Tiny Hearts Childcare & Learning Center

N.J.A.C. 3A:52-5.3(a)(17) — The center added a brown bookcase between the boy's and girl's restrooms. Ensure it is securely attached to the wall and/or floor.

The center added a brown bookcase between the boy's and girl's restrooms. Ensure it is securely attached to the wall and/or floor. Regulation: 17. All televisions and computers shall be secured on a stable surface and shelving shall be secured and not be overloaded. 18. Ensure that microwave ovens, toaster ovens, and other portable devices used to heat or prepare food are out of children's reach, secured on a stable surface, and not in use when children are in the area in order to ensure the safety of children.

N.J.A.C. 3A:52-5.3(a)(1) — Remove the bolt from the toilet in the boy's restroom in the toddler area.

Remove the bolt from the toilet in the boy's restroom in the toddler area. 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(a)(1) — Remove the rust from behind the toilet in the girl's restroom in the toddler area.

Remove the rust from behind the toilet in the girl's restroom in the toddler area. 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(i)(5)(i) — Complete and submit a DCF Drinking Water Testing Checklist and Statement of Assurance and a copy of the center's water testing completed by a laboratory certified by the Department of Environmental Protection.

Complete and submit a DCF Drinking Water Testing Checklist and Statement of Assurance and a copy of the center's water testing completed by a laboratory certified by the Department of Environmental Protection. Regulation: Environmental condition precautions are as follows: at the time of the initial application, any renewal application, relocation of an existing licensed center and, in the discretion of the Office of Licensing, any other time, the applicant or facility operator shall certify in writing that the center provides a potable water supply provided by a public community water system. If the facility is supplied by a public community water system, the applicant or facility operator shall provide documentation of water testing conducted by a laboratory certified by the Department of Environmental Protection for water testing for lead and copper from all faucets and other sources used for drinking water or food preparation and at least 50 percent of all indoor water faucets utilized by the center.

N.J.A.C. 3A:52-6.3(b)(3)(iv)(1) — Ensure that each child's bottle is labeled with the child's name and date. One child's bottle was labeled but not dated in the toddler classroom.

Ensure that each child's bottle is labeled with the child's name and date. One child's bottle was labeled but not dated in the toddler classroom. Regulation: Feeding requirements for centers serving children less than 18 months of age are as follows: for bottles, each child's bottle(s) shall be labeled with the child's name and dated.

N.J.A.C. 3A:52-3.4(a) — Ensure that the center has a current comprehensive general liability insurance policy and maintains the documentation on file.

Ensure that the center has a current comprehensive general liability insurance policy and maintains the documentation on file. 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.

N.J.A.C. 3A:52-7.6(a) — Ensure that parents are notified immediately when a child sustains a head or facial injury, including when a child bumps his or her head. A parent was notified two hours after a head injury.

Ensure that parents are notified immediately when a child sustains a head or facial injury, including when a child bumps his or her head. A parent was notified two hours after a head injury. 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:52-7.3(a) — Ensure that a Universal Health Record is completed upon enrollment and updated annually, including the immunization records and special care plans as required by state and local laws and regulations. 2 pending.

Ensure that a Universal Health Record is completed upon enrollment and updated annually, including the immunization records and special care plans as required by state and local laws and regulations. 2 pending. 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

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.

N.J.A.C. 3A:52-4.1(d) — Ensure that the information on the staff records checklist is current and that it is maintained on file in the center, including CARI and CHRI background check clearances, physicals and Mantoux information.

Ensure that the information on the staff records checklist is current and that it is maintained on file in the center, including CARI and CHRI background check clearances, physicals and Mantoux information. 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 after diaper changes even when using disposable gloves in the preschool classroom. The staff member took the diaper outside and discarded the gloves. The staff person then cleaned up the back a

Ensure that staff wash their hands after diaper changes even when using disposable gloves in the preschool classroom. The staff member took the diaper outside and discarded the gloves. The staff person then cleaned up the back area. 4.30.2025-staff were retrained on 3/11/2025. 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 immediately after using the toilet or having their diaper changed in the preschool classroom. 4.30.2025-staff were retrained on 3/11/2025.

Ensure that children wash their hands immediately after using the toilet or having their diaper changed in the preschool classroom. 4.30.2025-staff were retrained on 3/11/2025. 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:52-7.7(a)(2) — Ensure that all surfaces are cleaned with soap and water prior to disinfecting. The staff person in the preschool classroom sprayed Lysol disinfectant spray on the changing table after changing a child's diaper. The mat was not

Ensure that all surfaces are cleaned with soap and water prior to disinfecting. The staff person in the preschool classroom sprayed Lysol disinfectant spray on the changing table after changing a child's diaper. The mat was not cleaned and disinfected using a two step process. 4.30.2025-staff were retrained on 3.11.2025. Regulation: All areas to be disinfected shall first be washed with soap and water.

N.J.A.C. 3A:52-6.8(a)(1) — Complete and maintain on file a Children's Records Checklist designated by OOL.

