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.

Corrected Corrected by Jan 3, 2025

Category: ratio. Marked corrected in the state record.

3A:52-5.3(i)(5)(i) · Environmental condition precautions are as follows: at the time of the initial application, any renewal application, relocation of an existing licensed center and, in the discretion of the Office of Licensing, any other time, the applicant or facility operator shall certify in writing that the center provides a potable water supply provided by a public community water system. If the facility is supplied by a public community water system, the applicant or facility operator shall provide documentation of water testing conducted by a laboratory certified by the Department of Environmental Protection for water testing for lead and copper from all faucets and other sources used for drinking water or food preparation and at least 50 percent of all indoor water faucets utilized by the center.

Complete and submit a DCF Drinking Water Testing Checklist and Statement of Assurance and a copy of the center's water testing completed by a laboratory certified by the Department of Environmental Protection.

Corrected Corrected by Feb 26, 2025

Category: ratio. Marked corrected in the state record.

3A:52-5.3(q)(2)(ii) · Space and room requirements are as follows: at no time shall a center allow more children in attendance than the licensed room capacity.

Operate within each room's capacity. At the time of the inspection, there were 17 children present in room #4 where the licensed capacity is 12.

Corrected Corrected by Jan 3, 2025

Marked corrected in the state record.

3A:52-3.4(a) · The sponsor or sponsor representative shall secure comprehensive general liability insurance coverage for the center and shall maintain on file a copy of the insurance policy or documentation of current insurance coverage.

Ensure that the center has a current comprehensive general liability insurance policy and maintains the documentation on file.

Corrected Corrected by Feb 26, 2025

Category: recordkeeping. Marked corrected in the state record.

3A:52-7.8(a)(4)(vi) · Handwashing requirements are as follows: staff members shall wash their hands with soap and running water immediately after coming into contact with blood, fecal matter, urine, vomit, nasal secretions, or other body fluids or secretions.

Ensure that staff wash their hands after coming into contact with nasal secretions in room #4.

Corrected Corrected by Jan 3, 2025

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

3A:52-7.7(e)(1)(iv) · For early childhood programs, the following shall apply: in addition to the items specified in N.J.A.C. 3A:52-7.7(a)3, the following equipment items or surfaces shall be washed and disinfected after each use, toys mouthed by infants and toddlers before being given to another child.

Ensure that the center washes and disinfects toys mouthed by toddlers in room #3.

Corrected Corrected by Jan 3, 2025

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

3A:52-7.9(a)(1) · For early childhood programs, the following shall apply: the center shall maintain on file a log of the initial illnesses, symptoms of illness, or diseases that are exhibited by each child while in the center’s care, as specified in N.J.A.C. 3A:52-7.1(c) and (d). This illness log shall include: 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.

Maintain an illness log on file at the center and ensure that it contains all of the required components, including: the child's name; symptoms of illness; actions taken by the center; and dates of exclusion and return.

Corrected Corrected by Feb 26, 2025

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

3A:52-3.4(a) · The sponsor or sponsor representative shall secure comprehensive general liability insurance coverage for the center and shall maintain on file a copy of the insurance policy or documentation of current insurance coverage.

Ensure that the center has a current comprehensive general liability insurance policy and maintains the documentation on file.

Corrected Corrected by Feb 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3A:52-6.1(b)(7)(ii) · The staff member(s) specified in N.J.A.C. 3A:52-4.5 who are responsible for developing and overseeing the implementation of the center's daily activities shall ensure that the use of a television, computers, and other video equipment shall be limited to educational and instructional use, shall be age and developmentally appropriate, and shall not be used as a substitute for planned activities or for passive viewing. Centers shall develop a written policy regarding the use of television, computers, and other equipment for children over the age of two and maintain on file written plans for such use and the length of time for their use. In addition, centers shall develop a written policy for the use of such equipment as it pertains to children in care less than four hours and children in care more than four hours.

Develop a written policy for the use of television, computers and other technology by children over the age of 2 years old and maintain it on file at the center.

Corrected Corrected by Feb 20, 2024

Category: recordkeeping. Marked corrected in the state record.

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

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

Corrected Corrected by Feb 20, 2024

Marked corrected in the state record.

