3A:52-7.3(a) · (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 written statement submitted to the center, signed by the parent, explaining how the examination, immunization, or medical treatment conflicts with the child’s exercise of bona fide religious tenets or practices. i. Religiously-affiliated centers shall have the authority to withhold or grant a religious exemption from the required immunization for children entering or attending their centers without challenge by any secular health authority, as specified in N.J.A.C. 8:57-4.4. ii. The center shall maintain the parent’s written statement on file as part of the child’s record. 6. Those children with immunization exemptions may be excluded from the center by the Office of Licensing or the Department of Health during a vaccine-preventable disease outbreak or threatened outbreak, as determined by the State Commissioner of Health.

Ensure health records are maintained on file as required including a special care plan for one student. Provide missing medication as per special care plan for 1 child.

Corrected Corrected by Mar 26, 2025

Category: health medication. Marked corrected in the state record.

3A:52-4.11(a) · As a condition of securing a license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall ensure that a Criminal History Record Information (CHRI) fingerprint background check is completed for himself or herself, and for all staff members at least 18 years of age who are or will be working at the center on a regularly- scheduled basis, to determine whether any such person has been convicted of a crime, as specified in P.L. 2000, c. 77 (N.J.S.A. 30:5B-6.10 to 6.17). If a staff member refuses to consent to a CHRI background check, the sponsor or sponsor representative shall immediately terminate the staff member’s employment at the center.

Ensure that CHRI background checks are completed as required for the sponsor/sponsor representative and all regularly scheduled staff.Provide chri for 1 staff member.

Corrected Corrected by Mar 26, 2025

Category: background checks. Marked corrected in the state record.

3A:52-4.1(d) · 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.

Complete and maintain on file, a current Staff Records Checklist designated by OOL.Ensure that the information on the Staff Records Checklist is current and that it is maintained on file at the center, including CARI and CHRI background check clearances.

Corrected Corrected by Mar 26, 2025

Category: recordkeeping. Marked corrected in the state record.

3A:52-7.8(a)(1) · 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; immediately after using the toilet or having diapers changed; immediately after coming into contact with blood, fecal matter, urine, vomit, nasal secretions, or other body fluids or secretions; immediately after coming in contact with an animal's body secretions; and immediately after outdoor play. (2)for children under three months of age or for those children three months of age and older wherein hand washing with soap and running water may not be developmentally appropriate, the center may use an alternate means for hand washing, including but not limited to disposable baby wipes.

Ensure that children wash their hands with soap and running water as required immediately before the intake of food.

Corrected Corrected by Mar 26, 2025

Category: health medication. Marked corrected in the state record.

3A:52-4.7(a)(1) · The center shall meet the following requirements for orientation training: the center shall ensure that all newly-hired staff receive orientation training within two weeks of hire and that no individual is left alone to supervise a child or group of children until orientation training is completed.

Ensure that all staff who have not completed the required orientation training are directly supervised by another staff member.Provide training for 1 staff member.

Corrected Corrected by May 12, 2025

Category: supervision. Marked corrected in the state record.

3A:52-4.11(a)(5) · As a condition of securing a license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall ensure that a Criminal History Record Information (CHRI) fingerprint background check is completed for himself or herself, and for all staff members at least 18 years of age who are or will be working at the center on a regularly- scheduled basis, to determine whether any such person has been convicted of a crime, as specified in P.L. 2000, c. 77 (N.J.S.A. 30:5B-6.10 to 6.17). When a person who is not required to complete a CHRI background check is working with children at the center, the center shall ensure oversight of that person by another staff member and ensure that the person is not left alone to supervise a child or group of children.

Provide chri for 2 staff members.

Corrected Corrected by Feb 24, 2025

Category: supervision. Marked corrected in the state record.

3A:52-4.1(d)(1) · The staff records specified in 3A:52-4.1(a) through (c) shall be maintained on file as follows: 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.

Ensure that the information on the Staff Records Checklist is current and that it is maintained on file at the center, including CARI and CHRI background check clearances.

Corrected Corrected by Feb 24, 2025

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.7(a)(1) · The center shall meet the following requirements for orientation training: the center shall ensure that all newly-hired staff receive orientation training within two weeks of hire and that no individual is left alone to supervise a child or group of children until orientation training is completed.

Provide training for 2 staff members.

Corrected Corrected by Feb 24, 2025

Category: supervision. Marked corrected in the state record.

3A:52-7.5(b)(10) · 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 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).

Provide special care plan for one student. Provide missing medication as per special care plan for 1 child.

