Big Smiles Learning and Care

2025

1. Medium-High risk10/14/2025

   N.J.A.C. 3A:52-5.2(c) — Provide a current health certificate as required for the current food vendor.

   Provide a current health certificate as required for the current food vendor. Regulation: If the center prepares meals, the center shall obtain a satisfactory Sanitary Inspection Certificate, as specified in N.J.A.C. 8:24, indicating that the kitchen is in compliance with the applicable requirements of the State Sanitary Code. The center shall maintain on file the Sanitary Inspection Certificate. 6.3(a)2 If the center chooses to provide food, the center shall ensure that all food served to children is prepared by either: i. The center on-site or off-site; or ii. A caterer who is licensed, registered, certified, or otherwise approved, as appropriate, by the local or county health department or State Department of Health, as applicable.

   Corrected 11/14/2025
2. Medium-Low risk10/14/2025

   N.J.A.C. 3A:52-3.4(a) — Provide documentation that the center has current comprehensive general liability insurance coverage.

   Provide documentation that the center has current comprehensive general liability insurance coverage. Regulation: 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.

   Corrected 11/14/2025
3. High risk10/14/2025

   N.J.A.C. 3A:52-4.5(a)(3) — Ensure that the center has a table of organization that illustrates lines of authority, responsibility, and job descriptions.

   Ensure that the center has a table of organization that illustrates lines of authority, responsibility, and job descriptions. Regulation: 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; and job descriptions, titles and qualifications for all center staff.

   Corrected 11/14/2025
4. Medium-Low risk10/14/2025

   N.J.A.C. 3A:52-6.6(e) — Prepare a discipline policy that includes acceptable actions staff members may take when disciplining a child including, but not limited to, requiring children to remain silent or inactive for inappropriately long periods of time.

   Prepare a discipline policy that includes acceptable actions staff members may take when disciplining a child including, but not limited to, requiring children to remain silent or inactive for inappropriately long periods of time. Regulation: The center shall maintain on file a written policy on the disciplining of children by staff members. The policy shall: 1. Reflect the provisions specified in (a) through (c) above and include the acceptable actions that a staff member may take when disciplining a child (that is, discussion with the child, time-out, etc.); 2. Be distributed to every staff member; and

   Corrected 11/14/2025
5. Medium-High risk10/14/2025

   N.J.A.C. 3A:52-5.3(i)(8) — Submit a Safe Building Interior Certification or other approval issued by the DOH.

   Submit a Safe Building Interior Certification or other approval issued by the DOH. Regulation: 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. the Office of Licensing shall not issue licenses or renewals to child care centers that are co-located in a building or other structure that contains a dry cleaner or nail salon unless the applicant obtains indoor air sampling that demonstrates that there is no impact to the child care center.

   Corrected 5/15/2026
6. Medium-High risk10/14/2025

   N.J.A.C. 3A:52-5.3(l)(4) — Conduct and document at least two lockdown drills annually.

   Conduct and document at least two lockdown drills annually. Regulation: 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.

   Corrected 11/14/2025
7. Medium-Low risk10/14/2025

   N.J.A.C. 3A:52-4.1(d) — Complete and maintain on file, a current Staff Records Checklist designated by OOL.

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

   Corrected 11/14/2025
8. High risk10/14/2025

   N.J.A.C. 3A:52-5.3(m)(2) — Ensure that the emergency exit from the playground area is unobstructed.

   Ensure that the emergency exit from the playground area is unobstructed. Regulation: 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.

   Corrected 1/12/2026
9. Medium risk10/14/2025

   N.J.A.C. 3A:52-6.1(g)(2) — Provide at least four different activity areas with at least four types of supplies and equipment for children under 18 months in the Infant room.

   Provide at least four different activity areas with at least four types of supplies and equipment for children under 18 months in the Infant room. Regulation: For early childhood programs, the following shall apply:centers serving children less than 18 months of age shall provide at least four types of children's daily activities including, but not limited to, sensory; language and dramatic play; manipulative; building; large muscle; music; or other comparable activities; and at least four types of supplies and equipment for each activity area chosen by the center.

   Corrected 2/25/2026
10. Medium-High risk10/14/2025

    N.J.A.C. 3A:52-5.3(a)(1) — Ensure all surfaces are clean and in good repair including the hole in the wall in the bathroom in room PK 4.

    Ensure all surfaces are clean and in good repair including the hole in the wall in the bathroom in room PK 4. Regulation: (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.

    Corrected 11/14/2025
11. Medium-High risk10/14/2025

    N.J.A.C. 3A:52-5.3(a)(1) — Ensure all surfaces are in good repair including the flooring that is splitting in rooms PK 4 and Toddler room 2.

    Ensure all surfaces are in good repair including the flooring that is splitting in rooms PK 4 and Toddler room 2. Regulation: (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.

    Corrected 11/14/2025
12. Medium-High risk10/14/2025

    N.J.A.C. 3A:52-5.3(a)(1) — Ensure all surfaces including the rugs in rooms PK 4 and Toddler room 2 are in good repair and securely fastened to the floor.

    Ensure all surfaces including the rugs in rooms PK 4 and Toddler room 2 are in good repair and securely fastened to the floor. Regulation: (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.

    Corrected 11/14/2025
13. Medium-High risk10/14/2025

    N.J.A.C. 3A:52-5.3(p) — Ensure that all indoor equipment is sturdy, safe, free of hazards and used in accordance with the manufacturer's instructions. Repair or replace the white vanity used for handwashing in Toddler room 1.

