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 Epi-pens are stored in their original boxes with the child's name and prescription, accompanied by a special care plan or other equivalent documentation from a healthcare provider, and that two are present when two are required by the plan. Two siblings have a shared epi-pen at the center, which is prohibited. Additionally, the required anti-histamine listed on the special care plan was missing.

Corrected Corrected by Jan 13, 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.

Submit a copy of the public school's drinking water test results.

Corrected Corrected by Jan 13, 2025

Category: ratio. Marked corrected in the state record.

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

Ensure that the information on the Staff Records Checklist is current and that it is maintained on file at the center, including a signed application for a named staff and two refence checks for a named staff.

Corrected Corrected by Jan 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3A:52-6.6(g)(2) · For school-age child care programs, the following shall apply: the center shall establish procedures to ensure that children are aware of the rules.

Ensure that school-age children are made aware of the center's discipline rules and procedures.

Corrected Corrected by Oct 20, 2023

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).

Ensure that all staff complete re- orientation training annually. One staff has not completed the required training.

Corrected Corrected by Oct 20, 2023

Category: supervision. Marked corrected in the state record.

3A:52-6.3(a)(11)(viii) · All centers shall comply with the following requirements, unless contraindicated by the parent or health care provider, the center shall limit foods that are high in solid fats, added sugar, trans fats, and sodium.

Ensure that all food and beverages provided by the center comply with the minimum CACFP standards, including limiting foods that are high in solid fats, added sugar, trans fats, and sodium. Children were observed eating corn chips as their center provided snack.

Corrected Corrected by Oct 20, 2023

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

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

Ensure that adequate supervision is maintained at all times throughout the center. Three children were pushing each other and staff were unaware until the inspector asked them to intervene.

Corrected Corrected by Oct 20, 2023

Category: supervision. 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 have completed training pertaining to the center's policies and procedures for tracking children and are aware of the number of children in their care at all times. One staff reported that she didn't know the number of children present and the other staff stated that 28 children were present; however, 29 children were present at the program at the time of the inspection.

Corrected Corrected by Oct 20, 2023

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. One staff member was alone with 22 children during the transition between arriving at the program and snack.

Corrected Corrected by Oct 20, 2023

Category: ratio. Marked corrected in the state record.

3A:52-4.5(a)(3)(i)(2) · The sponsor or sponsor representative shall designate individuals with the authority and responsibility to develop and implement written policies and procedures for the operation of the center, including job descriptions, titles and qualifications for all center staff.

Ensure that the center develops and maintains job descriptions, titles, and qualifications for all center staff.

Corrected Corrected by Jun 5, 2024

Category: ratio. Marked corrected in the state record.

3A:52-7.7(a)(1)(i) · Disinfectants shall be used as follows: the center shall disinfect those items specified in N.J.A.C. 3A:52-7.7(a)3 with a solution that shall be a commercially prepared disinfectant that indicates it kills bacteria, viruses, and parasites. This solution shall be used in accordance with label instructions.

Ensure that the center uses a commercial disinfectant in accordance with the manufacturer's instructions.

Corrected Corrected by Oct 20, 2023

Marked corrected in the state record.

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

Ensure that all surfaces are cleaned with soap and water prior to disinfecting.

Corrected Corrected by Oct 20, 2023

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

3A:52-7.7(a)(3)(iv) · The schedule for disinfecting shall be as follows: tables used by the children for eating shall be washed and disinfected before each meal.

Ensure that the center washes and disinfects the tables used by the children for eating before each meal.

Corrected Corrected by Oct 20, 2023

Category: nutrition. 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 Oct 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.5(c)(1) · The director shall be scheduled to work at the center at least 50 percent of the center’s daily operating hours.

Ensure that the director is at the center at least 50% of the center's daily operating hours for each session.

Corrected Corrected by Jun 5, 2024

Marked corrected in the state record.

3A:52-4.10(b)(2) · 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. 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 all staff without a completed CARI background check are directly supervised by another staff member and are not left alone to care for children. All 3 staff must submit current CARI's.

Corrected Corrected by Feb 25, 2022

Category: supervision. Marked corrected in the state record.

3A:52-4.11(a)(2) · 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 provide the identifying information and documentation to the State-authorized vendor as necessary to conduct a CHRI background check, including the individual’s name, address, date of birth, place of birth, citizenship, sex, race, height, weight, hair color, eye color, Social Security number, and the center’s license number.

Ensure that all staff, the sponsor and/or the sponsor representative provide all of the required information needed to complete a CHRI background check. All 3 staff must submit current CHRI's.

Corrected Corrected by Feb 25, 2022

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

3A:52-5.3(q)(3)(v) · Space and room requirements are as follows: Indoor space requirements for play rooms and sleep rooms are as follows the center shall identify all rooms of the center that have been approved by the Office of Licensing. This identification shall consist of numbers, letters, names or any other means of identification and shall be located either inside or directly outside each room.

Ensure all rooms approved by the OOL for the children's use are labeled. Provide an updated floor plan which shall include room names and occupancies.

Corrected Corrected by Feb 25, 2022

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