Tiny Toes Daycare and Preschool

N.J.A.C. 3A:52-4.8(a) — Based on information, retrain all staff on 1. The center's supervision policy, 2. Emergency Health Procedures and 3. The roles and responsibilities of the director designee. 10/7/25: Supervision and Emergency Health Procedures com

Based on information, retrain all staff on 1. The center's supervision policy, 2. Emergency Health Procedures and 3. The roles and responsibilities of the director designee. 10/7/25: Supervision and Emergency Health Procedures completed, roles and responsibilities of a director designee outstanding. 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:52-4.3(a) — Based on information, ensure that adequate supervision is maintained at all times throughout the center. While out of the line of sight of 2 named staff, a named child fell backward in a chair, hitting her head on a piece of furnit

Based on information, ensure that adequate supervision is maintained at all times throughout the center. While out of the line of sight of 2 named staff, a named child fell backward in a chair, hitting her head on a piece of furniture, injuring her head. 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(a) — Ensure that children are directly supervised at all times including during meals. A toddler was able to eat another child's food without staff supervision.

Ensure that children are directly supervised at all times including during meals. A toddler was able to eat another child's food without staff supervision. 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:52-7.8(a)(1) — Ensure that children wash their hands with soap and running water as required including immediately after outdoor play and prior to eating meals, including bottles.

Ensure that children wash their hands with soap and running water as required including immediately after outdoor play and prior to eating meals, including bottles. 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:52-4.5(c)(2) — Based on information, ensure that the director designee does not have classroom responsibilities when they are required to stand in for the director.

Based on information, ensure that the director designee does not have classroom responsibilities when they are required to stand in for the director. Regulation: The director or his or her designee(s) shall be on the premises at all times when the center is operating and the designee: shall not have full-time classroom responsibilities during the times when the director is not present at the center and shall complete staff development in understanding licensing rules as provided by the Office of Licensing.

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.

N.J.A.C. 3A:52-6.2(a)(1) — Ensure that the center has an adequate supply of materials to meet the daily activity needs of the children and the program and ensure all materials used by the school aged children are age-appropriate, non-toxic, and safe for u

Ensure that the center has an adequate supply of materials to meet the daily activity needs of the children and the program and ensure all materials used by the school aged children are age-appropriate, non-toxic, and safe for use by children. Regulation: The center shall provide a supply of age-appropriate and developmentally appropriate program equipment including play equipment, child-size furniture and supplies that are sufficient to meet the daily activity needs of the children and the program.

N.J.A.C. 3A:52-4.8(a) — Based on information, ensure that staff are trained on emergency health procedures as required.

Based on information, ensure that staff are trained on emergency health procedures as required. 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:52-4.3(a)(1) — Ensure that adequate procedures for tracking children are adhered to at all times throughout the center. The staff in classroom 2 stated that there were 6 children, when 7 children were present.

Ensure that adequate procedures for tracking children are adhered to at all times throughout the center. The staff in classroom 2 stated that there were 6 children, when 7 children were present. 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:52-5.3(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(b)(1) — Maintain playground surfacing to remove trip hazards.

Maintain playground surfacing to remove trip hazards. Regulation: Outdoor maintenance and sanitation requirements are as follows: 1. The building, land, walkways, and outdoor play area shall be free from hazards to the health, safety or well-being of the children. 2. The outdoor play area shall be graded or provided with drains to dispose of surface water.

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. 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:52-6.8(j)(1) — Ensure that the center's expulsion policy includes what a child cannot be expelled for including: a parent making a complaint to OOL or questioning center management on policies and procedures.

