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).

Provide epi-pen for 1 named child that is not expired in room #4.

Corrected Corrected by Jan 31, 2025

Category: ratio. Marked corrected in the state record.

3A:52-5.3(i)(8) · 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.

Submit a Safe Building Interior Certification or other approval issued by the DOH.

Corrected Corrected by Jan 31, 2025

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

3A:52-5.3(h)(2) · Lead paint precautions are as follows: the center shall comply with the lead paint inspection requirements specified in N.J.A.C. 3A:52-5.3(h)3, unless the center

Submit a lead paint risk assessment as required.

Corrected Corrected by May 28, 2024

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

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 and a copy of the center's water testing completed by a laboratory certified by the Department of Environmental Protection.

Corrected Corrected by May 28, 2024

Category: ratio. 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.

Ensure that vent covers are free of dust throughout the center.

Corrected Corrected by Mar 11, 2024

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

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 Corrected by Mar 11, 2024

Category: ratio. 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 all staff submit a CARI background clearance upon renewal.

Corrected Corrected by Mar 11, 2024

Category: background checks. 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).

Provide documentation of physical and Mantoux shot for 2 staff members.

Corrected Corrected by Mar 11, 2024

Category: recordkeeping. 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).

Replace expired epi-pen for named child in room #2.

Corrected Corrected by Mar 11, 2024

Category: ratio. Marked corrected in the state record.

3A:52-6.3(a)(12)(ii) · All centers shall comply with the following requirements, the center shall ensure that these safety and sanitation practices are followed: sippy cups shall be labeled with the child’s name.

Ensure that each child's sippy cup is labeled with the child's name throughout the center.

Corrected Corrected by Mar 11, 2024

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 11, 2024

Category: recordkeeping. 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.

Corrected Corrected by Jun 28, 2023

Category: ratio. Marked corrected in the state record.

3A:52-7.7(a)(1) · 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

Ensure that the center washes and disinfects surfaces with a disposable towel in room 4.

Corrected Corrected by Jun 28, 2023

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.

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

Corrected Corrected by Jun 28, 2023

Category: recordkeeping. Marked corrected in the state record.

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 all credentialed staff complete 20 hours of staff development annually.

Corrected Corrected by Jun 28, 2023

Category: supervision. Marked corrected in the state record.

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

Repair and/or paint the bannister posts in room 1.

Corrected Corrected by Jun 28, 2023

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

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.

Clean the protective lighting cover in the upstairs bathroom.

Corrected Corrected by Jun 28, 2023

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

3A:52-5.3(p) · Play equipment, materials, and furniture for indoor and outdoor use shall be of sturdy and safe construction, non-toxic, free of hazards, and used in accordance with the manufacturer’s instructions. The center may not use play equipment intended for outdoor use indoors.

Repair the holes and replace the missing bolts from the barriers in the outdoor play area.

Corrected Corrected by Jun 28, 2023

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

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.

Remove debris from the outdoor play area near the tricycles.

Corrected Corrected by Jun 28, 2023

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

3A:52-5.3(b)(7) · 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.

Provide and maintain the resilient surfacing and use zones under all play equipment as required.

Corrected Corrected by Jun 28, 2023

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

3A:52-5.3(c)(1) · Lighting requirements are as follows: all fluorescent tubes and incandescent light bulbs shall have protective covers or shields.

Secure the protective light covering in the hallway on floor 2.

Corrected Corrected by Jun 28, 2023

Marked corrected in the state record.

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

Ensure that all hot water pipes have protective covers and are maintained in good condition in room 1.

Corrected Corrected by Jun 28, 2023

Category: physical safety. 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.

Ensure that the center conducts fire drills at least once per month during each session provided at the center, including one fire drill annually that is conducted during nap time.

Corrected Corrected by May 11, 2022

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 May 26, 2022

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.

