The Learning Experience at Paramus

N.J.A.C. 3A:52-4.3(c) — Based on complaint, ensure that adequate staff/child ratios are maintained at all times especially at early morning care.

Based on complaint, ensure that adequate staff/child ratios are maintained at all times especially at early morning care. Regulation: (c) The following staff/child ratios shall apply, except as specified in (d) through (f) below: 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 (d) The following staff/child ratios shall apply during rest or sleep, when the criteria listed in (d) 1, 2, and 3 below are met: Under 18 months 18 months to under 2 ½ years 2 ½ years and above 1:10 1:12 1:20 2. A sufficient number of staff members shall be in the facility and readily accessible to ensure compliance with the awake staff/child ratios specified in (c) above.

N.J.A.C. 3A:52-5.3(q)(2)(i) — Operate within the center's licensed capacity and within each room's capacity. At time of inspection there were 20 children in Room 2-5 when the Room's capacity is 16.

Operate within the center's licensed capacity and within each room's capacity. At time of inspection there were 20 children in Room 2-5 when the Room's capacity is 16. Regulation: At no time shall a center: i. Allow more children in attendance than the licensed capacity as specified on the license or the Certificate of Life/Safety Approval; ii. Allow more children in attendance than the licensed room capacity;

N.J.A.C. 3A:52-4.8(a) — Based on complaint, retrain all staff including management on the review of Universal Health Record Forms and ensuring Special Care Plans are requested for all diagnosis listed on the Universal Health Records Form. Maintain staff

Based on complaint, retrain all staff including management on the review of Universal Health Record Forms and ensuring Special Care Plans are requested for all diagnosis listed on the Universal Health Records Form. Maintain staff signatures as receipt of 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:52-7.3(a) — Based on complaint, ensure that the center reviews and attains a special care plan for any diagnosis listed on the child's Universal Health Records Form. Ensure the center consults with medical professionals as needed.

Based on complaint, ensure that the center reviews and attains a special care plan for any diagnosis listed on the child's Universal Health Records Form. Ensure the center consults with medical professionals as needed. 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

N.J.A.C. 3A:52-6.6(a) — Based on information, ensure that staff utilize positive methods of guidance and discipline. A named staff grabbed a named child by the arm and swung to the side after the named child failed to listen to the named staff's directive

Based on information, ensure that staff utilize positive methods of guidance and discipline. A named staff grabbed a named child by the arm and swung to the side after the named child failed to listen to the named staff's directives. Regulation: (a) The methods of guidance and discipline used shall: 1. Be positive; 2. Be consistent with the age and developmental needs of the children; and 3. Lead to the child's ability to develop and maintain self-control. (b) Staff members shall not discipline children for failing to eat or sleep or for soiling themselves. (c) Staff shall not withhold active play time as a means of discipline unless the child's actions or behavior present a danger to themselves or others. (d) Children may be removed from a group activity to another area, provided that the child so removed is either under the supervision of another staff member or continuously visible to a staff member.

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

Based on information, retrain all staff on the center's discipline 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:52-5.3(r) — Based on information, provide a Corrective Action Plan to DCF as required.

Based on information, provide a Corrective Action Plan to DCF as required. Regulation: The center shall take any steps required by the Office of Licensing to correct conditions in the building or center that may endanger the health, safety, and well-being of the children served.

N.J.A.C. 3A:52-4.3(c) — Ensure that adequate staff/child ratios are maintained at all times throughout the center, wherein upon arrival, Room 6 had nine children ages 2-2.5 present with only one staff member.

Ensure that adequate staff/child ratios are maintained at all times throughout the center, wherein upon arrival, Room 6 had nine children ages 2-2.5 present with only one staff member. 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:52-5.3(r) — Ensure the health, safety, and well-being of the children served in Room 4 by removing all of the small pom pom balls from the sensory table/room. These craft items are a choking hazard and not meant for children under 3. These b

Ensure the health, safety, and well-being of the children served in Room 4 by removing all of the small pom pom balls from the sensory table/room. These craft items are a choking hazard and not meant for children under 3. These balls were observed in the table and scattered around the room. Additionally, a child was observed placing one in his mouth. Regulation: The center shall take any steps required by the Office of Licensing to correct conditions in the building or center that may endanger the health, safety, and well-being of the children served.

N.J.A.C. 3A:52-7.8(a)(4)(vi) — Ensure that staff wash their hands after wiping a child's nose.

Ensure that staff wash their hands after wiping a child's nose. Regulation: Handwashing requirements are as follows: staff members shall 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.

