3A:52-7.5(b) · 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: Administration and control of prescription and non-prescription medicines and health care procedures (a) The center shall inform each child’s parent upon enrollment of its policy on administering medication and health care procedures to children, including the provisions specified in N.J.A.C. 3A:52-7.5(b) to (d). The policy shall indicate: 1. Whether the center will administer non-prescription medication or a non-prescribed health care procedure to a child; 2. Whether the center will administer prescription medication or a prescribed health care procedure to a child with a short-term illness; and 3. That the center will provide reasonable accommodations for the administration of medication or health care procedures to a child with special needs, if failure to administer the medication or health care procedure would jeopardize the health of the child or prevent the child from attending the center. 1. Medication and health care procedures shall be administered only after receipt of written approval from the child's parent(s). 2. The center shall: i. Designate those staff members who are trained as specified in N.J.A.C. 3A:52-4.8(a)8 and authorized to administer medication or health care procedures to, or to supervise self-administration of medication or health care procedures by, those children whose parents authorize it; and ii. Ensure that each staff member designated to administer medication and health care procedures is informed of each child's medication and health care needs. 3. All medication and health care equipment shall be kept either in a locked cabinet or in an area that is inaccessible to the children. i. All medication shall be kept in its original container. ii. Medication shall be refrigerated if so indicated on the label. iii. Unused or expired medication and health care equipment shall be returned to the child’s parent or disposed of safely in a child-resistant waste receptacle when no longer being administered. 4. All prescription medication for a child shall be: i. Prescribed in the name of and specifically for the child; and ii. Stored in its prescription container, which has been labeled with the child's name, the name and expiration date of the medication, the date it was prescribed or updated and directions for its administration. 5. The center shall limit the dispensing of non-prescription over-the-counter medication to the following types of medicines, which shall be dispensed in accordance with the recommended dosage for the age and weight of the child, as indicated on the label: i. Antihistamines; ii. Cough suppressants'. Decongestants; iv. Non-aspirin fever reducers and pain relievers; and v. Topical preparations, such as sunscreen and diaper rash preparations. 6. The center may permit the dispensing of non-prescription medication other than those listed in (b)5 above, or according to instructions other than those indicated on the label, if the child's health care provider authorizes it in writing. 8. If a child has a chronic health condition requiring the administration of prescription or non-prescription medication or health care procedures on a long-term basis, the center shall obtain from the child’s parent a written statement from a health care provider, indicating: i. The name of the child; ii. The name of the medication or procedure; iii The condition or indications for administration of the medication or procedure; iv. The instructions for administration of the medication or procedure; and v. The name and telephone number of the health care provider. 11. The center shall inform the child’s parent immediately if a child exhibits any adverse effect of a medication or health care procedure. (c) For early childhood programs, the following shall apply: 1. The center shall ensure that all medication and health care procedures are administered by designated staff. (d) For school-age child care programs, the following shall apply: 1. Before the center administers or permits a child to self-administer medication or health care procedures, the center shall: i. Obtain written authorization for self-administration from the child's parent, if applicable; and ii. Ensure that the medication or health care procedure is administered by or under the supervision of authorized staff.

Ensure medication to be administered has not expired. At the time of the inspection, the medication for a child who has seizures was expired.

Corrected Corrected by Oct 17, 2025

Category: supervision. Marked corrected in the state record.

3A:52-5.2(a)(8) · The center shall obtain a Life Hazard Use Registration certificate applicable to the center’s licensed capacity and ages served pursuant to the Uniform Fire Safety Act, N.J.S.A. 52:27D-192 et seq. The center shall post this document in a prominent location within the center.

Provide a current life/hazard use registration certificate applicable to the center's licensed capacity and ages served.

Corrected Corrected by Oct 17, 2025

Category: ratio. Marked corrected in the state record.

3A:52-4.6(c)(3) · For early childhood programs, the following shall apply: the group teacher shall meet the requirements for experience and education

Provide documentation that the group teacher meets the required qualifications as specified in the manual.

Corrected Corrected by Oct 20, 2025

Marked corrected in the state record.

