Little Smiles Infant Toddler Center

2025

1. High risk9/16/2025

   N.J.A.C. 3A:52-4.3(a) — Based on complaint investigation, ensure that children are directly supervised at all times including diaper changing time and transition for nap time.

   Based on complaint investigation, ensure that children are directly supervised at all times including diaper changing time and transition for nap time. 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.

   Corrected 9/16/2025
2. Medium risk3/27/2025

   N.J.A.C. 3A:52-4.5(c)(1) — Ensure that the director is at the center at least 50% of the center's daily operating hours.

   Ensure that the director is at the center at least 50% of the center's daily operating hours. Regulation: The director shall be scheduled to work at the center at least 50 percent of the center’s daily operating hours.

   Corrected 5/5/2025
3. High risk3/27/2025

   N.J.A.C. 3A:52-5.3(a)(1) — Replace the stained ceiling tiles in the staff's bathroom and the food preparation area.

   Replace the stained ceiling tiles in the staff's bathroom and the food preparation 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.

   Corrected 5/2/2025
4. Medium risk3/27/2025

   N.J.A.C. 3A:52-5.3(a)(16) — Repair and/or paint surfaces including the wall in the outdoor play area.

   Repair and/or paint surfaces including the wall in the outdoor play area. Regulation: Walls shall be painted or otherwise covered whenever there is evidence of: i. Excessive peeling or chipped paint; or ii. Heavily soiled conditions.

   Corrected 5/2/2025
5. Medium risk3/27/2025

   N.J.A.C. 3A:52-5.3(a)(16) — Repair and/or paint surfaces including the wall in Room 1 above the cribs in the infant section.

   Repair and/or paint surfaces including the wall in Room 1 above the cribs in the infant section. Regulation: Walls shall be painted or otherwise covered whenever there is evidence of: i. Excessive peeling or chipped paint; or ii. Heavily soiled conditions.

   Corrected 5/2/2025
6. Medium-High risk3/27/2025

   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 4/2/2025
7. Medium-High risk3/27/2025

   N.J.A.C. 3A:52-5.3(n)(1) — Ensure fire drills are conducted during each session provided at the center, one fire drill per year is conducted during nap time,

   Ensure fire drills are conducted during each session provided at the center, one fire drill per year 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. The center shall ensure that all children present are evacuated from the building within three minutes during each fire drill.

   Corrected 4/2/2025
8. Medium-High risk3/27/2025

   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 coming in contact with nasal secretions.

   Ensure that staff wash their hands with soap and running water as required including after coming in contact with nasal secretions. 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 5/2/2025
9. High risk3/27/2025

   N.J.A.C. 3A:52-4.8(a) — Ensure that all staff complete orientation training annually.

   Ensure that all staff complete orientation training annually. 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.

   Corrected 4/2/2025
10. Medium-High risk3/27/2025

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

    Provide a current health certificate as required. 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 4/14/2025