(a) The methods of guidance and discipline used shall: 1. Be positive; 2. Be consistent with the age and developmental needs of the children; and 3. Lead to the child's ability to develop and maintain self-control. (b) Staff members shall not discipline children for failing to eat or sleep or for soiling themselves. (c) Staff shall not withhold active play time as a means of discipline unless the child's actions or behavior present a danger to themselves or others. (d) Children may be removed from a group activity to another area, provided that the child so removed is either under the supervision of another staff member or continuously visible to a staff member.

Ensure that staff utilize positive methods of guidance and discipline in Room 3. At the time of the inspection, staff interactions with children were not positive in Room 3.

3A:52-6.6(a) · Corrected Mar 6, 2026

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.

Feeding requirements for centers serving children less than 18 months of age are as follows: for bottles, refrigerated breast milk shall be used within 24 hours. formula or breast milk that is served, but not completely consumed or refrigerated, shall be discarded.

Ensure that formula or breast milk that is served but not completely consumed is discarded immediately, or refrigerated and consumed within 24 hours. At the time of the inspection, there was 1 bottle being warmed with a date of 2/10/2026.

3A:52-6.3(b)(3)(iv)(4) · Corrected Mar 6, 2026

1. For children 12 months of age and younger, the center shall provide for each child a crib, that complies with the Consumer Product Safety Commission's (CPSC) Federal Safety Standards for Full-Size and Non-Full-Size Baby Cribs; 16 CFR 1219 and 1220, which is incorporated herein by reference, and can be obtained through the CPSC's website at https://www.cpsc.gov/Safety-Education/Safety- Education-Centers/cribs , playpen, or other Office of Licensing-approved sleeping equipment that meets the following requirements: i. Each cot used for children between 13 and 18 months of age shall not exceed 14 inches above the floor level. iii. Each mat used for rest and sleep shall be: (1) Placed on a surface that is warm, dry, clean and draft-free; (2) Water-repellent; (3) At least one inch thick; and (4) Stored so that there is no contact with the sleeping surface of another mat, or disinfected after each use, as specified in N.J.A.C. 3A:52-

Repair and/or replace sleeping equipment that is in disrepair in Room 4.

3A:52-6.4(b)(1) · Corrected Mar 6, 2026

Fire prevention requirements are as follows: all fire extinguishers shall be visually inspected once a month, and serviced and tagged at least once a year and recharged, if necessary, as specified in the NJUFC.

Ensure that all fire extinguishers are serviced and tagged annually and recharged if necessary. 1 extinguisher near the boiler room in the basement needs to be retagged.

3A:52-5.3(n)(4) · Corrected Mar 6, 2026

For newly-constructed buildings, for existing buildings whose construction code group classification would change from that which it had been, or for existing buildings that require major alteration or renovation, the center shall obtain a Certificate of Occupancy (CO) issued by the municipality in which it is located, reflecting the center's compliance with the provisions of the NJUCC, and submit a copy of the CO to the Office of Licensing, for the following group classification: I-4 (Institutional) for buildings accommodating one or more children less than 2 ½ years of age.

Cease caring for children below 2.5 years of age. At the time of the inspection, there were 12 children under 2.5 years in Room 5. 3/12/2026: MOU submitted stating no additional enrollment of children under 2.5 years will take place until a ramp is installed. Fire drill needs to be conducted with inspectors to ensure all children are safely evacuated.

3A:52-5.2(a)(1)(ii) · Corrected Apr 27, 2026

Staff members shall provide all children who are developmentally able with opportunities to leave their cribs, playpens or other Office of Licensing-approved sleeping equipment to crawl, toddle, walk, and play.

Ensure that children are provided with opportunities to leave their cribs, playpens or other OOL approved sleeping equipment to crawl, toddle, walk and play. At the time of the inspection, 1 child was seen standing in his crib without any activities.