3A:52-7.8(a)(4) · Handwashing requirements are as follows: staff members shall wash their hands with soap and running water immediately before preparing or serving food; after toileting; after assisting a child in toileting; after caring for a child who appears to be sick; after coming in contact with an animal's body secretions; and after coming into contact with blood, fecal matter, urine, vomit, nasal secretions, or other body fluids or secretions. 7.8(d)3- Staff members hands are washed after changing each diaper.

Ensure staff wash their hands in a hand washing sink and not one used for food prep.

Corrected Corrected by Oct 17, 2025

Category: background checks. 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 after each diaper change.

Corrected Corrected by Oct 17, 2025

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

3A:52-7.5(b)(10) · (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).

Provide a special care plan for 1 named child that includes procedures for contacting parents and emergency medical services.

Corrected Corrected by Oct 15, 2025

Category: ratio. Marked corrected in the state record.

3A:52-5.3(l)(4) · Emergency procedure requirements are as follows: the center shall conduct two lockdown drills per year and maintain on file a record of each lockdown drill. The center shall ensure that lockdown drills are conducted during each session provided at the center.

Conduct and document at least two lockdown drills annually.

Corrected Corrected by Oct 17, 2025

Category: recordkeeping. Marked corrected in the state record.

3A:52-5.3(q)(2)(iii) · At no time shall a center: iii. Operate in violation of the written conditions on its license or Certificate of Life/Safety Approval including, but not limited to, capacity or age restrictions for specific classrooms.

Ensure that the staff bathroom is accessible to children as required based on the center's license capacity.

Corrected Corrected by Oct 17, 2025

Category: recordkeeping. Marked corrected in the state record.

3A:52-5.2(d) · An applicant seeking the renewal of a license or of a Certificate of Life/Safety Approval to continue operating a center shall obtain and maintain on file a fire safety inspection certificate for the building based on a fire inspection conducted within the preceding 12 months. If the center prepares meals, the applicant seeking renewal shall obtain and maintain on file a satisfactory Sanitary Inspection Certificate, as specified in N.J.A.C. 8:24, indicating that the kitchen is in compliance with the applicable requirements of the State Sanitary Code, based on a sanitary inspection conducted within the preceding 12 months.

Provide a current fire certificate as required.

Corrected Corrected by Oct 20, 2025

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

3A:52-6.3(a)(12)(ii) · All centers shall comply with the following requirements, the center shall ensure that these safety and sanitation practices are followed: sippy cups shall be labeled with the child’s name.

Ensure that each child's sippy cup is labeled with the child's name throughout the center.

Corrected Corrected by Jan 24, 2025

Marked corrected in the state record.

3A:52-5.3(a)(2) · 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.

Ensure that all carpeting is kept clean throughout the center.

Corrected Corrected by Jan 24, 2025

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

3A:52-5.3(a)(15) · Indoor maintenance and sanitation requirements are as follows: ventilation outlets shall be clean and free from obstructions, and filters shall be replaced when saturated.

Ensure vent in room #5 is free of dust.

Corrected Corrected by Jan 24, 2025

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

3A:52-5.2(a)(5) · The center shall be permitted to obtain a valid fire safety inspection certificate issued by the municipality in which it is located, based on a fire inspection conducted within the preceding 12 months, and submit a copy of the certificate to the Office of Licensing in lieu of a CO or CCO, if the center serves only children 2 ½ years of age or older and is located in a public school building that is used as a public school.

Ensure that emergency lighting is operable at all times in room #4 by the refrigerator.

Corrected Corrected by Jan 24, 2025

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

3A:52-5.2(a)(8) · The center shall obtain a Life Hazard Use Registration certificate applicable to the center’s licensed capacity and ages served pursuant to the Uniform Fire Safety Act, N.J.S.A. 52:27D-192 et seq. The center shall post this document in a prominent location within the center.

Provide a current life/hazard use registration certificate applicable to the center's licensed capacity and ages served.

Corrected Corrected by Jan 24, 2025

Category: ratio. Marked corrected in the state record.