    Ensure that all indoor equipment is sturdy, safe, free of hazards and used in accordance with the manufacturer's instructions. Repair or replace the white vanity used for handwashing in Toddler room 1. Regulation: 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.

    Corrected 11/14/2025
14. Medium-High risk10/14/2025

    N.J.A.C. 3A:52-5.3(a)(1) — Ensure all surfaces are clean and in good repair including the stained ceiling tiles in the Infant room and Toddler room 1.

    Ensure all surfaces are clean and in good repair including the stained ceiling tiles in the Infant room and Toddler room 1. Regulation: (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.

    Corrected 11/14/2025
15. Medium-High risk10/14/2025

    N.J.A.C. 3A:52-5.3(p) — Ensure that all indoor equipment is sturdy, safe, free of hazards and used in accordance with the manufacturer's instructions in Toddler room 2. Secure the white bookcase and repair or replace the removable shelving.

    Ensure that all indoor equipment is sturdy, safe, free of hazards and used in accordance with the manufacturer's instructions in Toddler room 2. Secure the white bookcase and repair or replace the removable shelving. Regulation: 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.

    Corrected 11/14/2025
16. Medium-High risk10/14/2025

    N.J.A.C. 3A:52-5.3(d)(1) — Ensure that a minimum temperature of 68 degrees Fahrenheit is maintained in all areas used by the children throughout the center.

    Ensure that a minimum temperature of 68 degrees Fahrenheit is maintained in all areas used by the children throughout the center. Regulation: a minimum temperature of 68 degrees Fahrenheit shall be maintained in all areas used by children, including, but not limited to, classrooms and bathrooms.

    Corrected 11/14/2025
17. Medium-High risk10/14/2025

    N.J.A.C. 3A:52-7.7(e)(1)(iii) — Ensure diapering surfaces are washed and disinfected after each use in Toddler room 1.

    Ensure diapering surfaces are washed and disinfected after each use in Toddler room 1. 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;

    Corrected 11/14/2025
18. Medium-High risk10/14/2025

    N.J.A.C. 3A:52-7.8(d)(1)(iii)(4) — Ensure that staff using disposable gloves for diaper changes dispose of the gloves after each use and wash their hands after each diaper change in Toddler rooms 1 and 2.

    Ensure that staff using disposable gloves for diaper changes dispose of the gloves after each use and wash their hands after each diaper change in Toddler rooms 1 and 2. Regulation: Staff members who use disposable gloves during a diaper change shall dispose of these gloves after each use and shall wash their hands.

    Corrected 1/12/2026
19. Medium-High risk10/14/2025

    N.J.A.C. 3A:52-7.8(a)(4) — Ensure that staff wash their hands with soap and running water as required including after assisting a child with toileting and after each diaper change in Toddler rooms 1 and 2.

    Ensure that staff wash their hands with soap and running water as required including after assisting a child with toileting and after each diaper change in Toddler rooms 1 and 2. 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.

    Corrected 11/14/2025
20. Medium-High risk10/14/2025

    N.J.A.C. 3A:52-7.8(a)(1) — Ensure that children wash their hands with soap and running water as required including after having their diapers changed or using the toilet in Toddler rooms 1 and 2.

    Ensure that children wash their hands with soap and running water as required including after having their diapers changed or using the toilet in Toddler rooms 1 and 2. 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.

    Corrected 11/14/2025
21. High risk10/14/2025

    N.J.A.C. 3A:52-7.3(a) — Ensure health records are maintained on file as required including the required emergency medication for 2 children.

    Ensure health records are maintained on file as required including the required emergency medication for 2 children. Regulation: (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, immun

    Corrected 1/12/2026
22. Medium-High risk10/14/2025

    N.J.A.C. 3A:52-7.3(a) — Ensure health records are maintained on file as required including Special Care Plans for 4 children.

    Ensure health records are maintained on file as required including Special Care Plans for 4 children. Regulation: (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 med

    Corrected 1/12/2026
23. High risk10/14/2025

    N.J.A.C. 3A:52-4.11(a)(5) — Ensure staff without a cleared CHRI are not left alone to supervise children at any time.

    Ensure staff without a cleared CHRI are not left alone to supervise children at any time. Regulation: When a person who is not required to complete a CHRI background check is working with children at the center, the center shall ensure oversight of that person by another staff member and ensure that the person is not left alone to supervise a child or group of children.

    Corrected 11/14/2025
24. Medium risk10/14/2025

    N.J.A.C. 3A:52-4.4(a)(2) — Ensure that a primary caregiver is assigned to each group of four infants or six toddlers in the infant room.

    Ensure that a primary caregiver is assigned to each group of four infants or six toddlers in the infant room. Regulation: For early childhood programs, the following shall apply for infants (under 18 months of age) and toddlers (18 months to 2½ years of age):a group shall consist of four infants or six toddlers to whom a primary caregiver has been assigned.

    Corrected 11/14/2025
25. High risk10/14/2025

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

    Provide documentation that the program supervisor meets the required qualifications as specified in the manual. Regulation: For school-age child care programs the program supervisor shall meet the qualification requirements specified in one of the applicable options set forth in N.J.A.C. 3A:52-4.6(d) for education, training, and experience, based on the center's licensed capacity.

    Corrected 11/14/2025