure the floors are cleaned in rooms 5 and 9. Ensure staples are removed from the floor in room 9 and 11. Ensure the large amount of loose staples are removed from the walls in room 5. Repair the walls in room 8 and 9. Ensure the room 11 bathroom floor is cleaned and free of an excessive amount of paper towels. 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.