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 all medications stated on the special care plan are maintained at the center for 1 named child.

Corrected Corrected by Jan 8, 2025

Category: ratio. Marked corrected in the state record.

3A:52-5.3(n)(1) · 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 at least once per month during each session provided at the center, including AM session.

Corrected Corrected by Jan 8, 2025

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

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 Corrected by Dec 10, 2024

Category: recordkeeping. 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. At the time of the inspection, there were 37 children with 2 staff members present when 3 staff members are required.

Corrected Corrected by Dec 10, 2024

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.

Corrected Corrected by Dec 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3A:52-2.2(e) · The license shall be posted in a prominent location within the center and in each building associated with the center.

Post the center's license in a prominent location in each building associated with the center.

Corrected Corrected by Oct 23, 2023

Marked corrected in the state record.

3A:52-3.6(b)(1) · The center shall distribute a copy of the Information to Parents document to each child’s parent(s) upon enrollment and to every person upon becoming a staff member and secure and maintain on file a record of each parent’s and staff member’s signature attesting to receipt of the document. The center shall maintain on file a copy of the Information to Parents document.

Ensure that the center maintains and distributes to all families and staff a copy of the Information to Parents document and maintains on file signatures of all staff and families attesting to the receipt of the policy.

Corrected Corrected by Nov 29, 2023

Category: recordkeeping. 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 the staff's CARI and CHRI background checks.

Corrected Corrected by Nov 29, 2023

Category: recordkeeping. Marked corrected in the state record.

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 CARI background checks are completed as required for all staff within two weeks of hire.

Corrected Corrected by Nov 29, 2023

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

3A:52-4.11(a)(1) · 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 complete the electronic fingerprinting process through the vendor authorized by the State to conduct CHRI background checks through the Division of State Police in the Department of Law and Public Safety and the Federal Bureau of Investigation.

Ensure that all staff, the sponsor and/or the sponsor representative complete a CHRI background check as required.

Corrected Corrected by Nov 29, 2023

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

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 all Epi-pens are stored in their original boxes with the child's name and prescription, accompanied by a special care plan, and that two are present when required. 1 child is missing their 2nd epi-pen. 2 children are missing their emergency care plan from their physician.

Corrected Corrected by Mar 5, 2024

Category: ratio. Marked corrected in the state record.

3A:52-7.5(b)(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.

Ensure that staff designated to perform health care procedures are trained in doing so and that at least two staff members at the center have received the training.

Corrected Corrected by Feb 2, 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 Nov 29, 2023

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 before eating snack.

Corrected Corrected by Nov 29, 2023

Category: nutrition. Marked corrected in the state record.

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 Corrected by Mar 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.5(a)(3)(i)(1) · 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.

Corrected Corrected by Nov 29, 2023

Category: ratio. Marked corrected in the state record.

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

Ensure that the center maintains daily time sheets for the children that indicate the children's arrival and departure times. Children were not signed out from the morning program and the attendance mobile app is not properly working.

Corrected Corrected by Mar 5, 2024

Category: ratio. 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. Submit all documentation listed on the Staff Records Checklist for both AM and PM staff.

Corrected Corrected by Feb 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.6(d)(1) · For school-age child care programs the program supervisor shall meet the qualification requirements specified in one of the applicable options set forth in N.J.A.C. 3A:52-4.6(d) for education, training, and experience, based on the center's licensed capacity.

Ensure that the AM & PM program supervisor meets the required qualifications as specified in the manual.

Corrected Corrected by Feb 2, 2024

Category: supervision. Marked corrected in the state record.

3A:52-4.8(e) · Directors shall complete staff development in understanding licensing regulations as provided by the Office of Licensing within 90 days of hire. Such staff development may be included in the required 20 hours of staff development specified in N.J.A.C. 3A:52-4.8(d).

Ensure that the director completes the training, "Understanding Licensing Regulations" provided by OOL within 90 days of hire.

Corrected Corrected by Mar 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.8(f)(1) · The staff development specified in N.J.A.C. 3A:52-4.8(a) through (d) shall be clock hours of staff development.

Ensure that all staff orientation training is documented as clock hours of staff development.

Corrected Corrected by Feb 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3A:52-5.3(l)(1)(iii) · Emergency procedure requirements are as follows: the center shall prepare written emergency procedures delineating an alternate indoor location that operates during the same operating hours as the center. The center shall

Ensure that the center's evacuation procedures include an alternate indoor location that operates during the same operating hours as the center.

Corrected Corrected by Feb 2, 2024

Category: recordkeeping. 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.

Ensure that there are at least two staff members present at the center at all times who have current first aid and CPR certifications. 2/2/24 -WAITING FOR 1 STAFF CERTIFICATE.

Corrected Corrected by Mar 5, 2024

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

3A:52-6.3(a)(11)(vi) · All centers shall comply with the following requirements, unless contraindicated by the parent or health care provider, the center shall ensure that food and beverages are in accordance with minimum Child and Adult Care Food Program's (CACFP) standards, contained in the Child and Adult Care Food Program, 7 CFR 226.20, which is incorporated herein by reference, and can be obtained at http://www.fns.usda.gov/cnd/care/childcare.htm, including portion size and nutritional value.

Ensure that all food and beverages provided by the center comply with the minimum CACFP standards.

Corrected Corrected by Nov 29, 2023

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

3A:52-6.5(a)(1) · The center shall maintain on file and follow a written policy on the release of children, which shall include the provision that each child may be released only to the child's parent(s) or person(s) authorized by the parent(s), as specified in N.J.A.C. 3A:52-6.8(a)3, to take the child from the center and to assume responsibility for the child in an emergency if the parent(s) cannot be reached.

Ensure that the center maintains and distributes to all families and staff the center's policy on the release of children, including a provision that children can only be released to the parent or other authorized individuals.

Corrected Corrected by Oct 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3A:52-6.6(e)(3) · The center shall maintain on file a written policy on the disciplining of children by staff members. The policy shall be posted in a prominent location within the center.

Post the center's discipline policy in a prominent location.

Corrected Corrected by Nov 29, 2023

Category: recordkeeping. Marked corrected in the state record.

3A:52-6.8(a)(1) · 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.

Corrected Corrected by Feb 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3A:52-6.8(k)(1) · The center shall develop and follow a written policy on the use of social media including, but not limited to the use of social networking sites and other websites.

Ensure that the center's social media policy includes its policies regarding the use of social networking sites and other websites.

Corrected Corrected by Oct 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3A:52-7.11(a)(1) · Each center shall develop a written policy on the management of communicable diseases. This policy shall include the following: the list of illnesses and symptoms of illness for which a child will be separated from the group and possibly sent home, as specified in N.J.A.C. 3A:52-7.1©.

Ensure that the center maintains and distributes to all families the center's communicable disease policy and that it includes the list of symptoms for which a child will be excluded from the center.

Corrected Corrected by Oct 23, 2023

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