Totally Tots

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During the renewal inspection completed on 8/18/26 the file reviewed for child #1 did not contain a child service report providing the family with information about child's growth and development.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: During the renewal inspection completed on 8/18/26 the fee agreement reviewed for child #1 did not specify arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: During the renewal inspection completed on 8/18/26 the fee agreement reviewed for child #1 did not specify release person(s).

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: During the renewal inspection completed on 8/18/26 the file reviewed for staff person #1 did not include an updated health assessment.

Correction Required: An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: During the renewal inspection completed on 8/18/26 the emergency plan reviewed did not include accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: During the renewal inspection completed on 8/18/26 provider was unable to produce documentation that emergency plan was sent to local municipality and county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection completed on 8/18/26 there was missing receptacle cover observed in stairway leading to 2nd floor accessible to children.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the renewal inspection completed on 8/18/26 the first aid kit located in the infant room did not contain tweezers.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: During the unannounced monitoring on 8/26/25 the toddler classroom was observed to be out of ratio. There were 16 children present with staff person #1 and staff #2; youngest child in the group was 2 years old. The activity room was observed to be out of ratio. There were 5 children present with staff person #3; youngest child in the group was an infant. Continued noncompliance from the renewal inspection on 8/12/25.

Correction Required: 1) The required staff: child ratios must be maintained at all times. 2) All staff must receive minimum of two hours of training regarding maintaining ratio. Certification representative will submit referral to Regional Key.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: During the renewal inspection on 8/12/25 plated food was observed sitting out on the kitchen counter in toddler classroom (2) hours before meal time. Food was observed during the hours of 10am-12pm.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: During the renewal inspection on 8/12/25 bottles without children's names were observed in the downstairs refrigerator.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: During the renewal inspection on 8/12/25 a ladder was observed on landing in the stairway to upstairs classrooms. Ladder was accessible to children and could pose a safety concern if the ladder was to fall on a child walking up or down the stairs.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 8/12/25 the file reviewed for facility person #1 hired (see code sheet), facility person #2 hired (see code sheet), facility person #3 hired (see code sheet), facility person #4 hired (see code sheet), and facility person #5 hired (see code sheet) contained a NSOR certificate more than 60 months old. The file reviewed for Facility #1, facility person #2, facility person #3 and facility person #4 also contained a mandated reporter certificate more than 60 months old. NSOR certificates were dated 02/26/20 and 07/01/20. Mandated reported certificates were dated 10/24/19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1, #2, #3, #4 and #5 may not work in a child care position at the facility.

Regulation: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: During the renewal inspection on 8/12/25 the file reviewed for facility person #5 (who was identified as the director) did not include an updated NSOR certificate The NSOR certificate in the file was dated 02/26/20, which is more than 60-months old. Therefore, a director is not employed at the facility.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: During the renewal inspection on 8/12/25 the older toddler classroom was observed to be out of ratio. There were 7 children present with staff person #4 and the youngest child in the group was 2 years old.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Regulation: 3270.61(h)

Description: Exceeding Capacity

Noncompliance Area: During the renewal inspection on 8/12/25 capacity in the infant classroom exceeded throughout the inspection. Capacity is 11; 12 children were present.

Correction Required: The capacity established for an indoor space may not be exceeded.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the renewal inspection on 8/12/25 the first aid kit observed in the back toddler classroom did not contain adhesive bandages..

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During the complaint investigation on 05/29/25 it was confirmed that children are allowed to take time outs in an adjacent classroom without staff supervision.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the unannounced monitoring on 05/29/25 staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed pre- service training required prior to caring for children unsupervised:

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: During the unannounced monitoring on 05/29/25 the file reviewed for staff person #1 did not contain an initial health assessment.

Correction Required: An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the announced monitoring on 05/29/25 the file reviewed for staff person #1 and staff person #2 did not contain emergency plan training.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the unannounced monitoring on 05/29/25 the file reviewed for staff person #1 and staff person #2 did not contain disclosure statement.

Correction Required: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal inspection on 08/13/24 the file reviewed for child #1 contained an expired fee agreement dated 02/08/23. The file for child #2 contained an expired fee agreement dated 01/03/23 and expired emergency contact form dated 06/30/23.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the renewal inspection on 08/13/254 the first aid lit located in the infant room did not contain soap.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal inspection on 08/29/23 the file reviewed for child #1 and child #2 contained expired emergency contact form. The file reviewed for child #3 contained expired fee agreement.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 08/29/23 the file reviewed for staff person #1 did not contain out of state clearances for New Jersey.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: During the renewal on 08/29/23, the classroom on 2nd floor was observed out of ratio. There were (18) children of mixed ages, youngest 2yo, being supervised by (2) staff. Required ratio 1:6.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff: child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection on 08/29/23 there was a ladder observed in stairway to upstairs classroom.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Staff persons records contained first-aid and cardiopulmonary resuscitation (CPR) training that was not an approved curriculum completed by approved instructors of Pediatric First Aid/CPR who are also approved PQAS trainers.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Obtain and submit written verification of completed first aid and CPR training for the identified staff persons that consists of an approved curriculum completed by approved instructors of Pediatric First Aid/CPR who are also approved PQAS trainers.

Regulation: 3270.27(a)(3)/3270.27(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: The facility's emergency plan did not provide for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children. Revise and submit a copy of the facility emergency plan to include a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not provide for accommodations for children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Amend the facility emergency plan to include accommodations for children with chronic medical conditions. Submit a written copy of the amended emergency plan.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter given to parents regarding the emergency plan did not explain the emergency procedure updates to the plan as required in 3270.27 subsection a.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. Revise the letter given to parents to ensure that it explains the emergency procedures and updates to the plan as required in 3270.27 subsection a. Submit a copy of the revised letter.