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Home › NJ › Jackson › Little Hands Childcare LLC
License #CCC123737 · Center · Child Care Center
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Provide protective coverings for all electrical outlets accessible to the children.
Repair the electrical outlet on the second floor in room 10 which had caught fire. The outlet was burned, melted, and there were flame marks up the wall above the outlet. The center advised they received an email from the cleaning crew that the outlet fire happened the night before on 3-16-26. OOL called the local fire official, the fire department responded, and completed a safety check of the building. The breaker to the outlet was shut off and the center was advised they needed to make the necessary repairs by 3-31-26.
Cease the use of the Little Tikes slide and blue horse Teeter Totter in room 2.
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Cease the use of pacifier straps or other types of attachment devices in room 2.
Ensure tables and high chair trays are washed and disinfected before each meal in rooms 1 and 2.
Ensure mouthed toys are properly washed and sanitized throughout the center. Children in room 2 and 4 were mouthing toys which were being shared or put back in toy bins for use by other children.
Ensure that all cribs have a firm and snugly fitting mattress. Several mattresses throughout the center where curling up on the edges and not firmly fitting leaving gaps between the crib rails and mattress.
Provide age-appropriate seating for children for feeding. In room 1A, a child was crawling around the floor eating crackers.
Develop and follow a feeding plan for each child under 18 months of age and ensure that each child under 12 months of age has a written feeding plan maintained on file.
Ensure that each child's sippy cup is labeled with the child's name in room 2.
Ensure that the diapering pads and tables in rooms 1A, 3, and 4 are cleaned where soiled. 4-14-26: Room 4 only. 5-5-26: Rooms 1A, 4, and 2.
Ensure that bottles are stored in a sanitary manner with caps on.
Ensure that pacifiers and bottles are removed when children are walking in rooms 2 and 4.
Ensure that all staff complete orientation training within two weeks of hire and annually. 3 needed trainings.
Ensure that staff wash their hands with soap and running water as required before making bottles and serving food in room 1 and 2. Ensure staff wash hands after wiping children's noses in room 2. 5-5-26: Ensure staff wash hands after wiping noses. In room 1A staff wore gloves however only used hand sanitizer and did not wash hands.
Ensure that children wash their hands with soap and running water as required before meals in rooms 1, 1A, and 2. 4-14-26: Ensure that children wash their hands with soap and running water as required before meals in room 2. Ensure that children wash hands after outdoor play in room 2.
Ensure that hot tap water does not exceed 110 degrees Fahrenheit throughout the center. The water in room 1 was 125.2 degrees and the water in room 8 was 123 degrees.
Ensure there are 2 staff at the center at all times who are trained in medication administration.
Ensure cribs are used in accordance with manufacturer's instructions and have only 1 mattress. Several cribs throughout the center had 2 mattresses in them. 4-14-26: Ensure cribs in room 4 are snuggly fitting in cribs, there is only 1 mattress in each crib, and children in cribs are not using pillows.
Provide at least five different activity areas with at least five different types of supplies and equipment for children over 18 months of age. Ensure supplies are accessible.
Ensure the silver metal poles in the outdoor play area are padded. Ensure the screws at the bottom of the silver poles, which are sticking up from the ground, are inaccessible to children.
Ensure that all exits and egress areas are unobstructed. Toys and small furniture was being stored in the stairwells behind doors and in the exit paths. Abated at the time of inspection.
Ensure that a minimum temperature of 68 degrees Fahrenheit is maintained in all areas used by the children including room 1A.
Ensure that outdoor garbage receptacles in the outdoor play space are covered securely; and maintained in a sanitary manner.
Maintain all mechanical ventilation in all 2nd floor bathrooms, room 3 classroom, and room 6 classroom are cleaned.
Ensure that all staff purses are inaccessible to children in room 1. Abated at the time of inspection. Ensure that hand sanitizer is inaccessible to children in room 3. Abated at the time of inspection. Ensure that Febreeze spray is inaccessible to children in room 6. Abated at the time of inspection. Ensure diaper creams are not stored within children's reach on diaper tables. Abated at the time of inspection.
Complete and maintain daily time sheets with arrival and departure times for children.
Ensure that the center establishes a staff substitute system. There were several substitutes working in the center with no documentation on file at the center.
Ensure that children are adequately tracked at all times and staff are aware of the number of children in their care. In room 4/5, staff stated they had 15 children but 16 children were present.
Ensure diapering surfaces are washed and disinfected after each use in room 1A.
Ensure diapering surfaces are washed and disinfected after each use in room 4.
Ensure sheets and blankets are washed weekly throughout the center. Staff in room 4, stated they washed sheets once a month.
Ensure that each child's bottle is labeled with the child's name and date in room 2.
Repair and/or paint the walls in room 2 where there is chipping paint and exposed spackle. Ensure the wall above the sink in room 10 is free of chipping paint.