3A:52-5.2(d) · An applicant seeking the renewal of a license or of a Certificate of Life/Safety Approval to continue operating a center shall obtain and maintain on file a fire safety inspection certificate for the building based on a fire inspection conducted within the preceding 12 months. If the center prepares meals, the applicant seeking renewal shall obtain and maintain on file a satisfactory Sanitary Inspection Certificate, as specified in N.J.A.C. 8:24, indicating that the kitchen is in compliance with the applicable requirements of the State Sanitary Code, based on a sanitary inspection conducted within the preceding 12 months.

Provide a current fire certificate as required.

Corrected Corrected by Jan 24, 2025

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

3A:52-4.10(a)(2) · 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 conset to a CARI background check, the sponsor or sponsor representative shall immediation terminate the staff member's employment at the center.

Provide CARI background clearance for 1 staff member.

Corrected Corrected by Jan 24, 2025

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

3A:52-6.4(b)(1)(i) · The center shall provide sleeping equipment for children 12 months of age and younger, the center shall provide for each child a crib, that complies with the Consumer Product Safety Commission's (CPSC) Federal Safety Standards for Full- Size and Non-Full-Size Baby Cribs; 16 CFR 1219 and 1220, which is incorporated herein by reference, and can be obtained through the CPSC's website at https://www.cpsc.gov/Safety-Education/Safety- Education-Centers/cribs , playpen, or other Office of Licensing-approved sleeping equipment that meets the following requirement that each crib or playpen shall be equipped with: a firm, waterproof, snugly fitting mattress; a clean, snugly fitting sheet.

Ensure that all cribs are equipped with a snugly fitting sheet. At the time of the inspection, the child's crib had a twin size sheet and the center changed it to a crib size snug fitting sheet.

Corrected Corrected by Jan 24, 2025

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

3A:52-7.8(a)(4) · Handwashing requirements are as follows: staff members shall wash their hands with soap and running water immediately

Ensure that staff wash their hands with soap and running water after each diaper change.

Corrected Corrected by Apr 19, 2024

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

3A:52-7.7(e)(1)(iii) · 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.

Ensure that the center washes and disinfects diapering surfaces after each use.

Corrected Corrected by Apr 19, 2024

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

3A:52-7.7(e)(1)(iv) · 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, toys mouthed by infants and toddlers before being given to another child.

Ensure that the center washes and disinfects toys mouthed by infants and toddlers before being given to another child.

Corrected Corrected by Mar 11, 2024

Category: physical safety. 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 before the intake of food.

Corrected Corrected by Mar 11, 2024

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

3A:52-7.8(a)(4)(i) · Handwashing requirements are as follows: staff members shall wash their hands with soap and running water immediately before preparing or serving food.

Ensure that staff wash their hands immediately before preparing or serving food.

Corrected Corrected by May 28, 2024

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

3A:52-7.8(d)(1)(ii)(2) · For early childhood programs, the following shall apply: diapering requirements for centers serving children who are not toilet trained are as follows, diapering area and surface requirements are as follows, the diapering area shall be within 15 feet of a sink that is not used for food preparation.

Ensure that the diapering area is within 15 feet of a sink that is not used for food preparation.

Corrected Corrected by Jan 18, 2024

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 Checklist and 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 May 28, 2024

Category: ratio. Marked corrected in the state record.

3A:52-5.3(a)(9) · Indoor maintenance and sanitation requirements are as follows: toilets, wash basins, kitchen sinks, and other plumbing shall be maintained in good operating and sanitary condition.

Ensure that toilets, wash basins, kitchen sinks and other plumbing are maintained in operating and sanitary condition.

Corrected Corrected by Jan 18, 2024

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

3A:52-5.3(q)(2)(i) · Space and room requirements are as follows: at no time shall a center allow more children in attendance than the licensed capacity as specified on the license or the Certificate of Life/Safety Approval.

Ensure that the center operates within its licensed capacity at all times. At the time of the inspection 86 children were present when the capacity is 84.

Corrected Corrected by Jan 18, 2024

Marked corrected in the state record.

3A:52-5.3(p) · 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.

Ensure that children are buckled when occupying bucket seats.

Corrected Corrected by Mar 11, 2024

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

3A:52-7.3(a)(2) · For early childhood programs, the following shall apply: 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)

Ensure that a Universal Health Record is completed upon enrollment and updated annually.

Corrected Corrected by Apr 19, 2024

Category: health medication. 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).

