Child Care Center of St. Joseph's Regional Medical Center

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.

Conduct and document at least two lockdown drills annually.

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3A:52-5.3(c)(1) · Lighting requirements are as follows: all fluorescent tubes and incandescent light bulbs shall have protective covers or shields. 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. Parking areas, pedestrian walkways, or other exterior portions of the premises subject to use by center occupants at night shall be illuminated to provide safe entrance to and egress from the center.

Ensure all fluorescent tubes and incandescent light bulbs have protective covers or shields in the bathroom in room 9.

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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.

Replace or repair the sink in room 6.

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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 the sponsor/sponsor representative and all regularly scheduled staff for the center's license renewal. There are 7 missing CARI's.

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3A:52-5.3(q)(1) · 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.

Ensure all rooms are approved by the OOL prior to use; make unapproved space inaccessible to children. Including the room located behind room 6.

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3A:52-7.5(b)(10) · (9) 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: before administering a health care procedure associated with a child’s health condition, such as the use of a blood glucose monitor, nebulizer, or epinephrine pen, the center shall ensure that all staff members who administer the procedure are taught to do so by the child’s parent or another appropriately-trained person. There shall be at least two staff members present at the center who are trained in such health care procedures. 10. 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 that includes procedures for contacting parents and emergency medical services, and both epi-pens are present when two are required.

Corrected by Jan 13, 2026

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3A:52-6.2(a)(1) · 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.

Ensure that the center has an adequate supply of materials to meet the daily activity needs of the children and the program for room 8 or request a decrease to the license on www.NJCCIS.com. At the time of the inspection, room 8 was set up as a nap room and not a classroom. If requesting the decrease, the new license capacity will be 112.

Corrected by Jan 13, 2026

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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. 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. Missing annual training logs for 10 staff.

Corrected by Feb 27, 2026

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3A:52-4.8(a) · (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 training within two weeks of hire and annually. Missing orientation logs for 11 staff.

Corrected by Feb 27, 2026

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3A:52-4.11(a) · 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 CHRI background checks are completed as required for the sponsor/sponsor representative and all regularly scheduled staff. Missing CHRI background check for 1 new staff.

Corrected by Feb 27, 2026

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3A:52-4.5(e)(4) · 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.

Submit educational documentation including transcripts for the 2 group teachers. Ensure that the staff are associated with the center on www.NJCCIS.com. If the center decreases the license, only 1 group teacher will be necessary.

Corrected by Feb 27, 2026

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3A:52-5.3(q)(1) · 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.

Ensure all rooms are approved by the OOL prior to use; make unapproved space inaccessible to children. Submit a Life Safety Modification request on www.NJCCIS.com to add the nap room connected to room 6 or submit an Memorandum of Understanding (MOU) indicating that the space will no longer be used.

Corrected by Feb 27, 2026

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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 by Nov 4, 2024

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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.

Ensure all outdoor hazards are removed as required. Remove the branches on the side of the building near the playground.

Corrected by Aug 5, 2024

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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.

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

Corrected by Sep 12, 2024

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3A:52-4.8(b) · 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.

Corrected by Sep 12, 2024

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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 by Sep 12, 2024

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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: excessive peeling or chipped paint; or heavily soiled conditions.

Repair and/or paint the cabinets in the gym.

Corrected by Sep 12, 2024

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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; 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.

Corrected by Sep 12, 2024

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3A:52-5.4(a)(1) · For early childhood programs, the following shall apply, all electrical outlets that are accessible to the children shall have protective covers.

Provide protective coverings for all electrical outlets accessible to the children in the gym.

Corrected by Aug 5, 2024

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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.

Develop and follow a feeding plan for each child under 18 months of age in room 3.

Corrected by Aug 5, 2024

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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 in Room 7.

Corrected by Mar 14, 2023

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3A:52-5.3(a)(5)(ii) · Indoor maintenance and sanitation requirements are as follows: garbage receptacles shall be covered in a secure manner.

Ensure that garbage receptacles are maintained as required, including being covered securely. Provide cover for garbage receptacles throughout the center that is used for the disposal of food.

Corrected by Mar 14, 2023

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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 all staff within two weeks of hire. There is one missing CARI.

