Totally Tots

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.

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.

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

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.

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

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

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.

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.

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:

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

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.

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

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

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.

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.

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.

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

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.

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.

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.

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.

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