5.3 Health and Safety Standards for CCDF Providers

Lead Agencies must have health and safety standards for providers serving children receiving CCDF assistance relating to the required health and safety topics as appropriate to the provider setting and age of the children served. This requirement is applicable to all child care programs receiving CCDF funds regardless of licensing status (i.e., licensed or license-exempt). The only exception to this requirement is for relative providers, as defined by CCDF. Lead Agencies have the option of exempting certain relatives from any or all CCDF health and safety requirements. Exemptions for relative providers’ standards requirements will be addressed in question 5.8.1. Describe the following health and safety standards for programs serving children receiving CCDF assistance on the following topics (note that monitoring and enforcement will be addressed in subsection 5.5): 5.3.1 Prevention and control of infectious diseases (including immunizations) health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the prevention and control of infectious diseases for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: For licensed centers: N.J.A.C. 3A:52-7.1 ￿(a) A center that seeks to serve any children who have any of the illnesses, symptoms of illness, or diseases specified in (c) and (d) below shall meet all applicable provisions of this subchapter and all provisions of N.J.A.C. 3A:52-8. (b) Under no circumstances shall any center serve or admit any child who has any illness, symptom of illness or disease that a health care provider has determined requires the child to be: ● Confined to home under a health care provider's immediate care; or ● Admitted to a hospital for medical care and treatment. (c) The following provisions relate to illness or symptoms of illness: A center serving well children shall not permit a child who has any of the illnesses or symptoms of illness specified in (c)1i through xiii below to be admitted to the center on a given day unless medical diagnosis from a health care provider, which has been communicated to the center in writing, or verbally with a written follow- up, indicates that the child poses no serious health risk to himself or herself or to other children. Such illnesses or symptoms of illness shall include, but not be limited to, any of the following: i. Severe pain or discomfort; ii. Acute diarrhea, characterized as twice the child's usual frequency of bowel movements with a change to a looser consistency within a period of 24 hours, or bloody diarrhea; iii. Two or more episodes of acute vomiting within a period of 24 hours; iv. Elevated oral temperature of 101.5 degrees Fahrenheit or over or axillary temperature of 100.5 degrees Fahrenheit or over in conjunction with behavior changes; v. Lethargy that is more than expected tiredness; vi. Yellow eyes or jaundiced skin; vii. Red eyes with discharge; viii. Infected, untreated skin patches; ix. Difficult rapid breathing or severe coughing; x. Skin rashes in conjunction with fever or behavior changes; xi. Weeping or bleeding skin lesions that have not been treated by a health care provider; xii. Mouth sores with drooling; or xiii. Stiff neck. Once the child is symptom-free, or a health care provider indicates that the child poses no serious health risk to himself or herself or to other children, the child may return to the center. If a child who has already been admitted to the center manifests any of the illnesses or symptoms of illness specified in (c)1 above, the center shall remove the child from the group of well children to a separate room or area, as specified in N.J.A.C. 3A:52-5.3(q)4, until: i. He or she can be taken from the center; or ii. The director or his or her designee has communicated verbally with a health care provider, who indicates that the child poses no serious health risk to himself or herself or to other children, at which time the child may return to the group. The center may exclude a child whose illness prevents the child from participating comfortably in activities or results in a greater need for care than the staff can provide without compromising the health and safety of other children at the center. (d) The following provisions relate to excludable communicable diseases: The center shall not permit a child or staff member with an excludable communicable disease, as set forth in the Department of Health's Reporting Requirements for Communicable Diseases and Work-Related Conditions Quick Reference Guide, revised July 2011, and available at http://www.nj.gov/health/cd/documents/reportable_disease_magnet.pdf, incorporated herein by reference, as amended, and supplemented to be admitted to or remain at the center, until: i. A note from the child's or staff member's health care provider states that the child or staff member, respectively, has been diagnosed and presents no risk to himself, herself, or to others; ii. The center has contacted the Communicable Disease Program in the State Department of Health and Senior Services, or the local health department pediatric health consultant, and is told the child or staff member poses no health risk to others; or If the child or staff member has chicken pox, the center obtains a note from the parent or staff member stating that all sores have dried and crusted. ii. All CCDF-eligible licensed family child care homes. Provide the standard: N/A iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: N.J.A.C. 3A:54-6.9 ￿(a) The provider shall inform the sponsoring organization and the parents of enrolled children regarding the circumstances under which: 1. Sick children will be admitted to or excluded from the home; and 2. Medication will or will not be administered to children. (b) The provider shall follow policies and procedures recommended by the sponsoring organization if the provider chooses to: 1. Care for sick children in the home; or 2. Administer medication to children. (c) The provider shall inform the parents of all enrolled children when any person in the home has a communicable disease as indicated by the New Jersey Department of Health as requiring such notification (a list of the communicable diseases and the reporting requirements can be found on New Jersey Department of Health website at www.state.nj.us/health). The sponsoring organization shall make such information available to the providers.￿ vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Self- Arranged Care Inspection and Interview Checklist (DFDI No. 23-05-01) ￿45. Prohibit supervision by persons with communicable disease, impairment, or drug/alcohol-induced condition. Inform all parents when anyone in home has a communicable disease that requires notification as indicated by the New Jersey Department of Health.￿ vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For summer youth camps: N.J.A.C 8:25- 5.1 ￿(d) The health director shall develop a written outline of daily procedures for health surveillance of campers and staff. 1. The health director shall isolate any camper or staff member suspected of having a communicable disease, until medical assistance is obtained. 2. The health director shall document all obvious and unusual observations made during the daily health surveillance, as determined by the camp's established procedures in (d) above.￿ b. Provide the standards, appropriate to the provider setting and age of children, that address that children attending child care programs under CCDF are age-appropriately immunized, according to the latest recommendation for childhood immunizations of the respective State public health agency, for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: For licensed centers: N.J.A.C 3A:52-7.3(a)(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.￿ See also N.J.A.C 8:57-4.2 (￿A principal, director or other person in charge of a school, preschool, or child care facility shall not knowingly admit or retain any child whose parent or guardian has not submitted acceptable evidence of the child's immunization, according to the schedules specified in this subchapter.