Positive Beginnings NJ

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 3.

Corrected by Dec 16, 2025

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3A:52-5.3(r) · The center shall take any steps required by the Office of Licensing to correct conditions in the building or center that may endanger the health, safety, and well-being of the children served.

Ensure that children wear shoes at all times. Children in room 3 removed their shoes for nap time.

Corrected by Nov 3, 2025

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3A:52-6.3(a) · 1. Food served to children who are present during normal mealtime hours or required snack periods, as specified in (b) and (c) below, shall be provided either by the child's parent or by the center. 3. If the center chooses to have parents provide food, the center shall have a supply of food at the center for any child whose parent forgets. 4. If the center provides food, the center shall ensure that the food is stored, prepared, and served in a sanitary manner. 5. Staff members shall advise parents of any repetitive feeding problems experienced by their child. 6. Staff members shall not force-feed or coerce a child to eat against his or her will. 9. Centers that provide meals shall ensure that: i. For children on special diets (for example, due to health reasons, religious belief or parental request), an alternative choice of food is provided by either the center or the child's parent; and ii. Individualized written diets and feeding schedules, if submitted to the center by the child's parent or health care provider, are posted in a location that is accessible to staff members caring for the children, and are followed. 10. The center shall have a supply of food at the center and shall serve a snack to any child who is hungry or has missed a meal. iii. Food left uneaten in a dish shall be discarded; iv. Food shall not be shared among children using the same dish or spoon; and v. Unused portions of food shall be labeled with the child's name, date, and type of food. The food shall be stored in the refrigerator, returned to the parent, or discarded with the parent's consent. All unused food shall be discarded if not consumed by the end of the day.

Ensure that food delivered to the center for lunch is stored in a sanitary manner. Food was delivered at approximately 10:45am from a vendor, not kept hot, and then not served to children until between 11:30 and 1:15pm.

Corrected by Nov 3, 2025

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3A:52-6.1(f) · Prepare and maintain on file a written outline of the center's daily activities

Ensure that the written outline of daily activities in classrooms accurately reflects daily activities.

Corrected by Nov 3, 2025

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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. 6.3(a)2 If the center chooses to provide food, the center shall ensure that all food served to children is prepared by either: i. The center on-site or off-site; or ii. A caterer who is licensed, registered, certified, or otherwise approved, as appropriate, by the local or county health department or State Department of Health, as applicable.

Provide a current health certificate for the center and food vendor as required.

Corrected by Nov 3, 2025

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3A:52-4.8(d) · 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; special needs programming and program development; social-emotional and behavioral development for young children; legal issues, including ADA guidelines and leadership and advocacy.

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

Corrected by Nov 3, 2025

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3A:52-4.1(d) · the Staff Records Checklist for the current director and all staff members currently working at the center shall be maintained on file at the center.

Ensure the Staff Records Checklist is updated to include all current dates and all documentation required on the checklist is on file at the center.

Corrected by Dec 16, 2025

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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.

Ensure that all staff complete orientation training within two weeks of hire and annually. There are 5 missing orientation trainings.

Corrected by Nov 3, 2025

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3A:52-4.3(c) · (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. In room 1, there were 7 children ages 6 to 12 months of age with 1 staff when 2 staff were required.

Corrected by Nov 3, 2025

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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.

Ensure that children are directly supervised at all times. In room 5, there were 2 children alone in the bathrooms with the doors closed. Staff could not see or hear children.

Corrected by Nov 3, 2025

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

Ensure that CHRI background checks are completed as required. 4 missing CHRI clearances.

Corrected by Nov 3, 2025

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3A:52-4.10(a) · 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 all staff for the center's license renewal. 11-3-25: 2 needed.

Corrected by Dec 16, 2025

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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 including before meals and after diaper changes.

Corrected by Dec 16, 2025

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3A:52-7.7(a)(2) · All areas to be disinfected shall first be washed with soap and water.

Ensure that all surfaces are cleaned with soap and water prior to disinfecting. Staff in room 7 only do 1 step cleaning on tables.

Corrected by Dec 16, 2025

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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 are accompanied by a special care plan that includes symptoms and instructions for when to administer each medication.

