Current through Register Vol. 56, No. 24, December 18, 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.
