(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.

Ensure stained ceiling tiles are replaced in Rooms 1, 2, and 3.

3A:52-5.3(a)(1) · Not corrected

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.

3A:52-3.4(a) · Not corrected

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.

(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 1 named child has an updated special care plan. Current one is expired.

3A:52-7.3(a) · Not corrected

(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. 1 named child missing parent signature on the special care plan and needs 2 Epi- Pens present at the center.

3A:52-7.5(b)(10) · Not corrected

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 6 regularly scheduled staff and 5 substitute staff for the center's license renewal.

3A:52-4.10(b)(1) · Corrected Oct 15, 2024

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 conset to a CARI background check, the sponsor or sponsor representative shall immediation terminate the staff member's employment at the center.

Ensure that CARI background checks are completed as required for 1 substitute staff.

3A:52-4.10(a)(2) · Corrected Oct 15, 2024

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.

3A:52-2.1(b) · Corrected Sep 23, 2024

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 required 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 in room 2.

3A:52-7.5(b)(10) · Corrected Oct 15, 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; the name(s), home and work address(es), home and work telephone number(s) and signature(s) of the parent(s); the name(s), address(es), and telephone number(s) of any person(s) authorized by the parent(s) to visit the child at the center and/or take the child from the center, as specified in N.J.A.C. 3A:52-6.5(a)1; and the name, address, and telephone number of the child's health care provider; signed authorization from the parent(s) for emergency medical treatment; the parent’s signature attesting to the receipt of the Information to Parents document, as specified in N.J.A.C. 3A:52-3.6(b); the parent’s signature attesting to the receipt of the Information to Parents document, as specified in N.J.A.C. 3A:52-3.6(b).; health information for each child, as follows: for early childhood programs, a record of the child’s health examination and immunizations, as specified in N.J.A.C. 3A:52-7.3(a); and for school-age child care programs, a record of the parent’s statement concerning the child’s health, as specified in N.J.A.C. 3A:52-7.3(b).

Complete and maintain on file a Children's Records Checklist designated by OOL.

3A:52-6.8(a)(1) · Corrected Oct 15, 2024

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).

Provide orientation training to 4 current staff annually, and secure and maintain on file, each staff member's signature attesting to the review of the orientation training.

3A:52-4.8(b) · Corrected Oct 20, 2023

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.

3A:52-3.4(a) · Corrected Oct 20, 2023

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 3 staff within two weeks of hire. 3/15/2024 Ensure that CARI background checks are completed as required for 2 staff within two weeks of hire.

3A:52-4.10(a)(1) · Corrected May 22, 2024

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).

Submit to the OOL a Staff Records Checklist indicating that the center has obtained the required documentation for the sponsor/sponsor representative and each individual staff member.

3A:52-4.6(a) · Corrected Oct 28, 2021

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.

3A:52-4.5(a)(3)(i)(1) · Corrected Oct 25, 2021

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 has a table of organization that includes job descriptions, titles and qualifications for all center staff.

3A:52-4.5(a)(3)(i)(2) · Corrected Oct 25, 2021

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 through NJCCIS DCF Renewal Application, Attestation and submit required fee. 10/18/2021 Submit required renewal application fee.

3A:52-2.1(b) · Corrected Nov 4, 2021

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 2 new staff within two weeks of hire.

3A:52-4.10(a)(1) · Corrected Oct 28, 2021

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 1 new staff complete a CHRI background check as required.

3A:52-4.11(a)(1) · Corrected Oct 28, 2021

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 all staff and sponsor representative submit a CARI background check upon renewal.

3A:52-4.10(b)(1) · Corrected Oct 28, 2021

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 a current fire certificate as required.

3A:52-5.2(a)(5) · Corrected Oct 25, 2021

The center shall take any steps required by the Office of Licensing to correct conditions in the building or center that may endanger the health, safety, and well-being of the children served.

Per the NJ Department of Health COVID-19 Public Health Recommendations pursuant to Executive Order No. 149, ensure staff wear disposable gloves for food handling in room 1.

3A:52-5.3(r) · Corrected Nov 8, 2021

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 in room 2. At the time of the inspection a staff member left out of the room leaving 1 staff , when 2 staff members where required.

3A:52-4.3(c) · Corrected Nov 8, 2021