￿), which applies to child care centers. Once a child is enrolled in child care, they are required to meet New Jersey’s immunization policies, which includes before and after care programs (which must be licensed centers to receive assistance). ii. All CCDF-eligible licensed family child care homes. Provide the standard: N/A iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: For family child care providers: N.J.A.C. 3A:54-6.8(c) ￿(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.￿ vi. All CCDF-eligible license-exempt in-home care. Provide the standard: For approved homes: Self-Arranged Care Inspection and Interview Checklist (DFDI No. 23-05-01) Providers are required to ￿maintain an up-to-date immunization record in accordance with the recommended immunization schedule appropriate to the child’s age.￿ vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For summer youth camps: N.J.A.C. 8:25- 5.5(d) ￿All campers shall: Be immunized, with the vaccinations required for child-care center, preschool or school attendance, as appropriate for the camper's age, according to the immunization schedule set forth at Immunization of Pupils in School, N.J.A.C. 8:57-4; or provide a statement from a physician that immunization is in progress.￿ 5.3.2 Prevention of sudden infant death syndrome and the use of safe-sleep practices health and safety standard Provide the standards, appropriate to the provider setting and age of children, that address the prevention of sudden infant death syndrome and use of safe sleeping practices for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: For licensed centers: N.J.A.C. 3A:52-6.4 (a) For early childhood programs, the center shall provide opportunities for daily rest and sleep as follows: 1.For children 12 months of age and younger, the center shall ensure that each child is initially placed in a face-up sleeping position unless a different position is indicated in writing by the child's health care provider. 2. For children from 13 to 18 months of age, the center shall provide daily rest and sleep according to the child's physical needs and ensure that blankets or pillows do not cover the child's face. 3. Swaddling of children during rest and sleep is prohibited. 4. For children over the age of 18 months and under the age of four years, the center shall provide: i. Daily rest or sleep for each child who attends the center for four or more consecutive hours; ii. Daily rest or sleep for each child who attends the center for fewer than four consecutive hours, but whose individual physical needs call for a rest period while the child is at the center; and iii. An alternative quiet activity for each child who has rested or slept for 30 minutes and does not appear to need additional rest or sleep. (b) The center shall provide sleeping equipment for each child as follows: 1. For children 12 months of age and younger, the center shall provide for each child a crib, that complies with the Consumer Product Safety Commission's (CPSC) Federal Safety Standards for Full-Size and Non-Full-Size Baby Cribs; 16 CFR 1219 and 1220, which is incorporated herein by reference, and can be obtained through the CPSC's website at http://www.cpsc.gov/businfo/frnotices/fr11/cribfinal.pdf, playpen, or other Office of Licensing-approved sleeping equipment that meets the following requirements: i. Each crib or playpen shall be equipped with: (1) A firm, waterproof, snugly fitting mattress; (2) A clean, snugly fitting sheet; (3) Top rails that are at least 19 inches above the mattress; and (4) Slats that are not more than 2 3/8 inches apart. ii. Sleeping equipment shall be free of pillows and soft bedding, including, but not limited to, bumper pads, when occupied by a sleeping child. iii. Stackable cribs shall be prohibited. 2. For children over the age of 12 months and under the age of five years, the center shall provide for each child a crib that complies with the Consumer Product Safety Commission's (CPSC), Federal Safety Standards for Full-Size and Non-Full- Size Baby Cribs; 16 CFR 1219 and 1220, which is incorporated herein by reference, and can be obtained through the CPSC's website at http://www.cpsc.gov/businfo/frnotices/fr11/cribfinal.pdf, playpen, cot, mat, or other Office of Licensing-approved sleeping equipment that meets the following requirements: i. Each cot used for children between 13 and 18 months of age shall not exceed 14 inches above the floor level. ii. Each cot or mat used for rest and sleep shall be covered with a sheet, blanket or other covering. An additional covering shall be provided for use as a covering for each child. iii. Each mat used for rest and sleep shall be: (1) Placed on a surface that is warm, dry, clean and draft-free; (2) Water-repellent; (3) At least one inch thick; and (4) Stored so that there is no contact with the sleeping surface of another mat, or disinfected after each use, as specified in N.J.A.C. 3A:52-7.7(a)1. iv. Stackable cribs shall be prohibited. (c) Centers that operate after 7:00 P.M. shall comply with the following requirements for rest and sleep: 1. For children who attend the center for more than three hours after 7:00 P.M., the center shall: i. Establish bedtime schedules for each child in consultation with parent(s); ii. Ensure that any Office of Licensing-approved sleeping equipment, other than a bed or mat, has been fitted with a minimum one-inch-thick water-repellent mat or mattress; and iii. Ensure that each child is changed into sleeping garments. (d) All sleeping equipment shall meet the standards of a recognized safety organization (such as the Juvenile Products Manufacturers Association, the American Society for Testing and Materials, or the United States Consumer Product Safety Commission). (e) Sheets, blankets and other coverings shall be: 1. Changed when wet, soiled, or damaged; and 2. Changed before use by another child. (f) When cribs, playpens, cots, mats or other Office of Licensing-approved sleeping equipment are stored with sheets, blankets, or other coverings as single units, at least one item of each unit shall be labeled with child-identifying information. (g) When sheets, blankets and other coverings are not stored with sleeping equipment, each of these items shall be: 1. Labeled for each child; and 2. Stored separately for each child. (h) During rest and sleep periods, only one child shall occupy a crib, playpen, cot, mat, or other Office of Licensing-approved sleeping equipment at one time. (i) Children shall not use pacifiers with straps or other types of attachment devices.￿ ii. All CCDF-eligible licensed family child care homes. Provide the standard: N/A iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: N.J.A.C. 3A:54-6.13 ￿Providers shall comply with the rest and sleep requirements set forth at N.J.A.C. 3A:52-6.4, including provisions related to safety standards for cribs and sleeping surfaces.￿ vi. All CCDF-eligible license-exempt in-home care. Provide the standard: For approved homes: Approved Home Inspection Violation Report (DFDI No. 24-06-07) ￿Provide daily rest/sleep according to the child’s individual needs. Provide for children under 18 months: cots/1￿ mats/beds with rails/playpens/cribs with slats < 2 3/8￿ apart. Ensure each child has their own crib, playpen, bed, cot, or mat. Ensure cribs used for care are in good condition, sturdy, and have tight fitting mattresses. Prohibit stuffed toys, bumper pads and other soft products (i.e. pillows) in infant cribs, playpens or port-cribs. Ensure that all beds, cots, cribs, and mattresses have firm surfaces; meet the standards established by the Consumer Product Safety Commission. Prohibit enrolled children under seven years of age from using an upper bunk in bunk bed. Ensure guardrails are equipped on both sides of upper bunk; upper edge of guardrails no less than five inches above top surface of mattress; ladder used for entering or leaving the upper bunk. Provide individual sheets/blankets; replace if wet/soiled/damaged/used by another child; launder weekly. Ensure each child below one year of age is placed on their back in a face-up sleeping position.