MAINTAIN ON FILE RENEWAL CARI BACKGROUND CLEARANCES FOR ALL STAFF NOTE: 6.25.2021 3 STAFF NOTE: 7.22.2021 1 STAFF

Corrected Corrected by Aug 24, 2021

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

3A:52-4.11(b)(1) · When the center applies for a new license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall ensure that each staff member at least 18 years of age who is or will be working at the center on a regularly scheduled basis completes the CHRI fingerprinting process specified in N.J.A.C. 3A:52-4.11(a). Within two weeks after a new staff member begins working at the center, the sponsor or sponsor representative shall ensure that the new staff member completes the CHRI fingerprinting process specified in N.J.A.C. 3A:52-4.11(a).

MAINTAIN ON FILE CURRENT CHRI BACKGROUND CLEARANCES FOR: 2 STAFF NOTE: 6.25.2021 1 STAFF

Corrected Corrected by Jul 22, 2021

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

3A:52-5.3(a)(9) · Indoor maintenance and sanitation requirements are as follows: toilets, wash basins, kitchen sinks, and other plumbing shall be maintained in good operating and sanitary condition.

MAINTAIN IN FULL OPERATING CONDITION THE TOILETS IN: ROOM 3 & 4

Corrected Corrected by Jun 25, 2021

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

3A:52-4.8(g)(3) · The center shall maintain on file documentation of the date, time, topic, presenter, and attendance for all staff development and orientation completed by center staff members. The center shall record each staff member’s completion of staff development and orientation on the Staff Records Checklist, as specified in N.J.A.C. 3A:52-4.1(b).

MAINTAIN ON FILE CURRENT STAFF ANNUAL ORIENTATION TRAINING DOCUMENTATION

Corrected Corrected by Jun 25, 2021

Category: recordkeeping. Marked corrected in the state record.

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.

SUBMIT A CURRENT WATER TEST THAT INCLUDES LEVELS OF COPPER IN THE WATER

Corrected Corrected by Jun 25, 2021

Category: ratio. Marked corrected in the state record.

3A:52-5.3(i)(8) · 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.

SUBMIT A CURRENT SAFE BUILDING INTERIOR CERTIFICATE ISSUED BY THE NJ DOH

Corrected Corrected by Oct 12, 2021

Category: health medication. 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.

MAINTAIN ON FILE A FIRE DRILL LOG FOR A PERIOD OF AT LEAST 90 DAYS: ACCORDING TO THE CURRENT LOG NO DRILLS HAVE BEEN CONDUCTED SINCE FEBRUARY 2021

Corrected Corrected by Jun 25, 2021

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

3A:52-5.3(r) · 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...THE CENTER MUST ENSURE THAT ALL ADMINISTRATIVE STAFF WEAR MASKS, OR ANOTHER APPROPRIATE FACE COVERING, WHILE WORKING IN THE OFFICE TOGETHER

Corrected Corrected by Jun 25, 2021

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

3A:52-4.3(a) · The children shall be supervised directly by a staff member at all times, including during outdoor activities, rest and sleep, and walking through hallways. Toileting procedures shall be supervised by a staff member as appropriate for the ages and developmental needs of the children.

ENSURE CHILDREN ARE DIRECTLY SUPERVISED WHEN USING THE BATHROOM IN ROOM 1: ENSURE STAFF KEEP THE CHILDREN IN LINE OF SIGHT TO PROPERLY MONITOR THE CHILDREN WHEN USING THE BATHROOM

Corrected Corrected by Jul 22, 2021

Category: supervision. Marked corrected in the state record.

3A:52-4.8(a)(1) · Topics of orientation training shall include supervising and tracking all children, as specified in N.J.A.C. 3A:52-4.3(a).

RE-TRAIN NAMED STAFF IN THE FOLLOWING CORE AREA: BATHROOM SUPERVISION NAMED STAFF RE-TRAINED ON 7.5.2021

Corrected Corrected by Jul 22, 2021

Category: supervision. Marked corrected in the state record.

