First Impressions Childcare

N.J.A.C. 3A:52-4.3(a) — Ensure that children are directly supervised at all times. Observation revealed inadequate supervision in Room 4; whereas children were observed wrestling and hitting each other and a child climbing toy shelves and the staff in th

Ensure that children are directly supervised at all times. Observation revealed inadequate supervision in Room 4; whereas children were observed wrestling and hitting each other and a child climbing toy shelves and the staff in the room were unaware. 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:52-4.3(c) — Ensure that adequate staff/child ratios are maintained at all times. Observation revealed one staff with 15 children aged 2 1/2 - 3 in Room 10.

Ensure that adequate staff/child ratios are maintained at all times. Observation revealed one staff with 15 children aged 2 1/2 - 3 in Room 10. 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:52-6.8(k) — Based on complaint ,ensure the center's social media policy includes all required components. This shall include the use of recording devices used and parental signature attesting to the receipt of the pertinent policies.

Based on complaint ,ensure the center's social media policy includes all required components. This shall include the use of recording devices used and parental signature attesting to the receipt of the pertinent policies. 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:52-7.5(b)(7) — Ensure medication records are completed as required including obtaining parental signatures authorizing medication administration on special care plans.

Ensure medication records are completed as required including obtaining parental signatures authorizing medication administration on special care plans. 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.

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:52-7.6(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.

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. 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:52-4.1(d) — Complete and maintain on file, a current Staff Records Checklist designated by OOL.

Complete and maintain on file, a current Staff Records Checklist designated by OOL. 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:52-4.11(b) — Ensure that CHRI background checks are completed as required for one named staff.

Ensure that CHRI background checks are completed as required for one named staff. Regulation: When the center applies for a new license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall ensure that each staff member at least 18 years of age who is or will be working at the center on a regularly scheduled basis completes the CHRI fingerprinting process specified in N.J.A.C. 3A:52-4.11(a). Within two weeks after a new staff member begins working at the center, the sponsor or sponsor representative shall ensure that the new staff member completes the CHRI fingerprinting process specified in N.J.A.C. 3A:52-4.11(a). Until the center receives the results of the CHRI background check for a new staff member, the center shall ensure oversight of that person by another staff member and ensure that the person is not alone to supervise a child or group of children.

N.J.A.C. 3A:52-4.8(a) — Ensure that all staff are retrained in the center's medication administration policies and procedures and accident and incident reporting.

Ensure that all staff are retrained in the center's medication administration policies and procedures and accident and incident reporting. 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.