￿ vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For summer youth camps: None, but the CCDF-eligible summer youth camp program is limited to school-age children. DFDI No.: 13-05-02 5.3.3 Administration of medication, consistent with standards for parental consent health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the administration of medication for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: For licensed centers: N.J.A.C. 3A:52-7.5 ￿(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 (b) to (d) below. 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. (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: 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; iii. 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. 7. The center shall maintain on file a record of the following: i. The child's name and parental authorization for the center to administer medication or health care procedures; ii. The name of the medication or health care procedure; iii. The condition for which the medication or health care procedure is being used; iv. The instructions for administration, including the dosage and frequency; v. The date and time medication or a health care procedure was administered to a child and the name or initials of the staff member who administered it; and vi. Any adverse effect the medication can have or has had on the child. 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. 9. 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). 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.￿ ii. All CCDF-eligible licensed family child care homes. Provide the standard: N/A iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: For family child care providers: N.J.A.C. 3A:54-4.8(c) ￿The sponsoring organization shall make the following information available to providers: 1. A list of physical symptoms or conditions that indicate a child may have a communicable disease; 2. Guidelines for administration of medication, if applicable, which shall include that: i. All medication shall be kept in its original container; ii. The provider shall maintain, at the home, documentation of the child's name and written authorization from the parent or legal guardian for the provider to administer medication or health care procedures; and iii. The provider shall maintain, at the home, documentation of the date and time medication or a health care procedure was administered to a child and the name of the person who administered it;￿ N.J.A.C. 3A:54-6.8(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;￿ N.J.A.C. 3A:54-6.9 ￿(a) The provider shall inform the sponsoring organization and the parents of enrolled children regarding the circumstances under which: 1. Sick children will be admitted to or excluded from the home; and 2. Medication will or will not be administered to children. (b) The provider shall follow policies and procedures recommended by the sponsoring organization if the provider chooses to: 1. Care for sick children in the home; or 2. Administer medication to children. (c) The provider shall inform the parents of all enrolled children when any person in the home has a communicable disease as indicated by the New Jersey Department of Health as requiring such notification (a list of the communicable diseases and the reporting requirements can be found on New Jersey Department of Health website at www.state.nj.us/health). The sponsoring organization shall make such information available to the providers.￿ vi. All CCDF-eligible license-exempt in-home care. Provide the standard: For approved homes: Approved Home Inspection Violation Report (DFDI No. 24-06-07) ￿82. Maintain an individual record for each child in care including: name/birth date; parent's name/home address/phone number, work number; emergency contacts, child’s allergies to food, medication and/or drugs, and administration procedures according to parental consent, if applicable; child's health care provider medical insurance; parent’s authorization for emergency medical treatment; date of child’s enrollment/withdrawal and information pertaining to individual authorized to pick up child(ren).￿ vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For summer youth camps: N.J.A.C. 8:25-5.3 ￿(a) The health director or adult designee shall administer prescription medication only after receipt of written authorization from the camper's parent, guardian, prescriber, or in accordance with the camp's treatment procedures. 1. Each camper shall be identified prior to medication administration. (b) The health director shall establish written medical policies and procedures on the treatment of illness and injury and the administration of nonprescription drugs. (c) The health director shall ensure that all medications: 1. Are labeled and stored in the original container or prescription container, as applicable, and in accordance with manufacturer instructions; 2. Are stored in a secure area that is inaccessible to the campers; 3. That require refrigeration are kept in a separate, locked box in the refrigerator, in a locked refrigerator, or in a refrigerator in a locked medication room. i. The refrigerator shall have a thermometer to indicate temperature in conformance with United States Pharmacopeia requirements set forth in the 38th Revision of the United States Pharmacopoeia (USP XXXVIII), and the 33rd Revision of the National Formulary (NF XXXIII); 4. For external use are kept separate from drugs for internal use; and 5. Dispensed for one camper shall not be administered to another camper. (d) The health director shall insure that staff members are informed as to the medication needs of each camper under their direct supervision and any limitations commonly associated with the medication. (e) The health director shall maintain the following information on file in the camper's medical record when any medications are administered: 1. The camper's name and parental authorization; 2. The name of the medication administered; 3. The condition for which the medication is being used and any cautionary information specific to the medication; 4. The instructions for administration, including the dosage and frequency of administration; 5. The date, time, and name of the person administering the medication to the camper; 6. Any medication error; 7. Any adverse drug reaction; and 8. Whether any contact was made with the prescribing physician pursuant to (f) below. (f) The health director shall inform the prescribing physician of any medication error or adverse drug reaction. (g) The health director shall return any unused medication to the camper's parent or guardian within three working days after the camper's last day. 1. The health director shall destroy any medication he or she is unable to return. (h) The camp director or health director shall inform the parent or guardian prior to the time of enrollment if their youth camp does not administer medications.￿ b. Provide the standards, appropriate to the provider setting and age of children, that address obtaining permission from parents to administer medications to children for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: For licensed centers: N.J.A.C. 3A:52-7.5 ￿(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 (b) to (d) below. 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. (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: 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; iii. 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. 7. The center shall maintain on file a record of the following: i. The child's name and parental authorization for the center to administer medication or health care procedures; ii. The name of the medication or health care procedure; iii. The condition for which the medication or health care procedure is being used; iv. The instructions for administration, including the dosage and frequency; v. The date and time medication or a health care procedure was administered to a child and the name or initials of the staff member who administered it; and vi. Any adverse effect the medication can have or has had on the child. 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. 9. 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). 