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

Cease the use of pacifier straps in room 3.

Corrected Corrected by Feb 20, 2024

Marked corrected in the state record.

3A:52-4.8(g)(3) · 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. The center shall record each staff member’s completion of staff development and orientation on the Staff Records Checklist, as specified in N.J.A.C. 3A:52-4.1(b).

Provide annual orientation training for all staff members.

Corrected Corrected by Feb 20, 2024

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 Feb 20, 2024

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

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

Provide CARI clearances for 5 staff members.

Corrected Corrected by Feb 20, 2024

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

3A:52-4.11(a)(1) · As a condition of securing a license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall ensure that a Criminal History Record Information (CHRI) fingerprint background check is completed for himself or herself, and for all staff members at least 18 years of age who are or will be working at the center on a regularly- scheduled basis, to determine whether any such person has been convicted of a crime, as specified in P.L. 2000, c. 77 (N.J.S.A. 30:5B-6.10 to 6.17). The sponsor or sponsor representative and each staff member shall complete the electronic fingerprinting process through the vendor authorized by the State to conduct CHRI background checks through the Division of State Police in the Department of Law and Public Safety and the Federal Bureau of Investigation.

Provide CHRI clearances for 5 staff members.

Corrected Corrected by Feb 20, 2024

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

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

Ensure that each child's sippy cup is labeled with the child's name in Room 4.

Corrected Corrected by Mar 29, 2023

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).

Maintain on file a special care plan for 1 named child.

Corrected Corrected by Mar 29, 2023

Category: ratio. Marked corrected in the state record.

3A:52-6.6(a)(2) · The methods of guidance and discipline used shall: be consistent with the age and developmental needs of the children.

Ensure that the staff utilize age and developmentally appropriate methods of guidance and discipline at all times. In Room 4, a named staff instructed children ages 2-3 yr old to sit down during a music and movement activity.

Corrected Corrected by Mar 29, 2023

Marked corrected in the state record.

3A:52-5.3(a)(16) · Indoor maintenance and sanitation requirements are as follows: walls shall be painted or otherwise covered whenever there is evidence of

Repair and paint the wall in Room 2.

Corrected Corrected by Mar 29, 2023

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

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 2 and Room 3.

Corrected Corrected by Mar 29, 2023

Marked corrected in the state record.

3A:52-4.11(a)(1) · As a condition of securing a license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall ensure that a Criminal History Record Information (CHRI) fingerprint background check is completed for himself or herself, and for all staff members at least 18 years of age who are or will be working at the center on a regularly- scheduled basis, to determine whether any such person has been convicted of a crime, as specified in P.L. 2000, c. 77 (N.J.S.A. 30:5B-6.10 to 6.17). The sponsor or sponsor representative and each staff member shall complete the electronic fingerprinting process through the vendor authorized by the State to conduct CHRI background checks through the Division of State Police in the Department of Law and Public Safety and the Federal Bureau of Investigation.

Ensure that 2 named staff complete a CHRI background check as required.

Corrected Corrected by Mar 29, 2023

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

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

Ensure that the center maintains and distributes to all staff a copy of the Information to Parents document and maintains on file signatures of all staff attesting to the receipt of the policy.

Corrected Corrected by Mar 29, 2023

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 2 named staff within two weeks of hire. 3.29.2023 Pertains to 1 named staff.

Corrected Corrected by Apr 21, 2023

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

3A:52-4.8(a)(2) · Topics of orientation training shall include understanding center operations, policies and procedures, as specified in N.J.A.C. 3A:52-4.5(b)3.

Ensure that 4 named staff complete orientation training within two weeks of hire and annually, including understanding center operations, policies and procedures.

Corrected Corrected by Mar 29, 2023

Category: ratio. Marked corrected in the state record.

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

Remove debris from the outdoor play area.

Corrected Corrected by Mar 29, 2023

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

3A:52-5.3(p) · Play equipment, materials, and furniture for indoor and outdoor use shall be of sturdy and safe construction, non-toxic, free of hazards, and used in accordance with the manufacturer’s instructions. The center may not use play equipment intended for outdoor use indoors.

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

Corrected Corrected by Mar 29, 2023

Category: physical safety. 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.