Corrected by Jul 10, 2023

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3A:52-4.8(b) · 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.

Corrected by Mar 14, 2023

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3A:52-5.3(q)(1)(ii) · 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.

Ensure classroom 4 is set up as a classroom or request to remove the approved space which may result in a license decrease. Ensure classroom 5 is set up as a classroom or request to remove the approved space which may result in a license decrease. Ensure classroom 8 is set up as a classroom or request to remove the approved space which may result in a license decrease.

Corrected by May 30, 2023

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3A:52-136 · Provide and maintain in good condition handrails on all stairs with 3 or more risers.

Ensure the handrails outside of the exit door located near Room 3 is free of chipped paint.

Corrected by May 30, 2023

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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, unless it is contraindicated in writing by the child's health care provider.

Corrected by May 30, 2023

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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 that one named child in room 9 has Benadryl as stated on their special care plan. Ensure that one named child in room 2 has Benadryl as stated on their special care plan and the Epi-Pens for that child are not expired.

Corrected by May 30, 2023

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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 that parents are notified immediately when a child sustains a head or facial injury, including when a child bumps his or her head.

Corrected by May 30, 2023

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3A:52-7.8(d)(1)(ii)(3) · For early childhood programs, the following shall apply: diapering requirements for centers serving children who are not toilet trained are as follows, diapering area and surface requirements are as follows, the diapering surface shall be flat, smooth, clean, dry, non-absorbent, and in good repair.

Ensure that the diapering surface in Room 9 is kept clean and in good repair.

Corrected by May 30, 2023

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3A:52-5.3(l)(1) · Emergency procedure requirements are as follows: the center shall prepare written emergency procedures delineating

Ensure that the center has written emergency plans in a readily accessible location that includes evacuation, disaster and lockdown procedures.

Corrected by May 30, 2023

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3A:52-5.3(n)(2) · Fire prevention requirements are as follows: the center shall ensure that all children present are evacuated from the building within three minutes during each fire drill.

Ensure that children are evacuated from the center within three minutes during each fire drill.

Corrected by Jul 10, 2023

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3A:52-2.1(b) · A person applying for an initial license or renewal license to operate a center or relocation of a center shall submit a completed application to the Office of Licensing at least 45 days prior to the anticipated opening of the center or to the expiration of its existing regular license.

Complete and submit a DCF Renewal Attestation and all required documents.

Corrected by May 30, 2023

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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.

Corrected by May 30, 2023

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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.

Ensure that 1 staff completes 12 hours of staff development annually.

Corrected by May 30, 2023

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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 6 staff submit a CARI background check upon renewal.

Corrected by Jul 10, 2023

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3A:52-4.4(a)(2) · For early childhood programs, the following shall apply for infants (under 18 months of age) and toddlers (18 months to 2½ years of age): a group shall consist of four infants or six toddlers to whom a primary caregiver has been assigned.

Ensure that a primary caregiver is assigned to each group of four infants or six toddlers. The primary care plan was missing at the time of the inspection in Room 6.

Corrected by May 30, 2023

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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. Staff TB clearances were missing.

Corrected by May 30, 2023

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3A:52-5.3(a)(15) · Indoor maintenance and sanitation requirements are as follows: ventilation outlets shall be clean and free from obstructions, and filters shall be replaced when saturated.

Maintain all mechanical ventilation in a clean and operating condition.

Corrected by May 30, 2023

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

Repair and/or paint the wall behind the bathroom sink in room 9. Repair and/or paint the wall in the bathroom in room 2. Repair and/or paint the wall behind the bathroom sink in room 1.

Corrected by May 30, 2023

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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.

Repair or replace the cracked ceiling tile in Room 9.

Corrected by May 30, 2023

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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.

Ensure that 1 credentialed staff completes 20 hours of staff development annually.

Corrected by May 30, 2023

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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.

Corrected by May 30, 2023

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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.

Ensure that the center's fire protective systems are operative at all times. At the time of the inspection, the Director called the alram company and confirmed the center was receiving a signal.

Corrected by Oct 23, 2023

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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 an updated fire certificate as required.

Corrected by May 3, 2021

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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.

Provide the completed and signed Statement of Assurance for Water Testing and the completed two-page checklist for Water testing as required.

Corrected by May 3, 2021

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