The center shall develop and follow a policy on the administration of medication and health care procedures to children, which shall include the following provisions: Administration and control of prescription and non-prescription medicines and health care procedures (a) The center shall inform each child’s parent upon enrollment of its policy on administering medication and health care procedures to children, including the provisions specified in N.J.A.C. 3A:52-7.5(b) to (d). The policy shall indicate: 1. Whether the center will administer non-prescription medication or a non-prescribed health care procedure to a child; 2. Whether the center will administer prescription medication or a prescribed health care procedure to a child with a short-term illness; and 3. That the center will provide reasonable accommodations for the administration of medication or health care procedures to a child with special needs, if failure to administer the medication or health care procedure would jeopardize the health of the child or prevent the child from attending the center. 1. Medication and health care procedures shall be administered only after receipt of written approval from the child's parent(s). 2. The center shall: i. Designate those staff members who are trained as specified in N.J.A.C. 3A:52-4.8(a)8 and authorized to administer medication or health care procedures to, or to supervise self-administration of medication or health care procedures by, those children whose parents authorize it; and ii. Ensure that each staff member designated to administer medication and health care procedures is informed of each child's medication and health care needs. 3. All medication and health care equipment shall be kept either in a locked cabinet or in an area that is inaccessible to the children. i. All medication shall be kept in its original container. ii. Medication shall be refrigerated if so indicated on the label. iii. Unused or expired medication and health care equipment shall be returned to the child’s parent or disposed of safely in a child-resistant waste receptacle when no longer being administered. 4. All prescription medication for a child shall be: i. Prescribed in the name of and specifically for the child; and ii. Stored in its prescription container, which has been labeled with the child's name, the name and expiration date of the medication, the date it was prescribed or updated and directions for its administration. 5. The center shall limit the dispensing of non-prescription over-the-counter medication to the following types of medicines, which shall be dispensed in accordance with the recommended dosage for the age and weight of the child, as indicated on the label: i. Antihistamines; ii. Cough suppressants'. Decongestants; iv. Non-aspirin fever reducers and pain relievers; and v. Topical preparations, such as sunscreen and diaper rash preparations. 6. The center may permit the dispensing of non-prescription medication other than those listed in (b)5 above, or according to instructions other than those indicated on the label, if the child's health care provider authorizes it in writing. 8. If a child has a chronic health condition requiring the administration of prescription or non-prescription medication or health care procedures on a long-term basis, the center shall obtain from the child’s parent a written statement from a health care provider, indicating: i. The name of the child; ii. The name of the medication or procedure; iii The condition or indications for administration of the medication or procedure; iv. The instructions for administration of the medication or procedure; and v. The name and telephone number of the health care provider. 11. The center shall inform the child’s parent immediately if a child exhibits any adverse effect of a medication or health care procedure. (c) For early childhood programs, the following shall apply: 1. The center shall ensure that all medication and health care procedures are administered by designated staff. (d) For school-age child care programs, the following shall apply: 1. Before the center administers or permits a child to self-administer medication or health care procedures, the center shall: i. Obtain written authorization for self-administration from the child's parent, if applicable; and ii. Ensure that the medication or health care procedure is administered by or under the supervision of authorized staff.

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

Ensure health records are maintained on file as required including the Universal Health Record Forms for children.

3A:52-7.3(a) · Corrected Mar 24, 2026

The center shall ensure that all staff members who work at the center complete 12 hours of continuing staff development each year. Orientation training as specified in N.J.A.C. 3A:52-4.8(a) may be included for six of the required hours of staff development specified in N.J.A.C. 3A:52-4.8(c) and (d).

Ensure that all staff complete 12 hours of staff development annually.

3A:52-4.8(c) · Corrected Dec 8, 2025

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 a CARI background check is completed as required for 1 regularly scheduled staff for the center's license renewal.

3A:52-4.10(a) · Corrected Dec 8, 2025

For early childhood programs, the center shall ensure that blankets or pillows do not cover the child's face.

Cease the use of blankets for children under 12 months of age in room 1. The center took immediate corrective action and that the violation is cited and abated.

3A:52-6.4(a)(2) · Corrected Jul 7, 2025

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.

Submit a space evaluation and decrease request through NJCCIS to remove any unused rooms from the center's license and to update room measurements and labels to reflect what is currently present.

3A:52-5.3(q)(1) · Corrected Mar 24, 2026

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.

Provide documentation from the manufacturer or a certified playground inspector indicating that the playground equipment meets ASTM F1487 (or ASTM F2373 for children under 2.5 years of age).

3A:52-5.3(b)(7) · Corrected Mar 24, 2026

17. All televisions and computers shall be secured on a stable surface and shelving shall be secured and not be overloaded. 18. Ensure that microwave ovens, toaster ovens, and other portable devices used to heat or prepare food are out of children's reach, secured on a stable surface, and not in use when children are in the area in order to ensure the safety of children.

Ensure that microwave is secured to the surfacing as required in classrooms A, B, C in the basement.

3A:52-5.3(a)(17) · Corrected Dec 8, 2025

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 and assist the head teacher in implementing the center's child development and activities program.