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

Corrected Corrected by Mar 29, 2023

Category: recordkeeping. 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 Sep 8, 2023

Category: recordkeeping. Marked corrected in the state record.

3A:52-6.1(b)(4) · 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 both staff-directed and child-selected activities are provided.

Ensure that both staff-directed and child-selected activities are provided throughout the center. Children were engaged in child-selected free-play without opportunities for staff-directed activities in Room 3.

Corrected Corrected by Mar 29, 2023

Marked corrected in the state record.

3A:52-3.4(a) · The sponsor or sponsor representative shall secure comprehensive general liability insurance coverage for the center and shall maintain on file a copy of the insurance policy or documentation of current insurance coverage.

Ensure that the center has a current comprehensive general liability insurance policy and maintains the documentation on file.

Corrected Corrected by Mar 29, 2023

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.6(a) · The center shall maintain on file a Staff Records Checklist designated by the Office of Licensing, as specified in N.J.A.C. 3A:52-4.1(b), indicating that the center has obtained documentation of the applicable staff education and experience, as specified in 3A:52-4.6(b) through (d).

Ensure that the center completes and maintains on file a Staff Records Checklist

Corrected Corrected by Jun 21, 2022

Category: recordkeeping. 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.

Submit a Safe Building Interior Certification or other approval issued by the NJ DOH

Corrected Corrected by Aug 25, 2025

Category: health medication. 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: Maintain a Letter of Agreement with the alternate indoor location on file

Corrected Corrected by Jan 20, 2023

Category: recordkeeping. Marked corrected in the state record.

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: Update the current floor plan with the designated room numbers

Corrected Corrected by Jul 26, 2022

Category: recordkeeping. Marked corrected in the state record.

3A:52-5.3(o)(1) · First aid requirements are as follows: at least two staff members who have current certified basic knowledge of first aid principles and cardiopulmonary resuscitation (CPR), as defined by a recognized health organization (such as the American Red Cross), shall be in the center at all times when enrolled children are present.

Ensure that at least two staff have current first aid and CPR certifications and are present at all times at the center: Need 1 additional staff

Corrected Corrected by Jun 21, 2022

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

3A:52-3.4(a) · The sponsor or sponsor representative shall secure comprehensive general liability insurance coverage for the center and shall maintain on file a copy of the insurance policy or documentation of current insurance coverage.

Ensure that the center has a current comprehensive general liability insurance policy and maintains the documentation on file

Corrected Corrected by May 13, 2022

Category: recordkeeping. Marked corrected in the state record.

3A:52-5.6(d)(2)(ii) · Toilet facility requirements are as follows: for existing centers that have an additional toilet facility that has not been counted in determining the maximum number of children who can be served per session and for centers to be located in newly constructed buildings, the center shall ensure that this designated toilet facility is identified by a sign located on the exterior of its door, indicating that this toilet facility is for the exclusive use of staff members and other adults.

Identify the bathroom that is for staff/adult use and provide a label

Corrected Corrected by Jun 21, 2022

Category: ratio. Marked corrected in the state record.

3A:52-6.3(b)(3)(i) · For early childhood programs, the following shall apply, feeding requirements for centers serving children less than 18 months of age are as follows: the center shall develop mutually with each child's parent(s) and follow a feeding plan regarding the feeding schedule, specific formula, breastfeeding arrangements and accommodations, and/or expressed breast milk, nutritional needs, and introduction of new food for each child.

Ensure that each child under 12 months of age has a written feeding plan signed by the parent

Corrected Corrected by Jun 21, 2022

Category: nutrition. 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 center took immediate action during this inspection and labeled all of the children's bottles with the name & date

Corrected Corrected by May 13, 2022

Marked corrected in the state record.

3A:52-6.3(b)(3)(viii) · For early childhood programs, the following shall apply, feeding requirements for centers serving children less than 18 months of age are as follows: when a child is bottle-feeding while resting, the bottle shall be removed when the child falls asleep.

Ensure that bottles are removed when a child falls asleep The center took immediate action during this inspection and removed the bottle from the cot of a child that had fallen asleep

Corrected Corrected by May 13, 2022

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

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 that sleeping equipment is free of soft bedding and soft toys The center took immediate action during this inspection and removed all of the blankets and soft toys from all cribs

Corrected Corrected by May 13, 2022

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

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 The center took immediate action during this inspection and removed the pacifier straps

Corrected Corrected by May 13, 2022

Marked corrected in the state record.

