3A:52-7.3(a) · (a) For early childhood programs, the following shall apply: 1. Each child not enrolled in a public or private school shall have had a health examination performed by a health care provider within: i. Six months prior to admission, for children who are 2½ years of age or younger; or ii. One year prior to admission, for children above 2½ years of age. 2. For each child not enrolled in a public or private school, upon admission, the center shall maintain on file at the center a Universal Child Health Record (Department of Health Form CH-14) or its equivalent, updated annually, along with an immunization record , and a special care plan, if applicable. A 30-day grace period is permitted in N.J.A.C. 8:57- 4.5(e): i. For children coming from other states or countries in accordance with N.J.A.C. 8:57-4.6 and 4.7; and ii. For children who are in foster care or experiencing homelessness as defined by the McKinney-Vento Act, 42 U.S.C. § 11434a(2). 3. For children enrolled in a public or private school, the center 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. 4. If 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 health care provider attesting to the following: i. The reason the immunization is medically contraindicated; and ii. The specific time period that the immunization is medically contraindicated. 5. 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 center, 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. i. Religiously-affiliated centers shall have the authority to withhold or grant a religious exemption from the required immunization for children entering or attending their centers without challenge by any secular health authority, as specified in N.J.A.C. 8:57-4.4. ii. The center shall maintain the parent’s written statement on file as part of the child’s record. 6. Those children with immunization exemptions may be excluded from the center by the Office of Licensing or the Department of Health during a vaccine-preventable disease outbreak or threatened outbreak, as determined by the State Commissioner of Health.

Ensure health records are maintained on file as required including children's record checklist.

Corrected Corrected by Mar 28, 2025

Category: health medication. Marked corrected in the state record.

3A:52-5.3(l) · (l) Emergency procedure requirements are as follows: 1. The center shall prepare written emergency procedures delineating: i. The location of the first aid kit and any additional first aid supplies; ii. The name, address and telephone number of the physician retained by the center or of the health facility to be used in emergencies; iii. An alternate indoor location that operates during the same operating hours as the center. The center shall: (1) Select an alternate indoor location within safe walking distance; or (2) Develop a written procedure for obtaining emergency transportation to the alternate location; iv. The hospital or clinic to which injured or ill children will be taken; v. The telephone numbers for obtaining police, fire, ambulance and poison control services, including the National Poison Emergency Hotline at (800) 222-1222; vi. The location of written authorization from parent(s) for emergency medical care for each child; vii. A diagram showing how the center is to be evacuated in case of emergency from each classroom and the outdoor play area; viii. The location of fire alarms and fire extinguishers; and ix. Procedures for ensuring children’s safety and communicating with parents in the event of evacuation, lockdown, natural or civil disaster, and other emergencies. The procedures shall indicate: (1) The plan for informing parents of their children’s whereabouts; and (2) The local law enforcement agency or emergency management office that has been notified of the center’s identifying information, as specified in (l)3 below. 2. The emergency procedures shall be readily accessible in a designated location within the center. 3. The center shall ensure that the appropriate local law enforcement agency or emergency management office is notified of: i. The center’s name and location; ii. The number, ages, and special needs of children enrolled; iii. The number of staff; iv. The need for emergency transportation; v. The location to which children will be evacuated; vi. The plan for a lockdown; and vii. The plan for reuniting children with their parents.

Ensure that the center conducts fire drills at least once per month during each session provided at the center.

Corrected Corrected by Mar 28, 2025

Category: health medication. Marked corrected in the state record.

3A:52-4.11(a) · As a condition of securing a license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall ensure that a Criminal History Record Information (CHRI) fingerprint background check is completed for himself or herself, and for all staff members at least 18 years of age who are or will be working at the center on a regularly- scheduled basis, to determine whether any such person has been convicted of a crime, as specified in P.L. 2000, c. 77 (N.J.S.A. 30:5B-6.10 to 6.17). If a staff member refuses to consent to a CHRI background check, the sponsor or sponsor representative shall immediately terminate the staff member’s employment at the center.

Ensure that CHRI background checks are completed as required for the sponsor/sponsor representative and all regularly scheduled staff.

Corrected Corrected by May 8, 2025

Category: background checks. Marked corrected in the state record.

3A:52-5.3(l)(4) · Emergency procedure requirements are as follows: the center shall conduct two lockdown drills per year and maintain on file a record of each lockdown drill. The center shall ensure that lockdown drills are conducted during each session provided at the center.

Conduct and document at least two lockdown drills annually.