Corrected Corrected by Feb 24, 2025

Category: ratio. Marked corrected in the state record.

3A:52-7.8(a)(1)(i) · 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.

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

Corrected Corrected by Feb 24, 2025

Category: health medication. Marked corrected in the state record.

3A:52-4.10(b)(1) · When the center applies for a new or renewal license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall submit to the Department the completed CARI consent forms for all staff members who are or will be working at the center on a regularly scheduled basis. Within two weeks after a new staff member begins working at the center, the sponsor or sponsor representative shall submit to the Department a completed CARI consent form for the new staff member.

Ensure that all staff submit a CARI background check upon renewal.

Corrected Corrected by May 25, 2023

Category: background checks. Marked corrected in the state record.

3A:52-5.3(n)(1) · Fire prevention requirements are as follows: the center shall conduct fire drills at least once a month, as specified in the NJUFC. The center shall ensure that fire drills are conducted during each session provided at the center and that one fire drill per year is conducted during nap time, if applicable.

Ensure that the center conducts fire drills at least once per month during each session provided at the center, including one fire drill annually that is conducted during nap time. At the time of the inspection, no fire drill has been conducted since January 2023.

Corrected Corrected by May 25, 2023

Category: physical safety. Marked corrected in the state record.

3A:52-4.8(e) · Directors shall complete staff development in understanding licensing regulations as provided by the Office of Licensing within 90 days of hire. Such staff development may be included in the required 20 hours of staff development specified in N.J.A.C. 3A:52-4.8(d).

Ensure that the director completes the training, "Understanding Licensing Regulations" provided by OOL within 90 days of hire.

Corrected Corrected by May 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.8(g)(1) · The center shall maintain on file documentation of the date, time, topic, presenter, and attendance for all staff development and orientation completed by center staff members. For staff development provided by the center, the center shall maintain on file documentation or a copy of all staff development materials used.

Ensure that all staff complete orientation training within two weeks of hire and annually and that documentation or a copy of all materials used are maintained on file at the center.

Corrected Corrected by May 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.8(c) · The center shall ensure that all staff members who work at the center complete 12 hours of continuing staff development each year.

Ensure that all staff complete 12 hours of staff development annually.

Corrected Corrected by May 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.8(d)(1) · In lieu of the child care staff development specified in N.J.A.C. 3A:52-4.8(b), 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.

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

Corrected Corrected by May 25, 2023

Category: supervision. Marked corrected in the state record.

3A:52-4.11(a)(1) · As a condition of securing a license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall ensure that a Criminal History Record Information (CHRI) fingerprint background check is completed for himself or herself, and for all staff members at least 18 years of age who are or will be working at the center on a regularly- scheduled basis, to determine whether any such person has been convicted of a crime, as specified in P.L. 2000, c. 77 (N.J.S.A. 30:5B-6.10 to 6.17). The sponsor or sponsor representative and each staff member shall complete the electronic fingerprinting process through the vendor authorized by the State to conduct CHRI background checks through the Division of State Police in the Department of Law and Public Safety and the Federal Bureau of Investigation.

Ensure that all staff, the sponsor and/or the sponsor representative complete a CHRI background check as required.

Corrected Corrected by Jun 29, 2023

Category: background checks. Marked corrected in the state record.

3A:52-4.6(a) · The center shall maintain on file a Staff Records Checklist designated by the Office of Licensing, as specified in N.J.A.C. 3A:52-4.1(b), indicating that the center has obtained documentation of the applicable staff education and experience, as specified in 3A:52-4.6(b) through (d).

Ensure that all staff signs off on OOL policies.

Corrected Corrected by Jun 29, 2023

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.1(d)(1) · The staff records specified in 3A:52-4.1(a) through (c) shall be maintained on file as follows: 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.

Ensure that the information on the Staff Records Checklist is current and that it is maintained on file at the center, including the staff's CARI and CHRI background checks.

Corrected Corrected by Feb 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.10(b)(1) · When the center applies for a new or renewal license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall submit to the Department the completed CARI consent forms for all staff members who are or will be working at the center on a regularly scheduled basis. Within two weeks after a new staff member begins working at the center, the sponsor or sponsor representative shall submit to the Department a completed CARI consent form for the new staff member.

Ensure that CARI background checks are completed as required for all staff within two weeks of hire. CARIs for 3 staff are needed.

Corrected Corrected by Feb 6, 2023

Category: background checks. Marked corrected in the state record.

