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.

Based on information, ensure that adequate procedures for tracking children are adhered to at all times throughout the center. A named staff failed to complete a head count while transitioning to the playground and a named child was left on the playground unsupervised.

Corrected Corrected by Oct 14, 2025

Category: supervision. 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.

Based on information, retrain all staff on 1. The center's supervision policy and 2. The center's policies and procedures for tracking children.

Corrected Corrected by Oct 14, 2025

Category: supervision. 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. 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.

Based on information, ensure that adequate supervision is maintained at all times throughout the center. A named child was left unsupervised on the playground for approximately 7 minutes.

Corrected Corrected by Oct 14, 2025

Category: supervision. Marked corrected in the state record.

3A:52-3.6(b) · 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.

Maintain at the center and distribute to all families and staff, a copy of the Information to Parents document designated by the OOL; maintain on file a record of parental and staff receipt of the policy.

Corrected Corrected by Jul 25, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

Obtain and maintain on file parental authorization to apply topical medications including sunscreens and diaper creams.

Corrected Corrected by Jul 25, 2025

Category: supervision. Marked corrected in the state record.

3A:52-7.3(a) · (a) For early childhood programs, the following shall apply: 1. Each child not enrolled in a public or private school shall have had a health examination performed by a health care provider within: i. Six months prior to admission, for children who are 2½ years of age or younger; or ii. One year prior to admission, for children above 2½ years of age. 2. For each child not enrolled in a public or private school, upon admission, the center shall maintain on file at the center a Universal Child Health Record (Department of Health Form CH-14) or its equivalent, updated annually, along with an immunization record , and a special care plan, if applicable. A 30-day grace period is permitted in N.J.A.C. 8:57- 4.5(e): i. For children coming from other states or countries in accordance with N.J.A.C. 8:57-4.6 and 4.7; and ii. For children who are in foster care or experiencing homelessness as defined by the McKinney-Vento Act, 42 U.S.C. § 11434a(2). 3. For children enrolled in a public or private school, the center shall obtain a written statement from each child's parent indicating: I. That the child is in good health and can participate in the normal activities of the program; and ii. Any conditions or specific needs that may require special accommodations. 4. If immunizations are contraindicated for medical reasons, the center may choose to admit the child, provided that the parent submits to the center a written statement from a health care provider attesting to the following: i. The reason the immunization is medically contraindicated; and ii. The specific time period that the immunization is medically contraindicated. 5. A child shall be exempted from a physical examination, immunization, or medical treatment if the parent objects thereto in a written statement submitted to the center, signed by the parent, explaining how the examination, immunization, or medical treatment conflicts with the child’s exercise of bona fide religious tenets or practices. i. Religiously-affiliated centers shall have the authority to withhold or grant a religious exemption from the required immunization for children entering or attending their centers without challenge by any secular health authority, as specified in N.J.A.C. 8:57-4.4. ii. The center shall maintain the parent’s written statement on file as part of the child’s record. 6. Those children with immunization exemptions may be excluded from the center by the Office of Licensing or the Department of Health during a vaccine-preventable disease outbreak or threatened outbreak, as determined by the State Commissioner of Health.

Submit to the OOL immunization and Universal health records for eight (8) named children.

Corrected Corrected by Jun 13, 2025

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

3A:52-7.9(a)(1) · 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: the child's name; the date and time the illness, symptoms of illness or diseases were observed at the center; a description of the symptoms of illness manifested by the child; the action taken by the center to assist: the child who is demonstrating symptoms of illness; and the director in determining if exclusion of the child from the center is necessary; any significant change in the child's symptoms of illness; the date, if applicable, that: the child was removed from the center; the child returned to the center with a note from a health care provider attesting to the child's admissibility to the center and recovery from a reportable disease, as specified in N.J.A.C. 8:57; the child returned to the center with a parent’s note attesting that six days have elapsed since the onset of chicken pox, or that all chicken pox sores have dried and crusted; or the child returned to the center symptom-free.

Ensure that the return date is documented in illness log.

Corrected Corrected by Jul 25, 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).

Obtain and maintain on file, an updated care plan that matches the dosage of the prescribed medication for a named child in Room 10A.

Corrected Corrected by Jul 25, 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 Jul 25, 2025

Marked corrected in the state record.

3A:52-4.6(c)(1) · For early childhood programs, the following shall apply: or 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.