Ensure that children are directly supervised at all times. In room 1, infants on the floor for tummy time need to be directly supervised at all times. In room 2, a child was standing up on top of a little tikes slide without staff intervening. In room 4, children were walking with toys in their mouth without staff intervening. In room 1A, a child was climbing up on the stroller and playing with the buckles. 4-14-26: In room 2, children were climbing on top of tables and playing with high chair buckles without staff intervening.
Ensure children do not have access to the ripped and peeling blue sky paper, on the glass wall, between rooms 1 and 1A.
Ensure that parents are notified immediately when: a child is bitten and the skin is broken; a child sustains a head or facial injury, including when a child bumps his or her head; a child falls from a height greater than the height of the child; or an injury requiring professional medical care occurs. A child in room 2, bumped their head and staff did not notify parents.
Ensure that children's medication dosage information on special care plans, matches the prescription label on the medication. Ensure that special care plans are fully completed by the health care provider and include the doctor's stamp. Ensure that medication needed for special care plans is not expired.
Provide adequate lighting as required during naptime in room 2.
Ensure that adequate staff/child ratios are maintained at all times. In room 1, there were 14 children, ages 0 to 12 months, with 3 staff, when 4 staff were required. In room 1A, there were 7 children, ages 10 to 17 months, with 1 staff, when 2 staff were required. In room 2, there were 13 children, age 2, with 2 staff, when 3 staff were required.
Provide a current health certificate as required.
Ensure children do not have access to blind cords or sound machine cords throughout the center. Ensure that children do not have access to the cell phone charging cord in room 7.
Provide documentation that the center has current comprehensive general liability insurance coverage.
Provide at least four different activity areas with at least four types of supplies and equipment for children under 18 months. Ensure supplies are accessible.
Ensure that all illuminated exit signs and emergency lighting are operable at all times in room 1.
Ensure accident reports are completed as required including all required components and a written description is provided by the next operating day upon parental request. A child in room 2, bumped their head and staff did not complete an accident report.
Cease the use of the blow up bounce house and remove it from the center.
This center inspection inspection recorded no violations or advisories.
Ensure that the ceiling vent in the room 9 and the room 11 bathroom is cleaned.
Ensure that food on the floors from meals is cleaned and children are not playing where food has fallen.
Ensure that adequate procedures for tracking children are adhered to at all times throughout the center. In room 2, staff stated that they had 12 but 11 children were present.
Ensure that therapists are directly supervised by a cleared staff member and not left alone with the children. There was a therapist working with a child in the stairwell alone with the child.
This center inspection inspection recorded no violations or advisories.
Ensure that the center maintains and distributes to all familiesof the Information to Parents document and maintains on file signatures of all families attesting to the receipt of the policy.
Ensure that CARI background checks are completed as required for all staff within two weeks of hire. There are 6 missing CARI clearances.
Ensure that the center maintains daily time sheets for staff that indicate the hours the staff worked at the center.
This center inspection inspection recorded no violations or advisories.
Ensure that all cribs and playpens are equipped with all of the required components, including top rails that are at least 19 inches above the mattress.
Ensure all staff have completed orientation training on hire and updated annually. 3 missing orientation trainings.
Ensure that toilet bases in the room 7 and 11 bathrooms are cleaned and re-caulked.
Conduct and document a lockdown drill.
Ensure all exits are unobstructed. In room 1, there were cribs in front of the exit door.
Maintain a written emergency plan that includes all the required components and accurate center information.
Complete and maintain at the center daily time sheets for staff with arrival and departure times for all staff.
Ensure that all materials used by the children are age appropriate, non-toxic and safe for use by children. Children in room 3 ages 18 to 24 months were using magnetic tiles intended for use by older children.
Ensure that pacifiers are removed when children are crawling or walking in room 3.
Ensure that all cribs and playpens are equipped with a snugly fitting sheet.
Ensure the center allows OOL into the center for inspections without delay.
Ensure that diapering table in room 6 is cleaned.
Ensure the center maintains a Staff Records Checklist that is current and includes all staff.
Ensure staff purses are not accessible to children in room 1. Abated at the time of inspection.
Provide documentation that the glass wall between rooms 1 and 1A is shatterproof.
Ensure that a primary caregiver is assigned to each group of four infants or six toddlers.
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. 4 missing CARI clearances.
Ensure special care plans from health care providers include instructions including symptoms for when to administer medications, all medications on the care plans are onsite at the center, and medications are not expired.
Post an updated diagram with the new rooms depicting how the center is to be evacuated during emergencies from each classroom and the outdoor play area.
Replace the stained ceiling tiles in room 10.
Ensure that CHRI background checks are completed as required for the sponsor/sponsor representative and all regularly scheduled staff. 3 missing CHRI clearances.
Ensure that the director designee completes the Understanding Licensing training provided by OOL.
Ensure that the center completes and maintains on file a Staff Records Checklist designated by OOL.
