Step By Step Day Care LLC

N.J.A.C. 3A:52-6.4(b)(1)(ii) — Ensure cribs are free of pillows and soft bedding.

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

N.J.A.C. 3A:52-5.3(a)(1) — Ensure the carpets in room 5 are secured.

Ensure the carpets in room 5 are secured. 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:52-5.3(o)(1) — Ensure that at least two staff members who have current pediatric first aid and CPR certifications are present at the center at all times and that the training includes a hands-on component in addition to any online training.

Ensure that at least two staff members who have current pediatric first aid and CPR certifications are present at the center at all times and that the training includes a hands-on component in addition to any online training. Regulation: First aid requirements are as follows: at least two staff members who have current certified basic knowledge of first aid principles and cardiopulmonary resuscitation (CPR), as defined by a recognized health organization (such as the American Red Cross), shall be in the center at all times when enrolled children are present. The first aid and CPR training shall include a hands-on training component in addition to any online training coursework.

N.J.A.C. 3A:52-7.8(a)(1) — Ensure that children wash their hands with soap and running water as required including immediately when coming into contact with nasal secretions in room 2.

Ensure that children wash their hands with soap and running water as required including immediately when coming into contact with nasal secretions in room 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.

N.J.A.C. 3A:52-7.8(a)(4) — Ensure that staff wash their hands with soap and running water as required including immediately when coming into contact with nasal secretions in room 2.

Ensure that staff wash their hands with soap and running water as required including immediately when coming into contact with nasal secretions in room 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.

N.J.A.C. 3A:52-4.3(a) — Ensure that children are directly supervised at all times including in the morning for drop off in room 1. On the day of inspection staff in room 1 had to leave the room multiple times to open the door leaving children unsupervised

Ensure that children are directly supervised at all times including in the morning for drop off in room 1. On the day of inspection staff in room 1 had to leave the room multiple times to open the door leaving children unsupervised in room 1. Regulation: 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.

N.J.A.C. 3A:52-4.3(c) — Ensure that adequate staff/child ratios are maintained at all times including in rooms 1 and 2.

Ensure that adequate staff/child ratios are maintained at all times including in rooms 1 and 2. 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:52-6.6(a) — Ensure that staff utilize positive methods of guidance and discipline and do not withhold food, emotional responses, stimulation, or opportunities for rest or sleep as a form of discipline. On the day of the inspection a named chil

Ensure that staff utilize positive methods of guidance and discipline and do not withhold food, emotional responses, stimulation, or opportunities for rest or sleep as a form of discipline. On the day of the inspection a named child hit another child on the head, staff did not notice and when told did not utilize positive guidance of discipline in room 1. Regulation: (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.

N.J.A.C. 3A:52-5.2(d) — Provide a current fire certificate as required.

Provide a current fire certificate as required. Regulation: An applicant seeking the renewal of a license or of a Certificate of Life/Safety Approval to continue operating a center shall obtain and maintain on file a fire safety inspection certificate for the building based on a fire inspection conducted within the preceding 12 months. If the center prepares meals, the applicant seeking renewal shall obtain and maintain on file 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, based on a sanitary inspection conducted within the preceding 12 months.

N.J.A.C. 3A:52-5.3(a)(16) — Repair and/or paint the walls and other surfaces as required throughout the center.

Repair and/or paint the walls and other surfaces as required throughout the center. Regulation: Indoor maintenance and sanitation requirements are as follows: walls shall be painted or otherwise covered whenever there is evidence of: excessive peeling or chipped paint; or heavily soiled conditions.

N.J.A.C. 3A:52-7.8(a)(1)(iii) — Ensure that children in room 2 wash their hands immediately after coming into contact with nasal secretions.

Ensure that children in room 2 wash their hands immediately after coming into contact with nasal secretions. 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 immediately after coming into contact with blood, fecal matter, urine, vomit, nasal secretions, or other body fluids or secretions.

N.J.A.C. 3A:52-7.8(a)(1)(ii) — Ensure that children in room 2 wash their hands immediately after using the toilet or having their diaper changed.

Ensure that children in room 2 wash their hands immediately after using the toilet or having their diaper changed. 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 immediately after using the toilet or having diapers changed.

N.J.A.C. 3A:52-5.4(a)(4) — Ensure that hot tap water does not exceed 110 degrees Fahrenheit.

Ensure that hot tap water does not exceed 110 degrees Fahrenheit. 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:52-6.4(b)(2) — Repair and/or replace sleeping equipment that is in disrepair.

