3A:52-7.6(a) · (a) The center shall take immediate necessary action to protect the child from further harm and shall immediately notify the child's parent(s) when one of the following occurs while the child is in the center’s care: 1. A child is bitten and the skin is broken; 2. A child sustains a head or facial injury, including when a child bumps his or her head; 3. A child falls from a height greater than the height of the child; or 4. An injury requiring professional medical care occurs.

Ensure that documentation shows that parents are notified immediately when a child sustains a head or facial injury, including when a child bumps his or her head.

Corrected Corrected by Mar 28, 2025

Marked corrected in the state record.

3A:52-4.8(a) · (a) Topics of orientation training shall include all of the following: 1. Supervising and tracking all children, as specified in N.J.A.C. 3A:52-4.3(a); 2. Understanding center operations, policies and procedures, as specified in N.J.A.C. 3A:52-4.5(b)3; 3. Implementing group size limits and primary caregiver responsibilities, as applicable, as specified in N.J.A.C. 3A:52-4.4; 4. Recognizing and reporting child abuse or neglect, as specified in N.J.A.C. 3A:52-4.9; 5. Evacuating the center and using the fire alarms, as specified in N.J.A.C. 3A:52-5.3(l); 6.Implementing the center’s release policy, as specified in N.J.A.C. 3A:52-6.5; 7. Implementing the center's statement of policy on the disciplining of children, as specified in N.J.A.C. 3A:52-6.6; 8. Implementing health practices, including medication administration and responding to symptoms of illness, as specified in N.J.A.C. 3A:52-7.1 through 7.11; 9. Implementing safe sleep practices to prevent Sudden Infant Death Syndrome; 10. Preventing Shaken Baby Syndrome and Abusive Head Trauma; 11. Recognizing and responding to injuries and emergencies, including the prevention of and response to emergencies due to food-related allergies and other allergic reactions; and 12. Including children with special needs in the center’s program.

Provide documentation of completed orientation training for all staff.

Corrected Corrected by Apr 8, 2025

Category: supervision. Marked corrected in the state record.

3A:52-7.6(b)(6) · (b) The center shall maintain on file a written record of each incident resulting in an injury as specified in (a) above. These records shall include the following: 1. The name of the injured child; 2. The date, time and location of the incident; 3. The name and address of the center; 4. The name of the person completing the report; 5. The date the report was completed; and 6. A written description of the following: i. The incident; ii. The injury to the child; iii. The names of witnesses to the incident; and iv. The follow-up action taken by the center, including: (1) Application of first aid; and (2) Consultation or treatment by a licensed physician or other health care provider, if applicable. (d) Upon request of the child's parent, the center shall provide a written description of the incident by the end of the next operating day.

Ensure accident reports are completed as required with all required components, including information for parent notification.

Corrected Corrected by Mar 28, 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).

Ensure Epi-pens present for one child are not expired.

Corrected Corrected by May 23, 2025

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.

Ensure cots are stored in a secure manner. At the time of the inspections, cots in room 2 and the bathroom were stored vertically against the wall. The cots were laid down upon inspector request.

Corrected Corrected by Mar 18, 2025

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

3A:52-5.2(b) · An applicant seeking a license or a Certificate of Life/Safety Approval to operate a center shall comply with all applicable provisions of the New Jersey Uniform Fire Code, as specified in N.J.A.C. 5:70 and hereinafter referred to as the NJUFC. The center shall obtain the building's fire safety inspection certificate issued by the municipality in which it is located, based on a fire inspection conducted within the preceding 12 months, reflecting the center's compliance with all applicable provisions of the NJUFC. The center shall maintain on file the building's fire safety inspection certificate.

Ensure that the center's fire protective systems are operative at all times. At the time of the inspection, the monitoring panel had a trouble message displayed. A call to the monitoring company confirmed that they are still receiving a signal from the center.

Corrected Corrected by Aug 6, 2024

Category: recordkeeping. 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 the vents in building 2 classroom 2 are free of dust.

Corrected Corrected by Aug 6, 2024

Category: physical safety. 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.

Ensure that CARI background checks are completed as required for the sponsor/sponsor representative and all regularly scheduled staff for license renewal. Provide documentation of CARI clearances for 11 pending renewal CARIs. 7/10/2024 Provide 2 CARI clearances. 7/11/2024 Provide 1 CARI clearance.

Corrected Corrected by Jul 18, 2024

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

3A:52-5.3(i)(5)(iii) · 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 or site is not provided a potable water supply by a public community water system, the applicant shall provide potable water sampling results demonstrating compliance with maximum contaminant levels for all contaminants required to be tested pursuant to N.J.A.C. 7:10-5 for public non-transient, non-community (NTNC) water systems, including radiological contaminants, regardless of whether they meet the definition of NTNC systems as defined at N.J.A.C. 7:10-1.3. This sampling shall have been conducted within three years of the date of application submission, except nitrates and coliform, for which the sampling shall have been conducted within 90 days of submitting the application.

Submit current documentation from the DEP, Bureau of Safe Drinking Water (BSDW) for centers not served by a public community water system and post the results for renewal.

Corrected Corrected by Nov 4, 2024

Category: recordkeeping. Marked corrected in the state record.

3A:52-5.3(m)(2) · Supplemental evacuation requirements are as follows: cribs, beds, playpens, and cots used for rest or sleep shall be arranged so as to provide access to a three-foot-wide aisle that leads to an unobstructed exit.