Corrected by Jan 13, 2026

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3A:52-6.4(b)(2) · i. Each cot used for children between 13 and 18 months of age shall not exceed 14 inches above the floor level. ii. Each cot or mat used for rest and sleep shall be covered with a sheet, blanket or other covering. An additional covering shall be provided for use as a covering for each child. iii. Each mat used for rest and sleep shall be:(1) Placed on a surface that is warm, dry, clean and draft-free; (2) Water-repellent; (3) At least one inch thick; and (4) 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.

Ensure blankets and sheets are stored so they are not touching other bedding or the bottom of cots when stacked in a pile.

Corrected by Nov 3, 2025

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3A:52-6.3(b)(4) · 6.3(a)7. A snack shall be served to all children who are under the center's care for at least three consecutive hours and for all children who are served on an after-school basis. 8. Drinking water shall be made available to all children. 4. 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: ii. The center shall serve lunch for all children who have not eaten lunch and are: (1) Present during 11:00 A.M. to 1:00 P.M.; and (2) Under the center's care for at least five consecutive hours; iii. The center shall serve dinner for all children who: (1) Have not eaten dinner; (2) Are present from 5:00 P.M. to 7:00 P.M.; and (3) Are scheduled to remain after 7:00 P.M.;

Ensure that meals and snacks are served as required and the center serves lunch between the hours of 11am and 1pm in room 3.

Corrected by Nov 3, 2025

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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.

Corrected by Dec 16, 2025

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3A:52-6.1(g)(3) · For early childhood programs, the following shall apply: centers serving children 18 months of age and older shall provide at least five types of children's daily activities including, but not limited to, language; science and mathematics; manipulative; large muscle; building; art; music; drama; or other comparable activities; and at least five types of supplies and equipment for each daily activity chosen by the center.

Provide at least five different activity areas with at least five different types of supplies and equipment for children over 18 months of age.

Corrected by Nov 3, 2025

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3A:52-6.1(g)(2) · 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.

Provide at least four different activity areas with at least four types of supplies and equipment for children under 18 months.

Corrected by Dec 16, 2025

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3A:52-5.3(a)(19) · 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.

Test for the presence of radon gas in all classrooms.

Corrected by Nov 3, 2025

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3A:52-5.3(a)(16) · Walls shall be painted or otherwise covered whenever there is evidence of: i. Excessive peeling or chipped paint; or ii. Heavily soiled conditions.

Clean and repair chipping paint on walls and doors in room 7, 2, 4, and 3.

Corrected by Nov 3, 2025

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3A:52-5.3(a)(13) · the center shall ensure that window blind cords and other cords and ropes that present risk of harm are inaccessible to children.

Ensure that all cords are inaccessible to the children around the diaper tables, cubbies, sinks, infant seats, and toy shelving throughout the center.

Corrected by Dec 16, 2025

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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 staff purses are stored out of children's reach at all times in room 7. Abated at the time of inspection.

Corrected by Sep 16, 2025

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3A:52-5.3(a)(1) · (a) Indoor maintenance and sanitation requirements are as follows: 1. The center shall be free of moisture resulting from water leaks or seepage. 2. Floors, carpeting, walls, window coverings, ceilings, and other surfaces shall be kept clean and in good repair. 4. Carpeting shall be securely fastened to the floor. 9. Toilets, wash basins, kitchen sinks, and other plumbing shall be maintained in good operating and sanitary condition.

Ensure all toilet bases are cleaned and caulked.

Corrected by Nov 3, 2025

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3A:52-4.5(b)(2) · The director shall have the authority and responsibility for the implementation of policies and procedures for the day-to-day operation of the center, including maintenance of staff attendance records indicating daily hours worked and maintenance of children's daily attendance records, including the daily time of arrival and departure.

Provide documentation of daily time sheets with arrival and departure times for children.

Corrected by Nov 3, 2025

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3A:52-7.8(d)(1)(iv)(1) · soiled disposable diapers shall be placed in a closed container that is lined with a leakproof or impervious lining. Such diapers shall be removed from the center daily and placed in a closed garbage receptacle outside the building; soiled non-disposable diapers shall be placed in a sealed plastic container that has been labeled with the child's name. Such diapers shall be returned to the child's parent at the end of that day.

Ensure soiled diapers are placed in a closed container that has a leak proof lining. Room 3 did not have a closed lid on the garbage can and there was a heavy smell of soiled diapers. Room 5, the diaper pail lid was not closed.

Corrected by Nov 3, 2025

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3A:52-7.8(d)(1)(iii)(4) · Staff members who use disposable gloves during a diaper change shall dispose of these gloves after each use and shall wash their hands.