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

Corrected Corrected by Jul 25, 2025

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.5(c)(2) · 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 not have full-time classroom responsibilities during the times when the director is not present at the center and shall complete staff development in understanding licensing rules as provided by the Office of Licensing.

Ensure that the director designee completes the OOL's Understanding Licensing.

Corrected Corrected by Jun 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.5(a)(3) · 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; and job descriptions, titles and qualifications for all center staff.

Update the table of organization to include current staff members.

Corrected Corrected by Jul 25, 2025

Category: ratio. Marked corrected in the state record.

3A:52-7.7(e)(1)(iii) · In addition to the items specified in (a)3 above, the following equipment items or surfaces shall be washed and disinfected after each use: iii. Diapering surfaces;

Ensure diapering surfaces are washed and disinfected after each use in Room 2A.

Corrected Corrected by Jul 25, 2025

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

3A:52-7.7(a)(3)(iv) · Tables used by the children for eating shall be washed and disinfected before each meal.

Ensure tables are washed and disinfected before each meal in Room 10.

Corrected Corrected by Aug 26, 2025

Category: nutrition. 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 Aug 19, 2025

Category: ratio. Marked corrected in the state record.

3A:52-6.3(b)(3)(iv)(1) · 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 in Room 1.

Corrected Corrected by Jul 25, 2025

Marked corrected in the state record.

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

Based on report, retrain the 2 named staff on 1. The center's supervision policy, 2. The center's policies and procedures for tracking children, and 3. The center's policies and procedures for fire drills.

Corrected Corrected by Jan 15, 2025

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.3(a)(2) · The center shall ensure that all staff members are trained in the method of keeping track of children and know how many children are in their care at all times.

Based on report, ensure that adequate supervision is maintained at all times throughout the center, including during fire drills.

Corrected Corrected by Jan 24, 2025

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.

Based on report, ensure that adequate procedures for tracking children are adhered to at all times throughout the center, including during fire drills.

Corrected Corrected by Jan 28, 2025

Category: supervision. 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 report, ensure that adequate supervision is maintained at all times throughout the center.

Corrected Corrected by Dec 19, 2024

Category: supervision. Marked corrected in the state record.

3A:52-4.3(a)(1) · The center shall develop and implement an Office of Licensing-approved method to keep track of the location and ensure the safety of all children at all times when under the center’s supervision, including the transfer of supervision from and to parents during arrival and departure and the utilization of off-site locations, including playgrounds and field trips.

Based on report, ensure that adequate procedures for tracking children are adhered to at all times throughout the center.

Corrected Corrected by Dec 19, 2024

Category: supervision. Marked corrected in the state record.

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

Based on report, retrain the named staff on 1. The center's supervision policy and 2. The center's policies and procedures for tracking children.

Corrected Corrected by Jan 2, 2025

Category: recordkeeping. 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.

Ensure that CARI background checks are completed as required for all staff within two weeks of hire. There is one CARI background check outstanding.

Corrected Corrected by May 14, 2024

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

3A:52-5.2(c) · If the center prepares meals, the center shall obtain 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. The center shall maintain on file the Sanitary Inspection Certificate.

Provide a current health certificate as required.

Corrected Corrected by Sep 12, 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 medications are present when required. Replace the expired medications for three named children.

Corrected Corrected by Jun 28, 2024

Category: ratio. Marked corrected in the state record.

3A:52-7.5(b)(7)(i) · 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.

Obtain and maintain on file parent authorization to administer medication for twelve (12) named children. 6/28/24 One parental authorization is outstanding.

Corrected Corrected by Jul 3, 2024

Category: ratio. 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. Room 10 and Room 4 were missing the second step.

Corrected Corrected by Jun 28, 2024

Category: health medication. 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. Room 11 was missing the disinfecting step.

Corrected Corrected by Jun 28, 2024

Category: nutrition. Marked corrected in the state record.

3A:52-7.6(b)(6) · 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: a written description of

Based on information, ensure that incident reports are completed accurately as required. A named staff omitted that the named child fell out of the crib on the incident report.

Corrected Corrected by Aug 26, 2024

Category: recordkeeping. Marked corrected in the state record.

3A:52-6.6(a)(1) · The methods of guidance and discipline used shall: be positive.

Based on information, ensure that staff utilize positive methods of guidance and discipline. A named staff put a named child into a crib after the named child bit another child.

Corrected Corrected by Aug 26, 2024

Marked corrected in the state record.

