(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 are stored in their original boxes with the child's name and prescription, accompanied by a special care plan that includes procedures for contacting parents and emergency medical services, and both epi-pens are present when two are required.

3A:52-7.5(b)(10) · Corrected Jun 18, 2026

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. (b) In addition to the reporting requirements specified in (a) above, the sponsor, sponsor representative, director, or any staff member shall advise the parent(s) of the occurrence of any unusual incident(s) that occurred at the center and that might indicate possible abuse or neglect involving the child. Such notification shall be made on the same day on which the incident occurred. Such incidents may include, but are not limited to, unusual sexual activity; violent or destructive behavior; withdrawal or passivity; or significant change(s) in the child's personality, behavior or habits. The center shall maintain on file a record of such incidents and documentation that parents have been informed of them.

Based on report, ensure that adequate procedures for incidents are adhered to at all times, including recognizing and reporting possible incidents of child abuse and neglect.

3A:52-4.9(a) · Corrected Apr 7, 2026

The center shall develop and follow a policy on the administration of medication and health care procedures to children, which shall include the following provisions: the center shall maintain on file a record of the following: the child's name and parental authorization for the center to administer medication or health care procedures; the name of the medication or health care procedure; the condition for which the medication or health care procedure is being used; the instructions for administration, including the dosage and frequency; the date and time medication or a health care procedure was administered to a child and the name or initials of the staff member who administered it; and any adverse effect the medication can have or has had on the child.

Ensure medication records are completed as required, including the date and time medication was administered to a child, and the initials of the staff member who administered it, and any observed side effects.

3A:52-7.5(b)(7) · Corrected Jun 18, 2026

As a condition of securing a new or renewal license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall provide for himself or herself, and shall obtain from all staff members who are or will be working at the center on a regularly scheduled basis, written consent for the Department to conduct a Child Abuse Record Information (CARI) background check to determine whether an incident of child abuse or neglect has been substantiated against any such person. If a staff member refused to consent to a CARI background check, the sponsor or sponsor representative shall immediately terminate the staff member's employment at the center.

Ensure that CARI background checks are completed as required for the sponsor/sponsor representative and all regularly scheduled staff for the center's license renewal. Provide CARI clearance for 2 staff and sponsor representative. 11.5.25. Provide CARI clearance for sponsor representative.

3A:52-4.10(a) · Corrected Nov 20, 2025

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 current Children's Records Checklist designated by OOL that includes all enrolled children.

3A:52-6.8(a)(1) · Corrected Mar 25, 2025

(c) The following staff/child ratios shall apply, except as specified in (d) through (f) below: 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 (d) The following staff/child ratios shall apply during rest or sleep, when the criteria listed in (d) 1, 2, and 3 below are met: Under 18 months 18 months to under 2 ½ years 2 ½ years and above 1:10 1:12 1:20 2. A sufficient number of staff members shall be in the facility and readily accessible to ensure compliance with the awake staff/child ratios specified in (c) above.

Ensure that adequate staff/child ratios are maintained at all times. At the time of the inspection, there were 4 staff present with children when 5 were required.

3A:52-4.3(c) · Corrected Mar 25, 2025

The children shall be supervised directly by a staff member at all times, including during outdoor activities, rest and sleep, and walking through hallways. Toileting procedures shall be supervised by a staff member as appropriate for the ages and developmental needs of the children. 1. At least one staff member shall be physically present in the room or area in which children are napping and shall be able to summon other staff members without leaving the room or area. 3. Naptime preparations shall have been completed and all children 18 months or above are resting or sleeping, while all children under 18 months of age are sleeping.

Ensure that children are directly supervised at all times including when walking through hallways.

3A:52-4.3(a) · Corrected Mar 25, 2025

For early childhood programs, the following shall apply: the center shall maintain on file a log of the initial illnesses, symptoms of illness, or diseases that are exhibited by each child while in the center’s care, as specified in N.J.A.C. 3A:52-7.1(c) and (d). This illness log shall include

Maintain an illness log on file at the center and ensure that it contains all of the required components.

3A:52-7.9(a)(1) · Corrected Dec 1, 2022

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.

3A:52-3.4(a) · Corrected Dec 1, 2022

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.

3A:52-4.1(d)(1) · Corrected Apr 14, 2023

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. Provide a special care plan from the health care provider for 2 children.

3A:52-7.5(b)(10) · Corrected Mar 7, 2023

The center shall develop and follow a policy on the administration of medication and health care procedures to children, which shall include the following provisions: the center shall maintain on file a record of the following the instructions for administration, including the dosage and frequency.

Ensure that the center completes and maintains a medication log that includes the instructions for administration, including dosage and frequency.

3A:52-7.5(b)(7)(iv) · Corrected Dec 1, 2022

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. Provide the fire drill log for the pm session.

3A:52-5.3(n)(1) · Corrected May 3, 2023

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.

3A:52-5.3(o)(1) · Corrected Dec 1, 2022

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 Benadryl is present when required as per the special care plan for 1 child.

3A:52-7.5(b)(10) · Corrected Mar 7, 2023

Emergency procedure requirements are as follows: the emergency procedures shall be readily accessible in a designated location within the center.

Ensure that the center's written emergency plans are readily accessible in a designated location within the center.

3A:52-5.3(l)(2) · Corrected Dec 1, 2022

Space and room requirements are as follows: Indoor space requirements for play rooms and sleep rooms are as follows the center shall identify all rooms of the center that have been approved by the Office of Licensing. This identification shall consist of numbers, letters, names or any other means of identification and shall be located either inside or directly outside each room.

Post a diagram of all approved ares and ensure that all rooms approved for use by the children are labeled.

3A:52-5.3(q)(3)(v) · Corrected Dec 1, 2022

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. Provide CHRI clearance for 1 staff.

3A:52-4.11(a)(1) · Corrected Apr 14, 2023

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.

3A:52-5.3(i)(5)(i) · Corrected May 26, 2022

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.

Ensure that the center conducts at least two lockdown drills per year during each session provided at the center and maintains records of the drills on file.

3A:52-5.3(l)(4) · Corrected Apr 14, 2023

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 signed authorization from the parent(s) for emergency medical treatment.

Ensure that the center completes and maintains on file a children's records checklist, including signed authorization from the parent for emergency medical treatment.

3A:52-6.8(a)(5) · Corrected Dec 1, 2022

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.

Provide documentation of education and experience for the program supervisor.

3A:52-4.6(d)(1) · Corrected Sep 9, 2020

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.

Provide 1 outstanding CARI clearance.

3A:52-4.10(b)(1) · Corrected Mar 12, 2020

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.

3A:52-3.6(b)(1) · Corrected Mar 5, 2020

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).

1 child missing their emergency care plan.

3A:52-7.5(b)(10) · Corrected Mar 5, 2020