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.￿ ii. All CCDF-eligible licensed family child care homes. Provide the standard: N/A iii. All CCDF-eligible licensed in-home care. Provide the standard: [x]Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: For family child care providers: N.J.A.C. 3A:54-4.8(c) ￿The sponsoring organization shall make the following information available to providers: 1. A list of physical symptoms or conditions that indicate a child may have a communicable disease; 2. Guidelines for administration of medication, if applicable, which shall include that: i. All medication shall be kept in its original container; ii. The provider shall maintain, at the home, documentation of the child's name and written authorization from the parent or legal guardian for the provider to administer medication or health care procedures; and iii. The provider shall maintain, at the home, documentation of the date and time medication or a health care procedure was administered to a child and the name of the person who administered it;￿ vi. All CCDF-eligible license-exempt in-home care. Provide the standard: For approved homes: Approved Home Inspection Violation Report (DFDI No. 24-06-07) ￿82. Maintain an individual record for each child in care including: name/birth date; parent's name/home address/phone number, work number; emergency contacts, child’s allergies to food, medication and/or drugs, and administration procedures according to parental consent, if applicable; child's health care provider medical insurance; parent’s authorization for emergency medical treatment; date of child’s enrollment/withdrawal and information pertaining to individual authorized to pick up child(ren).￿ vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For summer youth camps: N.J.A.C. 8:25-5.3 ￿(a) The health director or adult designee shall administer prescription medication only after receipt of written authorization from the camper's parent, guardian, prescriber, or in accordance with the camp's treatment procedures. 1. Each camper shall be identified prior to medication administration. (b) The health director shall establish written medical policies and procedures on the treatment of illness and injury and the administration of nonprescription drugs. (c) The health director shall ensure that all medications: 1. Are labeled and stored in the original container or prescription container, as applicable, and in accordance with manufacturer instructions; 2. Are stored in a secure area that is inaccessible to the campers; 3. That require refrigeration are kept in a separate, locked box in the refrigerator, in a locked refrigerator, or in a refrigerator in a locked medication room. i. The refrigerator shall have a thermometer to indicate temperature in conformance with United States Pharmacopoeia requirements set forth in the 38th Revision of the United States Pharmacopoeia (USP XXXVIII), and the 33rd Revision of the National Formulary (NF XXXIII); 4. For external use are kept separate from drugs for internal use; and 5. Dispensed for one camper shall not be administered to another camper. (d) The health director shall insure that staff members are informed as to the medication needs of each camper under their direct supervision and any limitations commonly associated with the medication. (e) The health director shall maintain the following information on file in the camper's medical record when any medications are administered: 1. The camper's name and parental authorization; 2. The name of the medication administered; 3. The condition for which the medication is being used and any cautionary information specific to the medication; 4. The instructions for administration, including the dosage and frequency of administration; 5. The date, time, and name of the person administering the medication to the camper; 6. Any medication error; 7. Any adverse drug reaction; and 8. Whether any contact was made with the prescribing physician pursuant to (f) below. (f) The health director shall inform the prescribing physician of any medication error or adverse drug reaction. (g) The health director shall return any unused medication to the camper's parent or guardian within three working days after the camper's last day. 1. The health director shall destroy any medication he or she is unable to return. (h) The camp director or health director shall inform the parent or guardian prior to the time of enrollment if their youth camp does not administer medications.￿ 5.3.4 Prevention of and response to emergencies due to food and allergic reactions health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the prevention of emergencies due to food and allergic reactions for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: DFDI No.: 21-11-01 ￿Providers ensure that staff are prepared to prevent, recognize, and respond to emergencies due to food and other allergic reactions through the following procedures: 1. Providers ensure that staff receive training, such as the Health & Safety Basics: Requirements for Certification module, that covers: a) Preventing exposure to food and other allergens; b) Recognizing the symptoms of allergic reactions; and c) Treating allergic reactions. 2. For each child with an allergy, providers maintain a written care plan that includes: a) The food or other allergen to which the child is allergic; b) Measures to be taken to avoid exposing the child to that allergen; c) Specific symptoms that would indicate an allergic reaction; and d) A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses, and methods of prompt administration of any medications. The treatment plan should include any specific symptoms that would indicate the need to administer one or more medications. 3. Providers immediately notify parents/guardians of any suspected allergic reactions, as well as the ingestion of, or contact with, the food or other allergen even if a reaction does not occur. 4. Providers immediately contact the emergency medical services system whenever epinephrine has been administered. 5. Providers post each child’s food allergies prominently in the classroom and/or wherever food is served, but only with the permission of the parent/guardian.￿ ii. All CCDF-eligible licensed family child care homes. Provide the standard: N/A iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: DFDI No.: 21-11-01 ￿Providers ensure that staff are prepared to prevent, recognize, and respond to emergencies due to food and other allergic reactions through the following procedures: 1. Providers ensure that staff receive training, such as the Health & Safety Basics: Requirements for Certification module, that covers: a) Preventing exposure to food and other allergens; b) Recognizing the symptoms of allergic reactions; and c) Treating allergic reactions. 2. For each child with an allergy, providers maintain a written care plan that includes: a) The food or other allergen to which the child is allergic; b) Measures to be taken to avoid exposing the child to that allergen; c) Specific symptoms that would indicate an allergic reaction; and d) A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses, and methods of prompt administration of any medications. The treatment plan should include any specific symptoms that would indicate the need to administer one or more medications. 3. Providers immediately notify parents/guardians of any suspected allergic reactions, as well as the ingestion of, or contact with, the food or other allergen even if a reaction does not occur. 4. Providers immediately contact the emergency medical services system whenever epinephrine has been administered. 5. Providers post each child’s food allergies prominently in the classroom and/or wherever food is served, but only with the permission of the parent/guardian.￿ vi. All CCDF-eligible license-exempt in-home care. Provide the standard: DFDI No.: 21- 11-01 ￿Providers ensure that staff are prepared to prevent, recognize, and respond to emergencies due to food and other allergic reactions through the following procedures: 1. Providers ensure that staff receive training, such as the Health & Safety Basics: Requirements for Certification module, that covers: a) Preventing exposure to food and other allergens; b) Recognizing the symptoms of allergic reactions; and c) Treating allergic reactions. 