Ensure that all Epi-pens are stored in their original boxes with the child's name and prescription, accompanied by a special care plan and that two are present when required.

Corrected Corrected by Mar 11, 2024

Category: ratio. Marked corrected in the state record.

3A:52-7.7(a)(3)(iv) · The schedule for disinfecting shall be as follows: tables used by the children for eating shall be washed and disinfected before each meal.

Ensure that the center washes and disinfects the tables used by the children for eating before each meal.

Corrected Corrected by Mar 11, 2024

Category: nutrition. Marked corrected in the state record.

3A:52-6.2(a)(2) · The center shall provide a supply of age-appropriate and developmentally appropriate program equipment including play equipment, child-size furniture and supplies that are non-toxic and safe for use by children in the age groups served.

Ensure that all materials, including play equipment and furniture used by the children are age appropriate to the ages served.

Corrected Corrected by Jan 18, 2024

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

3A:52-6.3(a)(12)(ii) · All centers shall comply with the following requirements, the center shall ensure that these safety and sanitation practices are followed: sippy cups shall be labeled with the child’s name.

Ensure that each child's sippy cup is labeled with the child's name.

Corrected Corrected by Mar 11, 2024

Marked corrected in the state record.

3A:52-6.3(b)(3)(iv)(1) · For early childhood programs, the following shall apply, feeding requirements for centers serving children less than 18 months of age are as follows: for bottles, each child's bottle(s) shall be labeled with the child's name and dated.

Ensure that each child's bottle is labeled with the child's name and date.

Corrected Corrected by Jan 18, 2024

Marked corrected in the state record.

3A:52-6.1(b)(7) · The staff member(s) specified in N.J.A.C. 3A:52-4.5 who are responsible for developing and overseeing the implementation of the center's daily activities shall ensure that the use of a television, computers, and other video equipment shall be limited to educational and instructional use, shall be age and developmentally appropriate, and shall not be used as a substitute for planned activities or for passive viewing.

Ensure that the use of television, computers, and other video equipment is for educational and instructional use, is age and developmentally appropriate, is not used as a substitute for planned activities, and is not used for passive viewing.

Corrected Corrected by Jan 18, 2024

Category: physical safety. 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 staff have a health physical and Mantoux test prior to start of employment.

Corrected Corrected by May 28, 2024

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.

Based on information, ensure that adequate supervision is maintained at all times throughout the center. A staff was observed using their personal cell phone to use the center's app to check out the children who were leaving while the staff was supposed to be supervising the children on the playground.

Corrected Corrected by Mar 11, 2024

Category: supervision. 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. Pertains to 2 staff.

Corrected Corrected by Feb 15, 2024

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 for the center's license renewal. Pertains to 6 staff.

Corrected Corrected by Mar 11, 2024

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

3A:52-4.8(a)(1) · Topics of orientation training shall include supervising and tracking all children, as specified in N.J.A.C. 3A:52-4.3(a).

Based on information, retrain all staff on 1. The center's supervision policy and 2. The center's cell phone policy

Corrected Corrected by Mar 14, 2024

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 that adequate staff/child ratios are maintained at all times throughout the center. At the time of the inspection, one staff had 21 school age children when 2 were required.

Corrected Corrected by Jan 18, 2024

Category: ratio. Marked corrected in the state record.

3A:52-5.2(a)(5) · The center shall be permitted to obtain a valid fire safety inspection certificate issued by the municipality in which it is located, based on a fire inspection conducted within the preceding 12 months, and submit a copy of the certificate to the Office of Licensing in lieu of a CO or CCO, if the center serves only children 2 ½ years of age or older and is located in a public school building that is used as a public school.

Ensure that all exits and egress areas are unobstructed and that the emergency exit doors are easily operable. At the time of the inspection, the ramp outside of room 1 was blocked with car seats and were moved upon request.

Corrected Corrected by Nov 21, 2023

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

3A:52-5.3(a)(10) · Indoor maintenance and sanitation requirements are as follows: all corrosive agents, insecticides, bleaches, detergents, polishes, any products under pressure in an aerosol spray can, and any toxic substance shall be stored in a locked cabinet or in an enclosure located in an area not accessible to the children.