3A:52-4.8(a)(1) · Topics of orientation training shall include supervising and tracking all children, as specified in N.J.A.C. 3A:52-4.3(a).

RE-TRAIN NAMED STAFF IN THE FOLLOWING CORE AREA: BATHROOM SUPERVISION NAMED STAFF RE-TRAINED ON 8.9.2021

Corrected Corrected by Aug 24, 2021

Category: supervision. Marked corrected in the state record.

3A:52-4.3(a) · The children shall be supervised directly by a staff member at all times, including during outdoor activities, rest and sleep, and walking through hallways. Toileting procedures shall be supervised by a staff member as appropriate for the ages and developmental needs of the children.

ENSURE CHILDREN ARE DIRECTLY SUPERVISED WHEN USING THE BATHROOM IN ROOM 7/8: ENSURE STAFF KEEP THE CHILDREN IN LINE OF SIGHT TO PROPERLY MONITOR THE CHILDREN WHEN USING THE BATHROOM

Corrected Corrected by Aug 24, 2021

Category: supervision. 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

MAINTAIN REQUIRED STAFF/CHILD RATIOS AT ALL TIMES: 17 5-6 YEAR OLDS IN ROOMS 7/8, ON THE SECOND FLOOR, WITH 1 STAFF; 2 STAFF REQUIRED CENTER TOOK IMMEDIATE ACTION AND MOVED A 2ND STAFF MEMBER INTO THE CLASSROOM AFTER BEING INFORMED THAT THE ROOM WAS OUT OF RATIO

Corrected Corrected by Aug 24, 2021

Category: ratio. Marked corrected in the state record.

3A:52-5.3(r) · 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 UPDATED COVID-19 STANDARDS CHILD CARE CENTERS ISSUED 5.26.2021: ENSURE STAFF WEAR MASKS OUTSIDE WHEN THE TEMPERATURE IS BELOW 80 DEGREES: STAFF IN THE OUTDOOR PLAY AREA, SUPERVISING THE CHILDREN, NOT WEARING A MASK THE STAFF WAS REDIRECTED TO PUT A MASK ON IMMEDIATELY, AS THE TEMPERATURE WAS NOT OVER 80 DEGREES

Corrected Corrected by Jul 22, 2021

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

3A:52-4.3(a) · The children shall be supervised directly by a staff member at all times, including during outdoor activities, rest and sleep, and walking through hallways. Toileting procedures shall be supervised by a staff member as appropriate for the ages and developmental needs of the children.

ENSURE CHILDREN ARE DIRECTLY SUPERVISED WHEN CHANGING IN THE BATHROOM IN ROOM 2: 2 PRESCHOOL CHILDREN WERE CHANGING IN THE BATHROOM WITH THE DOOR CLOSED; WHEN INTERVIEWED THE NAMED STAFF SAID SHE UNDERSTANDS THAT THE CHILDREN MUST KEEP THE DOOR SLIGHTLY OPEN TO ENSURE THAT THEY ARE PROPERLY SUPERVISED, BUT WAS UNAWARE THAT THE DOOR HAD CLOSED, DUE TO THE FACT, THAT SHE WAS ASSISTING ANOTHER CHILD TO CHANGE BASED ON THE FACT THAT THE NAMED STAFF SEEMED TO UNDERSTAND THE REQUIREMENT THIS VIOLATION WAS CITED AND ABATED ON THE DAY OF THIS INSPECTION

Corrected Corrected by Aug 24, 2021

Category: supervision. Marked corrected in the state record.

3A:52-4.8(a)(1) · Topics of orientation training shall include supervising and tracking all children, as specified in N.J.A.C. 3A:52-4.3(a).

RE-TRAIN NAMED STAFF IN THE FOLLOWING CORE AREA: IMPLEMENTING CLASSROOM TECHNIQUES/STRATEGIES TO ENSURE PROPER BATHROOM SUPERVISION AT ALL TIMES

Corrected Corrected by Jun 25, 2021

Category: supervision. Marked corrected in the state record.