Ensure that staff wash their hands after each diaper change.

Corrected by Nov 3, 2025

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

Ensure that diapering pads are cleaned and free of rips in rooms 7, 5, and 4. Ensure diapering tables are cleaned and free of chipping paint throughout the center. Ensure the small nail sticking out of the diaper table in room 7 is removed.

Corrected by Nov 3, 2025

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3A:52-7.8(d)(1)(ii)(2) · 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 in rooms 3 and 1.

Corrected by Nov 3, 2025

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3A:52-7.8(d)(1)(ii)(1) · diapering shall not take place in an area or on a surface used for food preparation, service, or eating;

Ensure that diapering does not take place in an area used for food preparation or eating. Bottles, bottle warmers, food storage, and other food preparation items are being stored around sinks needed for hand washing.

Corrected by Nov 3, 2025

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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. The certificate needs a the correct code.

Corrected by Mar 24, 2025

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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 changing diapers.

Corrected by Nov 26, 2024

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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 the walls are sanded and painted where there is exposed spackling.

Corrected by Oct 28, 2024

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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 the chairs in the outdoor play area are free of rust.

Corrected by Nov 26, 2024

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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.

Provide and maintain in good condition a fence for the outdoor play area. Ensure that the fence is secured along the bottom where the chain link is curling up.

Corrected by Nov 26, 2024

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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.

Remove the tape from the toilet in room 7.

Corrected by Dec 31, 2024

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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 the baby doll strollers in room 7 are replaced or repaired.

Corrected by Nov 26, 2024

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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 that there is a clear exit path out of room 1 at all times. There were cribs and refrigerator blocking the three foot clear exit path in room 1.

Corrected by Nov 26, 2024

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3A:52-4.5(b)(2)(ii) · The director shall have the authority and responsibility for the implementation of policies and procedures for the day-to-day operation of the center, including maintenance of children's daily attendance records, including the daily time of arrival and departure.

Complete and maintain at the center daily time sheets for children with arrival and departure times. The center is currently only using check marks to show children's attendance.

Corrected by Nov 26, 2024

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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.

Maintain space requirements for all rooms approved by the OOL for children's use. Ensure rooms 8 and 2 are set up for use with the required supplies and all storage is removed from the space or remove the rooms for use from the center's license.

Corrected by Feb 4, 2025

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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. Room 7 had 2 staff with 17 children ages 2 to 2.5 years of age when 3 staff were required.

Corrected by Nov 26, 2024

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3A:52-4.5(e)(4)(i) · For early childhood programs the group teacher(s) shall be scheduled and have the authority and responsibility to work at the center for at least 75 percent of the center's daily operating hour or at least six hours a day, whichever is less.

Provide credential paperwork for a group teacher.

Corrected by Dec 31, 2024

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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. The certificate needs a the correct code.

Corrected by Feb 24, 2025

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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 medications are not accessible to children. In room 5, medication was being stored in a lower cubby which was accessible to children.

Corrected by Nov 26, 2024

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3A:52-5.3(a)(13) · Indoor maintenance and sanitation requirements are as follows: the center shall ensure that window blind cords and other cords and ropes that present risk of harm are inaccessible to children.

Ensure that electrical cords are inaccessible to the children at all times. The phone cord in room 4 was accessible to children. The bottle warmer cords in room 6 were accessible to infants in cribs.

Corrected by Nov 26, 2024

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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 ceiling vent in room 8 is cleaned.

Corrected by Nov 26, 2024

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3A:52-5.3(a)(17) · Indoor maintenance and sanitation requirements are as follows: all televisions and computers shall be secured on a stable surface and shelving shall be secured and not be overloaded.

Ensure shelving is secure and not overloaded. Remove the large piles of storage from the top of shelving and cabinets in room 2, 5, and 7.

Corrected by Nov 26, 2024

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3A:52-4.1(d)(1) · The staff records specified in 3A:52-4.1(a) through (c) shall be maintained on file as follows: the Staff Records Checklist for the current director and all staff members currently working at the center shall be maintained on file at the center.

Ensure that the information on the Staff Records Checklist is current and that it is maintained on file at the center.

Corrected by Nov 26, 2024

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3A:52-5.6(b) · Doors in all interior rooms designated for use by children shall remain unlocked.

Ensure that the children cannot lock themselves in the bathrooms and all doors in interior rooms used by the children remain unlocked. Remove the locks from the hallway bathroom doors.