Ensure that all toxic substances are inaccessible to the children. At the time of the inspection, toxin were accessible to the children in the bathroom and removed upon request.

Corrected Corrected by Nov 21, 2023

Category: physical safety. 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 Mar 11, 2024

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

3A:52-3.6(b)(1) · The center shall distribute a copy of the Information to Parents document to each child’s parent(s) upon enrollment and to every person upon becoming a staff member and secure and maintain on file a record of each parent’s and staff member’s signature attesting to receipt of the document. The center shall maintain on file a copy of the Information to Parents document.

Ensure that the center maintains and distributes to all families the required document by OOL and maintains on file signatures of all staff and families attesting to the receipt of the policy.

Corrected Corrected by Mar 11, 2024

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.9(a) · The sponsor, sponsor representative, director, or any staff member shall verbally notify the State Central Registry Hotline (1-877 NJ ABUSE/1-877-652-2873) immediately whenever there is reasonable cause to believe that a child has been subjected to abuse or neglect by a staff member, or any other adult, pursuant to N.J.S.A. 9:6-8.9, 8.10, 8.13 and 8.14.

Based on information, provide a Corrective Action Plan to DCF as required.

Corrected Corrected by Mar 11, 2024

Marked corrected in the state record.

3A:52-4.8(a)(2) · 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.

Based on information, retrain all staff on maintaining adequate staff/child ratios.

Corrected Corrected by Apr 19, 2024

Category: ratio. 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

Based on information, ensure that adequate staff/child ratios are maintained at all times throughout the center.

Corrected Corrected by Mar 11, 2024

Category: ratio. Marked corrected in the state record.

3A:52-5.3(a)(9) · Indoor maintenance and sanitation requirements are as follows: toilets, wash basins, kitchen sinks, and other plumbing shall be maintained in good operating and sanitary condition.

Based on information, ensure that toilets are maintained in an operable manner at all times throughout the center.

Corrected Corrected by Mar 11, 2024

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

3A:52-7.7(a)(3)(i)(1) · The schedule for disinfecting shall be as follows: the following equipment items or surfaces shall be washed and disinfected after each use, washcloths made of fabric, when used for cleaning children.

Ensure that that center washes and disinfects fabric washcloths used for cleaning after each use.

Corrected Corrected by May 28, 2024

Category: physical safety. 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 that adequate procedures for tracking children are adhered to at all times throughout the center.

Corrected Corrected by May 28, 2024

Category: supervision. Marked corrected in the state record.

3A:52-7.8(a)(4)(vi) · 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.

Ensure that staff wash their hands after wiping a child's nose.

Corrected Corrected by Jun 5, 2024

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

3A:52-4.8(a)(2) · 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.

Retrain all staff to on proper handwashing procedures when out on the playground as the use of hand sanitizer does not take the place of the handwashing of hands after assisting a child to blow their nose.

Corrected Corrected by Jun 5, 2024

Category: ratio. Marked corrected in the state record.

3A:52-6.1(e) · The center shall ensure that pacifiers are removed when the children are crawling or walking.

Ensure that pacifiers are removed when children are crawling or walking. At the time of the inspection, staff in 2 different classrooms removed a child's pacifier while walking upon the inspector's arrival.

Corrected Corrected by May 28, 2024

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 Jan 12, 2023

Category: physical safety. 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 Dec 1, 2022

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

3A:52-5.3(a)(19) · Indoor maintenance and sanitation requirements are as follows: the center shall test for the presence of radon gas in each classroom on the lowest floor level used by children at least once every five years and shall post the test results in a prominent location in all buildings at the center, as specified in N.J.S.A. 30:5B-5.2.

Complete radon testing in every room on the lowest floor used by children and post the results in a prominent location.

Corrected Corrected by Dec 1, 2022

Category: physical safety. 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).

Ensure that all Epi-pens are accompanied by a special care plan.

Corrected Corrected by Jun 21, 2022

Category: ratio. Marked corrected in the state record.

3A:52-5.2(a)(5) · The center shall be permitted to obtain a valid fire safety inspection certificate issued by the municipality in which it is located, based on a fire inspection conducted within the preceding 12 months, and submit a copy of the certificate to the Office of Licensing in lieu of a CO or CCO, if the center serves only children 2 ½ years of age or older and is located in a public school building that is used as a public school.

