(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. Named child needs parental signature on HAP. A named child's medication needs to be in the original box with a prescription label. The child's parent needs to sign the Health Action plan.

3A:52-7.5(b)(10) · Corrected Jun 16, 2025

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. The center shall obtain verification from Lead company if they are Lead Free or Lead Safe. 7/14/25-The center is confirmed to be Lead Hazard Free and the test date is 5/6/25.

3A:52-5.3(h)(7) · Corrected Jul 14, 2025

(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 One named child did not have a Universal Health Record on file.

3A:52-7.3(a) · Corrected Jun 16, 2025

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

3A:52-5.3(i)(5)(i) · Corrected Oct 17, 2025

(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, including

3A:52-4.8(a) · Corrected Jun 16, 2025

The staff member(s) specified in N.J.A.C. 3A:52-6.1(b) shall prepare and maintain on file a written outline of the center's daily activities, as specified in N.J.A.C. 3A:52-6.1(a) through (d) and (g) and (h).

Ensure that the center has a written outline of daily activities.

3A:52-6.1(f) · Corrected Jan 8, 2024

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.

Ensure that the center has a table of organization that illustrates lines of authority, responsibility and communication. Provide an updated table of organization which shall include all current staff (regularly scheduled). Ensure to have job descriptions included. 1/8/23-The center has still not provided job descriptions on the table of organization. 2/5/24-The able of organization does not have the job descriptions.

3A:52-4.5(a)(3)(i)(1) · Corrected Feb 12, 2024

If the center prepares meals, the center shall obtain a satisfactory Sanitary Inspection Certificate, as specified in N.J.A.C. 8:24, indicating that the kitchen is in compliance with the applicable requirements of the State Sanitary Code. The center shall maintain on file the Sanitary Inspection Certificate.

Provide a current health certificate as required. To be reviewed at the next inspection: Pizzeria and catering service health certificates. 1/8/24- The health certificates for the pizzeria and catering service are still pending.

3A:52-5.2(c) · Corrected Feb 5, 2024

The center shall complete and maintain on file for each enrolled child a Children’s Records Checklist, signed by the director, sponsor, or sponsor representative and designated by the Office of Licensing, indicating that the center has obtained documentation of the child's name, address, birth date, and date of enrollment.

Ensure that the center completes and maintains on file a children's records checklist, including the child's name, address, birth date and date of enrollment.

3A:52-6.8(a)(1) · Corrected Jan 8, 2024

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.

Post a diagram of all approved areas and ensure that all rooms approved for use by the children are labeled on each floor.

3A:52-5.3(q)(3)(v) · Corrected Jan 8, 2024

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.

Ensure that the center conducts at least two lockdown drills per year during each session provided at the center and maintains records of the drills on file. No lockdowns have been recorded for this calendar year. 1/8/24-The center has still not conducted a lockdown for the calendar year.

3A:52-5.3(l)(4) · Corrected Feb 12, 2024

Topics of orientation training shall include supervising and tracking all children, as specified in N.J.A.C. 3A:52-4.3(a).

Provide documentation of orientation training for 1 staff member.

3A:52-4.8(a)(1) · Corrected Jul 5, 2022

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.

Ensure that the center conducts at least two lockdown drills per year during each session provided at the center and maintains records of the drills on file.

3A:52-5.3(l)(4) · Corrected Jul 5, 2022

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 both staff-directed and child-selected activities are provided.

Ensure that children have the opportunity for child-selected activities. All activities were staff directed.

3A:52-6.1(b)(4) · Corrected Sep 13, 2019

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 all staff clean and disinfect tables before meals with the required two-step process. Ensure that commercial disinfectants are used in accordance with manufacturers instructions.

3A:52-7.7(a)(3)(iv) · Corrected Sep 13, 2019

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 all staff complete the annual training hours as required.

3A:52-4.8(d)(1) · Corrected Dec 17, 2019

Indoor maintenance and sanitation requirements are as follows: ensure that microwave ovens, toaster ovens, and other portable devices used to heat or prepare food are out of children's reach, secured on a stable surface, and not in use when children are in the area in order to ensure the safety of children.

Ensure that the microwave oven in the Kindergarten room is secured and out of children's reach.

3A:52-5.3(a)(18) · Corrected Sep 13, 2019

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.

The center's Safe Building Interior certificate expired 3/30/2019.

3A:52-5.3(i)(8) · Corrected Sep 13, 2019

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 rockers and slides from the playground.

3A:52-5.3(b)(7) · Corrected Sep 13, 2019

Handwashing requirements are as follows: staff members shall wash their hands with soap and running water immediately before preparing or serving food.

Not all staff washed their hands as required prior to putting food service gloves on and serving children food.

3A:52-7.8(a)(4)(i) · Corrected Sep 13, 2019

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.

3A:52-5.3(i)(5)(i) · Corrected Jul 25, 2019

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.

The center's renewal CARI's have been sent out and are pending return.

3A:52-4.10(b)(2) · Corrected Oct 24, 2019

For early childhood programs, the following shall apply, outdoor space requirements for children over the age of 10 months are as follows: outdoor areas located near or adjacent to hazardous areas determined by the Office of Licensing to be unsafe (including, but not limited to, streets, roads, driveways, parking lots, railroad tracks, swimming pools, rivers, streams, steep grades, cliffs, open pits, high voltage boosters, or propane gas tanks) shall be fenced or otherwise protected by a natural or man-made barrier or enclosure.

The playground sits in the middle of a parking lot without vehicular barriers. Provide an Memorandum of Understanding to the OOL stating that the parking lot surrounding the playground is not in use during the center's operating hours and no cars will have access to this lot during the center's operating hours.

3A:52-5.4(a)(7)(iii) · Corrected Oct 24, 2019