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.

Provide documentation that the center has current comprehensive general liability insurance coverage.

Corrected Corrected by Feb 17, 2026

Category: recordkeeping. Marked corrected in the state record.

3A:52-7.5(b) · 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.

Develop and follow a policy for the administration of medication at the center.

Corrected Corrected by Jan 6, 2026

Category: supervision. Marked corrected in the state record.

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 Universal Child Health Records and Immunization Records.

Corrected Corrected by Feb 4, 2026

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

3A:52-6.4(f) · When cribs, playpens, cots, mats or other Office of Licensing-approved sleeping equipment are stored with sheets, blankets, or other coverings as single units, at least one item of each unit shall be labeled with child-identifying information. (g) When sheets, blankets and other coverings are not stored with sleeping equipment, each of these items shall be: 1. Labeled for each child; and 2. Stored separately for each child.

Ensure that each child's bedding and sleeping equipment are stored separately.

Corrected Corrected by Jan 6, 2026

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

3A:52-5.3(l) · (l) Emergency procedure requirements are as follows: 1. The center shall prepare written emergency procedures delineating: i. The location of the first aid kit and any additional first aid supplies; ii. The name, address and telephone number of the physician retained by the center or of the health facility to be used in emergencies; iii. An alternate indoor location that operates during the same operating hours as the center. The center shall: (1) Select an alternate indoor location within safe walking distance; or (2) Develop a written procedure for obtaining emergency transportation to the alternate location; iv. The hospital or clinic to which injured or ill children will be taken; v. The telephone numbers for obtaining police, fire, ambulance and poison control services, including the National Poison Emergency Hotline at (800) 222-1222; vi. The location of written authorization from parent(s) for emergency medical care for each child; vii. A diagram showing how the center is to be evacuated in case of emergency from each classroom and the outdoor play area; viii. The location of fire alarms and fire extinguishers; and ix. Procedures for ensuring children’s safety and communicating with parents in the event of evacuation, lockdown, natural or civil disaster, and other emergencies. The procedures shall indicate: (1) The plan for informing parents of their children’s whereabouts; and (2) The local law enforcement agency or emergency management office that has been notified of the center’s identifying information, as specified in (l)3 below. 2. The emergency procedures shall be readily accessible in a designated location within the center. 3. The center shall ensure that the appropriate local law enforcement agency or emergency management office is notified of: i. The center’s name and location; ii. The number, ages, and special needs of children enrolled; iii. The number of staff; iv. The need for emergency transportation; v. The location to which children will be evacuated; vi. The plan for a lockdown; and vii. The plan for reuniting children with their parents.

Maintain a written emergency plan in a readily accessible location that includes all required components including the alternate indoor location.

Corrected Corrected by Jan 6, 2026

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

3A:52-4.8(d) · 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 Corrected by Jan 6, 2026

Category: supervision. Marked corrected in the state record.

3A:52-5.3(d)(2) · steam and hot water pipes and radiators shall be protected by screens, guards, insulation, or any other suitable, non-combustible protective device.

Maintain suitable protective devices for radiators in bathroom in pink bathroom.

Corrected Corrected by Jan 6, 2026

Category: physical safety. 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. 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.

Corrected Corrected by Jan 6, 2026

Category: recordkeeping. Marked corrected in the state record.

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. 2/17/26 Two staff.

Corrected Corrected by Mar 2, 2026

Category: supervision. Marked corrected in the state record.

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 all regularly scheduled staff.

Corrected Corrected by Jan 6, 2026

Category: background checks. 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 all regularly scheduled staff for the center's license renewal. 2/17/26 Three staff.

Corrected Corrected by Mar 12, 2026

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

3A:52-4.1(d) · 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 health records for staff are maintained at the center including physical exams and Mantoux results. 2/17/26 Two staff. 3/2/26 One staff.

Corrected Corrected by Apr 30, 2026

Category: recordkeeping. Marked corrected in the state record.

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. 2/17/26 One remaining.

Corrected Corrected by Mar 2, 2026

Category: recordkeeping. Marked corrected in the state record.

3A:52-7.9(a)(1) · 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: the child's name; the date and time the illness, symptoms of illness or diseases were observed at the center; a description of the symptoms of illness manifested by the child; the action taken by the center to assist: the child who is demonstrating symptoms of illness; and the director in determining if exclusion of the child from the center is necessary; any significant change in the child's symptoms of illness; the date, if applicable, that: the child was removed from the center; the child returned to the center with a note from a health care provider attesting to the child's admissibility to the center and recovery from a reportable disease, as specified in N.J.A.C. 8:57; the child returned to the center with a parent’s note attesting that six days have elapsed since the onset of chicken pox, or that all chicken pox sores have dried and crusted; or the child returned to the center symptom-free.

Maintain an illness log on file at the center that includes dates of exclusion and return.

Corrected Corrected by Jan 6, 2026

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

3A:52-7.8(a)(1) · 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 before intake of food; immediately after using the toilet or having diapers changed; immediately after coming into contact with blood, fecal matter, urine, vomit, nasal secretions, or other body fluids or secretions; immediately after coming in contact with an animal's body secretions; and immediately after outdoor play. (2)for children under three months of age or for those children three months of age and older wherein hand washing with soap and running water may not be developmentally appropriate, the center may use an alternate means for hand washing, including but not limited to disposable baby wipes.

