Little Footsteps Child Development Center

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. Based on information, ensure that parents are notified of incidents occurring at the center as required. 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:52-4.8(a) — Ensure that all staff complete orientation training within two weeks of hire and annually, including Based on information, retrain all staff from an outside source on notifying parents of incidents occurring at the center.

Ensure that all staff complete orientation training within two weeks of hire and annually, including Based on information, retrain all staff from an outside source on notifying parents of incidents occurring at the center. 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:52-5.3(m)(2) — Arrange cribs, cots, and sleeping equipment to provide access to an unobstructed 3-foot wide aisle that leads to an exit. Ensure that all exits and egress areas are unobstructed and that the emergency exit doors are easily opera

Arrange cribs, cots, and sleeping equipment to provide access to an unobstructed 3-foot wide aisle that leads to an 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, the exit door from the Infant room was obstructed with accumulated snow. The Director informed the maintenance person who immediately cleared the snow. 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.

N.J.A.C. 3A:52-5.3(l) — Maintain a written emergency plan in a readily accessible location that includes all required components. The center shall conduct a lockdown within 30 days.

Maintain a written emergency plan in a readily accessible location that includes all required components. The center shall conduct a lockdown within 30 days. 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; i

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. Named child in Room C-the child requires antihistamine. The center shall verify if the child requires a 2nd epi-pen. 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:52-7.5(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. Named child in Room D/Pre K 1- epi pens expired 1/2025 and the child requires antihistamine. 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:52-6.1(g)(3) — Provide at least five different activity areas with at least five different types of supplies and equipment for children over 18 months of age. The center shall reorganize Classroom B/PreK 2. The classroom is not currently in us

Provide at least five different activity areas with at least five different types of supplies and equipment for children over 18 months of age. The center shall reorganize Classroom B/PreK 2. The classroom is not currently in use. Regulation: For early childhood programs, the following shall apply: centers serving children 18 months of age and older shall provide at least five types of children's daily activities including, but not limited to, language; science and mathematics; manipulative; large muscle; building; art; music; drama; or other comparable activities; and at least five types of supplies and equipment for each daily activity chosen by the center.

N.J.A.C. 3A:52-5.3(a)(15) — Maintain all mechanical ventilation in a clean and operating condition. Clean bathroom vents in: Room B/PreK2 & Room A/Toddlers.

Maintain all mechanical ventilation in a clean and operating condition. Clean bathroom vents in: Room B/PreK2 & Room A/Toddlers. Regulation: Indoor maintenance and sanitation requirements are as follows: ventilation outlets shall be clean and free from obstructions, and filters shall be replaced when saturated.

N.J.A.C. 3A:52-5.3(a)(10) — Ensure that all toxic substances are inaccessible to the children. The center shall ensure that all classrooms have the required cleaning and disinfecting solutions. At the time of the inspection, Lysol sprays were observed on

Ensure that all toxic substances are inaccessible to the children. The center shall ensure that all classrooms have the required cleaning and disinfecting solutions. At the time of the inspection, Lysol sprays were observed on the counters. Regulation: 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.

N.J.A.C. 3A:52-5.3(a)(1) — Ensure all surfaces are clean and in good repair including The center shall ensure that all classroom microwaves are clean.

Ensure all surfaces are clean and in good repair including The center shall ensure that all classroom microwaves are clean. 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.

N.J.A.C. 3A:52-7.7(a)(1)(ii) — Ensure a self-made solution of bleach and water is made daily and in accordance with the manufacturer's instructions.

Ensure a self-made solution of bleach and water is made daily and in accordance with the manufacturer's instructions. Regulation: Disinfectants shall be used as follows: the center shall disinfect those items specified in N.J.A.C. 3A:52-7.7(a)3 with a solution that shall be a self-made solution consisting of one-quarter cup of household bleach to each gallon of water (one tablespoon per quart), which shall be prepared daily and placed in a labeled, sealed container.

N.J.A.C. 3A:52-7.7(a)(1)(i) — Ensure a commercially prepared disinfectant is used in accordance with the manufacturer's instructions.

Ensure a commercially prepared disinfectant is used in accordance with the manufacturer's instructions. Regulation: Disinfectants shall be used as follows: the center shall disinfect those items specified in N.J.A.C. 3A:52-7.7(a)3 with a solution that shall be a commercially prepared disinfectant that indicates it kills bacteria, viruses, and parasites. This solution shall be used in accordance with label instructions.

N.J.A.C. 3A:52-7.8(d)(1)(ii)(3) — Ensure that diapering surfaces are flat, smooth, clean, dry, non-absorbent and in good repair. Clean under diapering mat in Room A/Toddlers.

Ensure that diapering surfaces are flat, smooth, clean, dry, non-absorbent and in good repair. Clean under diapering mat in Room A/Toddlers. Regulation: the diapering surface shall be flat, smooth, clean, dry, non-absorbent, and in good repair.

N.J.A.C. 3A:52-4.8(d)(1) — Ensure that all credentialed staff complete 20 hours of staff development annually. The center shall produce staff development records for all staff for the 2024-2025 calendar year. Orientation training was not verified due to t

Ensure that all credentialed staff complete 20 hours of staff development annually. The center shall produce staff development records for all staff for the 2024-2025 calendar year. Orientation training was not verified due to the documents not being available. The center shall ensure that all staff development records (2023-2024) is completed: date training was completed, hours for Orientation training and it must be signed by each staff member. Regulation: In lieu of the child care staff development specified in N.J.A.C. 3A:52-4.8(b), the director, head teacher(s), group teacher(s), and program supervisor(s) shall each complete 20 hours of staff development each year. Recommended topics of training for these staff include educational and physical activity; special needs programming and program development; social-emotional and behavioral development for young children; legal issues, including ADA guidelines and leadership and advocacy.