3A:52-4.3(a)(2) · The center shall ensure that all staff members are trained in the method of keeping track of children and know how many children are in their care at all times.

Ensure that all staff are aware of the number of children in their care at all times. Room 11 stated that they had six (6) children and seven (7) children were in attendance.

Corrected Corrected by Sep 12, 2024

Marked corrected in the state record.

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

Based on information, retrain all staff on 1. The center's supervision policy, 2. The center's discipline policy, and 3. Completing incident reports accurately.

Corrected Corrected by Sep 18, 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 named child climbed out of their crib and fell while a named staff was tending to other children and on her phone.

Corrected Corrected by Aug 26, 2024

Category: supervision. 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 Sep 21, 2023

Category: recordkeeping. 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 May 2, 2024

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

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

Ensure that all staff complete 12 hours of staff development annually. 8/28/23 Five (5) regularly scheduled members of staff are missing staff development hours.

Corrected Corrected by Dec 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.8(d)(1) · In lieu of the child care staff development specified in N.J.A.C. 3A:52-4.8(b), the director, head teacher(s), group teacher(s), and program supervisor(s) shall each complete 20 hours of staff development each year. Recommended topics of training for these staff include educational and physical activity.

Ensure that all credentialed staff complete 20 hours of staff development annually. 8/28/23 Five (5) credentialed staff are missing staff development hours.

Corrected Corrected by Dec 12, 2023

Category: supervision. 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 Jul 11, 2023

Category: ratio. Marked corrected in the state record.

3A:52-7.5(b)(7)(i) · 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.

Obtain and maintain on file parent authorization to administer topical medication.

Corrected Corrected by Aug 28, 2023

Category: ratio. 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 two Epi-pens are present when required. Replace the expired Epi-pens for a named child in Room 12.

Corrected Corrected by Jul 11, 2023

Category: ratio. Marked corrected in the state record.

3A:52-7.5(b)(3)(iii) · 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: all medication and health care equipment shall be kept either in a locked cabinet or in an area that is inaccessible to the children. 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.

Ensure that all expired medication for a named child in Room 9 is returned to the child's parent or disposed of appropriately.

Corrected Corrected by Jul 11, 2023

Category: ratio. 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. The date was missing from the bottles in Room 1.

Corrected Corrected by Jul 11, 2023

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 the center's supervision policy.

Corrected Corrected by Dec 20, 2023

Category: supervision. 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 staff left a named child unsupervised in the bathroom for 12 minutes.

Corrected Corrected by Nov 21, 2023

Category: supervision. Marked corrected in the state record.

3A:52-7.5(b)(10) · The center shall develop and follow a policy on the administration of medication and health care procedures to children, which shall include the following provisions: the center shall store prescribed epinephrine pens in their original boxes with the child’s name and prescription. A special care plan or other documentation from a health care provider shall accompany the epinephrine pen. If two epinephrine pens are required, both shall be available. Each center under the jurisdiction of N.J.S.A. 18A:40-12.5 shall store back-up epinephrine pens on site consistent with the requirements stated at N.J.S.A. 18A:40-12.5.e(1).

Ensure that all Epi-pens are not expired.

Corrected Corrected by Aug 12, 2022

Category: ratio. Marked corrected in the state record.

3A:52-5.3(q)(1)(ii) · Space and room requirements are as follows: all space and rooms within the center to be used by children shall be inspected and approved by the Office of Licensing prior to their use. In making its determination, the Office of Licensing shall consider whether the space is too far removed, remote, or isolated from other areas of the center to be used by children. rooms or areas of the center that are not Office of Licensing-approved for use by children shall be made inaccessible to children.

Ensure that unapproved space is inaccessible to the children at all times.

Corrected Corrected by Jul 18, 2022

Marked corrected in the state record.

3A:52-2.1(b) · A person applying for an initial license or renewal license to operate a center or relocation of a center shall submit a completed application to the Office of Licensing at least 45 days prior to the anticipated opening of the center or to the expiration of its existing regular license.

Complete and submit a DCF Renewal Attestation and all required documents.

Corrected Corrected by Aug 12, 2022

Category: ratio. Marked corrected in the state record.

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

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

Corrected Corrected by Oct 5, 2022

Category: background checks. 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 Dec 22, 2022

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

3A:52-5.3(l)(1)(iii) · Emergency procedure requirements are as follows: the center shall prepare written emergency procedures delineating an alternate indoor location that operates during the same operating hours as the center. The center shall

Ensure that the center's evacuation procedures include an alternate indoor location that operates during the same operating hours as the center.