3A:52-6.8(a)(1) · The center shall complete and maintain on file for each enrolled child a Children’s Records Checklist, signed by the director, sponsor, or sponsor representative and designated by the Office of Licensing, indicating that the center has obtained documentation of the child's name, address, birth date, and date of enrollment.

Ensure that the center completes and maintains on file a children's records checklist, including the child's name, address, birth date and date of enrollment

Corrected Corrected by Jun 21, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Retrain all staff in the following core area: including implementing safe sleep practices to prevent Sudden Infant Death Syndrome and the restriction on permitting blankets and soft toys in a crib occupied by a sleeping child Staff retrained on 6.7.2022

Corrected Corrected by Jun 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.8(g)(3) · 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. The center shall record each staff member’s completion of staff development and orientation on the Staff Records Checklist, as specified in N.J.A.C. 3A:52-4.1(b).

Ensure that all staff complete orientation training within two weeks of hire and that the completion of the training is documented on the staff's annual training log

Corrected Corrected by Jun 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.8(a)(3) · Topics of orientation training shall include implementing group size limits and primary caregiver responsibilities, as applicable, as specified in N.J.A.C. 3A:52-4.4.

Retrain all staff in the following core area: implementing primary caregiver responsibilities including the removal of bottles after children have fallen asleep Staff retrained on 6.7.2022

Corrected Corrected by Jun 21, 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 new staff submit a CARI background check within two weeks of hire: 3 staff Note: 6.21.2022 1 staff

Corrected Corrected by Jul 26, 2022

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

3A:52-4.11(b)(1) · When the center applies for a new license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall ensure that each staff member at least 18 years of age who is or will be working at the center on a regularly scheduled basis completes the CHRI fingerprinting process specified in N.J.A.C. 3A:52-4.11(a). Within two weeks after a new staff member begins working at the center, the sponsor or sponsor representative shall ensure that the new staff member completes the CHRI fingerprinting process specified in N.J.A.C. 3A:52-4.11(a).

Ensure that all new staff submit a CHRI background check within two weeks of hire: 3 staff Note: 7.26.2022 4 staff Note: 10.5.2022 1 staff

Corrected Corrected by Oct 5, 2022

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

3A:52-4.3(c) · The following staff/child ratios shall apply, except as specified in 3A:52-4.3(d) through (f): Age Staff/Child Ratio Under 18 months - 1:4 18 months up to 2 ½ years - 1:6 2 ½ years up to 4 years - 1:10 4 years - 1:12 5 years and older - 1:15

Ensure that adequate staff/child ratios are maintained at all times throughout the center: Room 2 5 children 0-18 months with 1 staff; 2 staff required The center took immediate action during this inspection and a second staff arrived within 5 minutes

Corrected Corrected by Jun 21, 2022

Category: ratio. Marked corrected in the state record.

3A:52-4.8(a)(8) · Topics of orientation training shall include 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.

Retrain all staff in the following core area: implementing health practices including cleaning and disinfecting diapering surfaces after each use Staff re-trained on 7.12.2022

Corrected Corrected by Jul 26, 2022

Category: ratio. Marked corrected in the state record.

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

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

Corrected Corrected by Oct 5, 2022

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.8(a)(3) · Topics of orientation training shall include implementing group size limits and primary caregiver responsibilities, as applicable, as specified in N.J.A.C. 3A:52-4.4.

Retrain all staff in the following core area: implementing primary caregiver responsibilities including properly strapping children into high chairs Staff re-trained on 7.12.2022

Corrected Corrected by Jul 26, 2022

Category: ratio. Marked corrected in the state record.

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

Retrain all staff in the following core area: including implementing safe sleep practices to prevent Sudden Infant Death Syndrome including placing children 12 months or younger initially on their backs to sleep Staff re-trained on 7.12.2022

Corrected Corrected by Jul 26, 2022

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.8(e) · Directors shall complete staff development in understanding licensing regulations as provided by the Office of Licensing within 90 days of hire. Such staff development may be included in the required 20 hours of staff development specified in N.J.A.C. 3A:52-4.8(d).