Ensure that the center has written emergency plans in a readily accessible location that includes evacuation, disaster and lockdown procedures, and an alternate indoor evacuation location.
Provide documentation of credentials for the group teachers which shows the qualifications as specified in the manual. 2-22-24: The center reduced their capacity to 60 and no longer needs a group teacher.
Ensure that the center has a table of organization that illustrates lines of authority, responsibility and communication with names and titles of staff.
Ensure that all staff complete orientation training within two weeks of hire and annually.
Remove the picnic table from next to the outdoor play equipment.
Ensure that all indoor and outdoor equipment is sturdy, safe, free of hazards and used in accordance with the manufacturer's instructions. Ensure the "bustrikes" can be used inside and for commercial use.
Ensure that time frames for each activity are both age and developmentally appropriate for the children served. In room 5, two children who were not napping were sitting in room 4, no activities while other children napped
Ensure that the center has a written outline of daily activities in all rooms including the infant rooms.
Ensure that each child under 12 months of age has a written feeding plan and the plans are accessible to all staff in the room at all times.
Ensure that the center maintains and distributes to all families 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. Maintain signatures of parent signoffs on file at the center.
Ensure that the center completes and maintains on file a children's records checklist.
Develop and maintain on file an expulsion policy and maintain on file signatures from all families attesting to the receipt of the policy.
Develop and distribute to all families and staff a social media policy and maintain on file signatures from all families and staff attesting to the receipt of the policy.
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.
Complete accident reports as required for all injuries occurring at the center.
Ensure that the center both washes and disinfects the tables used by the children for eating before each meal.
Ensure that the center both washes and disinfects diapering surfaces after each use. If the center is going to use a commercial product for disinfecting than the manufacturers instructions need to be followed for proper wait times.
Ensure that each cot or mat used for rest and sleep is covered with a sheet, blanket or other covering. Ensure that an additional covering is provided for use as a covering for each child.
Re-train all staff on the proper 2 step cleaning and disinfecting process for surfaces as required. Provide documentation of the training including staff signatures showing receipt of the training to OOL.
Provide documentation of credentials for the program supervisor which shows the qualifications as specified in the manual.
Provide documentation of credentials for the head teacher which shows the qualifications as specified in the manual.
Ensure that children are provided age appropriate activities. There were 2 children ages 11 and 13 in room 1 which was an infant room and did not have the age appropriate supplies as required.
Ensure that pacifiers are removed when children are crawling or walking in room 1.
Ensure that a Universal Health Record is completed upon enrollment and updated annually, including the immunization records and special care plans as required.
Provide and post the results of radon testing for every room on the lowest level used by children in a prominent location.
Ensure that classrooms that care for children over 18 months of age provide at least five different activity areas and that each area contains at least five different types of supplies and equipment throughout the center. 9-28-23: Room 4 was being used as a crib room and does not have the required supplies. 9-28-23: The second floor of the center was empty and not being used. None of the classrooms on the 2nd floor have the required amount of supplies. 9-28-23: Ensure room 5 and 3, have the required 5 centers with 5 supplies in each center as required for children over 18 months of age. 1-4-24: The second floor of the center was empty and not being used. Room 2A and all of the classrooms on the 2nd floor need the required amount of supplies. 2-22-24: The center removed the second floor from their license and room 4 is now for occasional use.
Ensure that adequate supervision is maintained at all times throughout the center. Ensure older children in room 1 are not holding infants and talking on cell phones.
Ensure that handwashing does not take place in a sink used for food preparation.
Ensure the health, safety, and well-being of the children served. Cease the use of tea kettles in rooms to make bottles. Provide bottle warmers where needed. 11-13-23: The center was using hot water from a water cooler to make bottles and storing it in the classrooms in a thermos. The water temperature measured at 171 degrees. The center needs to cease the use of hot water to make bottles.
Develop a written policy for parental notification of injuries if the center uses methods other than a telephone call and maintain on file the signatures of staff and parents acknowledging receipt of the policy. The center indicating they are sending text messages also.
Ensure that at least two staff have current first aid and CPR certifications and are present at all times at the center.
Ensure that all Epi-pens and required medications are onsite at the center, stored in their original boxes with the child's name and prescription, and accompanied by a special care plan from a health care provider. If two pens are required, then two pens need to be present at the center. 2-22-24: The centers to obtain a special care plan from a health care provider signed by both the parent and doctor.
Ensure that all staff who do not have a completed CARI and CHRI background checks and orientation training are directly supervised by another staff member. None of the center staff in classrooms with children had the required CARI clearances.
Ensure that the center maintains daily time sheets for the children that indicate the children's arrival and departure times.
Ensure that children over the age of 18 months and under the age of four years who attend the center for fewer than four consecutive hours are provided an opportunity for rest or sleep each day based on their individual physical needs. There was a 3 year old child in room 5 which was not provided a cot for rest as required.