Provide a group teacher as required.

3A:52-4.5(e)(4) · Corrected Dec 8, 2025

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 children are adequately tracked at all times and staff are aware of the number of children in their care, as required in classroom 2.

3A:52-4.3(a)(1) · Corrected Dec 8, 2025

For early childhood programs, the following shall apply, all lally columns in areas used by the children shall have protective padding placed around them from the floor to a height of at least 48 inches.

Ensure that all lally columns in areas used by children have protective padding from the floor to a height of at least 48 inches, the classrooms A, B, C in the basement area.

3A:52-5.4(a)(2) · Corrected Dec 8, 2025

The director or his or her designee(s) shall be on the premises at all times when the center is operating and the designee: shall not have full-time classroom responsibilities during the times when the director is not present at the center and shall complete staff development in understanding licensing rules as provided by the Office of Licensing.

Ensure that the director designee complete understanding licensing as required.

3A:52-4.5(c)(2) · Corrected Jun 15, 2026

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

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

3A:52-3.6(b) · Corrected Dec 8, 2025

Feeding requirements for centers serving children less than 18 months of age are as follows: for bottles, refrigerated breast milk shall be used within 24 hours. formula or breast milk that is served, but not completely consumed or refrigerated, shall be discarded.

Ensure that formula, milk or breast milk that is served but not completely consumed is discarded immediately, or refrigerated in room 1.

3A:52-6.3(b)(3)(iv)(4) · Corrected Dec 8, 2025

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.

Complete and maintain on file, a current Staff Records Checklist designated by OOL that includes staff TB and Mantoux results.

3A:52-4.1(d) · Corrected Apr 30, 2026

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.

3A:52-5.2(a)(8) · Corrected Dec 8, 2025

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 1 CHRI background check is completed as required for regularly scheduled staff.

3A:52-4.11(a) · Corrected Dec 8, 2025

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.

3A:52-4.8(d) · Corrected Dec 8, 2025

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.

3A:52-5.3(i)(5)(i) · Corrected Dec 8, 2025

Handwashing requirements are as follows: staff members shall wash their hands with soap and running water immediately before preparing or serving food; after toileting; after assisting a child in toileting; after caring for a child who appears to be sick; after coming in contact with an animal's body secretions; and after coming into contact with blood, fecal matter, urine, vomit, nasal secretions, or other body fluids or secretions. 7.8(d)3- Staff members hands are washed after changing each diaper.

Ensure that staff wash their hands with soap and running water as required after diaper changes in room 2.

3A:52-7.8(a)(4) · Corrected Dec 8, 2025

(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/annual training within two weeks of hire and annually.

3A:52-4.8(a) · Corrected Dec 8, 2025

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.

3A:52-5.3(i)(5)(i) · Corrected Dec 2, 2022

The staff development specified in N.J.A.C. 3A:52-4.8(a) through (d) shall be clock hours of staff development.

Ensure that all staff orientation training is documented as clock hours of staff development.

3A:52-4.8(f)(1) · Corrected Dec 2, 2022

Orientation training as specified in N.J.A.C. 3A:52-4.8(a) may be included for six of the required hours of staff development specified in N.J.A.C. 3A:52-4.8(c) and (d).

Ensure that all staff complete orientation training which may be included for six of the required annual training hours.

3A:52-4.8(b) · Corrected Dec 2, 2022

Fire prevention requirements are as follows: all fire extinguishers shall be visually inspected once a month, and serviced and tagged at least once a year and recharged, if necessary, as specified in the NJUFC.

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

3A:52-5.3(n)(4) · Corrected Dec 2, 2022

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 parents are signing children attendance sheets daily.

3A:52-4.5(b)(2)(ii) · Corrected Oct 1, 2019

Handwashing requirements are as follows: staff members shall wash their hands with soap and running water immediately before preparing or serving food.

Ensure staff wash their hands with soap and running water prior to wearing plastic gloves.

3A:52-7.8(a)(4)(i) · Corrected Oct 1, 2019

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 time frames for each activity are geared to the age and developmental level of each child served and are flexible enough to accommodate spontaneous occurrences or children's suggestions and inquiries.

Ensure that children do not sit for a long period of time while waiting for their lunch.

3A:52-6.1(b)(1) · Corrected Oct 1, 2019

Lighting requirements are as follows: during program activities, at least 20 foot-candles of natural or artificial light shall be provided in all rooms used by the children. This illumination shall be measured three feet above the floor at the farthest point from the light source.

Replace burned out light bulbs in room 4.

3A:52-5.3(c)(2) · Corrected Aug 15, 2019

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.

Provide age appropriate furniture for children in room 3. Children were sitting to low in their chairs during lunch time.

3A:52-6.2(a)(1) · Corrected Oct 1, 2019

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 prohibit the use of television, computers, and other video equipment for children under the age of two.

3A:52-6.1(b)(7)(i) · Corrected Oct 1, 2019

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.

3A:52-5.3(i)(5)(i) · Corrected Aug 15, 2019