Corrected Corrected by Mar 28, 2025

Category: recordkeeping. Marked corrected in the state record.

3A:52-7.5(b)(7) · The center shall develop and follow a policy on the administration of medication and health care procedures to children, which shall include the following provisions: the center shall maintain on file a record of the following

Ensure that the required medication is in its original box.

Corrected Corrected by Jan 21, 2025

Category: ratio. Marked corrected in the state record.

3A:52-7.5(b)(7) · The center shall develop and follow a policy on the administration of medication and health care procedures to children, which shall include the following provisions: the center shall maintain on file a record of the following

Provide the missing medication per the named child's action plan.

Corrected Corrected by Jan 21, 2025

Category: ratio. Marked corrected in the state record.

3A:52-7.5(b)(10) · The center shall develop and follow a policy on the administration of medication and health care procedures to children, which shall include the following provisions: the center shall store prescribed epinephrine pens in their original boxes with the child’s name and prescription. A special care plan or other documentation from a health care provider shall accompany the epinephrine pen. If two epinephrine pens are required, both shall be available. Each center under the jurisdiction of N.J.S.A. 18A:40-12.5 shall store back-up epinephrine pens on site consistent with the requirements stated at N.J.S.A. 18A:40-12.5.e(1).

Ensure that medication is stored in their original boxes with the child's name and prescription, accompanied by a special care plan, as required.

Corrected Corrected by Jan 21, 2025

Category: ratio. Marked corrected in the state record.

3A:52-5.3(q)(3)(v) · Space and room requirements are as follows: Indoor space requirements for play rooms and sleep rooms are as follows the center shall identify all rooms of the center that have been approved by the Office of Licensing. This identification shall consist of numbers, letters, names or any other means of identification and shall be located either inside or directly outside each room.

Post a diagram of all approved areas and ensure that all rooms approved for use by the children are labeled.

Corrected Corrected by Jan 21, 2025

Category: physical safety. Marked corrected in the state record.

3A:52-6.1(f) · The staff member(s) specified in N.J.A.C. 3A:52-6.1(b) shall prepare and maintain on file a written outline of the center's daily activities, as specified in N.J.A.C. 3A:52-6.1(a) through (d) and (g) and (h).

Ensure that the center has a written outline of daily activities.

Corrected Corrected by Jan 21, 2025

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.8(e) · Directors shall complete staff development in understanding licensing regulations as provided by the Office of Licensing within 90 days of hire. Such staff development may be included in the required 20 hours of staff development specified in N.J.A.C. 3A:52-4.8(d).

Ensure that the director completes the training, "Understanding Licensing Regulations" provided by OOL within 90 days of hire.

Corrected Corrected by Jan 21, 2025

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.3(a) · The children shall be supervised directly by a staff member at all times, including during outdoor activities, rest and sleep, and walking through hallways. Toileting procedures shall be supervised by a staff member as appropriate for the ages and developmental needs of the children.

Ensure that adequate supervision is maintained at all times throughout the center, when children are in the hallway.

Corrected Corrected by Dec 1, 2023

Category: supervision. Marked corrected in the state record.

3A:52-4.10(b)(1) · When the center applies for a new or renewal license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall submit to the Department the completed CARI consent forms for all staff members who are or will be working at the center on a regularly scheduled basis. Within two weeks after a new staff member begins working at the center, the sponsor or sponsor representative shall submit to the Department a completed CARI consent form for the new staff member.

Ensure that CARI background checks are completed as required for all staff within two weeks of hire.

Corrected Corrected by Jan 21, 2025

Category: background checks. Marked corrected in the state record.

3A:52-4.6(a) · The center shall maintain on file a Staff Records Checklist designated by the Office of Licensing, as specified in N.J.A.C. 3A:52-4.1(b), indicating that the center has obtained documentation of the applicable staff education and experience, as specified in 3A:52-4.6(b) through (d).

Ensure that the center completes and maintains on file a Staff Records Checklist designated by OOL.

Corrected Corrected by Jan 21, 2025

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.6(d)(1) · For school-age child care programs the program supervisor shall meet the qualification requirements specified in one of the applicable options set forth in N.J.A.C. 3A:52-4.6(d) for education, training, and experience, based on the center's licensed capacity.

Ensure that the program supervisor meets the required qualifications as specified in the manual.

Corrected Corrected by Jan 21, 2025

Category: supervision. Marked corrected in the state record.

3A:52-4.8(b) · Orientation training as specified in N.J.A.C. 3A:52-4.8(a) may be included for six of the required hours of staff development specified in N.J.A.C. 3A:52-4.8(c) and (d).