2. For each child with an allergy, providers maintain a written care plan that includes: a) The food or other allergen to which the child is allergic; b) Measures to be taken to avoid exposing the child to that allergen; c) Specific symptoms that would indicate an allergic reaction; and d) A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses, and methods of prompt administration of any medications. The treatment plan should include any specific symptoms that would indicate the need to administer one or more medications. 3. Providers immediately notify parents/guardians of any suspected allergic reactions, as well as the ingestion of, or contact with, the food or other allergen even if a reaction does not occur. 4. Providers immediately contact the emergency medical services system whenever epinephrine has been administered. 5. Providers post each child’s food allergies prominently in the classroom and/or wherever food is served, but only with the permission of the parent/guardian.￿ vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: DFDI No.: 21-11-01 ￿Providers ensure that staff are prepared to prevent, recognize, and respond to emergencies due to food and other allergic reactions through the following procedures: 1. Providers ensure that staff receive training, such as the Health & Safety Basics: Requirements for Certification module, that covers: a) Preventing exposure to food and other allergens; b) Recognizing the symptoms of allergic reactions; and c) Treating allergic reactions. 2. For each child with an allergy, providers maintain a written care plan that includes: a) The food or other allergen to which the child is allergic; b) Measures to be taken to avoid exposing the child to that allergen; c) Specific symptoms that would indicate an allergic reaction; and d) A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses, and methods of prompt administration of any medications. The treatment plan should include any specific symptoms that would indicate the need to administer one or more medications. 3. Providers immediately notify parents/guardians of any suspected allergic reactions, as well as the ingestion of, or contact with, the food or other allergen even if a reaction does not occur. 4. Providers immediately contact the emergency medical services system whenever epinephrine has been administered. 5. Providers post each child’s food allergies prominently in the classroom and/or wherever food is served, but only with the permission of the parent/guardian.￿ b. Provide the standards, appropriate to the provider setting and age of children, that address the response to emergencies due to food and allergic reactions for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: DFDI No.: 21-11-01 ￿Providers ensure that staff are prepared to prevent, recognize, and respond to emergencies due to food and other allergic reactions through the following procedures: 1. Providers ensure that staff receive training, such as the Health & Safety Basics: Requirements for Certification module, that covers: a) Preventing exposure to food and other allergens; b) Recognizing the symptoms of allergic reactions; and c) Treating allergic reactions. 2. For each child with an allergy, providers maintain a written care plan that includes: a) The food or other allergen to which the child is allergic; b) Measures to be taken to avoid exposing the child to that allergen; c) Specific symptoms that would indicate an allergic reaction; and d) A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses, and methods of prompt administration of any medications. The treatment plan should include any specific symptoms that would indicate the need to administer one or more medications. 3. Providers immediately notify parents/guardians of any suspected allergic reactions, as well as the ingestion of, or contact with, the food or other allergen even if a reaction does not occur. 4. Providers immediately contact the emergency medical services system whenever epinephrine has been administered. 5. Providers post each child’s food allergies prominently in the classroom and/or wherever food is served, but only with the permission of the parent/guardian.￿ ii. All CCDF-eligible licensed family child care homes. Provide the standard: N/A iii. All CCDF-eligible licensed in-home care. Provide the standard:: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: DFDI No.: 21-11-01 ￿Providers ensure that staff are prepared to prevent, recognize, and respond to emergencies due to food and other allergic reactions through the following procedures: 1. Providers ensure that staff receive training, such as the Health & Safety Basics: Requirements for Certification module, that covers: a) Preventing exposure to food and other allergens; b) Recognizing the symptoms of allergic reactions; and c) Treating allergic reactions. 2. For each child with an allergy, providers maintain a written care plan that includes: a) The food or other allergen to which the child is allergic; b) Measures to be taken to avoid exposing the child to that allergen; c) Specific symptoms that would indicate an allergic reaction; and d) A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses, and methods of prompt administration of any medications. The treatment plan should include any specific symptoms that would indicate the need to administer one or more medications. 3. Providers immediately notify parents/guardians of any suspected allergic reactions, as well as the ingestion of, or contact with, the food or other allergen even if a reaction does not occur. 4. Providers immediately contact the emergency medical services system whenever epinephrine has been administered. 5. Providers post each child’s food allergies prominently in the classroom and/or wherever food is served, but only with the permission of the parent/guardian.￿ vi. All CCDF-eligible license-exempt in-home care. Provide the standard: DFDI No.: 21- 11-01 ￿Providers ensure that staff are prepared to prevent, recognize, and respond to emergencies due to food and other allergic reactions through the following procedures: 1. Providers ensure that staff receive training, such as the Health & Safety Basics: Requirements for Certification module, that covers: a) Preventing exposure to food and other allergens; b) Recognizing the symptoms of allergic reactions; and c) Treating allergic reactions. 2. For each child with an allergy, providers maintain a written care plan that includes: a) The food or other allergen to which the child is allergic; b) Measures to be taken to avoid exposing the child to that allergen; c) Specific symptoms that would indicate an allergic reaction; and d) A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses, and methods of prompt administration of any medications. The treatment plan should include any specific symptoms that would indicate the need to administer one or more medications. 3. Providers immediately notify parents/guardians of any suspected allergic reactions, as well as the ingestion of, or contact with, the food or other allergen even if a reaction does not occur. 4. Providers immediately contact the emergency medical services system whenever epinephrine has been administered. 5. Providers post each child’s food allergies prominently in the classroom and/or wherever food is served, but only with the permission of the parent/guardian.￿ vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: DFDI No.: 21-11-01 ￿Providers ensure that staff are prepared to prevent, recognize, and respond to emergencies due to food and other allergic reactions through the following procedures: 1. Providers ensure that staff receive training, such as the Health & Safety Basics: Requirements for Certification module, that covers: a) Preventing exposure to food and other allergens; b) Recognizing the symptoms of allergic reactions; and c) Treating allergic reactions. 