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; the name(s), home and work address(es), home and work telephone number(s) and signature(s) of the parent(s); the name(s), address(es), and telephone number(s) of any person(s) authorized by the parent(s) to visit the child at the center and/or take the child from the center, as specified in N.J.A.C. 3A:52-6.5(a)1; and the name, address, and telephone number of the child's health care provider; signed authorization from the parent(s) for emergency medical treatment; the parent’s signature attesting to the receipt of the Information to Parents document, as specified in N.J.A.C. 3A:52-3.6(b); the parent’s signature attesting to the receipt of the Information to Parents document, as specified in N.J.A.C. 3A:52-3.6(b).; health information for each child, as follows: for early childhood programs, a record of the child’s health examination and immunizations, as specified in N.J.A.C. 3A:52-7.3(a); and for school-age child care programs, a record of the parent’s statement concerning the child’s health, as specified in N.J.A.C. 3A:52-7.3(b).

Complete and maintain on file, a current Children's Records Checklist designated by OOL.

Corrected Corrected by Oct 29, 2025

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

3A:52-7.5(b)(10) · (9) 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: before administering a health care procedure associated with a child’s health condition, such as the use of a blood glucose monitor, nebulizer, or epinephrine pen, the center shall ensure that all staff members who administer the procedure are taught to do so by the child’s parent or another appropriately-trained person. There shall be at least two staff members present at the center who are trained in such health care procedures. 10. 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 at least two staff present have been trained to administer any medication/equipment used for emergency health care procedures.

Corrected Corrected by Oct 21, 2025

Category: ratio. Marked corrected in the state record.

3A:52-4.6(b) · The director shall meet the following qualification requirements for early childhood programs licensed to serve more than 30 children, the director shall meet the qualification requirements as specified in N.J.A.C 3A:52-4.6(b) for education and experience.

Provide documentation that the director meets the required qualifications as specified in the manual.

Corrected Corrected by Oct 21, 2025

Category: recordkeeping. Marked corrected in the state record.

3A:52-7.6(a) · (a) The center shall take immediate necessary action to protect the child from further harm and shall immediately notify the child's parent(s) when one of the following occurs while the child is in the center’s care: 1. A child is bitten and the skin is broken; 2. A child sustains a head or facial injury, including when a child bumps his or her head; 3. A child falls from a height greater than the height of the child; or 4. An injury requiring professional medical care occurs.

Ensure that parents are notified immediately when: a child is bitten and the skin is broken; a child sustains a head or facial injury, including when a child bumps his or her head; a child falls from a height greater than the height of the child; or an injury requiring professional medical care occurs.

Corrected Corrected by Jan 30, 2026

Marked corrected in the state record.

3A:52-7.5(b) · 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: Administration and control of prescription and non-prescription medicines and health care procedures (a) The center shall inform each child’s parent upon enrollment of its policy on administering medication and health care procedures to children, including the provisions specified in N.J.A.C. 3A:52-7.5(b) to (d). The policy shall indicate: 1. Whether the center will administer non-prescription medication or a non-prescribed health care procedure to a child; 2. Whether the center will administer prescription medication or a prescribed health care procedure to a child with a short-term illness; and 3. That the center will provide reasonable accommodations for the administration of medication or health care procedures to a child with special needs, if failure to administer the medication or health care procedure would jeopardize the health of the child or prevent the child from attending the center. 1. Medication and health care procedures shall be administered only after receipt of written approval from the child's parent(s). 2. The center shall: i. Designate those staff members who are trained as specified in N.J.A.C. 3A:52-4.8(a)8 and authorized to administer medication or health care procedures to, or to supervise self-administration of medication or health care procedures by, those children whose parents authorize it; and ii. Ensure that each staff member designated to administer medication and health care procedures is informed of each child's medication and health care needs. 3. All medication and health care equipment shall be kept either in a locked cabinet or in an area that is inaccessible to the children. i. All medication shall be kept in its original container. ii. Medication shall be refrigerated if so indicated on the label. iii. Unused or expired medication and health care equipment shall be returned to the child’s parent or disposed of safely in a child-resistant waste receptacle when no longer being administered. 4. All prescription medication for a child shall be: i. Prescribed in the name of and specifically for the child; and ii. Stored in its prescription container, which has been labeled with the child's name, the name and expiration date of the medication, the date it was prescribed or updated and directions for its administration. 5. The center shall limit the dispensing of non-prescription over-the-counter medication to the following types of medicines, which shall be dispensed in accordance with the recommended dosage for the age and weight of the child, as indicated on the label: i. Antihistamines; ii. Cough suppressants'. Decongestants; iv. Non-aspirin fever reducers and pain relievers; and v. Topical preparations, such as sunscreen and diaper rash preparations. 6. The center may permit the dispensing of non-prescription medication other than those listed in (b)5 above, or according to instructions other than those indicated on the label, if the child's health care provider authorizes it in writing. 8. If a child has a chronic health condition requiring the administration of prescription or non-prescription medication or health care procedures on a long-term basis, the center shall obtain from the child’s parent a written statement from a health care provider, indicating: i. The name of the child; ii. The name of the medication or procedure; iii The condition or indications for administration of the medication or procedure; iv. The instructions for administration of the medication or procedure; and v. The name and telephone number of the health care provider. 11. The center shall inform the child’s parent immediately if a child exhibits any adverse effect of a medication or health care procedure. (c) For early childhood programs, the following shall apply: 1. The center shall ensure that all medication and health care procedures are administered by designated staff. (d) For school-age child care programs, the following shall apply: 1. Before the center administers or permits a child to self-administer medication or health care procedures, the center shall: i. Obtain written authorization for self-administration from the child's parent, if applicable; and ii. Ensure that the medication or health care procedure is administered by or under the supervision of authorized staff.

Develop and follow a policy for the administration of medication at the center. Ensure all emergency medication is accessible at the center and parental authorization is acquired for administration.

Corrected Corrected by Jan 30, 2026

Category: supervision. Marked corrected in the state record.

3A:52-4.8(a) · (a) Topics of orientation training shall include all of the following: 1. Supervising and tracking all children, as specified in N.J.A.C. 3A:52-4.3(a); 2. Understanding center operations, policies and procedures, as specified in N.J.A.C. 3A:52-4.5(b)3; 3. Implementing group size limits and primary caregiver responsibilities, as applicable, as specified in N.J.A.C. 3A:52-4.4; 4. Recognizing and reporting child abuse or neglect, as specified in N.J.A.C. 3A:52-4.9; 5. Evacuating the center and using the fire alarms, as specified in N.J.A.C. 3A:52-5.3(l); 6.Implementing the center’s release policy, as specified in N.J.A.C. 3A:52-6.5; 7. Implementing the center's statement of policy on the disciplining of children, as specified in N.J.A.C. 3A:52-6.6; 8. Implementing health practices, including medication administration and responding to symptoms of illness, as specified in N.J.A.C. 3A:52-7.1 through 7.11; 9. Implementing safe sleep practices to prevent Sudden Infant Death Syndrome; 10. Preventing Shaken Baby Syndrome and Abusive Head Trauma; 11. Recognizing and responding to injuries and emergencies, including the prevention of and response to emergencies due to food-related allergies and other allergic reactions; and 12. Including children with special needs in the center’s program.

Ensure that all staff complete re- training on center policies and procedures pertaining to handling accidents and injuries.

Corrected Corrected by Jan 30, 2026

Category: supervision. Marked corrected in the state record.