Ensure that all staff complete orientation training which may be included for six of the required annual training hours.

Corrected Corrected by Jan 21, 2025

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.8(d)(1) · In lieu of the child care staff development specified in N.J.A.C. 3A:52-4.8(b), the director, head teacher(s), group teacher(s), and program supervisor(s) shall each complete 20 hours of staff development each year. Recommended topics of training for these staff include educational and physical activity.

Ensure that all credentialed staff complete 20 hours of staff development annually.

Corrected Corrected by Jan 21, 2025

Category: supervision. Marked corrected in the state record.

3A:52-4.8(c) · The center shall ensure that all staff members who work at the center complete 12 hours of continuing staff development each year.

Ensure that all staff complete 12 hours of staff development annually.

Corrected Corrected by Jan 21, 2025

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.10(b)(1) · When the center applies for a new or renewal license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall submit to the Department the completed CARI consent forms for all staff members who are or will be working at the center on a regularly scheduled basis. Within two weeks after a new staff member begins working at the center, the sponsor or sponsor representative shall submit to the Department a completed CARI consent form for the new staff member.

Ensure that all staff submit a CARI background check upon renewal.

Corrected Corrected by Feb 24, 2025

Category: background checks. Marked corrected in the state record.

3A:52-4.11(a)(1) · As a condition of securing a license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall ensure that a Criminal History Record Information (CHRI) fingerprint background check is completed for himself or herself, and for all staff members at least 18 years of age who are or will be working at the center on a regularly- scheduled basis, to determine whether any such person has been convicted of a crime, as specified in P.L. 2000, c. 77 (N.J.S.A. 30:5B-6.10 to 6.17). The sponsor or sponsor representative and each staff member shall complete the electronic fingerprinting process through the vendor authorized by the State to conduct CHRI background checks through the Division of State Police in the Department of Law and Public Safety and the Federal Bureau of Investigation.

Ensure that all staff, the sponsor and/or the sponsor representative complete a CHRI background check as required.

Corrected Corrected by Feb 24, 2025

Category: background checks. Marked corrected in the state record.

3A:52-5.3(i)(5)(i) · Environmental condition precautions are as follows: at the time of the initial application, any renewal application, relocation of an existing licensed center and, in the discretion of the Office of Licensing, any other time, the applicant or facility operator shall certify in writing that the center provides a potable water supply provided by a public community water system. If the facility is supplied by a public community water system, the applicant or facility operator shall provide documentation of water testing conducted by a laboratory certified by the Department of Environmental Protection for water testing for lead and copper from all faucets and other sources used for drinking water or food preparation and at least 50 percent of all indoor water faucets utilized by the center.

Submit a copy of the public school's drinking water test results.

Corrected Corrected by Jan 21, 2025

Category: ratio. Marked corrected in the state record.

3A:52-5.3(l)(4) · Emergency procedure requirements are as follows: the center shall conduct two lockdown drills per year and maintain on file a record of each lockdown drill. The center shall ensure that lockdown drills are conducted during each session provided at the center.

Ensure that the center conducts at least two lockdown drills per year during each session provided at the center and maintains records of the drills on file.

Corrected Corrected by Feb 24, 2025

Category: recordkeeping. Marked corrected in the state record.

3A:52-6.8(a)(1) · The center shall complete and maintain on file for each enrolled child a Children’s Records Checklist, signed by the director, sponsor, or sponsor representative and designated by the Office of Licensing, indicating that the center has obtained documentation of the child's name, address, birth date, and date of enrollment.

Ensure that the center completes and maintains on file a children's records checklist, including the child's name, address, birth date, and date of enrollment.

Corrected Corrected by Feb 24, 2025

Category: recordkeeping. Marked corrected in the state record.

3A:52-5.3(n)(1) · Fire prevention requirements are as follows: the center shall conduct fire drills at least once a month, as specified in the NJUFC. The center shall ensure that fire drills are conducted during each session provided at the center and that one fire drill per year is conducted during nap time, if applicable.

Ensure that the center conducts fire drills at least once per month during each session provided at the center, including one fire drill annually that is conducted during nap time.

Corrected Corrected by Feb 24, 2025

Category: physical safety. Marked corrected in the state record.

3A:52-5.3(o)(1) · First aid requirements are as follows: at least two staff members who have current certified basic knowledge of first aid principles and cardiopulmonary resuscitation (CPR), as defined by a recognized health organization (such as the American Red Cross), shall be in the center at all times when enrolled children are present.