Provide a current fire certificate as required.

Corrected Corrected by Aug 29, 2022

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

3A:52-5.2(a)(6)(i) · The center shall obtain a new CO issued by the local municipality in which the center is located, and submit a copy to the Office of Licensing, reflecting the building's compliance with provisions of the applicable NJUCC group classification, whenever the center changes the building's group classification to one other than the one prescribed on its original CO.

Submit a copy of the Certificate of Approval issued by the local construction official for changes in the building subject to the NJUCC requiring the issuance of a building permit.

Corrected Corrected by Jan 12, 2023

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

3A:52-5.2(a)(8) · The center shall obtain a Life Hazard Use Registration certificate applicable to the center’s licensed capacity and ages served pursuant to the Uniform Fire Safety Act, N.J.S.A. 52:27D-192 et seq. The center shall post this document in a prominent location within the center.

Provide a current life/hazard use registration certificate applicable to the center's licensed capacity and ages served.

Corrected Corrected by Jul 27, 2022

Category: ratio. Marked corrected in the state record.

3A:52-4.6(d)(1) · For school-age child care programs the program supervisor shall meet the qualification requirements specified in one of the applicable options set forth in N.J.A.C. 3A:52-4.6(d) for education, training, and experience, based on the center's licensed capacity.

Ensure that the program supervisor meets the required qualifications as specified in the manual.

Corrected Corrected by Aug 29, 2022

Category: supervision. 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 Understanding Licensing training provided by OOL within 90 days of hire.

Corrected Corrected by Oct 3, 2022

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.8(f)(1) · The staff development specified in N.J.A.C. 3A:52-4.8(a) through (d) shall be clock hours of staff development.

Ensure that all staff orientation training is documented as clock hours of staff development for the director.

Corrected Corrected by Oct 3, 2022

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.5(a)(3)(i)(1) · The sponsor or sponsor representative shall designate individuals with the authority and responsibility to develop and implement written policies and procedures for the operation of the center, including a table of organization that illustrates lines of authority, responsibility and communication.

Ensure that the center has a table of organization that illustrates lines of authority, responsibility and communication.

Corrected Corrected by Apr 17, 2023

Category: ratio. Marked corrected in the state record.

3A:52-4.5(c)(2)(ii) · The director or his or her designee(s) shall be on the premises at all times when the center is operating and the designee shall complete staff development in understanding licensing rules as provided by the Office.

Ensure that the director designee completes the Understanding Licensing training provided by OOL.

Corrected Corrected by Oct 3, 2022

Category: recordkeeping. 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 Apr 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.6(b)(1) · The director shall meet the following qualification requirements for early childhood programs licensed to serve more than 30 children, the director shall meet the qualification requirements as specified in N.J.A.C 3A:52-4.6(b) for education and experience.

Ensure that the director meets the required qualifications as specified in the manual.

Corrected Corrected by Aug 29, 2022

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.6(c)(1) · For early childhood programs, the following shall apply: for all centers, the head teacher or consulting head teacher shall meet the qualification requirements specified in one of the seven options set forth in N.J.A.C. 3A:52-4.6(c) for education and experience.

Ensure that the head teacher meets the required qualifications as specified in the manual.

Corrected Corrected by May 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.6(c)(3) · For early childhood programs, the following shall apply: the group teacher shall meet the requirements for experience and education

Ensure that the group teacher meets the required qualifications as specified in the manual.

Corrected Corrected by Apr 17, 2023

Marked corrected in the state record.

3A:52-7.8(a)(1)(ii) · 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.

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

Corrected Corrected by Jun 21, 2022

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

3A:52-7.8(a)(4)(iii) · Handwashing requirements are as follows: staff members shall wash their hands with soap and running water immediately after assisting a child in toileting.

Ensure that staff wash their hands immediately after assisting a child in toileting.

Corrected Corrected by Jun 21, 2022

Category: health medication. 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 Dec 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3A:52-7.8(d)(1)(ii)(2) · For early childhood programs, the following shall apply: diapering requirements for centers serving children who are not toilet trained are as follows, diapering area and surface requirements are as follows, the diapering area shall be within 15 feet of a sink that is not used for food preparation.

