Current through Register Vol. 56, No. 18, September 16, 2024
(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 3A:52-7.1(c) and (d); or
2. Some children who have illnesses, symptoms of
illness or diseases, as specified in 3A:52-7.1(c) and (d), as part of a sick child
care component of a center primarily serving well children.
(b) A center as set forth in (a) above shall also
comply with all applicable provisions of this chapter.
(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
medical evaluation of arriving children by a New Jersey licensed physician;
or
ii. A physical assessment, known as a
triage, of arriving children by a registered nurse;
(1) The 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 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 nurse 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 meals 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.
(d) The center shall arrange for a New Jersey
licensed physician to serve as its consulting physician, providing medical advice
and assistance on an on-call basis.
(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
physician licensed by the New Jersey Board of Medical Examiners;
2. A registered nurse licensed by the New Jersey
State Board of Nursing; or
3. A local
health official.
(f) The
consulting physician shall approve in writing the policies and procedures specified
in (c) above.
