Apple Tree Academy Learning Center, LLC

N.J.A.C. 3A:52-4.3(a)(1) — 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, staff in room 119 indicated there were 20 children present when there were 21.

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, staff in room 119 indicated there were 20 children present when there were 21. Regulation: 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.

N.J.A.C. 3A:52-6.1(b)(7) — Ensure that the use of television, computers, and other video equipment is for educational and instructional use, is age and developmentally appropriate, is not used as a substitute for planned activities, and is not used for pa

Ensure that the use of television, computers, and other video equipment is for educational and instructional use, is age and developmentally appropriate, is not used as a substitute for planned activities, and is not used for passive viewing. At the time of the inspection, the school age children were observed watching television as part of their morning routine. Regulation: 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.

N.J.A.C. 3A:52-4.3(c) — Ensure that adequate staff/child ratios are maintained at all times. At the time of the inspection, the infant room had 6 children under 18 months of age and 4 children over 10 months of age with 2 staff when 3 were required.

Ensure that adequate staff/child ratios are maintained at all times. At the time of the inspection, the infant room had 6 children under 18 months of age and 4 children over 10 months of age with 2 staff when 3 were required. Regulation: (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.

N.J.A.C. 3A:52-6.4(a)(2) — Cease the use of blankets for children under 12 months of age.

Cease the use of blankets for children under 12 months of age. Regulation: For early childhood programs, the center shall ensure that blankets or pillows do not cover the child's face.

N.J.A.C. 3A:52-4.6(b) — Provide documentation that the director meets the required qualifications as specified in the manual.

Provide documentation that the director meets the required qualifications as specified in the manual. Regulation: The director shall meet the following qualification requirements for early childhood programs licensed to serve more than 30 children, the director shall meet the qualification requirements as specified in N.J.A.C 3A:52-4.6(b) for education and experience.

N.J.A.C. 3A:52-7.8(a)(4) — Ensure that staff wash their hands with soap and running water as required after each diaper change.

Ensure that staff wash their hands with soap and running water as required after each diaper change. Regulation: Handwashing requirements are as follows: staff members shall wash their hands with soap and running water immediately before preparing or serving food; after toileting; after assisting a child in toileting; after caring for a child who appears to be sick; after coming in contact with an animal's body secretions; and after coming into contact with blood, fecal matter, urine, vomit, nasal secretions, or other body fluids or secretions. 7.8(d)3- Staff members hands are washed after changing each diaper.

N.J.A.C. 3A:52-7.9(a)(1) — Maintain an illness log on file at the center that includes: the child's name; symptoms of illness; actions taken by the center; and dates of exclusion and return.

Maintain an illness log on file at the center that includes: the child's name; symptoms of illness; actions taken by the center; and dates of exclusion and return. Regulation: The center shall maintain on file a log of the initial illnesses, symptoms of illness, or diseases that are exhibited by each child while in the center’s care, as specified in N.J.A.C. 3A:52-7.1(c) and (d). This illness log shall include: the child's name; the date and time the illness, symptoms of illness or diseases were observed at the center; a description of the symptoms of illness manifested by the child; the action taken by the center to assist: the child who is demonstrating symptoms of illness; and the director in determining if exclusion of the child from the center is necessary; any significant change in the child's symptoms of illness; the date, if applicable, that: the child was removed from the center; the child returned to the center with a note from a health care provider attesting to the child's admissibility to the center and recovery from a reportable disease, as specified in N.J.A.C. 8:57; the child returned to the center with a parent’s note attesting that six days have elapsed since the onset of chicken pox, or that all chicken pox sores have dried and crusted; or the child returned to the center symptom-free.

N.J.A.C. 3A:52-7.8(a)(1) — Ensure that children wash their hands with soap and running water as required after each diaper change.

Ensure that children wash their hands with soap and running water as required after each diaper change. Regulation: 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.