3A:52-6.1(g)(2)(iii) · Corrected Mar 6, 2026

Supplemental evacuation requirements are as follows: cribs, beds, playpens, and cots used for rest or sleep shall be arranged so as to provide access to a three-foot-wide aisle that leads to an unobstructed exit.

Ensure that all exits and egress areas are unobstructed and that the emergency exit doors are easily operable. At the time of the inspection, an emergency exit near Room 7 was blocked due to snow. No children were present in the room. Submit documentation stating that Room 7 will not be used until the snow is cleared.

3A:52-5.3(m)(2) · Corrected Mar 6, 2026

Feeding requirements for centers serving children less than 18 months of age are as follows: for bottles, each child's bottle(s) shall be labeled with the child's name and dated.

Ensure that each child's bottle is labeled with the child's name and date in Room 1.

3A:52-6.3(b)(3)(iv)(1) · Corrected Mar 6, 2026

(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).

One named child missing a special care plan.

3A:52-7.5(b)(10) · Corrected Mar 6, 2026

(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 staff members missing orientation logs.

3A:52-4.8(a) · Corrected Jul 15, 2025

The center shall distribute a copy of the communicable disease policy to the parent of each enrolled child and secure and maintain on file a record of each parent’s signature attesting to receipt of the policy.

Ensure the center's communicable disease policy contains all required components. Maintain on file a record of parental receipt of the communicable disease policy.

3A:52-7.11(b) · Corrected Jul 15, 2025

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 the sponsor/sponsor representative and all regularly scheduled staff for the center's license renewal.

3A:52-4.10(a) · Corrected Jul 15, 2025

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.

3A:52-5.3(l)(4) · Corrected Jul 15, 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.

3A:52-5.3(h)(7) · Corrected Jul 15, 2025

(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.

Repair missing flooring in the Bathroom of Room 5.

3A:52-5.3(a)(1) · Corrected Jul 15, 2025

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. 1 group teacher needed.

3A:52-4.6(c)(3) · Corrected Jul 15, 2025

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.

Ensure children with medication have a special care plan on file. 2 children missing special care plans.

3A:52-7.5(b) · Corrected Jul 15, 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. 1 child missing emergency medical authorization.

3A:52-7.3(a) · Corrected Jul 15, 2025

Children shall not use pacifiers with straps or other types of attachment devices.

Cease the use of pacifier straps or other types of attachment devices in the infant room.

3A:52-6.4(i) · Corrected Jul 15, 2025

An applicant seeking a license or a Certificate of Life/Safety Approval to operate a center shall comply with all applicable provisions of the New Jersey Uniform Fire Code, as specified in N.J.A.C. 5:70 and hereinafter referred to as the NJUFC. The center shall obtain the building's fire safety inspection certificate issued by the municipality in which it is located, based on a fire inspection conducted within the preceding 12 months, reflecting the center's compliance with all applicable provisions of the NJUFC. The center shall maintain on file the building's fire safety inspection certificate.

Ensure that all illuminated exit signs and emergency lighting are operable at all times. Emergency light not operable near the bathroom in Room 5.

3A:52-5.2(b) · Corrected Jul 15, 2025

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. At the time of the inspection, 1 staff member stated they had 6 children present in their care when there were 7 children present in the infant room. 9/11/2025: At the time of the inspection, 1 staff member said they had 6 children in their care when there were only 5 children present.

3A:52-4.3(a)(1) · Corrected Sep 29, 2025

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. At the time of the inspection, 1 staff member said they had 14 children in their care when there were 13 children present in Room 4.

3A:52-4.3(a)(1) · Corrected Sep 29, 2025

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; the use of e-mail, text messages, and other electronic means of communication with staff and parents; the types of social media that the center uses, the methods and devices the staff use to communicate with the parent, the guidelines for appropriate conduct by staff members, and the guidelines for parents, including but not limited to, prohibiting the posting of photographs or videos of any child other than their own.

Ensure the center's social media policy includes all required components including guidelines for parents. Maintain on file a record of parental receipt of the center's social media policy.