Corrected by Nov 26, 2024

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3A:52-5.4(a)(4) · For early childhood programs, the following shall apply, a supply of hot tap water not exceeding 110 degrees Fahrenheit and cold running water shall be provided.

Ensure the center has a supply of warm water.

Corrected by Nov 26, 2024

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

Ensure that children are not walking with bottles in room 4.

Corrected by Nov 26, 2024

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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 by Nov 26, 2024

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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 by Nov 26, 2024

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3A:52-6.3(a)(4) · All centers shall comply with the following requirements, if the center provides food, the center shall ensure that the food is stored, prepared, and served in a sanitary manner.

Ensure that food provided by the center is stored, prepared and served in a sanitary manner. Ensure milk is not sitting out on the counter in classrooms for extended periods of time.

Corrected by Nov 26, 2024

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3A:52-7.5(b)(7) · 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 that all Epi Pen care plans have parent signatures and all medication is maintained onsite at the center as required.

Corrected by Dec 31, 2024

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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.

Ensure that diapering surfaces are flat, smooth, clean, dry, non-absorbent and in good repair. The diaper pad in room 4 is ripped.

Corrected by Nov 26, 2024

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3A:52-6.4(i) · Children shall not use pacifiers with straps or other types of attachment devices.

Cease the use of pacifier straps or other types of attachment devices in room 7.

Corrected by Nov 26, 2024

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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 by Nov 26, 2024

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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 by Nov 26, 2024

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3A:52-6.3(a)(11)(vi) · All centers shall comply with the following requirements, unless contraindicated by the parent or health care provider, the center shall ensure that food and beverages are in accordance with minimum Child and Adult Care Food Program's (CACFP) standards, contained in the Child and Adult Care Food Program, 7 CFR 226.20, which is incorporated herein by reference, and can be obtained at http://www.fns.usda.gov/cnd/care/childcare.htm, including portion size and nutritional value.

Ensure that all food and beverages provided by the center comply with the minimum CACFP standards. The center was providing milk bottles and diluting them with water.

Corrected by Nov 26, 2024

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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. Staff in room 106 stated they had 9 children but 10 children were present.

Corrected by Nov 26, 2024

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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 windows used for ventilation.

Corrected by Nov 26, 2024

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3A:52-5.4(a)(4) · For early childhood programs, the following shall apply, a supply of hot tap water not exceeding 110 degrees Fahrenheit and cold running water shall be provided.

Ensure staff do not use hot water from the water cooler to make bottles in room 4.

Corrected by Nov 26, 2024

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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 in room2. 12-28-23: Ensure that pacifiers are removed when children are crawling or walking in room1 and 4.

Corrected by Feb 16, 2024

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3A:52-7.7(a)(3)(ii)(1) · The schedule for disinfecting shall be as follows: the following items shall be washed and disinfected at least daily, toilets and toilet seats.

Ensure that the center washes and disinfects diaper changing stations after each diaper change.

Corrected by Mar 19, 2024

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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 changing a child's diaper or assisting a child in toileting. 12-28-23: Staff were observed not washing their hands in between multiple diaper changes. Staff member was wearing gloves and did not remove or change the gloves in between diaper changes. 2-16-24: Staff in room did not wash hands after diaper changes.

Corrected by Mar 19, 2024

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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. 12-28-23: In room 7, children were observed not washing their hands after a diaper change. 2-16-24: In room 3, children were observed not washing their hands after a diaper change.

Corrected by Mar 19, 2024

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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. 11-14-23: There was a diapering table in room 2 which has no sink.

Corrected by Dec 28, 2023

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3A:52-2.2(e) · The license shall be posted in a prominent location within the center and in each building associated with the center.

Post the center's license in a prominent location.

Corrected by Sep 1, 2023

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3A:52-2.3(d)(3)(iii) · The requirements for co-location of a center within a multi-use building are as follows, during operating hours, the Office of Licensing may require the center to meet any other physical plant, staffing, program, or other operational requirements that are deemed necessary to protect the children from serious risk of harm stemming from the co-location.

Ensure that the center adheres to all requirements to prevent comingling in multi-use buildings.

Corrected by Nov 14, 2023

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3A:52-5.3(r) · The center shall take any steps required by the Office of Licensing to correct conditions in the building or center that may endanger the health, safety, and well-being of the children served.

