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

Ensure health records are maintained on file as required including an annually updated Universal Child Health Record or it's equivalent for all children.

Corrected Corrected by Jul 10, 2025

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

3A:52-5.3(h)(7) · Lead paint precautions are as follows: if a previous lead paint inspection indicates the presence of lead, or a lead paint risk management plan is in progress at the center, the center shall: ensure that a lead paint risk assessment is conducted by a Lead Inspector/Risk Assessor who is certified and employed as specified in N.J.A.C. 3A:52-5.3(h)3, upon renewal of the center’s license; and submit the results of the risk assessment to the Office of Licensing and the local department of health.

Submit a lead paint risk assessment for the center's license renewal.

Corrected Corrected by Jul 10, 2025

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

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 playground surfacing mulch is replenished throughout the outdoor play area fall zones.

Corrected Corrected by May 28, 2025

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

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 5 regularly scheduled staff for the center's license renewal.

Corrected Corrected by May 28, 2025

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

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 surfaces are clean and in good repair including the broken cabinet door in Room 104.

Corrected Corrected by May 28, 2025

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

3A:52-4.10(b)(1) · 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. Until the results of the CARI background check for a new staff member have been received from the Department, the center shall ensure oversight of the new staff member by another staff member, and ensure that person is not left alone to supervise a child or group of children.

Ensure that CARI background checks are completed as required for 1 regularly scheduled staff.

Corrected Corrected by May 28, 2025

Category: supervision. 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 Jul 10, 2025

Category: ratio. 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 DOH.

Corrected Corrected by Jan 11, 2024

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

3A:52-7.10(a) · The director, sponsor, or sponsor representative, upon learning that an enrolled child or staff member at the center has been diagnosed as having contracted or is suspected of having a reportable disease, as specified in N.J.A.C. 3A:52-7.1(d), shall report this knowledge by the next working day to the local health department.

Ensure that the center notifies the Office of Licensing of any reportable diseases occurring at the center by the next working day.

Corrected Corrected by Dec 20, 2023

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

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

Ensure 2 named children have special care plans that are up to date.

Corrected Corrected by Dec 20, 2023

Category: ratio. 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 3 named staff complete a CHRI background check as required.

Corrected Corrected by Nov 16, 2023

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

3A:52-5.2(a)(8) · The center shall obtain a Life Hazard Use Registration certificate applicable to the center’s licensed capacity and ages served pursuant to the Uniform Fire Safety Act, N.J.S.A. 52:27D-192 et seq. The center shall post this document in a prominent location within the center.

Provide a current life/hazard use registration certificate applicable to the center's licensed capacity and ages served.

Corrected Corrected by Dec 20, 2023

Category: ratio. 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 Dec 20, 2023

Category: recordkeeping. 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

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

Corrected Corrected by Dec 20, 2023

Category: health medication. 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 designated by OOL.

Corrected Corrected by Aug 5, 2022

Category: recordkeeping. Marked corrected in the state record.

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.

Provide and maintain the resilient surfacing and use zones under all play equipment as required. Replenish the playground mulch throughout the play area.

Corrected Corrected by Jun 29, 2022

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

3A:52-5.3(h)(2)(ii) · Lead paint precautions are as follows: the center shall comply with the lead paint inspection requirements specified in N.J.A.C. 3A:52-5.3(h)3, unless the center submits documentation to the Office of Licensing of a previous lead paint inspection conducted by a Lead Inspector/Risk Assessor, who is certified and employed as specified in N.J.A.C. 3A:52-5.3(h)3, indicating the center is free of lead-based paint hazards.

Submit a lead paint risk assessment as required.

Corrected Corrected by Sep 7, 2022

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

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

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

Corrected Corrected by Sep 15, 2022

Category: ratio. 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.

Submit a copy of the sponsor's CHRI background check as required.

Corrected Corrected by Dec 7, 2021

Category: background checks. 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).

Provide document of staff signatures on receipt of required policies.

Corrected Corrected by Jun 14, 2019

Category: recordkeeping. 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).

Provide orientation training on all required topics annually.

Corrected Corrected by Jun 14, 2019

Category: supervision. Marked corrected in the state record.

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

Corrected Corrected by Jun 14, 2019

Category: recordkeeping. Marked corrected in the state record.

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

Corrected Corrected by Jun 14, 2019

Category: supervision. 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.

Utilize current policy.

Corrected Corrected by Jun 14, 2019

Category: recordkeeping. 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).

Replace expired epi pen for one child.

Corrected Corrected by Jun 14, 2019

Category: ratio. Marked corrected in the state record.

3A:52-7.6(a)(2) · The center shall take immediate necessary action to protect the child from further harm and shall immediately notify the child's parent(s) when a child sustains a head or facial injury, including when a child bumps his or her head.

Ensure parents are notified immediately as required. Provide staff training

Corrected Corrected by Jun 14, 2019

Marked corrected in the state record.

3A:52-7.6(b)(1) · The center shall maintain on file a written record of each incident resulting in an injury as specified in N.J.A.C. 3A:52-7.6(a). These records shall include the following: the name of the injured child.

Maintain an accident log.

Corrected Corrected by Jun 14, 2019

Category: recordkeeping. 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.

Corrected Corrected by Jun 14, 2019

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.

Corrected Corrected by Jun 14, 2019

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

3A:52-5.3(a)(14) · Indoor maintenance and sanitation requirements are as follows: all balconies, rooftops, verandas, and all floor levels used by children that are above the first floor and subject the children to an open drop or atrium shall be protected by barriers consisting of safety glass, Plexiglas, or any other materials approved by the Office of Licensing. Such barriers shall extend at least five feet above the floor level.

Provide a 5 foot barrier on the second floor stairwell.

Corrected Corrected by Jun 14, 2019

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

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 the mulch is raked to provide the acceptable use zones under climbing equipment.. Trim the surface liner where it is exposes.

Corrected Corrected by Jun 14, 2019

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

3A:52-7.11(a)(1) · Each center shall develop a written policy on the management of communicable diseases. This policy shall include the following: the list of illnesses and symptoms of illness for which a child will be separated from the group and possibly sent home, as specified in N.J.A.C. 3A:52-7.1©.

Utilize current policy.

Corrected Corrected by Jun 14, 2019

Category: health medication. 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.

Provide 4 outstanding renewal CARI clearances. 6/14/19: Received 3 CARIs, 1 outstanding.

Corrected Corrected by Jun 24, 2019

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