Ensure that there are at least two staff members present at the center at all times who have current first aid and CPR certifications.

Corrected Corrected by Jan 21, 2025

Category: health medication. Marked corrected in the state record.

3A:52-7.6(a)(3) · The center shall take immediate necessary action to protect the child from further harm and shall immediately notify the child's parent(s) when a child falls from a height greater than the height of the child.

Provide accident report as needed.

Corrected Corrected by Jan 21, 2025

Marked corrected in the state record.

3A:52-7.9(a)(1) · For early childhood programs, the following shall apply: the center shall maintain on file a log of the initial illnesses, symptoms of illness, or diseases that are exhibited by each child while in the center’s care, as specified in N.J.A.C. 3A:52-7.1(c) and (d). This illness log shall include

Maintain an illness log on file at the center and ensure that it contains all of the required components.

Corrected Corrected by Jan 21, 2025

Category: health medication. Marked corrected in the state record.

3A:52-3.4(a) · The sponsor or sponsor representative shall secure comprehensive general liability insurance coverage for the center and shall maintain on file a copy of the insurance policy or documentation of current insurance coverage.

Ensure that the center has a current comprehensive general liability insurance policy and maintains the documentation on file.

Corrected Corrected by Feb 24, 2025

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.11(a)(1) · As a condition of securing a license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall ensure that a Criminal History Record Information (CHRI) fingerprint background check is completed for himself or herself, and for all staff members at least 18 years of age who are or will be working at the center on a regularly- scheduled basis, to determine whether any such person has been convicted of a crime, as specified in P.L. 2000, c. 77 (N.J.S.A. 30:5B-6.10 to 6.17). The sponsor or sponsor representative and each staff member shall complete the electronic fingerprinting process through the vendor authorized by the State to conduct CHRI background checks through the Division of State Police in the Department of Law and Public Safety and the Federal Bureau of Investigation.

Ensure that all staff, the sponsor and/or the sponsor representative complete a CHRI background check as required.

Corrected Corrected by Mar 16, 2023

Category: background checks. Marked corrected in the state record.

3A:52-7.5(b)(7)(i) · The center shall develop and follow a policy on the administration of medication and health care procedures to children, which shall include the following provisions: the center shall maintain on file a record of the following the child's name and parental authorization for the center to administer medication or health care procedures.

Ensure that the center completes and maintains a medication log that includes the child's name and parent authorization to administer medication.

Corrected Corrected by Mar 3, 2023

Category: ratio. Marked corrected in the state record.

3A:52-7.5(b)(10) · The center shall develop and follow a policy on the administration of medication and health care procedures to children, which shall include the following provisions: the center shall store prescribed epinephrine pens in their original boxes with the child’s name and prescription. A special care plan or other documentation from a health care provider shall accompany the epinephrine pen. If two epinephrine pens are required, both shall be available. Each center under the jurisdiction of N.J.S.A. 18A:40-12.5 shall store back-up epinephrine pens on site consistent with the requirements stated at N.J.S.A. 18A:40-12.5.e(1).

Ensure that all Epi-pens are stored in their original boxes with the child's name and prescription, accompanied by a special care plan, and that two are present when required. Ensure there is a current medication for the named child.

Corrected Corrected by Mar 3, 2023

Category: ratio. Marked corrected in the state record.

3A:52-3.4(a) · The sponsor or sponsor representative shall secure comprehensive general liability insurance coverage for the center and shall maintain on file a copy of the insurance policy or documentation of current insurance coverage.

Ensure that the center has a current comprehensive general liability insurance policy and maintains the documentation on file.

Corrected Corrected by Mar 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3A:52-5.3(i)(5)(i) · Environmental condition precautions are as follows: at the time of the initial application, any renewal application, relocation of an existing licensed center and, in the discretion of the Office of Licensing, any other time, the applicant or facility operator shall certify in writing that the center provides a potable water supply provided by a public community water system. If the facility is supplied by a public community water system, the applicant or facility operator shall provide documentation of water testing conducted by a laboratory certified by the Department of Environmental Protection for water testing for lead and copper from all faucets and other sources used for drinking water or food preparation and at least 50 percent of all indoor water faucets utilized by the center.

Submit or upload to NJCCIS File Cabinet, the documentation of the water testing conducted by a laboratory certified by the Department of Environmental Protection for water testing for lead and copper.

Corrected Corrected by Dec 16, 2021

Category: ratio. Marked corrected in the state record.