N.J.A.C. 3A:52-7.6(a) — 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 heigh

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. Regulation: (a) The center shall take immediate necessary action to protect the child from further harm and shall immediately notify the child's parent(s) when one of the following occurs while the child is in the center’s care: 1. A child is bitten and the skin is broken; 2. A child sustains a head or facial injury, including when a child bumps his or her head; 3. A child falls from a height greater than the height of the child; or 4. An injury requiring professional medical care occurs.

N.J.A.C. 3A:52-7.5(b)(10) — 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

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. Regulation: (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).

N.J.A.C. 3A:52-4.5(e)(7) — Ensure that the consulting head teacher makes at least two on-site visits to the center per month to observe the center's program and provide staff development as required. Maintain documentation on file.

Ensure that the consulting head teacher makes at least two on-site visits to the center per month to observe the center's program and provide staff development as required. Maintain documentation on file. Regulation: For early childhood programs for centers using a consulting head teacher, the consulting head teacher shall make at least two on-site visits to the center per month, for a sufficient length of time to conduct staff development, observe the center's program, and ensure that the provisions specified in N.J.A.C. 3A:52-4.5(e)1 are met. The center shall maintain on file a written record of the date, time, purpose, and nature of each visit by the consulting head teacher; and the consulting head teacher’s observation of the program and evaluation of the staff member in charge of the program.

N.J.A.C. 3A:52-7.7(e)(1)(iii) — Ensure diapering surfaces are washed and disinfected after each use. At the time of the inspection, staff was observed only completing one of the 2 steps required.

Ensure diapering surfaces are washed and disinfected after each use. At the time of the inspection, staff was observed only completing one of the 2 steps required. Regulation: In addition to the items specified in (a)3 above, the following equipment items or surfaces shall be washed and disinfected after each use: iii. Diapering surfaces;

N.J.A.C. 3A:52-5.3(l) — Maintain a written emergency plan in a readily accessible location that includes all required components.

Maintain a written emergency plan in a readily accessible location that includes all required components. Regulation: (l) Emergency procedure requirements are as follows: 1. The center shall prepare written emergency procedures delineating: i. The location of the first aid kit and any additional first aid supplies; ii. The name, address and telephone number of the physician retained by the center or of the health facility to be used in emergencies; iii. An alternate indoor location that operates during the same operating hours as the center. The center shall: (1) Select an alternate indoor location within safe walking distance; or (2) Develop a written procedure for obtaining emergency transportation to the alternate location; iv. The hospital or clinic to which injured or ill children will be taken; v. The telephone numbers for obtaining police, fire, ambulance and poison control services, including the National Poison Emergency Hotline at (800) 222-1222; vi. The location of written authorization from parent(s) for emergency medical care for each child; vii. A diagram showing how the center is to be evacuated in case of emergency from each classroom and the outdoor play area; viii. The location of fire alarms and fire extinguishers; and ix. Procedures for ensuring children’s safety and communicating with parents in the event of evacuation, lockdown, natural or civil disaster, and other emergencies. The procedures shall indicate: (1) The plan for informing parents of their children’s whereabouts; and (2) The local law enforcement agency or emergency management office that has been notified of the center’s identifying information, as specified in (l)3 below. 2. The emergency procedures shall be readily accessible in a designated location within the center. 3. The center shall ensure that the appropriate local law enforcement agency or emergency management office is notified of: i. The center’s name and location; ii. The number, ages, and special needs of children e

N.J.A.C. 3A:52-3.6(b) — Maintain at the center and redistribute to all families and staff, a updated copy of the Information to Parents document designated by the OOL; maintain on file a record of parental and staff receipt of the policy. At the time of t

Maintain at the center and redistribute to all families and staff, a updated copy of the Information to Parents document designated by the OOL; maintain on file a record of parental and staff receipt of the policy. At the time of the inspection, the Information to Parents had the incorrect website for parents and staff to review inspection and complaint reports for the center.. Regulation: 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.