Ensure that staff wash their hands immediately before preparing or serving food. 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:52-7.8(a)(4)(iii) — Ensure that staff wash their hands immediately after assisting a child in toileting.

Ensure that staff wash their hands immediately after assisting a child in toileting. Regulation: Handwashing requirements are as follows: staff members shall wash their hands with soap and running water immediately after assisting a child in toileting.

N.J.A.C. 3A:52-7.8(a)(1)(ii) — Ensure that children wash their hands immediately after using the toilet or having their diaper changed.

Ensure that children wash their hands immediately after using the toilet or having their diaper changed. 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 using the toilet or having diapers changed.

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

Ensure that the center washes and disinfects diapering surfaces after each use. 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:52-7.8(a)(1)(i) — Ensure that children wash their hands before the intake of food.

Ensure that children wash their hands before the intake of food. 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 before intake of food.

N.J.A.C. 3A:52-6.6(a)(1) — Ensure that the staff utilize positive methods of guidance and discipline at all times throughout the center; Room 4. A named staff member was observed handling the children in an aggressive manner and snatching items out of th

Ensure that the staff utilize positive methods of guidance and discipline at all times throughout the center; Room 4. A named staff member was observed handling the children in an aggressive manner and snatching items out of their hands. Regulation: The methods of guidance and discipline used shall: be positive.

N.J.A.C. 3A:52-7.7(a)(3)(iv) — Ensure that the center washes and disinfects the tables used by the children for eating before each meal.

Ensure that the center washes and disinfects the tables used by the children for eating before each meal. Regulation: The schedule for disinfecting shall be as follows: tables used by the children for eating shall be washed and disinfected before each meal.

N.J.A.C. 3A:52-5.3(p) — Ensure that the refrigerator light bulb in Room 3 is in working order.

Ensure that the refrigerator light bulb in Room 3 is in working order. 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:52-4.8(a)(7) — Retrain the named staff on implementing the center's discipline policy. Submit training information with staff signatures to OOL.

Retrain the named staff on implementing the center's discipline policy. Submit training information with staff signatures to OOL. Regulation: Topics of orientation training shall include implementing the center's statement of policy on the disciplining of children, as specified in N.J.A.C. 3A:52-6.6.

N.J.A.C. 3A:52-5.3(a)(2) — Replace stained ceiling tiles in Room 6.

Replace stained ceiling tiles in Room 6. Regulation: Indoor maintenance and sanitation requirements are as follows: floors, carpeting, walls, window coverings, ceilings, and other surfaces shall be kept clean and in good repair.

N.J.A.C. 3A:52-4.8(a)(1) — Retrain all staff on the center's policy of supervision, including how to ensure adequate supervision while children are eating. Submit training information with staff signatures to OOL.

Retrain all staff on the center's policy of supervision, including how to ensure adequate supervision while children are eating. Submit training information with staff signatures to OOL. Regulation: Topics of orientation training shall include supervising and tracking all children, as specified in N.J.A.C. 3A:52-4.3(a).

N.J.A.C. 3A:52-4.8(a)(2) — Retrain all staff on the center's policies of hand washing and sanitation. Submit training information with staff signatures to OOL.

Retrain all staff on the center's policies of hand washing and sanitation. Submit training information with staff signatures to OOL. Regulation: Topics of orientation training shall include understanding center operations, policies and procedures, as specified in N.J.A.C. 3A:52-4.5(b)3.

N.J.A.C. 3A:52-4.3(a) — Ensure that children are directly supervised at all times, including while eating in Rooms 2 and 4. Children were observed eating food that had fallen onto the floor as well as food from other children's plates and drinking from o

Ensure that children are directly supervised at all times, including while eating in Rooms 2 and 4. Children were observed eating food that had fallen onto the floor as well as food from other children's plates and drinking from other children's sippy cups. 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:52-4.3(a) — Ensure that children are directly supervised at all times, wherein staff in Room 6 is unable to adequately supervise the children in the classroom while completing diaper changes in the bathroom.

Ensure that children are directly supervised at all times, wherein staff in Room 6 is unable to adequately supervise the children in the classroom while completing diaper changes in the bathroom. 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(r) — Based on information, provide a Corrective Action Plan to DCF as required.

Based on information, provide a Corrective Action Plan to DCF as required. Regulation: The center shall take any steps required by the Office of Licensing to correct conditions in the building or center that may endanger the health, safety, and well-being of the children served.