Ensure that the director completes the Understanding Licensing training provided by OOL within 90 days of hire

Corrected Corrected by Oct 5, 2022

Category: recordkeeping. Marked corrected in the state record.

3A:52-5.3(a)(2) · Indoor maintenance and sanitation requirements are as follows: floors, carpeting, walls, window coverings, ceilings, and other surfaces shall be kept clean and in good repair.

Ensure that all surfaces are kept clean: Provide a barrier to Room 2a, where the floor is being replaced, to ensure the children have no access to the space Note: No active work was being conducted during the center's operating hours The center took immediate action during this inspection and provided a gate to block the space to ensure it is inaccessible to the children

Corrected Corrected by Jun 21, 2022

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

3A:52-5.3(p) · Play equipment, materials, and furniture for indoor and outdoor use shall be of sturdy and safe construction, non-toxic, free of hazards, and used in accordance with the manufacturer’s instructions. The center may not use play equipment intended for outdoor use indoors.

Ensure that all indoor equipment is used in accordance with the manufacturer's instructions: Ensure children are properly strapped into high chairs with the provided safety strap The center took immediate action during this inspection and strapped the children into the high chairs

Corrected Corrected by Jun 21, 2022

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

3A:52-7.3(a)(2) · For early childhood programs, the following shall apply: for each child not enrolled in a public or private school, upon admission, the center shall maintain on file at the center a Universal Child Health Record (Department of Health Form CH-14) or its equivalent, updated annually, along with an immunization record, and a special care plan, if applicable. A 30-day grace period is permitted in N.J.A.C. 8:57-4.5(e)

Ensure that a Universal Health Record is completed upon enrollment and updated annually, including the immunization records: 12 children

Corrected Corrected by Jul 26, 2022

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

3A:52-6.4(a)(1) · For early childhood programs, the center shall provide opportunities for daily rest and sleep as follows: for children 12 months of age and younger, the center shall ensure that each child is initially placed in a face-up sleeping position unless a different position is indicated in writing by the child's health care provider.

Ensure that children under 12 months of age are placed in a face-up position in their sleeping equipment: An infant, under 12 months, was initially placed on their tummy to sleep The center took immediate action, during this inspection, and placed the child on their back to sleep

Corrected Corrected by Jun 21, 2022

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

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

Provide screens on all doors used for ventilation: Front door The center took immediate action during this inspection and closed the front door

Corrected Corrected by Jun 21, 2022

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 2

Corrected Corrected by Jul 26, 2022

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

3A:52-7.8(a)(1)(ii) · Handwashing requirements are as follows: the center shall ensure that children three months of age and older wash their hands with soap and running water immediately after using the toilet or having diapers changed.

Ensure that children wash their hands immediately after having their diaper changed: Room 2

Corrected Corrected by Aug 16, 2022

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

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

Ensure that staff wash their hands immediately after changing a diaper: Room 2

Corrected Corrected by Aug 16, 2022

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

3A:52-5.3(f)(1) · Toilet facility requirements are as follows: a supply of soap, toilet paper, and individual hand towels or disposable paper towels shall be provided.

Provide a platform or step stool in Room 2 to assist the staff when they are washing the children's hands, as required

Corrected Corrected by Aug 16, 2022

Marked corrected in the state record.

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

Retrain the staff in Room 3 in the following core area: Proper tracking procedures Staff re-trained on 8.17.2022

Corrected Corrected by Oct 5, 2022

Category: supervision. Marked corrected in the state record.

3A:52-4.8(a)(8) · Topics of orientation training shall include 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.

Retrain staff in Room 2 in the following core area: implementing health practices including proper hand washing techniques for the staff and children Staff re-trained on 8.17.2022

Corrected Corrected by Oct 5, 2022

Category: ratio. 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: Staff in Room 3 tracked 9 children ; 10 were present

Corrected Corrected by Aug 16, 2022

Marked corrected in the state record.

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

Ensure that pacifiers are removed when children are crawling: Room 3 The center took immediate action during this inspection and removed the pacifier from a child that was crawling

Corrected Corrected by Aug 16, 2022

Marked corrected in the state record.