3A:52-5.3(o)(1) · First aid requirements are as follows: at least two staff members who have current certified basic knowledge of first aid principles and cardiopulmonary resuscitation (CPR), as defined by a recognized health organization (such as the American Red Cross), shall be in the center at all times when enrolled children are present.

Submit or upload to NJCCIS File Cabinet a copy of CPR and first aid for the named staff in the before school program.

Corrected Corrected by Dec 16, 2021

Category: health medication. Marked corrected in the state record.

3A:52-4.5(b)(2)(i) · The director shall have the authority and responsibility for the implementation of policies and procedures for the day-to-day operation of the center, including maintenance of staff attendance records indicating daily hours worked.

Submit or upload to NJCCIS File Cabinet the center's sign in and out sheets for all staff members.

Corrected Corrected by Dec 16, 2021

Category: ratio. Marked corrected in the state record.

3A:52-4.10(b)(1) · When the center applies for a new or renewal license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall submit to the Department the completed CARI consent forms for all staff members who are or will be working at the center on a regularly scheduled basis. Within two weeks after a new staff member begins working at the center, the sponsor or sponsor representative shall submit to the Department a completed CARI consent form for the new staff member.

Submit or upload to NJCCIS File Cabinet the center's renewal CARI clearances for all staff members.

Corrected Corrected by Dec 16, 2021

Category: background checks. Marked corrected in the state record.

3A:52-4.8(c) · The center shall ensure that all staff members who work at the center complete 12 hours of continuing staff development each year.

Ensure that completes 12 hours of continuing staff development each year.

Corrected Corrected by Dec 2, 2020

Category: recordkeeping. Marked corrected in the state record.

3A:52-4.10(b)(1) · When the center applies for a new or renewal license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall submit to the Department the completed CARI consent forms for all staff members who are or will be working at the center on a regularly scheduled basis. Within two weeks after a new staff member begins working at the center, the sponsor or sponsor representative shall submit to the Department a completed CARI consent form for the new staff member.

Provide 3 CARI checks for the staff members.

Corrected Corrected by Feb 16, 2021

Category: background checks. Marked corrected in the state record.

3A:52-4.11(a)(1) · As a condition of securing a license or Certificate of Life/Safety Approval, the sponsor or sponsor representative shall ensure that a Criminal History Record Information (CHRI) fingerprint background check is completed for himself or herself, and for all staff members at least 18 years of age who are or will be working at the center on a regularly- scheduled basis, to determine whether any such person has been convicted of a crime, as specified in P.L. 2000, c. 77 (N.J.S.A. 30:5B-6.10 to 6.17). The sponsor or sponsor representative and each staff member shall complete the electronic fingerprinting process through the vendor authorized by the State to conduct CHRI background checks through the Division of State Police in the Department of Law and Public Safety and the Federal Bureau of Investigation.

Provide 1 CHRI check for the named staff.

Corrected Corrected by Jan 22, 2020

Category: background checks. Marked corrected in the state record.

3A:52-4.8(b) · Orientation training as specified in N.J.A.C. 3A:52-4.8(a) may be included for six of the required hours of staff development specified in N.J.A.C. 3A:52-4.8(c) and (d).

Ensure that all staff members completes six of the required orientation training as specified in N.J.A.C 3A:52-4.8.

Corrected Corrected by Jan 22, 2020

Category: recordkeeping. Marked corrected in the state record.

3A:52-5.3(l)(4) · Emergency procedure requirements are as follows: the center shall conduct two lockdown drills per year and maintain on file a record of each lockdown drill. The center shall ensure that lockdown drills are conducted during each session provided at the center.

The center shall conduct two lockdown drills per year and maintain on file a record of each lockdown drill.

Corrected Corrected by Jan 22, 2020

Category: recordkeeping. Marked corrected in the state record.

3A:52-7.5(b)(7) · The center shall develop and follow a policy on the administration of medication and health care procedures to children, which shall include the following provisions: the center shall maintain on file a record of the following

The center shall ensure that a care plan is on file at the center for the named child.

Corrected Corrected by Jan 22, 2020

Category: ratio. Marked corrected in the state record.

3A:52-7.5(b)(7)(ii) · The center shall develop and follow a policy on the administration of medication and health care procedures to children, which shall include the following provisions: the center shall maintain on file a record of the following the name of the medication or health care procedure.

The center shall ensure that all medication are current for the named child.

Corrected Corrected by Jan 22, 2020

Category: ratio. Marked corrected in the state record.