Corrected Corrected by Dec 22, 2022

Category: recordkeeping. 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 Oct 5, 2022

Category: ratio. 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.

Maintain all mechanical ventilation in a clean and operating condition. Clean vents in children's bathroom in room 4.

Corrected Corrected by Aug 12, 2022

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.

Complete and submit a DCF Drinking Water Testing Checklist and Statement of Assurance.

Corrected Corrected by Dec 22, 2022

Category: ratio. Marked corrected in the state record.

3A:52-4.8(a)(7) · Topics of orientation training shall include implementing the center's statement of policy on the disciplining of children, as specified in N.J.A.C. 3A:52-6.6.

Based on information, retrain all staff on the center's discipline policy.

Corrected Corrected by Apr 19, 2022

Category: recordkeeping. 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.

Ensure that CARI background checks are completed as required for all staff .

Corrected Corrected by May 3, 2022

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

3A:52-6.6(a)(1) · The methods of guidance and discipline used shall: be positive.

Based on information, ensure that the staff utilize positive methods of guidance and discipline at all times throughout the center. A named child kicked another child and a named staff picked up the named child, placed the child on her lap and held her upper body, hands and wrists while the named child was fidgeting and trying to get away.

Corrected Corrected by Apr 4, 2022

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.

Obtain a valid fire certificate.

Corrected Corrected by Dec 10, 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.

Provide Water Testing Statement of Assurance.

Corrected Corrected by Nov 6, 2019

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 required to credential 2 group teachers.

Corrected Corrected by Jan 7, 2020

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.

Provide documentation of annual training on the orientation topics.

Corrected Corrected by Jan 7, 2020

Category: recordkeeping. Marked corrected in the state record.

3A:52-5.2(c) · If the center prepares meals, the center shall obtain 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. The center shall maintain on file the Sanitary Inspection Certificate.

Provide a sanitary inspection certificate from the department of health.

Corrected Corrected by Jan 7, 2020

Category: health medication. 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 2 lockdown drills per session per year.

Corrected Corrected by Jan 7, 2020

Category: recordkeeping. Marked corrected in the state record.

3A:52-6.3(b)(4)(v) · Mealtime and snack requirements for centers serving children 18 months of age or older and those children younger than 18 months of age who are developmentally ready to eat regular meals and snacks are as follows: centers that provide snacks shall ensure that the snack includes one juice, milk, or fruit and one food supplement selected from the lunch and dinner choices specified in N.J.A.C. 3A:52-6.3(b)4iv, except on special occasions, such as holidays and birthdays.

Provide the appropriate type of milk based on the children's ages.

Corrected Corrected by Jan 7, 2020

Category: nutrition. Marked corrected in the state record.

3A:52-7.6(b)(6)(iv)(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: a written description of the follow-up action taken by the center, including the follow-up action taken by the center, including application of first aid.

Ensure time of parental notification is included on accident reports.

Corrected Corrected by Jan 7, 2020

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

3A:52-7.7(a)(1)(i) · Disinfectants shall be used as follows: the center shall disinfect those items specified in N.J.A.C. 3A:52-7.7(a)3 with a solution that shall be a commercially prepared disinfectant that indicates it kills bacteria, viruses, and parasites. This solution shall be used in accordance with label instructions.

Ensure center is following manufacturer's instructions for using commercial disinfectant.

Corrected Corrected by Jan 7, 2020

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 staff use a 2 step process to wash and disinfect diapering surfaces after each use.

Corrected Corrected by Jan 7, 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.

Ensure staff wash their hands after changing a child's diaper.

Corrected Corrected by Jan 7, 2020

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

3A:52-5.3(i)(8) · Environmental condition precautions are as follows: at the time of the initial application, any renewal application, relocation of an existing licensed center, and, as determined by the Office of Licensing, on a case-by-case basis, the facility operator shall submit to the Office of Licensing a Safe Building Interior Certification or other approval issued by the Department of Health that indicates that no further remediation is needed for the interior of the building in which the center is located.

Obtain a Safe building Interior Certificate.

Corrected Corrected by Jan 7, 2020

Category: health medication. 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 life hazard use certificate with the correct corresponding code.

Corrected Corrected by Feb 12, 2020

Category: ratio. Marked corrected in the state record.