Ensure the health, safety, and well-being of the children served. Ensure construction and renovations are not completed while the licensed center is operating and when children are present.

Corrected by Sep 1, 2023

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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 all indoor and outdoor equipment is sturdy, safe, free of hazards and used in accordance with the manufacturer's instructions. Remove the stack of chairs by the main classroom door in room 1.

Corrected by Nov 14, 2023

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3A:52-5.3(l)(1)(vii) · Emergency procedure requirements are as follows: the center shall prepare written emergency procedures delineating a diagram showing how the center is to be evacuated in case of emergency from each classroom and the outdoor play area.

Post a diagram showing how the center is to be evacuated from each classroom and the outdoor play area.

Corrected by Sep 1, 2023

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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. Ensure the current fenced in play area is accurately depicted on the RAO.

Corrected by Dec 28, 2023

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3A:52-5.2(a)(6)(ii) · 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 makes a major alteration or renovation, as defined by the NJUCC, of the building or premises in which the center is located.

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. Pertaining to the removal of walls and classroom 2.

Corrected by Nov 14, 2023

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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.

Ensure that all playground equipment meets public playground design standards (ASTM F-1487). Remove the non-compliant slide from the fenced in outdoor play area.

Corrected by Sep 1, 2023

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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 flooring throughout the center is cleaned.

Corrected by Nov 14, 2023

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3A:52-5.4(a)(5)(iii) · For early childhood programs, the following shall apply, toilet and sink facility requirements are as follows: for each classroom used by children under 2 1/2 years of age, a minimum of one sink shall be located in the classroom for newly-constructed centers and expansions.

Ensure that sinks needed for hand washing are not being used for food preparation including making bottles in room 3. 2-16-24: Ensure that sinks needed for hand washing are not being used for food preparation including washing bibs.

Corrected by Mar 19, 2024

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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 children are in OOL approved rooms. There were 11 children in the center's newly constructed hallway.

Corrected by Nov 14, 2023

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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. There were 11 children playing with tables and chairs in the hallway in front of rooms 2 and 3 and the main entrance. 11-14-23: Ensure highchairs are not being stored in front of the exit ramp door in room 7. Abated at the time of inspection.

Corrected by Nov 14, 2023

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3A:52-5.2(a)(4) · For existing buildings whose use prior to the adoption of the NJUCC (before 1977) was and continues to be for a center and that have not had major alterations or renovations, the center shall obtain a Certificate of Continued Occupancy (CCO) issued by the municipality in which it is located, reflecting the building's compliance with provisions of the municipality's construction code requirements that were in effect at the time it was originally constructed or converted for use as a center. The center shall submit a copy of the building's CCO and the center’s current fire safety inspection certificate to the Office of Licensing.

Submit a copy of the final Certificate of Continued Occupancy that indicates the correct use group for the children served. The current TCO expires 10-31-2023.

Corrected by Nov 14, 2023

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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 a lockdown drill.

Corrected by Dec 28, 2023

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3A:52-5.3(r) · The center shall take any steps required by the Office of Licensing to correct conditions in the building or center that may endanger the health, safety, and well-being of the children served.

Ensure the health, safety, and well-being of the children served. Staff are using hot water from the center water cooler, which measures at 178 degrees, to make bottles for infants. Cease the use of hot water to make bottles.

Corrected by Dec 28, 2023

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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 diapering tables are for commercial use only in room 1 and 2. The table was extremely wobbly.

Corrected by Dec 28, 2023

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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 by Mar 19, 2024

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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 are 5 missing CARI clearances. 12/28/23: Center is missing 1 CARI.

Corrected by Feb 16, 2024

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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 and all components of the checklist are on file at the center.

Corrected by Feb 16, 2024

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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.

Ensure that all staff complete orientation training within two weeks of hire and annually.

Corrected by Dec 28, 2023

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3A:52-4.3(a) · The children shall be supervised directly by a staff member at all times, including during outdoor activities, rest and sleep, and walking through hallways. Toileting procedures shall be supervised by a staff member as appropriate for the ages and developmental needs of the children.

Ensure that adequate supervision is maintained at all times throughout the center including for children using the bathroom in room 5. Children were observed going into the bathroom and closing the door, leaving them in the bathroom alone.

Corrected by Dec 28, 2023

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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. There are 5 missing CHRI clearances. 12/28/23: Center is missing 1 CHRI.