Ensure that the diapering area is within 15 feet of a sink that is not used for food preparation.

Corrected Corrected by Jun 21, 2022

Category: ratio. Marked corrected in the state record.

3A:52-5.3(b)(6) · Outdoor maintenance and sanitation requirements are as follows: centers that provide outdoor space shall maintain all fencing in proper condition.

Ensure that the fence surrounding the outdoor play area is maintained in good condition. Repair the lock.

Corrected Corrected by Jul 27, 2022

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

3A:52-5.3(b)(7) · Outdoor maintenance and sanitation requirements are as follows: the center shall comply with the Playground Safety Subcode of the New Jersey Uniform Construction Code, as specified in N.J.A.C. 5:23-11.

Provide and maintain the resilient surfacing and use zones under all play equipment as required.

Corrected Corrected by Oct 3, 2022

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

3A:52-5.4(a)(3) · For early childhood programs, the following shall apply, crawl spaces, attic spaces, and all doors and windows used for natural ventilation shall be provided with insect screening.

Provide screens on all doors and windows used for ventilation.

Corrected Corrected by May 4, 2023

Marked corrected in the state record.

3A:52-5.3(b)(1) · Outdoor maintenance and sanitation requirements are as follows: the building, land, walkways, and outdoor play area shall be free from hazards to the health, safety or well-being of the children.

Ensure that all outdoor hazards are removed as required. Remove the fencing and hardware that on the playground.

Corrected Corrected by Jul 27, 2022

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

3A:52-7.6(b)(1) · The center shall maintain on file a written record of each incident resulting in an injury as specified in N.J.A.C. 3A:52-7.6(a). These records shall include the following: the name of the injured child.

Based on information, ensure that incident reports are completed as required.

Corrected Corrected by Oct 3, 2022

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.

Based on information, provide a Corrective Action Plan to DCF as required.

Corrected Corrected by Oct 3, 2022

Category: health medication. 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.

Based on information, ensure that adequate supervision is maintained at all times throughout the center. A named child was scratched and bitten by another child and 2 named staff failed to notice that it occurred.

Corrected Corrected by Oct 3, 2022

Category: supervision. Marked corrected in the state record.

3A:52-4.9(a) · The sponsor, sponsor representative, director, or any staff member shall verbally notify the State Central Registry Hotline (1-877 NJ ABUSE/1-877-652-2873) immediately whenever there is reasonable cause to believe that a child has been subjected to abuse or neglect by a staff member, or any other adult, pursuant to N.J.S.A. 9:6-8.9, 8.10, 8.13 and 8.14.

Based on information, ensure that a safe environment is maintained at all times throughout the center, including adhering to the center's biting policy. Staff were aware that a child exhibited biting behaviors on multiple occasions and did not develop and implement a behavioral plan to intervene.

Corrected Corrected by Oct 3, 2022

Marked corrected in the state record.

3A:52-4.8(a)(1) · Topics of orientation training shall include supervising and tracking all children, as specified in N.J.A.C. 3A:52-4.3(a).

Based on information, retrain all staff on 1. The center's supervision policy, 2. The center's biting policy, including developing and implementing behavioral plans and 3. The center's policies and procedures for incidents, including completing incident reports as required.

Corrected Corrected by Oct 3, 2022

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. Pertains to 4 staff.

Corrected Corrected by Jun 13, 2023

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

3A:52-6.1(g)(2)(iv) · For early childhood programs, the following shall apply: centers serving children less than 18 months of age shall provide at least four types of children's daily activities including, but not limited to, sensory; language and dramatic play; manipulative; building; large muscle; music; or other comparable activities; and at least four types of supplies and equipment for each activity area chosen by the center. The use of infant equipment including swings, exersaucers, and bouncers shall be limited to periods of 30 minutes at a time.

Ensure that the use of infant equipment, including swings, exersaucers and bouncers, is limited to 30 minutes at a times.

Corrected Corrected by May 4, 2023

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

3A:52-7.7(a)(3)(iv) · The schedule for disinfecting shall be as follows: tables used by the children for eating shall be washed and disinfected before each meal.

