Rahway Day Care Center, Inc.

N.J.A.C. 3A:52-4.3(a)(1) — Based on complaint #24855 ensure that children are adequately tracked at all times and staff are aware of the number of children in their care.

Based on complaint #24855 ensure that children are adequately tracked at all times and staff are aware of the number of children in their care. 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:52-4.3(a) — Based on complaint #24855 ensure that children are directly supervised at all times including when transitioning to another classroom at the end of the day.

Based on complaint #24855 ensure that children are directly supervised at all times including when transitioning to another classroom at the end of the day. 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:52-5.2(b) — Ensure that the emergency lighting is operable at all times in Room 1, 6, 7, and 8.

Ensure that the emergency lighting is operable at all times in Room 1, 6, 7, and 8. Regulation: An applicant seeking a license or a Certificate of Life/Safety Approval to operate a center shall comply with all applicable provisions of the New Jersey Uniform Fire Code, as specified in N.J.A.C. 5:70 and hereinafter referred to as the NJUFC. The center shall obtain the building's fire safety inspection certificate issued by the municipality in which it is located, based on a fire inspection conducted within the preceding 12 months, reflecting the center's compliance with all applicable provisions of the NJUFC. The center shall maintain on file the building's fire safety inspection certificate.

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

Ensure that all staff complete orientation training within two weeks of hire and annually. 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:52-4.10(a) — Provide a cleared CARI for 28 named staff as required for the center's license renewal.

Provide a cleared CARI for 28 named staff as required for the center's license renewal. 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:52-4.1(d) — Maintain on file a copy of the Mantoux tuberculin skin test and physical examination results for five named staff.

Maintain on file a copy of the Mantoux tuberculin skin test and physical examination results for five named staff. 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) — Provide a second Epi-pen as required by the special care plan and ensure both Epi-pens are stored in their original box for named child in Room 7.

Provide a second Epi-pen as required by the special care plan and ensure both Epi-pens are stored in their original box for named child in Room 7. 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:52-7.5(b)(7) — Provide Zyrtec for one named child as per the special care plan from the Purple room

Provide Zyrtec for one named child as per the special care plan from the Purple room 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:52-5.3(i)(8) — Submit a Safe Building Interior Certification or other approval issued by the DOH.

Submit a Safe Building Interior Certification or other approval issued by the DOH. Regulation: at the time of the initial application, any renewal application, relocation of an existing licensed center, and, as determined by the Office of Licensing, on a case-by-case basis, the facility operator shall submit to the Office of Licensing a Safe Building Interior Certification or other approval issued by the Department of Health that indicates that no further remediation is needed for the interior of the building in which the center is located. the Office of Licensing shall not issue licenses or renewals to child care centers that are co-located in a building or other structure that contains a dry cleaner or nail salon unless the applicant obtains indoor air sampling that demonstrates that there is no impact to the child care center.

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

Ensure that all credentialed staff complete 20 hours of staff development annually. 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.

Ensure that all staff complete 12 hours of staff development annually. 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:52-4.3(a) — Based on information, ensure that adequate supervision is maintained at all times throughout the center. A staff was observed sleeping during center operating hours.

Based on information, ensure that adequate supervision is maintained at all times throughout the center. A staff was observed sleeping during center operating hours. 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:52-4.8(a) — Based on information, retrain all staff on 1. Not taking substances while caring for the children and 2. The center's supervision policy.

Based on information, retrain all staff on 1. Not taking substances while caring for the children and 2. 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:52-5.3(r) — Based on information, ensure that safe conditions are maintained at all times throughout the center. A staff was observed taking an unknown medication while caring for the children and administration was not notified of this incide

Based on information, ensure that safe conditions are maintained at all times throughout the center. A staff was observed taking an unknown medication while caring for the children and administration was not notified of this incident. 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.