Wee Care Too Daycare And Early Learning Center

Regulation: 3270.20(a)(1)

Description: Inpatient hospitalization or ER treatment of child

Noncompliance Area: Parents of Child 1 took child 1 to the emergency room, after school due to reaction at school. Parents notified school; however, daycare center did not notify the regional office that the child went to Hospital ER within the 24-hour period.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: At the time of the inspection, Staff 1 and Staff 3 did not have a health assessment on file.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: At the time of the inspection, Staff 2 did not have proof of New Jersey State Clearances and has lived in NJ in the last 5 years. Staff 3 did not have proof of their NSOR clearance. Staff 2 and Staff 3 do not qualify as provisional hires.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2 and 3-- may not work in a child care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, Staff 1 did not have the DHS FBI clearance, nor did they have the NSOR clearance and is past their provisional hire period.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 -- may not work in a childcare position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 1--- may not work in a childcare position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff 1 did not have proof of their evaluation at the time of the inspection.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During the inspection, it was observed that the round plastic climber in the outside play area, had cracks in the tan platform.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: Child 1 had a physical, but the form did not state if child was suitable for childcare and free from communicable diseases.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: Staff 1 did not have proof of up to date physical on file at the time of the inspection (dated 8/4/21).

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.113(a)(1)/3270.113(e)

Description: Staff assigned to specific children/Restraints prohibited

Noncompliance Area: Certification rep observed a four year old child walk out of the the pre k class and down the hallway to use the bathroom unsupervised while staff #1 was inside the classroom.Certification rep observed a two year old toddler inside a playpen in the hallway to the left of the doorway entrance of the older toddler classroom unsupervised, while staff#2 was inside the classroom reading to the other children present.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.102(c)/3270.103

Description: Outdoor equip.- protective surfacing /Small Toys and Objects

Noncompliance Area: Certification rep observed pea gravel outside on the playground less than one inch in size. During the renewal inspection, certification representative observed the facility climbing equipment in their play space. The equipment was not mounted over enough protective surfacing covering to meet the requirements of the USCPSC, the pea gravel and ripped black tarp had grass growing through it.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: Certification rep observed refrigerator thermometer temperature read 50 degrees in the nursey room refrigerator.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: Certification rep reviewed child#3 file and observed the Childs date of admission was missing on the fee agreement form.

Correction Required: An agreement shall specify the date of the child's admission.A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.123(a)(7)

Description: Services considered extra

Noncompliance Area: Certification rep reviewed child #4 file and observed extra services was left blank and consent on financial agreement form and parent consent was missing for walk and trips on the emergency contact form.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Regulation: 3270.123(a)/3270.124(b)(3)

Description: Signed /Parent home/work address, phone

Noncompliance Area: Certification rep reviewed child#1 file and observed enrolling parent home phone number was missing on the emergency contact form and operator signature was missing on the fee agreement form

Correction Required: An agreement shall be signed by the operator and the parent.Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Certification rep reviewed child #4 file and observed name, address and telephone number of the child's physician or source of medical care are missing on the emergency contact form.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Certification rep reviewed child #5 file and observed enrolling parents work address and work phone number are missing on the emergency contact form.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Certification reviewed child #4 file and observed health insurance coverage and policy number missing on the emergency contact form.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Certification rep reviewed Child files #1 #3, #4, #6 and observed release persons address was missing on the emergency contact form.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.131(b)(2)/3270.181(b)

Description: Toddler/preschool: updated health report every 12 months/Current

Noncompliance Area: Certification rep reviewed child #3 file and observed health assessment is expired.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.Information in a child's record shall be kept current by the operator.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff#10 hire date 8/12/21 does not have NSOR certificate on record. Staff#9 hire date:11/2/21 does not have NSOR on record was observed to be working with children in the two-year-old classroom.Staff#6 clearances on record are expired state police 9/18/17child abuse9/20/17 and FBI clearance 9/20/17.Staff person #6 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 9/20/17. Staff#4 hire date :9/1/17 clearances on record are expired state police 4/23/17 child abuse 5/2/17 and was working alone with children in the 3 year old room at the time of inspection.Staff#7 Staff person does not have current pediatric first-aid/CPR training on record.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation.Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: Staff#1,2 and #4 physical examination are expired including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. Staff #1,health assessment form on record is from 9/30/20 TB test from 6/26/17,hire date is 4/9/19. Staff #2,health assessment form on record is from 10/10/19 TB test from 10/10/19 hire date: 6/1/20. Staff#4 health assessment form on record is from 6/5/20 date of hire 9/1/17 .

Correction Required: An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.181(c)/3270.182(6)

Description: Emergency info/agreement updated 6 mos/Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: Certification rep reviewed Child#3 file and observed financial agreement was not updated within a six month period. Parental consent was observed missing for swimming and wading on the emergency contact form. Child #4 was missing parental consent for walking and excursion's on the emergency contact form.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Staff person #4,6,11 and 12 have not completed the full 12 clock hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #5 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person#4,6,7 and #8 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated for staff# 4: 8/17/17, staff#6 9/23/17, staff#7 11/12/16 and staff#8 4/26/17.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: During renewal inspection, certification representative observed toxics (Mr. Bubbles cleaning spray) in the bathroom in an area accessible to children in the pre-school room.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.75(d)

Description: On excursions

Noncompliance Area: Certification observed there was not a complete first aid kit on the personal vehicle that transports the children to and from school. The first aid kit was missing soap, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection, certification representative observed two broken ceiling tile in the pre k classroom. The ceiling tile next to the broken tile has water damage in addition, to the stairwell to the second floor and the entrance to the pre k classroom.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During renewal inspection, certification representative observed unpainted plaster on the right, middle and left corner of the wall of the entry way of the classroom on the second floor.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: CHILD 2 DID NOT HAVE PROOF OF CONSENT FOR EMERGENCY MEDICAL CARE IN THEIR FILE NOR ON THE EMERGENCY CONTACT FORM.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.131(e)(1)/3270.131(e)(2)(i)

Description: Exemption documentation from parent/guardian/Exemption documentation from parent/guardian

Noncompliance Area: CHILD 1, 2 AND 3 DID NOT HAVE PROOF OF A RECENT FLU VACCINE NOR DID IT CONTAIN A LETTER OF EXEMPTION.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: CHILD 2'S FILE DID NOT CONTAIN WRITTEN CONSENT FORADMINISTRATION OF MINOR FIRST AID TREATMENT BY STAFF.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: STAFF 1 HAD ONLY 1 LETTER OF REFERENCE IN THEIR FILE.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: STAFF 1 DID NOT HAVE PROOF OF THE FOLLOWING CLEARANCES NOT PROOF THAT THEY APPLIED - FBI AND NSOR - HIRED 9/7/21. STAFF 2 WAS LISTED AS STAFF BUT HAD VOLUNTEER STATUS STATE POLICE AND CHILD ABUSE CLEARANCES AND DID NOT HAVE PROOF OF THEIR NSOR. STAFF 3HAD THE RECEIPT FOR THE STATE POLICE CLEARANCE BUT NOT THE ACTUAL FORM AND IS CONSIDERED STAFF HIRED 01/2020.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1, 2. AND 3 -- may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.