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 time. In room 4 a named staff was behind the closet wall an unable to maintain direct supervision of children. In room 2 a named staff was assisting a child in the bathroom and was unable to maintain direct supervision of two named children behind the wall who had baskets over their faces.

3A:52-4.3(a) · Corrected May 19, 2025

(a) The center shall take immediate necessary action to protect the child from further harm and shall immediately notify the child's parent(s) when one of the following occurs while the child is in the center’s care: 1. A child is bitten and the skin is broken; 2. A child sustains a head or facial injury, including when a child bumps his or her head; 3. A child falls from a height greater than the height of the child; or 4. An injury requiring professional medical care occurs.

Ensure that parents are notified immediately when a child sustains a head or facial injury.

3A:52-7.6(a) · Corrected Mar 11, 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 in room 4 wash their hands after coming into contact with nasal secretions.

3A:52-7.8(a)(4) · Corrected Mar 11, 2025

(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.

Repair the broken tile by the handwashing sink in room 1.

3A:52-5.3(a)(1) · Corrected Mar 11, 2025

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.

3A:52-6.3(a)(12)(ii) · Corrected Feb 24, 2025

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.

Repair the broken tile by the handwashing sink in room 1.

3A:52-5.3(a)(2) · Corrected Feb 24, 2025

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 that parents are notified immediately when a child sustains a head or facial injury.

3A:52-7.6(a)(2) · Corrected Feb 24, 2025

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 in room 4 wash their hands immediately after each diaper change.

3A:52-7.8(a)(4)(iii) · Corrected Feb 24, 2025

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.

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.

Remove the non-compliant seesaws from the outdoor play area.

3A:52-5.3(b)(7) · Corrected May 14, 2024

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 time frames for each activity are both age and developmentally appropriate for the children served in room 2.

3A:52-6.1(b)(1) · Corrected May 14, 2024

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 children in room 2.

3A:52-7.7(e)(1)(iv) · Corrected May 14, 2024

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 in room 4, each child's bottle is labeled with the date.

3A:52-6.3(b)(3)(iv)(1) · Corrected Mar 22, 2023

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

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

3A:52-4.10(b)(1) · Corrected Mar 22, 2023

Outdoor maintenance and sanitation requirements are as follows: centers that provide outdoor space shall maintain all fencing in proper condition.

Repaint the railing along the ramp on the outdoor play area.

3A:52-5.3(b)(6) · Corrected Mar 22, 2023

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 coming into contact with blood, fecal matter, urine, vomit, nasal secretions, or other body fluids or secretions.

Ensure that children in room 2 wash their hands immediately after coming into contact with nasal secretions.

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.

3A:52-5.2(a)(5) · Corrected Feb 21, 2023

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.

Conduct and document fire drills for the before and after care sessions.

3A:52-5.3(n)(1) · Corrected Jun 24, 2019

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.

Complete the CARI check for 1 named staff.

3A:52-4.10(a)(1) · Corrected Jun 24, 2019

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.

In room 2 the tables were placed in front of the back egress door. Outside of room 3, there were strollers obstructing the egress to the outdoor play area route.

3A:52-5.3(m)(2) · Corrected May 17, 2019