Licensing Standards for DayCare Centers

Section 10:122-7.1
Illnesses/Communicable Diseases

GEN (a) A center that seeks to serve any children who have any of the illnesses, symptoms of illness or diseasesx "diseases:communicable" \t "See communicable disease" specified in (c) and (d) below shall meet all applicable provisions of this subchapter and all provisions of N.J.A.C. 10:122-8.

(b) Under no circumstances shall any center serve or admit any child who has any illness, symptom of illness or disease that a physicianx "physician:authorization:admission of sick child" has determined require the child to be:

1. Confined to home under a physician's immediate care; or

2. Admitted to a hospitalx "hospital:admission of child to" for medical care and treatment.

1. A center serving well children shall not permit a child who has any of the illnessesx "illnesses:exclusion of children" or symptoms of illness specified in (c)1i through xv below to be admitted to the center on a given day unless medical diagnosis from a licensed physicianx "physician:authorization:admission of sick child", which has been communicated to the center in writing, or verbally with a written follow-up, indicates that the child poses no serious health risk to himself or herself or to other children. Such illnesses or symptoms of illness shall include, but not be limited to, any of the following:

   i. Severe pain or discomfort;

   ii. Acute diarrhea, characterized as twice the child's usual frequency of bowel movements with a change to a looser consistency within a period of 24 hours;

   iii. Two or more episodes of acute vomiting within a period of 24 hours;

   iv. Elevated oral temperature of 101.5 degrees Fahrenheit or over or axillary temperature of 100.5 degrees Fahrenheit or over in conjunction with behavior changes;

   v. Sore throat or severe coughing;

   vi. Yellow eyes or jaundiced skin;

   vii. Red eyes with discharge;

   viii. Infected, untreated skin patches;

   ix. Difficult rapid breathing;

   x. Skin rashes, excluding diaper rash, lasting more than one day;

   xi. Weeping or bleeding skin lesions that have not been treated by a physician or nurse;

   xii. Swollen joints;

   xiii. Visibly enlarged lymph nodes;

   xiv. Stiff neck; or

   xv. Blood in urine.

2. Once the child is symptom-free, or a licensed physician indicates that the child poses no serious health risk to himself or herself or to other children, the child may return to the center.

3. If a child who has already been admitted to the center manifests any of the illnesses or symptoms of illnessx "illnesses:exclusion of children" specified in (c)1 above, the center shall remove the child from the group of well children to a separate room or area,x "sick child isolation area" as specified in N.J.A.C. 10:122-5.2(p)4, until:

   i. He or she can be taken from the center; or

   ii. The director or his or her designee has communicated verbally with a licensed physician, who indicates that the child poses no serious health risk to himself or herself or to other children, at which time the child may return to the group.

1. The center shall not permit a child or staff memberx "staff members:illness" with an excludable communicable diseasex "communicable disease:exclusion of children and staff", as specified in the table below, to be admitted to or remain at the center, until:

   i. A note from the child's or staffx "illnesses:exclusion of staff" member's licensed physician states that the child or staff member, respectively, has been diagnosed and presents no risk to himself, herself, or to others;

   ii. The center has contacted the Communicable Disease Program in the State Department of Health and Senior Services, x "Department of Health and Senior Services:communicable disease"or the local health department pediatric health consultant, and is told the child or staff member poses no health risk to others; or

   iii. If the child or staff member has chicken poxx "chicken pox", the center obtains a note from the parentx "parent:permission:admission of child with chicken pox" or staff member stating either that at least six days have elapsed since the onset of the rash, or that all sores have dried and crusted.

Respiratory Illnesses	Gastro-Intestinal Illnesses	Contact Illnesses
Chicken Pox	Giardia Lamblia*	Impetigo
German Measles*	Hepatitis A*	Lice
Hemophilus Influenzae*	Salmonella*	Scabies
Measles*	Shigella*
Meningococcus*
Mumps*
Strep Throat
Tuberculosis*
Whooping Cough*

*Reportable diseasesx "reportable diseases", as required by N.J.A.C. 10:122-7.10(a).

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