Repair and/or replace sleeping equipment that is in disrepair. Regulation: The center shall provide sleeping equipment for children over the age of 12 months and under the age of five years, 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 CRF 1219 and 1220, which is incorporated herein by reference, and can be obtained through the CPSC's website at View official inspection document playpen, cot, mat, or other Office of Licensing-approved sleeping equipment that meets the following requirements:

N.J.A.C. 3A:52-5.3(a)(4) — Ensure that all carpeting is securely fastened to the floor throughout the center.

Ensure that all carpeting is securely fastened to the floor throughout the center. Regulation: Indoor maintenance and sanitation requirements are as follows: carpeting shall be securely fastened to the floor.

N.J.A.C. 3A:52-7.8(a)(1)(ii) — Ensure that children in Room 5 wash their hands immediately after using the toilet.

Ensure that children in Room 5 wash their hands immediately after using the toilet. 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 immediately after using the toilet or having diapers changed.

N.J.A.C. 3A:52-5.3(q)(2)(ii) — Operate within each room's capacity. There were 7 children in Room 2, the licensed capacity is for 6 children only.

Operate within each room's capacity. There were 7 children in Room 2, the licensed capacity is for 6 children only. Regulation: Space and room requirements are as follows: at no time shall a center allow more children in attendance than the licensed room capacity.

N.J.A.C. 3A:52-5.2(b) — Ensure that the center's fire protective systems are operative at all times.

Ensure that the center's fire protective systems are operative at all times. Regulation: 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.

N.J.A.C. 3A:52-4.8(a)(2) — Retrain all staff and ensure that all staff complete orientation training within two weeks of hire and annually, including understanding center operations, policies and procedures. Center specific training shall include: buildin

Retrain all staff and ensure that all staff complete orientation training within two weeks of hire and annually, including understanding center operations, policies and procedures. Center specific training shall include: building and physical premises safety and to ensure that the center's fire protective systems are operative at all times. Regulation: Topics of orientation training shall include understanding center operations, policies and procedures, as specified in N.J.A.C. 3A:52-4.5(b)3.

N.J.A.C. 3A:52-4.11(a)(3) — Ensure that a CHRI background check is completed as required for 1 named staff.

Ensure that a CHRI background check is completed as required for 1 named staff. 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:52-4.11(a)(5) — Ensure that all staff who work with the children and are not required to complete a CHRI background check are directly supervised by a cleared staff member and not left alone with the children.

Ensure that all staff who work with the children and are not required to complete a CHRI background check are directly supervised by a cleared staff member and not left alone with the children. 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). 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.

N.J.A.C. 3A:52-4.3(a) — Ensure that children are directly supervised at all times, including during rest and sleep, and walking through hallways. In Room 5, a named staff was unable to maintain adequate supervision while children utilized the hallway bath

Ensure that children are directly supervised at all times, including during rest and sleep, and walking through hallways. In Room 5, a named staff was unable to maintain adequate supervision while children utilized the hallway bathroom alone. Regulation: 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.

N.J.A.C. 3A:52-4.3(d) — Ensure that adequate staff/child ratios are maintained at all times throughout the center, including during nap and rest time. There were 11 children ages 3 to 4 years old in Room 4 and Room 5 with 1 staff member, one additional st

Ensure that adequate staff/child ratios are maintained at all times throughout the center, including during nap and rest time. There were 11 children ages 3 to 4 years old in Room 4 and Room 5 with 1 staff member, one additional staff member is required at all times. Regulation: The following staff/child ratios shall apply during rest or sleep, when the criteria listed in 3A:52-4.3(d) 1, 2, and 3 are met: Age Staff/Child Ratio Under 18 months - 1:10 18 months to under 2 ½ years - 1:12 2 ½ years and above - 1:20

N.J.A.C. 3A:52-4.3(d)(1) — Ensure that there is at least one staff physically present in the room or area where children are napping and they are able to summon additional staff members without leaving the room.

Ensure that there is at least one staff physically present in the room or area where children are napping and they are able to summon additional staff members without leaving the room. Regulation: 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.

N.J.A.C. 3A:52-4.3(d)(2) — Ensure that a sufficient number of staff are present and readily accessible in the center in order to resume awake staff/child ratios as required.

Ensure that a sufficient number of staff are present and readily accessible in the center in order to resume awake staff/child ratios as required. Regulation: 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 3A:52-4.3(c).