3A:52-4.11(a)(1) · As a condition of securing a license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall ensure that a Criminal History Record Information (CHRI) fingerprint background check is completed for himself or herself, and for all staff members at least 18 years of age who are or will be working at the center on a regularly- scheduled basis, to determine whether any such person has been convicted of a crime, as specified in P.L. 2000, c. 77 (N.J.S.A. 30:5B-6.10 to 6.17). The sponsor or sponsor representative and each staff member shall complete the electronic fingerprinting process through the vendor authorized by the State to conduct CHRI background checks through the Division of State Police in the Department of Law and Public Safety and the Federal Bureau of Investigation.

Ensure that all staff, the sponsor and/or the sponsor representative complete a CHRI background check as required. CHRIs for 3 staff are needed.

Corrected Corrected by Feb 6, 2023

Category: background checks. Marked corrected in the state record.

3A:52-4.6(a) · The center shall maintain on file a Staff Records Checklist designated by the Office of Licensing, as specified in N.J.A.C. 3A:52-4.1(b), indicating that the center has obtained documentation of the applicable staff education and experience, as specified in 3A:52-4.6(b) through (d).

Ensure that the center completes and maintains on file a Staff Records Checklist designated by OOL.

Corrected Corrected by Feb 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.3(c) · 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

Ensure that adequate staff/child ratios are maintained at all times throughout the center. One staff member took a few children to the exit doo, to be dismissed and left the other staff member with 19 children.

Corrected Corrected by Feb 6, 2023

Category: ratio. Marked corrected in the state record.

3A:52-4.3(a) · 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.

Ensure that adequate supervision is maintained at all times throughout the center. Both staff members were over by the hallway door with their backs turned to the children, as one child proceeded to sit on a table.

Corrected Corrected by Feb 6, 2023

Category: supervision. Marked corrected in the state record.

3A:52-5.3(o)(1) · First aid requirements are as follows: at least two staff members who have current certified basic knowledge of first aid principles and cardiopulmonary resuscitation (CPR), as defined by a recognized health organization (such as the American Red Cross), shall be in the center at all times when enrolled children are present.

Ensure that there are at least two staff members present at the center at all times who have current first aid and CPR certifications.

Corrected Corrected by Feb 6, 2023

Category: health medication. Marked corrected in the state record.

3A:52-5.3(r) · 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.

Ensure all life sustaining medications are current and not expired.

Corrected Corrected by Feb 6, 2023

Category: health medication. Marked corrected in the state record.

3A:52-7.5(b)(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.

Ensure that staff designated to perform health care procedures are trained in doing so and that at least two staff members at the center have received the training.

Corrected Corrected by Feb 6, 2023

Category: ratio. Marked corrected in the state record.

3A:52-3.4(a) · The sponsor or sponsor representative shall secure comprehensive general liability insurance coverage for the center and shall maintain on file a copy of the insurance policy or documentation of current insurance coverage.

Ensure that the center has a current comprehensive general liability insurance policy and maintains the documentation on file.

Corrected Corrected by Feb 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3A:52-5.3(r) · 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.

Ensure that all medication on site it the required dosage that is listed on the Special Care Plan.

Corrected Corrected by Feb 27, 2023

Category: health medication. Marked corrected in the state record.

3A:52-4.3(c) · 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

Ensure that adequate staff/child ratios are maintained at all times throughout the center. At the center there were 29 children, 7 of them were 4 years old. Three staff were needed to maintain ratio and only 2 were present.

Corrected Corrected by Feb 27, 2023

Category: ratio. Marked corrected in the state record.

3A:52-5.3(i)(5)(i) · Environmental condition precautions are as follows: at the time of the initial application, any renewal application, relocation of an existing licensed center and, in the discretion of the Office of Licensing, any other time, the applicant or facility operator shall certify in writing that the center provides a potable water supply provided by a public community water system. If the facility is supplied by a public community water system, the applicant or facility operator shall provide documentation of water testing conducted by a laboratory certified by the Department of Environmental Protection for water testing for lead and copper from all faucets and other sources used for drinking water or food preparation and at least 50 percent of all indoor water faucets utilized by the center.

Complete and submit a DCF Drinking Water Testing Statement of Assurance and a copy of the center's water testing completed by a laboratory certified by the Department of Environmental Protection.

Corrected Corrected by Nov 9, 2021

Category: ratio. Marked corrected in the state record.

3A:52-5.3(n)(1) · Fire prevention requirements are as follows: the center shall conduct fire drills at least once a month, as specified in the NJUFC. The center shall ensure that fire drills are conducted during each session provided at the center and that one fire drill per year is conducted during nap time, if applicable.

Ensure that the center conducts fire drills at least once per month during each session provided at the center, including one fire drill annually that is conducted during nap time.