Ensure that the center washes and disinfects the tables used by the children for eating before each meal.

Corrected Corrected by Jun 13, 2023

Category: nutrition. Marked corrected in the state record.

3A:52-6.4(b)(1) · The center shall provide sleeping equipment for children 12 months of age and younger, the center shall provide for each child a crib, that complies with the Consumer Product Safety Commission's (CPSC) Federal Safety Standards for Full- Size and Non-Full-Size Baby Cribs; 16 CFR 1219 and 1220, which is incorporated herein by reference, and can be obtained through the CPSC's website at https://www.cpsc.gov/Safety-Education/Safety- Education-Centers/cribs , playpen, or other Office of Licensing-approved sleeping equipment that meets the following requirement that

Ensure that all children under 12 months of age have an assigned crib.

Corrected Corrected by May 4, 2023

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

3A:52-5.3(a)(2) · 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.

Repair holes in ceiling left from old light fixtures.

Corrected Corrected by May 4, 2023

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

3A:52-7.8(d)(1)(ii)(2) · For early childhood programs, the following shall apply: diapering requirements for centers serving children who are not toilet trained are as follows, diapering area and surface requirements are as follows, the diapering area shall be within 15 feet of a sink that is not used for food preparation.

Ensure that the diapering area is within 15 feet of a sink that is not used for food preparation.

Corrected Corrected by Jun 13, 2023

Category: ratio. Marked corrected in the state record.

3A:52-7.8(a)(4)(i) · Handwashing requirements are as follows: staff members shall wash their hands with soap and running water immediately before preparing or serving food.

Ensure that staff wash their hands immediately before preparing or serving food.

Corrected Corrected by Jun 13, 2023

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

3A:52-7.8(a)(1)(v) · 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 outdoor play.

Ensure that children wash their hands immediately after outdoor play.

Corrected Corrected by Jun 13, 2023

Category: health medication. 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 before the intake of food.

Corrected Corrected by May 4, 2023

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

3A:52-7.7(e)(1)(iii) · 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.

Ensure that the center washes and disinfects diapering surfaces after each use.

Corrected Corrected by May 4, 2023

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

3A:52-5.3(q)(2)(iii) · Space and room requirements are as follows: at no time shall a center operate in violation of the written conditions on its license or Certificate of Life/Safety Approval including, but not limited to, capacity or age restrictions for specific classrooms.

Ensure that the center complies with the conditions of the license including the age restrictions for specific classrooms.

Corrected Corrected by Jun 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3A:52-7.7(e)(1)(v) · 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, bottles, nipples, and other feeding equipment.

Ensure that the center washes, rinses and sanitizes bottles, nipples, utensils and other feeding equipment after each use.

Corrected Corrected by Jun 13, 2023

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

3A:52-4.9(a) · The sponsor, sponsor representative, director, or any staff member shall verbally notify the State Central Registry Hotline (1-877 NJ ABUSE/1-877-652-2873) immediately whenever there is reasonable cause to believe that a child has been subjected to abuse or neglect by a staff member, or any other adult, pursuant to N.J.S.A. 9:6-8.9, 8.10, 8.13 and 8.14.

Per the Updated Covid-19 Standard ensure staff that are working with children under 2.5 adhered to mask requirements.

Corrected Corrected by Aug 27, 2021

Marked corrected in the state record.

3A:52-5.3(b)(2) · Outdoor maintenance and sanitation requirements are as follows: the outdoor play area shall be graded or provided with drains to dispose of surface water.

Ensure outdoor play area is free of stagnate water.

Corrected Corrected by Aug 27, 2021

Category: physical safety. 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.

Upload water testing results, assurance and checklist into NJCCIS.

Corrected Corrected by Aug 27, 2021

Category: ratio. Marked corrected in the state record.

3A:52-5.3(p) · 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.

Repair and/or replace broken toys from the outdoor play area.

Corrected Corrected by Aug 27, 2021

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

3A:52-4.6(c)(3) · For early childhood programs, the following shall apply: the group teacher shall meet the requirements for experience and education

Hire and submit documentation for group teacher.

Corrected Corrected by Sep 25, 2019

Marked corrected in the state record.