Corrected by Feb 16, 2024

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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. In room 3, staff had to count how many children they had in the room. In room 7, staff stated they had 8 children but 7 children were present. 12-28-23: In room 3, staff stated 12 children were present when 11 children were in the room. 2-16-24: In room 3, staff stated they had 11 children but 12 children were present.

Corrected by Mar 19, 2024

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3A:52-7.5(b)(7)(iv) · 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 and what symptoms require what medication to be administered.

Corrected by Feb 16, 2024

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3A:52-6.4(a)(3) · For early childhood programs, the center shall provide opportunities for daily rest and sleep as follows: swaddling of children during rest and sleep is prohibited.

Cease swaddling infants. In room 3, children had on sleep sacks with the swaddle component wrapped around them.

Corrected by Feb 16, 2024

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3A:52-6.4(a)(2) · For early childhood programs, the center shall provide opportunities for daily rest and sleep as follows: for children from 13 to 18 months of age, the center shall provide daily rest and sleep according to the child's physical needs and ensure that blankets or pillows do not cover the child's face.

Ensure that blankets or pillows do not cover the child's face. In room 6, children had very thick blankets covering their faces.

Corrected by Feb 16, 2024

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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.

Ensure that diapering surfaces are free of storage and all other items which prevent proper cleaning of the table as required.

Corrected by Dec 28, 2023

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3A:52-6.4(i) · Children shall not use pacifiers with straps or other types of attachment devices.

Cease the use of pacifier straps or other types of attachment devices.

Corrected by Feb 16, 2024

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3A:52-7.8(b) · Staff members shall use disposable rubber gloves, which shall be discarded after each use, when coming into contact with blood or vomit.

Ensure that the center has a supply of disposable rubber gloves for use as required. Staff member in room 3 wiped up spit up without wearing gloves.

Corrected by Feb 16, 2024

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3A:52-6.4(a)(2) · For early childhood programs, the center shall provide opportunities for daily rest and sleep as follows: for children from 13 to 18 months of age, the center shall provide daily rest and sleep according to the child's physical needs and ensure that blankets or pillows do not cover the child's face.

Ensure that blankets or pillows do not cover the child's face. Ensure children under 1 year old are using sleep sacks according to how they are manufactured. A sleep sack was in a crib with a sleeping infant in room 3.

Corrected by Feb 16, 2024

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3A:52-5.6(a) · At least five foot-candles of natural or artificial light shall be provided in all rooms used by children during naptime. The illumination shall be measured three feet above the floor at the farthest point from the light source.

Provide an adequate amount of light in the classroom during naptime. In rooms 1 and 3, it was too dark during naptime and staff could not see children while sleeping.

Corrected by Mar 19, 2024

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3A:52-6.4(b)(2)(i) · 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: 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 cot used for children between 13 and 18 months of age shall not exceed 14 inches above the floor level.

Ensure that approved sleeping equipment is provided for each child as required. A child in room 3 was sleeping in a bouncer. 2-16-24: A child was sleeping in a bouncer seat in room 3.

Corrected by Mar 19, 2024

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3A:52-6.2(a)(1) · The center shall provide a supply of age-appropriate and developmentally appropriate program equipment including play equipment, child-size furniture and supplies that are sufficient to meet the daily activity needs of the children and the program.

Ensure that the center has an adequate supply of materials to meet the daily activity needs of the children and the program.

Corrected by Feb 16, 2024

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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. In room 1, a staff member left the classroom with the 2 older boys, leaving 13 children with 2 staff, wherein 3 staff were needed to maintain ratio.

Corrected by Feb 16, 2024

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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 all indoor and outdoor equipment is sturdy, safe, free of hazards and used in accordance with the manufacturer's instructions. Ensure staff member's personal belongings are out of reach from the children.

Corrected by Dec 28, 2023

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3A:52-5.3(a)(5)(ii) · Indoor maintenance and sanitation requirements are as follows: garbage receptacles shall be covered in a secure manner.

Ensure that garbage receptacles are maintained as required, including being covered securely in room 5.

Corrected by Feb 16, 2024

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3A:52-4.3(a) · The children shall be supervised directly by a staff member at all times, including during outdoor activities, rest and sleep, and walking through hallways. Toileting procedures shall be supervised by a staff member as appropriate for the ages and developmental needs of the children.

Ensure that adequate supervision is maintained at all times throughout the center. A staff member in room 7 was observed leaving a child unattended multiple times on the diaper changing table while she walked across the room to gather items needed for the change.