Corrected Corrected by Nov 16, 2021

Category: physical safety. Marked corrected in the state record.

3A:52-4.7(a)(1) · The center shall meet the following requirements for orientation training: the center shall ensure that all newly-hired staff receive orientation training within two weeks of hire and that no individual is left alone to supervise a child or group of children until orientation training is completed.

Ensure that all staff who have not completed the required orientation training are directly supervised by another staff member. Ensure staff has cleared CARI and CHRI clearances before being left alone with children.

Corrected Corrected by Nov 9, 2021

Category: supervision. Marked corrected in the state record.

3A:52-5.3(o)(1) · First aid requirements are as follows: at least two staff members who have current certified basic knowledge of first aid principles and cardiopulmonary resuscitation (CPR), as defined by a recognized health organization (such as the American Red Cross), shall be in the center at all times when enrolled children are present.

Ensure that at least two staff have current first aid and CPR certifications and are present at all times at the center.

Corrected Corrected by Nov 16, 2021

Category: health medication. Marked corrected in the state record.

3A:52-5.3(r) · 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.

Per the NJ Department of Health COVID-19 Public Health Recommendations pursuant to Executive Order No. 149, ensure that all health and safety guidelines are adhered to as required. Provide the center's covid 19 health screening policy for staff, children and visitors.

Corrected Corrected by Nov 9, 2021

Category: health medication. Marked corrected in the state record.

3A:52-6.6(e)(1) · The center shall maintain on file a written policy on the disciplining of children by staff members. The policy shall reflect the provisions specified in N.J.A.C. 3A:52-6.6(a) through (c) and include the acceptable actions that a staff member may take when disciplining a child (that is, discussion with the child, time-out, etc.).

Prepare a discipline policy that includes the acceptable actions staff members may take when disciplining a child.

Corrected Corrected by Nov 9, 2021

Category: recordkeeping. Marked corrected in the state record.

3A:52-6.8(j)(1)(i) · The center shall develop and follow a written policy on the expulsion of children from enrollment at the center. The expulsion policy shall include the circumstances under which a child may be expelled.

Ensure that the expulsion policy indicates the circumstances under which a child may be expelled.

Corrected Corrected by Nov 9, 2021

Category: recordkeeping. Marked corrected in the state record.

3A:52-7.11(a)(1) · Each center shall develop a written policy on the management of communicable diseases. This policy shall include the following: the list of illnesses and symptoms of illness for which a child will be separated from the group and possibly sent home, as specified in N.J.A.C. 3A:52-7.1©.

Ensure that the center maintains and distributes to all families the center's communicable disease policy and that it includes the list of symptoms for which a child will be excluded from the center.

Corrected Corrected by Nov 9, 2021

Category: health medication. Marked corrected in the state record.

3A:52-4.6(a) · The center shall maintain on file a Staff Records Checklist designated by the Office of Licensing, as specified in N.J.A.C. 3A:52-4.1(b), indicating that the center has obtained documentation of the applicable staff education and experience, as specified in 3A:52-4.6(b) through (d).

Ensure that the center completes and maintains on file a Staff Records Checklist designated by OOL.

Corrected Corrected by Nov 16, 2021

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.10(b)(1) · When the center applies for a new or renewal license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall submit to the Department the completed CARI consent forms for all staff members who are or will be working at the center on a regularly scheduled basis. Within two weeks after a new staff member begins working at the center, the sponsor or sponsor representative shall submit to the Department a completed CARI consent form for the new staff member.

Ensure that all staff submit a CARI background check upon renewal.

Corrected Corrected by Nov 9, 2021

Category: background checks. Marked corrected in the state record.

3A:52-4.8(g)(1) · The center shall maintain on file documentation of the date, time, topic, presenter, and attendance for all staff development and orientation completed by center staff members. For staff development provided by the center, the center shall maintain on file documentation or a copy of all staff development materials used.

Provide training documentation for one staff member.

Corrected Corrected by Feb 6, 2020

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.3(a) · 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.

Ensure children are supervised properly during dismissal.

Corrected Corrected by Jan 3, 2020

Category: supervision. Marked corrected in the state record.

3A:52-4.3(a)(1) · 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.

Ensure staff knows how many children are in their care at all times.

Corrected Corrected by Jan 3, 2020

Category: supervision. Marked corrected in the state record.

3A:52-4.3(c) · 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

Ensure staff maintains required ratios during dismissal times.

Corrected Corrected by Jan 3, 2020

Category: ratio. Marked corrected in the state record.