Ensure that children wash their hands with soap and running water before eating snacks in Room 5.

Corrected Corrected by Jan 6, 2026

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

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 Corrected by Feb 4, 2026

Category: ratio. Marked corrected in the state record.

3A:52-6.1(g)(3) · For early childhood programs, the following shall apply: centers serving children 18 months of age and older shall provide at least five types of children's daily activities including, but not limited to, language; science and mathematics; manipulative; large muscle; building; art; music; drama; or other comparable activities; and at least five types of supplies and equipment for each daily activity chosen by the center.

Provide at least five different activity areas with at least five different types of supplies and equipment for children over 18 months of age in all rooms throughout the center.

Corrected Corrected by Jan 6, 2026

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

3A:52-5.3(o)(1) · First aid requirements are as follows: at least two staff members who have current certified basic knowledge of first aid principles and cardiopulmonary resuscitation (CPR), as defined by a recognized health organization (such as the American Red Cross), shall be in the center at all times when enrolled children are present. The first aid and CPR training shall include a hands-on training component in addition to any online training coursework.

Ensure that at least two staff members who have current pediatric first aid and CPR certifications are present at the center at all times and that the training includes a hands-on component in addition to any online training.

Corrected Corrected by Feb 17, 2026

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

3A:52-5.3(a)(5) · garbage receptacles shall be: made of durable, leak-proof and nonabsorbent materials; covered in a secure manner; emptied to the outdoor garbage receptacle when filled; maintained in a sanitary manner.

Provide lids to garbage receptacles used to dispose of food throughout the center.

Corrected Corrected by Jan 6, 2026

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

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.

Clean vents throughout the center.

Corrected Corrected by Jan 6, 2026

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

3A:52-5.3(a)(10) · Indoor maintenance and sanitation requirements are as follows: all corrosive agents, insecticides, bleaches, detergents, polishes, any products under pressure in an aerosol spray can, and any toxic substance shall be stored in a locked cabinet or in an enclosure located in an area not accessible to the children.

Ensure that all toxic substances are inaccessible to the children in bathroom in Room 6.

Corrected Corrected by Dec 15, 2025

Category: physical safety. 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.

Clean toilets in bathroom in Room 6.

Corrected Corrected by Feb 17, 2026

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

3A:52-4.6(c)(3) · For early childhood programs, the following shall apply: the group teacher shall meet the requirements for experience and education

Provide documentation that the group teacher meets the required qualifications as specified in the manual.

Corrected Corrected by Jan 6, 2026

Marked corrected in the state record.

3A:52-4.6(c)(1) · For early childhood programs, the following shall apply: or all centers, the head teacher or consulting head teacher shall meet the qualification requirements specified in one of the seven options set forth in N.J.A.C. 3A:52-4.6(c) for education and experience.

Provide documentation that the head teacher meets the required qualifications as specified in the manual.

Corrected Corrected by Feb 17, 2026

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.5(c)(2) · 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 does not have full-time classroom responsibilities during the times when the director is not present at the center.

Corrected Corrected by Jan 6, 2026

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.5(b)(2) · 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 staff attendance records indicating daily hours worked and maintenance of children's daily attendance records, including the daily time of arrival and departure.

Complete and maintain daily time sheets with arrival and departure times for all staff.

Corrected Corrected by Jan 6, 2026

Category: ratio. Marked corrected in the state record.

3A:52-4.5(a)(3) · 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 a table of organization that illustrates lines of authority, responsibility and communication; and job descriptions, titles and qualifications for all center staff.

Ensure that the center has a table of organization that illustrates lines of authority, responsibility, and job descriptions.

Corrected Corrected by Jan 6, 2026

Category: ratio. Marked corrected in the state record.

3A:52-4.3(a)(1) · 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 in Room 5.

Corrected Corrected by Jan 6, 2026

Category: supervision. Marked corrected in the state record.

3A:52-7.7(a)(3)(iv) · Tables used by the children for eating shall be washed and disinfected before each meal.

Ensure tables are washed and disinfected before each meal in Room 5.

Corrected Corrected by Jan 6, 2026

Category: nutrition. Marked corrected in the state record.

3A:52-5.3(i)(5)(iii) · If the facility or site is not provided a potable water supply by a public community water system, the applicant shall provide potable water sampling results demonstrating compliance with maximum contaminant levels for all contaminants required to be tested pursuant to N.J.A.C. 7:10-5 for public non-transient, non-community (NTNC) water systems, including radiological contaminants, regardless of whether they meet the definition of NTNC systems as defined at N.J.A.C. 7:10-1.3. This sampling shall have been conducted within three years of the date of application submission, except nitrates and coliform, for which the sampling shall have been conducted within 90 days of submitting the application.

Submit current documentation from the DEP, Bureau of Safe Drinking Water (BSDW) and post the results.

Corrected Corrected by Apr 30, 2026

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