N.J.A.C. 3A:52-7.6(a) — 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 heigh

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. At the time of the inspection, several accident/injury documents that required immediate notification were not documented with the time of notification. Regulation: (a) The center shall take immediate necessary action to protect the child from further harm and shall immediately notify the child's parent(s) when one of the following occurs while the child is in the center’s care: 1. A child is bitten and the skin is broken; 2. A child sustains a head or facial injury, including when a child bumps his or her head; 3. A child falls from a height greater than the height of the child; or 4. An injury requiring professional medical care occurs.

N.J.A.C. 3A:52-7.5(b) — Ensure prescription medication for 1 named child is stored in their original boxes with the child's name and prescription,

Ensure prescription medication for 1 named child is stored in their original boxes with the child's name and prescription, Regulation: 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 containe

N.J.A.C. 3A:52-7.5(b) — Ensure medication is stored in it's original container. At the time of the inspection, over the counter medication was provided in premeasured vials and was not in the original container.

Ensure medication is stored in it's original container. At the time of the inspection, over the counter medication was provided in premeasured vials and was not in the original container. Regulation: 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 c

N.J.A.C. 3A:52-4.8(a) — Provide orientation training documents for 2 named staff.

Provide orientation training documents for 2 named staff. Regulation: (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.

N.J.A.C. 3A:52-4.1(d) — Provide staff health documents and test results for Mantoux tests as required 9 named staff. 7/3/2025 Pertains to 4 staff. 8.6.25-Pertains to 2 staff.

Provide staff health documents and test results for Mantoux tests as required 9 named staff. 7/3/2025 Pertains to 4 staff. 8.6.25-Pertains to 2 staff. Regulation: 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.

N.J.A.C. 3A:52-7.8(a)(4) — Ensure that staff wash their hands with soap and running water as required after wiping children's noses.

Ensure that staff wash their hands with soap and running water as required after wiping children's noses. Regulation: Handwashing requirements are as follows: staff members shall wash their hands with soap and running water immediately before preparing or serving food; after toileting; after assisting a child in toileting; after caring for a child who appears to be sick; after coming in contact with an animal's body secretions; and after coming into contact with blood, fecal matter, urine, vomit, nasal secretions, or other body fluids or secretions. 7.8(d)3- Staff members hands are washed after changing each diaper.

N.J.A.C. 3A:52-7.8(a)(1) — Ensure that children wash their hands with soap and running water as required after each diaper change.

Ensure that children wash their hands with soap and running water as required after each diaper change. Regulation: 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.

N.J.A.C. 3A:52-6.4(b)(1) — Ensure that approved sleeping equipment is provided for each child as required. At the time of the inspection, a child was asleep on the floor and was not provided a cot.

Ensure that approved sleeping equipment is provided for each child as required. At the time of the inspection, a child was asleep on the floor and was not provided a cot. Regulation: 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 View official inspection document 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-

N.J.A.C. 3A:52-5.4(a)(4) — Ensure that the center has a supply of hot tap water. At the time of the inspection, the hot water was turned off and turned back on upon request.

Ensure that the center has a supply of hot tap water. At the time of the inspection, the hot water was turned off and turned back on upon request. Regulation: For early childhood programs, the following shall apply, a supply of hot tap water not exceeding 110 degrees Fahrenheit and cold running water shall be provided.

N.J.A.C. 3A:52-4.10(b)(1) — Ensure that CARI background checks are completed as required for the center's renewal. Provide CARI clearances for 3 named staff.

Ensure that CARI background checks are completed as required for the center's renewal. Provide CARI clearances for 3 named staff. Regulation: 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. Until the results of the CARI background check for a new staff member have been received from the Department, the center shall ensure oversight of the new staff member by another staff member, and ensure that person is not left alone to supervise a child or group of children.

N.J.A.C. 3A:52-7.7(a)(3)(iv) — Ensure tables are washed and disinfected before each meal.

Ensure tables are washed and disinfected before each meal. Regulation: Tables used by the children for eating shall be washed and disinfected before each meal.