Licensing Standards for DayCare Centers

Section 10:122-8.1
Requirements for all Centers Serving Sick Children

GEN (a) The provisions of this subchapter shall apply to any center that chooses to serve the following:

1. Only children who have illnesses, symptoms of illness or diseases, as specified in N.J.A.C. 10:122-7.1(c) and (d); or

2. Some children who have illnesses, symptoms of illness or diseases, as specified in N.J.A.C. 10:122-7.1(c) and (d), as part of a sick child carex "sick child care:admission criteria" component of a center primarily serving well children.

(c) The center shall maintain on file written policies and procedures governing its operation, including:

1. Those categories of illness for which the center will provide care;

2. The ages of children who will be served;

3. The center's infection control procedures;

4. The center's admission criteria, which shall include provisions for conducting either:

   i. A medicalx "examination, medical:sick child care" evaluation of arriving children by a New Jersey licensed physician; or

   ii. A physical assessmentx "physical assessment" \t "See triage", known as a triagex "triage", of arriving children by a registered nurse;

   (1) The triagex "triage" shall include, as appropriate to the demonstrated symptoms, an assessment of the child's temperature; pulse; respiration; skin; eyes; nose; throat; mouth; chest; abdomen; and/or extremities;

5. A provision encouraging the parents, before bringing the child to the center, to call the center each day to:

   i. Describe the child's illnesses, symptoms of illness or diseases; and

   ii. Determine if the center has an opening for the child;

6. For centers using a registered nursex "nurse:sick child care staff" as the admitting staff member, the physical assessment criteria that are used to determine:

   i. Appropriateness of a child's attendance at the center on that day; or

   ii. A child's need to be examined by a licensed physician, prior to being admitted to the center on that day;

7. The criteria and procedures for caring for or releasing children whose illnesses, symptoms of illness or diseases have worsened;

8. Methods and frequency of identifying and recording symptomatic changes throughout the day;

9. The preparation, frequency and serving of mealx "meals:sick children"s that are appropriate for the child's illnesses, symptoms of illness or diseases; and

10. The center's policy on communicating with parents concerning the child's illnesses, symptoms of illness or diseases.

(e) The center shall have a governing board or an advisory board, which shall oversee the development of and approve in writing its policies and procedures, as specified in (c) above. The governing or advisory board shall include at least two of the following licensed health professionals:

1. A physicianx "physician:sick child care board" licensed by the New Jersey Board of Medical Examiners; and/or

2. A registered nursex "nurse:sick child care board" licensed by the New Jersey State Board of Nursing; and/or

3. A local health official.

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