New Jersey Administrative Code
Title 3A - CHILDREN AND FAMILIES
Chapter 54 - MANUAL OF REQUIREMENTS FOR FAMILY CHILD CARE REGISTRATION
Subchapter 6 - SAFETY, HEALTH, AND PROGRAM REQUIREMENTS FOR PROVIDERS
Section 3A:54-6.8 - Health examinations for children

Universal Citation: NJ Admin Code 3A:54-6.8

Current through Register Vol. 56, No. 18, September 16, 2024

(a) Each child shall have had a health examination performed by a health care provider within:

1. Six months prior to or within one month following admission to the home for children who are 2 1/2 years of age or younger; or

2. One year prior to or within one month following admission to the home for children who are above 2 1/2 years of age.

(b) For each child not enrolled in a public school or private school, the provider shall maintain on file at the family child care home a Universal Child Health Record (Department of Health Form CH-14), or its equivalent, updated annually, and a care plan for children with special health care needs, as specified in N.J.A.C. 3A:54-6.18(b)1, if applicable.

(c) A record of the health examination shall be provided by the child's parent to the provider upon or within one month following admission to the home. The record shall include:

1. The name and address of the health care provider;

2. A statement by the health care provider indicating, when applicable:
i. Information on any condition or handicap affecting the child; and

ii. Any recommendations for needed medical treatment or special requirements as to diet, rest, allergies, avoidance of certain activities and other care;

3. An up-to-date immunization record in accordance with the recommended immunization schedule established by the Advisory Committee on Immunization Practice of the Center for Disease Control and Prevention, as provided by the New Jersey Department of Health at N.J.A.C. 8:57-4. The immunization record shall be appropriate to the child's age or shall document that the child is under a prescribed medical program to obtain immunizations and a timetable for doing so; and

4. For children enrolled in a public or private school, the provider shall obtain a written statement from each child's parent 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.

(d) If immunizations are not given to a child for medical reasons, the provider shall require the parent to submit a written statement from a health care provider attesting to:

1. The reason the immunization is medically contraindicated; and

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

(e) A child shall be exempted from a physical examination, immunization or medical treatment if the parent objects thereto in a written statement submitted to the provider, signed by the parent, explaining how the examination, immunization or medical treatment conflicts with the child's exercise of bona fide religious tenets or practices.

(f) The immunization exemption may be suspended during the existence of a health emergency, as determined by the Commissioner of the State Department of Health.

(g) After admission, each child shall have an annual physical health examination, including age-appropriate screenings and up-to-date immunizations. Such examination shall be performed by a health care provider within the preceding year period.

(h) Children who are in foster care or experiencing homelessness as defined by the McKinney-Ventro Act can receive child care services while parents or guardians are taking necessary actions to comply with immunization requirements. Upon, or within one month following, admission to the home, the parents or guardians shall have an up-to-date immunization record or provide a written plan for catching up with immunizations, if applicable.

Disclaimer: These regulations may not be the most recent version. New Jersey may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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