3A:52-6.8(k) · Corrected Jul 15, 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.

3A:52-5.3(i)(5)(i) · Corrected Jul 15, 2025

Indoor maintenance and sanitation requirements are as follows: ventilation outlets shall be clean and free from obstructions, and filters shall be replaced when saturated.

Maintain all mechanical ventilation in a clean and operating condition in Room 7.

3A:52-5.3(a)(15) · Corrected Jul 15, 2025

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.

3A:52-4.6(c)(1) · Corrected Jul 15, 2025

Sleeping equipment shall be free of pillows and soft bedding, including, but not limited to bumper pads, when occupied by a sleeping child.

Ensure cribs are free of toys and/ or hanging mobiles in the infant room.

3A:52-6.4(b)(1)(ii) · Corrected Jun 26, 2025

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. 1. At least one staff member shall be physically present in the room or area in which children are napping and shall be able to summon other staff members without leaving the room or area. 3. Naptime preparations shall have been completed and all children 18 months or above are resting or sleeping, while all children under 18 months of age are sleeping.

Ensure that children are directly supervised at all times. At the time of the inspection, a staff member in the infant room was sleeping while sitting in the rocking chair during nap time.

3A:52-4.3(a) · Corrected Jul 15, 2025

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.

Complete and maintain on file, a current Staff Records Checklist designated by OOL.

3A:52-4.1(d) · Corrected Sep 29, 2025

(c) The following staff/child ratios shall apply, except as specified in (d) through (f) below: 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 (d) The following staff/child ratios shall apply during rest or sleep, when the criteria listed in (d) 1, 2, and 3 below are met: Under 18 months 18 months to under 2 ½ years 2 ½ years and above 1:10 1:12 1:20 2. A sufficient number of staff members shall be in the facility and readily accessible to ensure compliance with the awake staff/child ratios specified in (c) above.

Ensure that adequate staff/child ratios are maintained at all times. At the time of the inspection, there were 5 children present in the infant room with 1 staff in the classroom and 1 staff in the hallway when 2 staff were required in the infant room.

3A:52-4.3(c) · Corrected Sep 29, 2025

Walls shall be painted or otherwise covered whenever there is evidence of: i. Excessive peeling or chipped paint; or ii. Heavily soiled conditions.

Repair and/or paint surfaces with bubbling paint in the Bathroom in Room 5

3A:52-5.3(a)(16) · Corrected Jul 15, 2025

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 as required after diapering in the infant room.

3A:52-7.8(a)(1) · Corrected Jul 15, 2025

(b) The center shall maintain on file a written record of each incident resulting in an injury as specified in (a) above. These records shall include the following: 1. The name of the injured child; 2. The date, time and location of the incident; 3. The name and address of the center; 4. The name of the person completing the report; 5. The date the report was completed; and 6. A written description of the following: i. The incident; ii. The injury to the child; iii. The names of witnesses to the incident; and iv. The follow-up action taken by the center, including: (1) Application of first aid; and (2) Consultation or treatment by a licensed physician or other health care provider, if applicable. (d) Upon request of the child's parent, the center shall provide a written description of the incident by the end of the next operating day.

Ensure accident reports are completed as required including all required components. Ensure parents are notified of head injuries immediately.

3A:52-7.6(b)(6) · Corrected Jul 15, 2025

(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 both Epi- Pen's are present when two are required. 1 named child missing 2nd Epi- Pen.

3A:52-7.5(b)(10) · Corrected Jul 15, 2025

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. 3 staff members missing training logs. 7/15/2025: 2 staff member missing training log. 8/19/2025: 1 staff member missing training log.

3A:52-4.8(d) · Corrected Sep 11, 2025

(c) The following staff/child ratios shall apply, except as specified in (d) through (f) below: 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 (d) The following staff/child ratios shall apply during rest or sleep, when the criteria listed in (d) 1, 2, and 3 below are met: Under 18 months 18 months to under 2 ½ years 2 ½ years and above 1:10 1:12 1:20 2. A sufficient number of staff members shall be in the facility and readily accessible to ensure compliance with the awake staff/child ratios specified in (c) above.