Ensure that the center's expulsion policy includes what a child cannot be expelled for including: a parent making a complaint to OOL or questioning center management on policies and procedures. Regulation: The center shall develop and follow a written policy on the expulsion of children from enrollment at the center. The expulsion policy shall include: the circumstances under which a child may be expelled; the method that the center will use to notify parents of concerns that could lead to expulsion, such as written notification or a parent conference; sufficient time limits before expulsion to enable parents to make alternative child care arrangements or to take the necessary corrective action to allow the child to remain at the center, except as specified in N.J.A.C. 3A:52-6.8(j)1iv; and circumstances that may warrant immediate expulsion of a child from the center, such as potentially dangerous behavior by a child or parent.(2) The center shall not expel a child based solely on the child’s parent making a complaint to the Office of Licensing regarding a center’s alleged violations of the licensing rules or questioning a center directly regarding policies and procedures.

N.J.A.C. 3A:52-7.5(b)(3) — Ensure all staff's personal belongings are inaccessible to the children at all times.

Ensure all staff's personal belongings are inaccessible to the children at all times. 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: all medication and health care equipment shall be kept either in a locked cabinet or in an area that is inaccessible to the children. All medication shall be kept in its original container. Medication shall be refrigerated if so indicated on the label. Unused or expired medication and health care equipment shall be returned to the child’s parent or disposed of safely in a child-resistant waste receptacle when no longer being administered.

N.J.A.C. 3A:52-6.8(a)(1) — Complete and maintain on file a Children's Records Checklist designated by OOL, including all required documents. 1/23/2025- There is 1 child missing their application and emergency medical care authorization.

Complete and maintain on file a Children's Records Checklist designated by OOL, including all required documents. 1/23/2025- There is 1 child missing their application and emergency medical care authorization. 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:52-6.3(a)(12)(ii) — Ensure that each child's sippy cup is labeled with the child's name in classroom 3.

Ensure that each child's sippy cup is labeled with the child's name in classroom 3. Regulation: All centers shall comply with the following requirements, the center shall ensure that these safety and sanitation practices are followed: sippy cups shall be labeled with the child’s name.

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. 1 child is missing a Univers

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. 1 child is missing a Universal Health Form. 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:52-7.5(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. 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:52-6.3(b)(3)(iv)(1) — Ensure that each child's bottle is labeled with the child's name and date.

Ensure that each child's bottle is labeled with the child's name and date. Regulation: For early childhood programs, the following shall apply, 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:52-6.8(j)(2) — Ensure that the center's expulsion policy includes what a child cannot be expelled for including: a parent making a complaint to OOL or questioning center management on policies and procedures.

Ensure that the center's expulsion policy includes what a child cannot be expelled for including: a parent making a complaint to OOL or questioning center management on policies and procedures. Regulation: The center shall develop and follow a written policy on the expulsion of children from enrollment at the center. The center shall not expel a child based solely on the child’s parent making a complaint to the Office of Licensing regarding a center’s alleged violations of the licensing rules or questioning a center directly regarding policies and procedures.

N.J.A.C. 3A:52-5.3(f)(2) — Securely fasten the faucet of the first sink in the back bathroom in classroom 3.

Securely fasten the faucet of the first sink in the back bathroom in classroom 3. Regulation: Toilet facility requirements are as follows: mirrors, dispensers, and other equipment shall be fastened securely.

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. 2/6/2025- The D

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. 2/6/2025- The Drinking Water Statement of Assurance and Drinking Water Testing Checklist are missing. 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:52-5.3(n)(4) — Ensure that all fire extinguishers are serviced and tagged annually and recharged if necessary.

Ensure that all fire extinguishers are serviced and tagged annually and recharged if necessary. Regulation: Fire prevention requirements are as follows: all fire extinguishers shall be visually inspected once a month, and serviced and tagged at least once a year and recharged, if necessary, as specified in the NJUFC.

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.

N.J.A.C. 3A:52-5.3(b)(1) — Maintain playground surfacing to remove trip hazards.

Maintain playground surfacing to remove trip hazards. Regulation: Outdoor maintenance and sanitation requirements are as follows: the building, land, walkways, and outdoor play area shall be free from hazards to the health, safety or well-being of the children.