2. For each child with an allergy, providers maintain a written care plan that includes: a) The food or other allergen to which the child is allergic; b) Measures to be taken to avoid exposing the child to that allergen; c) Specific symptoms that would indicate an allergic reaction; and d) A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses, and methods of prompt administration of any medications. The treatment plan should include any specific symptoms that would indicate the need to administer one or more medications. 3. Providers immediately notify parents/guardians of any suspected allergic reactions, as well as the ingestion of, or contact with, the food or other allergen even if a reaction does not occur. 4. Providers immediately contact the emergency medical services system whenever epinephrine has been administered. 5. Providers post each child’s food allergies prominently in the classroom and/or wherever food is served, but only with the permission of the parent/guardian.￿ 5.3.5 Building and physical premises safety, including the identification of and protection from hazards, bodies of water, and vehicular traffic health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the identification of and protection from building and physical premises hazards for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: For licensed centers: N.J.A.C. 3A:52-5.2 ￿(a) A person seeking a license or a Certificate of Life/Safety Approval to operate a center shall comply with all applicable provisions of the New Jersey Uniform Construction Code, as specified in N.J.A.C. 5:23 (hereinafter referred to as the "NJUCC"). 1. For newly constructed buildings, for existing buildings whose construction code group classification would change from that which it had been, or for existing buildings that require major alteration or renovation, the center shall obtain a Certificate of Occupancy (CO) issued by the municipality in which it is located, reflecting the center's compliance with the provisions of the NJUCC, and submit a copy of the CO to the Office of Licensing, for one of the following group classifications: i. E (Educational) for buildings accommodating children 2 1/2 years of age and older and having a total occupancy of six or more children; ii. I-4 (Institutional) for buildings accommodating one or more children less than 2 1/2 years of age; or iii. A-3 (Assembly) or one of the use group classifications specified in (a)1i or ii above for buildings accommodating school-age child care programs only. 2. Plan reviews for centers to be located in newly-constructed buildings shall be submitted as follows: i. In addition to submitting preliminary and final architectural drawings to the local construction official, a sponsor or sponsor representative that plans to construct a new or renovate an existing building for use as a center shall submit preliminary or final architectural drawings to the Office of Licensing for review and approval prior to beginning construction. ii. The sponsor or sponsor representative shall submit to the Office of Licensing revised final architectural drawings containing all Office of Licensing-required items listed in the plan review, if any, and secure final approval from the Office of Licensing prior to beginning construction. 3. For buildings constructed after the adoption of the NJUCC (1977), whose construction code group classification is already E, I-2, I-4, A-3, or A-4, and that have not had major alterations or renovations since receipt of the CO, the center shall obtain the CO issued by the municipality in which it is located at the time the building was originally constructed or approved for use in the NJUCC's E, I-2, I-4, A-3, or A-4 group classification. The center shall submit a copy of the building's CO to the Office of Licensing. 4. For existing buildings whose use prior to the adoption of the NJUCC (before 1977) was and continues to be for a center and that have not had major alterations or renovations, the center shall obtain a Certificate of Continued Occupancy (CCO) issued by the municipality in which it is located, reflecting the building's compliance with provisions of the municipality's construction code requirements that were in effect at the time it was originally constructed or converted for use as a center. The center shall submit a copy of the building's CCO and the center's current fire safety inspection certificate to the Office of Licensing. 5. The center shall be permitted to obtain a valid fire safety inspection certificate issued by the municipality in which it is located, based on a fire inspection conducted within the preceding 12 months, and submit a copy of the certificate to the Office of Licensing in lieu of a CO or CCO, if the center serves only children 2 1/2 years of age or older and is located in a public school building that is used as a public school. 6. The center shall obtain a new CO issued by the local municipality in which the center is located, and submit a copy to the Office of Licensing, reflecting the building's compliance with provisions of the applicable NJUCC group classification, whenever the center: i. Changes the building's use group classification to one other than the one prescribed on its original CO; ii. Makes a major alteration or renovation, as defined by the NJUCC, of the building or premises in which the center is located; iii. Increases the floor area or the number of stories to the building or premises in which the center is located; or iv. Relocates to another site. 7. Whenever a municipality grants to a center a written variation(s) from any of the requirements of the NJUCC, the Office of Licensing may accept such variation(s) as meeting the applicable requirement(s) of this chapter. i. If the Office of Licensing does not accept the variation, the non-acceptance shall be based on the best interests of the children in the center, and shall include consideration for their health and safety. The non-acceptance shall be based on the requirements of this chapter only, and shall not preclude the municipality from continuing to grant the variation. ii. If the center disagrees with the Office of Licensing, the center may seek a hearing in accordance with N.J.A.C. 3A:52-2.5(a) and the provisions of the Administrative Procedure Act, N.J.S.A. 52:14B-1, as implemented by the Uniform Administrative Procedure Rules, N.J.A.C. 1:1. 8. The center shall obtain a Life Hazard Use Registration certificate applicable to the center's licensed capacity and ages served pursuant to the Uniform Fire Safety Act, N.J.S.A. 52:27D-192 et seq. The center shall post this document in a prominent location within the center. (b) An applicant seeking a license or a Certificate of Life/Safety Approval to operate a center shall comply with all applicable provisions of the New Jersey Uniform Fire Code, as specified in N.J.A.C. 5:70 and hereinafter referred to as the NJUFC. The center shall obtain the building's fire safety inspection certificate issued by the municipality in which it is located, based on a fire inspection conducted within the preceding 12 months, reflecting the center's compliance with all applicable provisions of the NJUFC. The center shall maintain on file the building's fire safety inspection certificate. (c) If the center prepares meals, the center shall obtain a satisfactory Sanitary Inspection Certificate, as specified in N.J.A.C. 8:24, indicating that the kitchen is in compliance with the applicable requirements of the State Sanitary Code. The center shall maintain on file the Sanitary Inspection Certificate. (d) An applicant seeking the renewal of a license or of a Certificate of Life/Safety Approval to continue operating a center shall obtain and maintain on file a fire safety inspection certificate for the building based on a fire inspection conducted within the preceding 12 months. If the center prepares meals, the applicant seeking renewal shall obtain and maintain on file a satisfactory Sanitary Inspection Certificate, as specified in N.J.A.C. 8:24, indicating that the kitchen is in compliance with the applicable requirements of the State Sanitary Code, based on a sanitary inspection conducted within the preceding 12 months. (e) A center that plans to locate or is already located in a hospital or other health care facility, as defined in the Health Care Facilities Planning Act, N.J.S.A. 26:2H-1 et seq., shall obtain a letter from the Department of Health indicating that Department's approval. The center shall submit a copy of the approval letter to the Office of Licensing.