Licensing Standards for DayCare Centers

Section 10:122-7.3
Health and Immunization Requirements for Children

EC (a) For early childhood programsx "early childhood programs:medical examinations", the following shall apply:

1. Each child not enrolled in a public or private school shall have had a health examinationx "examination, medical:children" performed by a licensed physicianx "physician:examination" \t "See examination, medical" within:

   i. Six months prior to admission, for children who are 2 ½ years of age or younger; or

   ii. One year prior to admission, for children above 2 ½ years of age.

2. For each child not enrolled in a public or private school, the center shall maintain on file at the center a recordx "health records:children" of the health examination documented by the physician. The record shall include:

   i. The name and address of the examining physicianx "physician:children's records";

   ii. The child's medical history indicating, when applicable:

   (1) Information on any condition or handicap affecting the child's health; and

   (2) Any recommendations for needed medical treatment and/or program or environmental modifications, which the center shall follow, including special requirements as to diet, rest, allergies, avoidance of certain activities, and other care; and

   iii. An up-to-date immunization record appropriate to the child's age, or documentation that the child is under a prescribed medical program to obtain immunizationsx "immunizations", in accordance with the provisions of N.J.A.C. 8:57-4.

3. For children enrolled in a public or private school, the center shall obtain a written statement from each child's parentx "parent:statement of school-age child's health" indicating:

   i. That the child is in good health and can participate in the normal activities of the program; and

   ii. Any conditions or specific needs that may require special accommodations.

4. The center shall ensure that the recordx "health records:children" specified in (a)2 above has been submitted to the center, either:

   i. Upon the child's admission; or

   ii. Within 30 days of the child's admission, if the parent cannot obtain prior documentation, provided that upon the child's admission, the parent provides a written statement:

   (1) Indicating that the requirements in (a)1 and 2ii above have been met; and

   (2) Giving the information required in (a)2ii(2) above, when applicable.

5. If immunizationsx "immunizations:exemption from"x "immunizations" are contraindicated for medical reasons, the center may choose to admit the child, provided that the parent submits to the center a written statement from a licensed physicianx "physician:authorization:exemption from immunizations" attesting to the following:

   i. The reason the immunization is medically contraindicated; and

   ii. The specific time period that the immunization is medically contraindicated.

6. If a child's parentx "parent:objection to immunization or medical examination" objects to a physical examinationx "examination, medical:exemption from", immunization or medical treatment for his or her child on grounds that it conflicts with the tenets and practice of a recognized religion of which the parent(s) or child is an adherent or member, the center may choose to admit the child, provided that the parent(s) submits to the center upon the child's admission a signed written statement that the physical examination, immunization or medical treatment interferes with the free exercise of the child's religious rights.

7. The immunization exemption may be suspended by the Bureau during the existence of a health emergency, as determined by the State Commissioner of Health and Senior Servicesx "Department of Health and Senior Services:immunizations".

1. The center shall obtain a written statement from each child's parentx "parent:statement of school-age child's health" indicating:

   i. That the child is in good health and can participate in the normal activities of the program; and

   ii. Any conditions or special needsx "special needs" that may require special accommodations.

Home               About Us               Login               Sign-Up               Products            Contact Us