Corrected by Feb 16, 2024

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3A:52-4.8(a)(9) · Topics of orientation training shall include implementing safe sleep practices to prevent Sudden Infant Death Syndrome.

Retrain all center staff on Safe Sleep practices.

Corrected by Jun 18, 2024

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3A:52-6.4(b)(1)(i)(3) · 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 top rails that are at least 19 inches above the mattress.

Ensure that all cribs and playpens are equipped with all of the required components, including top rails that are at least 19 inches above the mattress in room 3.

Corrected by Mar 19, 2024

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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).

Ensure that all staff complete orientation training within two weeks of hire and annually and includes all the required trainings.

Corrected by Jan 6, 2023

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3A:52-7.7(a)(3)(iii)(2) · The schedule for disinfecting shall be as follows: the following items shall be washed and disinfected at least weekly, sheets, blankets or other coverings.

Ensure that crib sheets are changed when soiled.

Corrected by Jan 6, 2023

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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 on file signatures of all staff attesting to the receipt of the Information to Parents document.

Corrected by Jan 6, 2023

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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 1 missing CARI clearance.

Corrected by Jan 6, 2023

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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. There are 2 missing CHRI clearances.

Corrected by Jan 6, 2023

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3A:52-4.3(a) · The children shall be supervised directly by a staff member at all times, including during outdoor activities, rest and sleep, and walking through hallways. Toileting procedures shall be supervised by a staff member as appropriate for the ages and developmental needs of the children.

Ensure that adequate supervision is maintained at all times during tummy time. In room 1, infants were on the floor doing tummy time without direct supervision by staff.

Corrected by Jan 6, 2023

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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. In room 1, staff did not know how many children they had in their care.

Corrected by Jan 6, 2023

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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 by Feb 13, 2023

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3A:52-4.5(a)(3)(v) · The sponsor or sponsor representative shall designate individuals with the authority and responsibility to ensure the establishment of a staff member substitute system.

Ensure that the center establishes a staff substitute system.

Corrected by Jan 6, 2023

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3A:52-4.5(b)(2)(i) · The director shall have the authority and responsibility for the implementation of policies and procedures for the day-to-day operation of the center, including maintenance of staff attendance records indicating daily hours worked.

Ensure that the center maintains daily time sheets for staff that indicate the hours the staff worked at the center.

Corrected by Mar 13, 2023

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3A:52-4.5(b)(2)(ii) · The director shall have the authority and responsibility for the implementation of policies and procedures for the day-to-day operation of the center, including maintenance of children's daily attendance records, including the daily time of arrival and departure.

Ensure that the center maintains daily time sheets for the children that indicate the children's arrival and departure times.

Corrected by Feb 13, 2023

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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 and designee complete the Understanding Licensing training provided by OOL.

Corrected by Jan 6, 2023

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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 which includes all required components and staff.

Corrected by Feb 13, 2023

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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 by Jan 6, 2023

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3A:52-5.3(l)(1) · Emergency procedure requirements are as follows: the center shall prepare written emergency procedures delineating

Ensure that the center has written emergency plans in a readily accessible location that includes evacuation, disaster and lockdown procedures.

Corrected by Jan 6, 2023

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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 by Feb 13, 2023

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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 by Jan 6, 2023

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3A:52-5.3(o)(3)(i) · First aid requirements are as follows: the following equipment shall be placed in a location that is convenient and accessible to staff members a standard first aid kit, which is fully re-stocked within 24 hours of use.

Ensure that the center has a standard first aid kit.

Corrected by Jan 6, 2023

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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 that all cribs, cots and sleeping equipment are arranged to provide access to a three foot wide aisle that leads to an exit. There were cribs in the corner of the room behind other cribs that did not have the 3ft exit isle.

Corrected by Dec 1, 2022

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3A:52-5.3(q)(3)(v) · 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.

Label all rooms with their assigned number approved by the OOL for the children's use.

Corrected by Jan 6, 2023

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3A:52-6.1(b)(2) · 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 children have opportunities to choose materials freely and materials are accessible at all times except during lunch and nap time.

Ensure that materials are accessible to the children at all times, except during lunch and nap time.

Corrected by Jan 6, 2023

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3A:52-6.1(g)(2) · 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.

Ensure that classrooms that care for children under 18 months of age provide at least four different activity areas and that each area contains at least four types of supplies and equipment.