￿ N.J.A.C. 3A:52-5.3 ￿(a) Indoor maintenance and sanitation requirements are as follows: 1. The center shall be free of moisture resulting from water leaks or seepage. 2. Floors, carpeting, walls, window coverings, ceilings, and other surfaces shall be kept clean and in good repair. 3. Stairways shall be free of tripping hazards, such as toys, boxes, loose steps, uneven treads, torn carpeting, raised strips, or uneven risers. 4. Carpeting shall be securely fastened to the floor. 5. Garbage receptacles shall be: i. Made of durable, leak-proof and nonabsorbent materials; ii. Covered in a secure manner; iii. Emptied to the outdoor garbage receptacle when filled; and iv. Maintained in a sanitary manner. 6. Food waste receptacles shall be lined and maintained in clean and sanitary condition. 7. The center shall be free of rodent or insect infestation and shall take immediate action to remove any infestation that may occur. The center shall maintain on file a record documenting the use of extermination services. 8. Pesticides for indoor and outdoor use shall be used in accordance with the manufacturer's directions and in keeping with the applicable provisions specified in N.J.A.C. 7:30-10, Pesticide Control Code. i. No pesticides shall be applied in or around a child care center during operating hours. ii. Before applying pesticides, all toys and non-permanent play equipment shall be removed from outdoor and indoor play areas. 9. Toilets, wash basins, kitchen sinks, and other plumbing shall be maintained in good operating and sanitary condition. 10. All corrosive agents, insecticides, bleaches, detergents, polishes, any products under pressure in an aerosol spray can, and any toxic substance shall be stored in a locked cabinet or in an enclosure located in an area not accessible to the children. 11. All windows and other glass surfaces that are not made of safety glass and that are located within 36 inches above the floor shall have protective guards. 12. Install window guards, with approval of the local fire official, or provide an alternative method to ensure that children cannot fall out of windows. 13. The center shall ensure that window blind cords and other cords and ropes that present risk of harm are inaccessible to children. 14. All balconies, rooftops, verandas, and all floor levels used by children that are above the first floor and subject the children to an open drop or atrium shall be protected by barriers consisting of safety glass, Plexiglas, or any other materials approved by the Office of Licensing. Such barriers shall extend at least five feet above the floor level. 15. Ventilation outlets shall be clean and free from obstructions, and filters shall be replaced when saturated. 16. Walls shall be painted or otherwise covered whenever there is evidence of: i. Excessive peeling or chipped paint; or ii. Heavily soiled conditions. 17. All televisions and computers shall be secured on a stable surface and shelving shall be secured and not be overloaded. 18. Ensure that microwave ovens, toaster ovens, and other portable devices used to heat or prepare food are out of children's reach, secured on a stable surface, and not in use when children are in the area in order to ensure the safety of children. 19. The center shall test for the presence of radon gas in each classroom on the lowest floor level used by children at least once every five years and shall post the test results in a prominent location in all buildings at the center, as specified in N.J.S.A. 30:5B-5.2. 20. The center shall comply with the provisions specified in P.L. 1999, c. 362 (N.J.S.A. 30:5B-5.5) requiring reports of drinking water tests to be posted in all buildings at the center when received from a water supply company or prepared by the center, for private wells and other non-public water sources. 21. The center shall ensure all guardrails accessible to children are no more than four inches apart or are otherwise protected to prevent head entrapment. (b) Outdoor maintenance and sanitation requirements are as follows: 1. The building, land, walkways, and outdoor play area shall be free from hazards to the health, safety or well-being of the children. 2. The outdoor play area shall be graded or provided with drains to dispose of surface water. 3. The building structure shall be maintained to prevent: i. Water from entering; ii. Excessive drafts or heat loss; and iii. Infestation from rodents and insects. 4. The railings of balconies, landings, porches, or steps shall be maintained in safe condition. 5. Garbage receptacles shall be: i. Made of durable, leakproof and nonabsorbent materials; ii. Covered in a secure manner and located in an outdoor area; and iii. Maintained in a sanitary manner. 6. Centers that provide outdoor space shall maintain all fencing in proper condition. 7. The center shall comply with the Playground Safety Subcode of the New Jersey Uniform Construction Code, as specified in N.J.A.C. 5:23-11. i. Centers that take children to a community playground shall ensure that the playground surfacing and all other elements comply with the Playground Safety Subcode before being used by the children. (c) Lighting requirements are as follows: 1. All fluorescent tubes and incandescent light bulbs shall have protective covers or shields. 2. During program activities, at least 20 foot-candles of natural or artificial light shall be provided in all rooms used by the children. This illumination shall be measured three feet above the floor at the farthest point from the light source. 3. Parking areas, pedestrian walkways, or other exterior portions of the premises subject to use by center occupants at night shall be illuminated to provide safe entrance to and egress from the center. (d) Heating requirements are as follows: 1. A minimum temperature of 68 degrees Fahrenheit shall be maintained in all areas used by the children including, but not limited to, classrooms and bathrooms. 2. Steam and hot water pipes and radiators shall be protected by screens, guards, insulation, or any other suitable, non-combustible protective device. 3. The center shall not use portable liquid fuel-burning or wood-burning heating appliances or electric space heaters. (e) All fans that are accessible to the children shall have a grille, screen, mesh, or other protective covering. (f) Toilet facility requirements are as follows: 1. A supply of soap, toilet paper, and individual hand towels or disposable paper towels shall be provided. 2. Mirrors, dispensers, and other equipment shall be fastened securely. 3. Platforms shall be available as appropriate for use by the children when adult size toilets, sinks, or urinals are used by the children. (g) A center utilizing a kitchen facility or food preparation area shall ensure that the cooking equipment and kitchen facility are kept in clean and sanitary condition and are operated in compliance with applicable provisions of the State Sanitary Code, as specified in N.J.A.C. 8:24. (h) Lead paint precautions are as follows: 1. The center shall be free from lead paint hazards. 2. The center shall comply with the lead paint inspection requirements specified in (h)3 below, unless the center: i. Is located in a building constructed after 1978; or ii. Submits documentation to the Office of Licensing of a previous lead paint inspection conducted by a Lead Inspector/Risk Assessor, who is certified and employed as specified in (h)3 below, indicating the center is free of lead-based paint hazards; or iii. Submits documentation to the Office of Licensing and the local department of health of: (1) A lead paint inspection and risk assessment conducted by a Lead Inspector/Risk Assessor, who is certified and employed as specified in (h)3 below, within the previous 12 months indicating the presence of lead; and (2) A lead paint risk management plan currently in progress at the center. 