N.J.A.C. 3A:52-5.3(l)(4) — Conduct and document at least two lockdown drills annually. Ensure children and staff participate in the drills. No lockdown recorded. The center shall conduct one lockdown within 30 days.

Conduct and document at least two lockdown drills annually. Ensure children and staff participate in the drills. No lockdown recorded. The center shall conduct one lockdown within 30 days. 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.

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 or other equivalent documentation from a healthcare provider, and that two are present when two are r

Ensure Epi-pens are stored in their original boxes with the child's name and prescription, accompanied by a special care plan or other equivalent documentation from a healthcare provider, and that two are present when two are required by the plan. Room B/Prek 2-A named child did not have her Health Action plan signed by a parent. The medication is not in the original box with prescription label. 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: 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:52-7.5(b)(10) — Ensure Epi-pens are stored in their original boxes with the child's name and prescription, accompanied by a special care plan or other equivalent documentation from a healthcare provider, and that two are present when two are r

Ensure Epi-pens are stored in their original boxes with the child's name and prescription, accompanied by a special care plan or other equivalent documentation from a healthcare provider, and that two are present when two are required by the plan. Room B/PreK 2-A named child did not have his medication in the original box with prescription label. There was only one epi pen in the box. There was no Health Action plan which must be signed by the parent and physician. Unknown if the child requires an antihistimine. 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: 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:52-7.5(b)(10) — Ensure Epi-pens are stored in their original boxes with the child's name and prescription, accompanied by a special care plan or other equivalent documentation from a healthcare provider, and that two are present when two are r

Ensure Epi-pens are stored in their original boxes with the child's name and prescription, accompanied by a special care plan or other equivalent documentation from a healthcare provider, and that two are present when two are required by the plan. Room D/PreK1-A named child did not have her epi-pen in the original box with the prescription label. The Health Action plan was not signed by the parent. 1/7/25-Parental signature on HAP still pending. 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: 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:52-7.5(b)(10) — Ensure Epi-pens are stored in their original boxes with the child's name and prescription, accompanied by a special care plan or other equivalent documentation from a healthcare provider, and that two are present when two are r

Ensure Epi-pens are stored in their original boxes with the child's name and prescription, accompanied by a special care plan or other equivalent documentation from a healthcare provider, and that two are present when two are required by the plan. Waddlers: A named child did not have thei epi-pen in the original box, there was no Health Action plan and there was no antihistimine. 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: 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:52-4.10(b)(2) — Ensure that all staff without a completed CARI background check are directly supervised by another cleared staff member and are not left alone to care for children. The center has 2 pending staff CARI's.

Ensure that all staff without a completed CARI background check are directly supervised by another cleared staff member and are not left alone to care for children. The center has 2 pending staff CARI's. Regulation: When the center applies for a new or renewal license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall submit to the Department the completed CARI consent forms for all staff members who are or will be working at the center on a regularly scheduled basis. 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:52-4.11(a)(3) — Ensure that CHRI background checks are completed as required for the sponsor/sponsor representative and all regularly scheduled staff. The center has 1 pending staff CHRI.

Ensure that CHRI background checks are completed as required for the sponsor/sponsor representative and all regularly scheduled staff. The center has 1 pending staff CHRI. Regulation: 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). If a staff member refuses to consent to a CHRI background check, the sponsor or sponsor representative shall immediately terminate the staff member’s employment at the center.

N.J.A.C. 3A:52-4.8(c) — Ensure that all staff complete 12 hours of staff development annually. The center shall produce staff development records for all staff for the 2024-2025 calendar year. Orientation training was not verified due to the documents not

Ensure that all staff complete 12 hours of staff development annually. The center shall produce staff development records for all staff for the 2024-2025 calendar year. Orientation training was not verified due to the documents not being available. The center shall ensure that all staff development records (2023-2024) is completed: date training was completed, hours for Orientation training and it must be signed by each staff member. Regulation: The center shall ensure that all staff members who work at the center complete 12 hours of continuing staff development each year.

N.J.A.C. 3A:52-5.3(n)(1) — Conduct and document fire drills at least once per month during each session provided at the center, including one fire drill annually that is conducted during nap time.

Conduct and document fire drills at least once per month during each session provided at the center, including one fire drill annually that is conducted during nap time. Regulation: Fire prevention requirements are as follows: the center shall conduct fire drills at least once a month, as specified in the NJUFC. The center shall ensure that fire drills are conducted during each session provided at the center and that one fire drill per year is conducted during nap time, if applicable.

N.J.A.C. 3A:52-5.3(n)(3) — Ensure the center maintains on file, a record of each fire drill which includes: the date and time of the drill; the weather conditions; the number of participating children and staff members; and the total amount of time taken

Ensure the center maintains on file, a record of each fire drill which includes: the date and time of the drill; the weather conditions; the number of participating children and staff members; and the total amount of time taken to evacuate the center. The center's fire drill log was not available at the time of the inspection. Regulation: Fire prevention requirements are as follows: the center shall maintain on file a record of each fire drill, as specified in the NJUFC, which record shall include: the date and time of day of the drill; the weather condition at the time of evacuation; the number of participating children and staff members; and the total amount of time taken to evacuate the center.