Corrected by Jan 6, 2023

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3A:52-6.1(g)(3) · For early childhood programs, the following shall apply: centers serving children 18 months of age and older shall provide at least five types of children's daily activities including, but not limited to, language; science and mathematics; manipulative; large muscle; building; art; music; drama; or other comparable activities; and at least five types of supplies and equipment for each daily activity chosen by the center.

Ensure that classrooms that care for children over 18 months of age provide at least five different activity areas and that each area contains at least five different types of supplies and equipment.

Corrected by Jan 6, 2023

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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 by Jan 6, 2023

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3A:52-6.4(a)(3) · For early childhood programs, the center shall provide opportunities for daily rest and sleep as follows: swaddling of children during rest and sleep is prohibited.

Cease swaddling infants. In room 1, sleep sacks with a swaddle component were being used for children.

Corrected by Jan 6, 2023

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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 children who come into the center in car seats sleeping are taken out of the seat immediately and placed in the appropriate sleeping equipment. In room 1, infants were arriving in car seats and left to sleep in them.

Corrected by Jan 6, 2023

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3A:52-6.4(b)(1)(ii) · 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 sleeping equipment shall be free of pillows and soft bedding, including, but not limited to bumper pads, when occupied by a sleeping child.

Cease the use of blankets for children under 12 months of age. In room 1, there was a 3 month old infant covered with a blanket while sleeping in the crib.

Corrected by Jan 6, 2023

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3A:52-6.5(b) · The center shall distribute a copy of the release policy to the parent of each enrolled child and each staff member and secure and maintain on file a record of each parent’s and staff member’s signature attesting to receipt of the policy.

Ensure that the center maintains on file signatures from all staff attesting to the receipt of the policy.

Corrected by Jan 6, 2023

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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.

Ensure that the center completes and maintains on file a children's records checklist.

Corrected by Jan 6, 2023

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3A:52-6.8(k)(1) · The center shall develop and follow a written policy on the use of social media including, but not limited to the use of social networking sites and other websites.

Ensure that the center's develops a social media policy and maintains on file at the center receipt of the policy from all parents and staff.

Corrected by Jan 6, 2023

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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, including the immunization records and special care plans as required.

Corrected by Jan 6, 2023

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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 by Jan 6, 2023

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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.

Ensure that the center maintains parent authorization to administer medication.

Corrected by Jan 6, 2023

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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.

Provide documentation of the center's current liability insurance.

Corrected by Jan 6, 2023

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3A:52-7.5(b)(9) · The center shall develop and follow a policy on the administration of medication and health care procedures to children, which shall include the following provisions: before administering a health care procedure associated with a child’s health condition, such as the use of a blood glucose monitor, nebulizer, or epinephrine pen, the center shall ensure that all staff members who administer the procedure are taught to do so by the child’s parent or another appropriately-trained person. There shall be at least two staff members present at the center who are trained in such health care procedures.

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

Corrected by Jan 6, 2023

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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. In room 1, high chair tops were being stored on the floor and not cleaned before children ate.

Corrected by Jan 6, 2023

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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, children washed their hands however then went and sat on the floor or played before going to the table to eat.

Corrected by Jan 6, 2023

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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 by Jan 6, 2023

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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. Staff in room 1 used gloves however did not wash their hands as required.

Corrected by Jan 6, 2023

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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 children who fall asleep on activity mats are placed in the proper sleeping equipment. An infant in room 1, fell asleep while on an activity mat during tummy time and was not immediately placed in their crib.

Corrected by Feb 13, 2023

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3A:52-6.4(b)(1)(ii) · 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 sleeping equipment shall be free of pillows and soft bedding, including, but not limited to bumper pads, when occupied by a sleeping child.

Ensure children sleeping in cribs are not wearing bibs.

Corrected by Mar 13, 2023

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3A:52-4.3(a) · The children shall be supervised directly by a staff member at all times, including during outdoor activities, rest and sleep, and walking through hallways. Toileting procedures shall be supervised by a staff member as appropriate for the ages and developmental needs of the children.

Ensure that adequate supervision is maintained at all times throughout the center. The center had cribs inside the bathroom, located inside the classroom, and a child was sleeping in one of the cribs.

Corrected by Mar 13, 2023

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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.

Ensure that cribs being used by children are not stored in the bathroom.

Corrected by Mar 13, 2023

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