Complete and maintain on file a Children's Records Checklist designated by OOL. Regulation: The center shall complete and maintain on file for each enrolled child a Children’s Records Checklist, signed by the director, sponsor, or sponsor representative and designated by the Office of Licensing, indicating that the center has obtained documentation of the child's name, address, birth date, and date of enrollment; the name(s), home and work address(es), home and work telephone number(s) and signature(s) of the parent(s); the name(s), address(es), and telephone number(s) of any person(s) authorized by the parent(s) to visit the child at the center and/or take the child from the center, as specified in N.J.A.C. 3A:52-6.5(a)1; and the name, address, and telephone number of the child's health care provider; signed authorization from the parent(s) for emergency medical treatment; the parent’s signature attesting to the receipt of the Information to Parents document, as specified in N.J.A.C. 3A:52-3.6(b); the parent’s signature attesting to the receipt of the Information to Parents document, as specified in N.J.A.C. 3A:52-3.6(b).; health information for each child, as follows: for early childhood programs, a record of the child’s health examination and immunizations, as specified in N.J.A.C. 3A:52-7.3(a); and for school-age child care programs, a record of the parent’s statement concerning the child’s health, as specified in N.J.A.C. 3A:52-7.3(b).

N.J.A.C. 3A:52-6.1(g)(1) — Ensure that the children go outdoors daily, weather permitting. The preschool children were taken for a walk after outside time was mentioned. The other two classes had no outdoor time.

Ensure that the children go outdoors daily, weather permitting. The preschool children were taken for a walk after outside time was mentioned. The other two classes had no outdoor time. Regulation: For early childhood programs, the following shall apply: the center shall provide daily outdoor activities at an outdoor play area, park or playground, or on a walk, weather permitting.

N.J.A.C. 3A:52-5.4(a)(4) — Ensure that hot tap water does not exceed 110 degrees Fahrenheit. Water in the girl's bathroom in the toddler area.

Ensure that hot tap water does not exceed 110 degrees Fahrenheit. Water in the girl's bathroom in the toddler area. 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:52-5.3(o)(1) — Ensure that at least two staff members who have current pediatric first aid and CPR certifications and are present at the center at all times.

Ensure that at least two staff members who have current pediatric first aid and CPR certifications and are present at the center at all times. 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:52-5.3(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. Drills must be conducted for afterschool children.

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. Drills must be conducted for afterschool children. 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. The center shall ensure that all children present are evacuated from the building within three minutes during each fire drill.

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.

Conduct and document at least two lockdown drills annually. Ensure children and staff participate in the drills. 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:52-5.3(i)(8) — Submit a Safe Building Interior Certification or other approval issued by the DOH. 9.18.2025-As per the center's sponsor, the center has a scheduled walk through with DOH on 9.29.2025. 10.20.2025-As per the center's sponsor, the

Submit a Safe Building Interior Certification or other approval issued by the DOH. 9.18.2025-As per the center's sponsor, the center has a scheduled walk through with DOH on 9.29.2025. 10.20.2025-As per the center's sponsor, the walkthrough was conducted on 10.6.2025 and the results were submitted to DOH on 10.17.2025 for review. 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.

N.J.A.C. 3A:52-5.3(f)(2) — Securely fasten the bathroom equipment. The handle on the sink in the boy's bathroom in the toddler area is loose.

Securely fasten the bathroom equipment. The handle on the sink in the boy's bathroom in the toddler area is loose. Regulation: Toilet facility requirements are as follows: mirrors, dispensers, and other equipment shall be fastened securely.

N.J.A.C. 3A:52-7.8(d)(1)(iii)(4) — Ensure that staff wash their hands after diaper changes even when using disposable gloves in the preschool classroom. The staff member took the diaper outside and discarded the gloves. The staff person then cleaned up th

Ensure that staff wash their hands after diaper changes even when using disposable gloves in the preschool classroom. The staff member took the diaper outside and discarded the gloves. The staff person then cleaned up the back area. Regulation: For early childhood programs, the following shall apply: diapering requirements for centers serving children who are not toilet trained are as follows, diapering supply requirements are as follows, staff members who use disposable gloves during a diaper change shall dispose of these gloves after each use and shall wash their hands.

N.J.A.C. 3A:52-7.3(a)(2) — Ensure that a Universal Health Record is completed upon enrollment and updated annually, including the immunization records and special care plans as required by state and local laws and regulations.

Ensure that a Universal Health Record is completed upon enrollment and updated annually, including the immunization records and special care plans as required by state and local laws and regulations. Regulation: For early childhood programs, the following shall apply: 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)

N.J.A.C. 3A:52-7.6(a)(2) — Ensure that parents are notified immediately when a child sustains a head or facial injury, including when a child bumps his or her head. A parent was notified two hours after a head injury.

Ensure that parents are notified immediately when a child sustains a head or facial injury, including when a child bumps his or her head. A parent was notified two hours after a head injury. Regulation: The center shall take immediate necessary action to protect the child from further harm and shall immediately notify the child's parent(s) when a child sustains a head or facial injury, including when a child bumps his or her head.

N.J.A.C. 3A:52-7.7(a)(2) — Ensure that all surfaces are cleaned with soap and water prior to disinfecting. The staff person in the preschool classroom, sprayed Lysol disinfectant spray on the changing table after changing a child's diaper. The mat was not

Ensure that all surfaces are cleaned with soap and water prior to disinfecting. The staff person in the preschool classroom, sprayed Lysol disinfectant spray on the changing table after changing a child's diaper. The mat was not cleaned and disinfected using a two step process. Regulation: All areas to be disinfected shall first be washed with soap and water.