Ensure that adequate staff/child ratios are maintained at all times. At the time of the inspection, there were 21 children present outside on the playground with 2 staff members when 3 were required.

3A:52-4.3(c) · Corrected Jul 15, 2025

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 throughout the center.

3A:52-5.3(a)(10) · Corrected Jul 11, 2022

For newly-constructed buildings, for existing buildings whose construction code group classification would change from that which it had been, or for existing buildings that require major alteration or renovation, the center shall obtain a Certificate of Occupancy (CO) issued by the municipality in which it is located, reflecting the center's compliance with the provisions of the NJUCC, and submit a copy of the CO to the Office of Licensing, for the following group classification: I-4 (Institutional) for buildings accommodating one or more children less than 2 ½ years of age.

Ensure that the center obtains a Certificate of Occupancy that corresponds with the ages of the children receiving care in Rooms 2 and 5. Only Room 1 allows children under 2.5 years. 1/23/23: 4 children under 2.5years were present in Room 5 (E use group only). 4/13/23: 12 children under 2.5 years were present in Room 5 (E use group only). 7/6/23: 13 children under 2.5 years were present in Room 5 (E use group only). 8/1/23: Abated based on MOU.

3A:52-5.2(a)(1)(ii) · Corrected Aug 1, 2023

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 the use of a television, computers, and other video equipment shall be limited to educational and instructional use, shall be age and developmentally appropriate, and shall not be used as a substitute for planned activities or for passive viewing. Centers shall prohibit the use of television, computers, and other video equipment for children under the age of two.

Cease the use of television, computers, and other video equipment for children under the age of two.

3A:52-6.1(b)(7)(i) · Corrected Jul 11, 2022

Children shall not use pacifiers with straps or other types of attachment devices.

Cease the use of pacifier straps or other types of attachment devices.

3A:52-6.4(i) · Corrected Jul 11, 2022

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.

Provide a safety strap for the highchair in the infant room.

3A:52-5.3(a)(2) · Corrected Jun 7, 2022

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 2 named staff complete a CHRI background check as required for renewal.

3A:52-4.11(a)(1) · Corrected Jun 7, 2022

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 a named staff a copy of the OOL policy documents and maintains on file signature of the staff attesting to the receipt of the policy.

3A:52-3.6(b)(1) · Corrected Jun 7, 2022

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 a special care plan from a health care provider for 2 named children. Provide a 2nd epi-pen for 2 named children.

3A:52-7.5(b)(10) · Corrected Jun 28, 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 Nov 4, 2019

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 submits documentation to the Office of Licensing and the local department of health of a lead paint inspection and risk assessment 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, within the previous 12 months indicating the presence of lead; and

3A:52-5.3(h)(2)(iii)(1) · Corrected Jan 6, 2020

The center shall provide sleeping equipment for children 12 months of age and younger, the center shall provide for each child a crib, that complies with the Consumer Product Safety Commission's (CPSC) Federal Safety Standards for Full- Size and Non-Full-Size Baby Cribs; 16 CFR 1219 and 1220, which is incorporated herein by reference, and can be obtained through the CPSC's website at https://www.cpsc.gov/Safety-Education/Safety- Education-Centers/cribs , playpen, or other Office of Licensing-approved sleeping equipment that meets the following requirement that

Provide a second evacuation crib for Room 1.

3A:52-6.4(b)(1) · Corrected Jun 28, 2019

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 staff's signature attesting to the receipt of the required polices have been maintained for 3 named staff.

3A:52-3.6(b)(1) · Corrected Jun 28, 2019

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.

Ensure that the emergency lights are operable at all times in Rooms 4 and 5.

3A:52-5.2(a)(5) · Corrected Jun 28, 2019

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 staff names are documented on the organizational chart.

3A:52-4.5(a)(3)(i)(1) · Corrected Jun 28, 2019