St. Anne's Center

2025

1. High risk9/2/2025

   N.J.A.C. 3A:52-4.5(a)(3) — Ensure that the center has a table of organization that illustrates lines of authority, responsibility, and job descriptions.

   Ensure that the center has a table of organization that illustrates lines of authority, responsibility, and job descriptions. Regulation: The sponsor or sponsor representative shall designate individuals with the authority and responsibility to develop and implement written policies and procedures for the operation of the center, including a table of organization that illustrates lines of authority, responsibility and communication; and job descriptions, titles and qualifications for all center staff.

   Corrected 10/9/2025
2. Medium-High risk9/2/2025

   N.J.A.C. 3A:52-6.3(a) — Ensure that milk bottles and milk cups are stored in the refrigerator until they are ready to be served.

   Ensure that milk bottles and milk cups are stored in the refrigerator until they are ready to be served. Regulation: 1. Food served to children who are present during normal mealtime hours or required snack periods, as specified in (b) and (c) below, shall be provided either by the child's parent or by the center. 3. If the center chooses to have parents provide food, the center shall have a supply of food at the center for any child whose parent forgets. 4. If the center provides food, the center shall ensure that the food is stored, prepared, and served in a sanitary manner. 5. Staff members shall advise parents of any repetitive feeding problems experienced by their child. 6. Staff members shall not force-feed or coerce a child to eat against his or her will. 9. Centers that provide meals shall ensure that: i. For children on special diets (for example, due to health reasons, religious belief or parental request), an alternative choice of food is provided by either the center or the child's parent; and ii. Individualized written diets and feeding schedules, if submitted to the center by the child's parent or health care provider, are posted in a location that is accessible to staff members caring for the children, and are followed. 10. The center shall have a supply of food at the center and shall serve a snack to any child who is hungry or has missed a meal. iii. Food left uneaten in a dish shall be discarded; iv. Food shall not be shared among children using the same dish or spoon; and v. Unused portions of food shall be labeled with the child's name, date, and type of food. The food shall be stored in the refrigerator, returned to the parent, or discarded with the parent's consent. All unused food shall be discarded if not consumed by the end of the day.

   Corrected 10/9/2025
3. High risk9/2/2025

   N.J.A.C. 3A:52-4.8(d) — Ensure that all credentialed staff complete 20 hours of staff development annually. Submit 2 staff trainings.

   Ensure that all credentialed staff complete 20 hours of staff development annually. Submit 2 staff trainings. Regulation: 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.

   Corrected 10/9/2025
4. Medium-Low risk9/2/2025

   N.J.A.C. 3A:52-4.8(c) — Ensure that all staff complete 12 hours of staff development annually. Submit 3 staff trainings.

   Ensure that all staff complete 12 hours of staff development annually. Submit 3 staff trainings. Regulation: The center shall ensure that all staff members who work at the center complete 12 hours of continuing staff development each year. Orientation training as specified in N.J.A.C. 3A:52-4.8(a) may be included for six of the required hours of staff development specified in N.J.A.C. 3A:52-4.8(c) and (d).

   Corrected 10/9/2025
5. High risk9/2/2025

   N.J.A.C. 3A:52-4.8(a) — Ensure that all staff complete orientation training annually. Submit 2 staff trainings.

   Ensure that all staff complete orientation training annually. Submit 2 staff trainings. 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 1/9/2026
6. High risk9/2/2025

   N.J.A.C. 3A:52-4.3(c) — Ensure that adequate staff/child ratios are maintained at all times. At the time of the inspection, room 3 had 9 children 18months - 2.5 years present with 1 staff member when 2 staff members were needed.

   Ensure that adequate staff/child ratios are maintained at all times. At the time of the inspection, room 3 had 9 children 18months - 2.5 years present with 1 staff member when 2 staff members were needed. 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.

   Corrected 10/9/2025
7. Medium-High risk9/2/2025

   N.J.A.C. 3A:52-5.3(p) — Ensure play equipment is used according to manufacturers instructions when it prohibits use of children over 23 months.

   Ensure play equipment is used according to manufacturers instructions when it prohibits use of children over 23 months. Regulation: Play equipment, materials, and furniture for indoor and outdoor use shall be of sturdy and safe construction, non-toxic, free of hazards, and used in accordance with the manufacturer’s instructions. The center may not use play equipment intended for outdoor use indoors.

   Corrected 10/9/2025
8. Medium-High risk9/2/2025

   N.J.A.C. 3A:52-5.3(i)(8) — Submit a Safe Building Interior Certification or other approval issued by the DOH.

   Submit a Safe Building Interior Certification or other approval issued by the DOH. 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.

   Corrected 4/21/2026
9. Medium-High risk9/2/2025

   N.J.A.C. 3A:52-5.3(a)(1) — Clean the floor in room 3.

   Clean the floor in room 3. 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 10/9/2025
10. Medium-High risk9/2/2025

    N.J.A.C. 3A:52-5.3(a)(1) — Clean the play equipment on the playground.

    Clean the play equipment on the playground. 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 10/9/2025
11. Medium-High risk9/2/2025

    N.J.A.C. 3A:52-5.3(a)(1) — Repair the ripped brown couch in room 2.

    Repair the ripped brown couch in room 2. 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 10/9/2025
12. Medium-High risk9/2/2025

    N.J.A.C. 3A:52-5.3(a)(1) — Replace /repair the blue and red ripped mats in room 6 (Lounge).

    Replace /repair the blue and red ripped mats in room 6 (Lounge). 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 10/9/2025
13. Medium-High risk9/2/2025

    N.J.A.C. 3A:52-5.3(a)(1) — Replace the missing ceiling tile in room 3.

    Replace the missing ceiling tile in room 3. 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 10/9/2025
14. Medium-High risk9/2/2025

    N.J.A.C. 3A:52-5.3(a)(1) — Replace the stained ceiling tiles in room 4.

    Replace the stained ceiling tiles in room 4. 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 10/9/2025
15. Medium-High risk9/2/2025

    N.J.A.C. 3A:52-5.3(a)(10) — Ensure that staff's beverages are inaccessible to children in room 2. Staff took immediate action and moved the beverage out of reach of children.

    Ensure that staff's beverages are inaccessible to children in room 2. Staff took immediate action and moved the beverage out of reach of children. 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.

    Corrected 10/9/2025