Ensure the exits are clear at all times. At the time of the inspection, a crib and chair were blocking one of the exits from the crib room. The items were moved upon inspector request.

Corrected Corrected by Jul 8, 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 updated annually for each child.

Corrected Corrected by Aug 6, 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 in room 1-2.

Corrected Corrected by Aug 6, 2024

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 in room 1-2.

Corrected Corrected by Aug 6, 2024

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

3A:52-7.8(d)(1)(ii)(3) · 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 surface shall be flat, smooth, clean, dry, non-absorbent, and in good repair.

Repair or replace the torn diaper changing pad in the hallway bathroom.

Corrected Corrected by Aug 6, 2024

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

3A:52-6.8(a)(1) · The center shall complete and maintain on file for each enrolled child a Children’s Records Checklist, signed by the director, sponsor, or sponsor representative and designated by the Office of Licensing, indicating that the center has obtained documentation of the child's name, address, birth date, and date of enrollment; the name(s), home and work address(es), home and work telephone number(s) and signature(s) of the parent(s); the name(s), address(es), and telephone number(s) of any person(s) authorized by the parent(s) to visit the child at the center and/or take the child from the center, as specified in N.J.A.C. 3A:52-6.5(a)1; and the name, address, and telephone number of the child's health care provider; signed authorization from the parent(s) for emergency medical treatment; the parent’s signature attesting to the receipt of the Information to Parents document, as specified in N.J.A.C. 3A:52-3.6(b); the parent’s signature attesting to the receipt of the Information to Parents document, as specified in N.J.A.C. 3A:52-3.6(b).; health information for each child, as follows: for early childhood programs, a record of the child’s health examination and immunizations, as specified in N.J.A.C. 3A:52-7.3(a); and for school-age child care programs, a record of the parent’s statement concerning the child’s health, as specified in N.J.A.C. 3A:52-7.3(b).

Complete and maintain on file a Children's Records Checklist designated by OOL.

Corrected Corrected by Jul 18, 2024

Category: health medication. 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. Center is missing 1 cleared CHRI.

Corrected Corrected by Sep 13, 2023

Category: background checks. 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 Apr 5, 2023

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

3A:52-5.3(n)(4) · Fire prevention requirements are as follows: all fire extinguishers shall be visually inspected once a month, and serviced and tagged at least once a year and recharged, if necessary, as specified in the NJUFC.

Ensure that all fire extinguishers are serviced and tagged annually and recharged as needed.

Corrected Corrected by Feb 21, 2023

Category: physical safety. 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.

In room 3, ensure that children wash their hands with soap and running water immediately after having their diaper changed.

Corrected Corrected by Feb 10, 2020

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

3A:52-4.10(a)(1) · The sponsor or sponsor representative, and each staff member shall complete a signed consent form provided by the Department that indicates the identifying information necessary to conduct a CARI background check, including the person’s name, address, date of birth, sex, race, and Social Security number. Pursuant to the Federal Privacy Act of 1974 (P.L. 93-579), the Department shall advise each such person that the disclosure of his or her Social Security number is voluntary, and that the Social Security number will only be used for the purpose of conducting a CARI background check.

Provide missing CARI for 1 staff member.

Corrected Corrected by Feb 10, 2020

Category: background checks. 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.

In room 1 (crib room), replace stained ceiling tile.

Corrected Corrected by Feb 10, 2020

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

3A:52-6.4(b)(2)(iii)(4) · The center shall provide sleeping equipment for children over the age of 12 months and under the age of five years, 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 CRF 1219 and 1220, which is incorporated herein by reference, and can be obtained through the CPSC's website at http://www.cpsc.gov/businfo/frnotices/fr11/cribfinal.pdf, playpen, cot, mat, or other Office of Licensing-approved sleeping equipment that meets the following requirements: each mat used for rest and sleep shall be stored so that there is no contact with the sleeping surface of another mat, or disinfected after each use, as specified in N.J.A.C. 3A:52-7.7(a)1.

In room 1, ensure that the mattresses aren't stacked up against each other with the sheets touching each other.

Corrected Corrected by Feb 10, 2020

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

3A:52-7.8(a)(1)(iii) · 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 coming into contact with blood, fecal matter, urine, vomit, nasal secretions, or other body fluids or secretions.

In room 3, ensure that children wash their hands with soap and running water immediately after wiping nose.

Corrected Corrected by Feb 10, 2020

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.

In room 3, ensure that children wash their hands with soap and running water immediately after outdoor play.

Corrected Corrected by Feb 10, 2020

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.

In room 3, ensure that staff wash their hands with soap and running water immediately after changing a child's diaper.

Corrected Corrected by Feb 10, 2020

Category: health medication. 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.

In room 3, ensure that staff wash their hands with soap and running water immediately after wiping a child's nose.

Corrected Corrected by Feb 10, 2020

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

3A:52-7.8(d)(1)(ii)(3) · 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 surface shall be flat, smooth, clean, dry, non-absorbent, and in good repair.

In room 3, ensure that the dirt is removed for underneath the changing pad in the diapering area.

Corrected Corrected by Feb 10, 2020

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 medication required by special care plans remains current: Benadryl expired for one child.

Corrected Corrected by Feb 10, 2020

Category: ratio. Marked corrected in the state record.