3. The center shall ensure that a lead paint inspection of all painted surfaces of the center is conducted by a Lead Inspector/Risk Assessor, who is certified by the New Jersey Department of Community Affairs (DCA) and employed by either a public health agency or a lead evaluation contractor certified by DCA, as specified in N.J.A.C. 5:17. i. If the lead paint inspection indicates the center is free of lead-based paint hazards, the center shall submit documentation of the inspection results to the Office of Licensing and the local department of health. ii. If the lead paint inspection indicates the presence of lead, the center shall ensure that a lead paint risk assessment of the center is conducted by a Lead Inspector/Risk Assessor, who is certified and employed as specified in (h)3 above. iii. The center shall submit documentation of the risk assessment results to the Office of Licensing and the local department of health. 4. If a lead paint risk assessment indicates the presence of a lead hazard, the center shall: i. Ensure that all lead hazards are abated pursuant to N.J.A.C. 5:17 and 5:23 by a Lead Abatement Contractor who is certified and employed as specified in (h)3 above; ii. Submit to the Office of Licensing and the local department of health a certificate of lead abatement issued by the local construction official, or other documentation as appropriate, reflecting that appropriate remedial action to abate the lead hazard has been completed; and iii. Inform the parents of all enrolled children that a lead paint hazard has been found at the center and will be or has been abated, as applicable. 5. If any area of the center is renovated or damaged after a lead paint risk assessment has been conducted, the center shall: i. Ensure that an additional risk assessment is conducted by a Lead Inspector/Risk Assessor who is certified and employed as specified in (h)3 above; and ii. Submit the results of the additional risk assessment to the Office of Licensing and the local department of health. 6. The center shall follow the recommendations of the local department of health for enclosure, removal or other appropriate action to abate lead hazards, and shall permit the local department of health to conduct follow-up inspections to ensure compliance with State statutes governing lead paint hazards. 7. If a previous lead paint inspection indicates the presence of lead, or a lead paint risk management plan is in progress at the center, the center shall: i. Ensure that a lead paint risk assessment is conducted by a Lead Inspector/Risk Assessor who is certified and employed as specified in (h)3 above, upon renewal of the center's license; and ii. Submit the results of the risk assessment to the Office of Licensing and the local department of health. (i) Environmental condition precautions are as follows: 1. 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 submit a written certification to the Office of Licensing indicating whether the building has ever housed a use that was classified under the Uniform Construction Code, N.J.A.C. 5:23, as any of the following: i. Group F - factory/industrial; ii. Group H - high hazard; iii. Group S - storage; iv. Group B - dry cleaners or nail salons; v. Group M - gas stations; or vi. Group A - funeral home. 2. For those buildings that predate the Uniform Construction Code, the facility operator shall at minimum, conduct a Preliminary Assessment in accordance with the Department of Environmental Protection's Technical Requirements for Site Remediation (N.J.A.C. 7:26E) to determine whether the building ever housed a use that would have been classified as any of those uses had the Uniform Construction Code been in effect. 3. In the event that the building housed a use that was or would have been classified as any of those uses listed in (i)1 above, the facility operator shall certify in writing to the Office of Licensing that: i. The site of the center complies with the Madden legislation (P.L. 2007 c. 1), the Site Remediation Reform Act (N.J.S.A. 58:10C-1 et seq.), the Technical Requirements for Site Remediation (N.J.A.C. 7:26E), and the Department of Environmental Protection's Guidance Document for Environmental Guidance for All Child Care Facilities and Education Institutions, incorporated by reference, as amended and supplemented, which can be found at http://nj.gov/dep/srp/guidance; ii. The facility operator has contacted the Department of Environmental Protection (DEP) to determine what further steps, if any, are necessary to address the risks posed by the prior historical use, and the facility operator has complied with all recommended corrective actions; iii. He or she has conducted an Indoor Environmental Health Assessment (IEHA) that has been performed by a Licensed Indoor Environmental Consultant in accordance with the Department of Health rules (N.J.A.C. 8:50); and iv. He or she has submitted the IEHA to the Department of Health for review and evaluation of the indoor environmental conditions in the building where the center is located. 4. Paragraphs (i)1 through 3 above shall not apply to any centers covered by N.J.A.C. 3A:52-2.3(e). 5. 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. i. 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. ii. If the results reveal elevated levels of lead or copper as defined by the New Jersey Department of Environmental Protection, Bureau of Safe Drinking Water, which pose risk of harm to children, the center shall: (1) Immediately discontinue use of all drinking water sources in the building; (2) Provide bottled water for drinking; (3) Provide bottled water for food preparation with approval from the local health official; and (4) Notify parents of the children in attendance at the center. If the facility or site is not provided a potable water supply by a public community water system, the applicant shall provide potable water sampling results demonstrating compliance with maximum contaminant levels for all contaminants required to be tested pursuant to N.J.A.C. 7:10-5 for public non-transient, non- community (NTNC) water systems, including radiological contaminants, regardless of whether they meet the definition of NTNC systems as defined at N.J.A.C. 7:10- 1.3. This sampling shall have been conducted within three years of the date of application submission, except nitrates and coliform, for which the sampling shall have been conducted within 90 days of submitting the application. 6. 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 complies with all existing Department of Children and Families regulatory requirements for child care centers with respect to radon, asbestos, and lead listed in (a)19 and (h) above and (j) below. 7. 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 facility operator shall submit to the Office of Licensing a No Further Action letter, Child Care Facility Approval letter, Response Action Outcome letter, or other approval, which indicates that no further remediation is needed for the site from the Department of Environmental Protection, which indicates that no further remediation is needed for the site on which the center is located. 8. At the time of the initial application, any renewal application, relocation of an existing licensed center, and, as determined by the Office of Licensing, on a case- by-case basis, the facility operator shall submit to the Office of Licensing a Safe Building Interior Certification or other approval issued by the Department of Health that indicates that no further remediation is needed for the interior of the building in which the center is located. 9. The Office of Licensing shall not issue licenses or renewals to child care centers that are co-located in a building or other structure that contains a dry cleaner or nail salon unless the applicant obtains indoor air sampling that demonstrates that there is no impact to the child care center. (j) Asbestos precautions are as follows: 1. The building shall comply with the applicable provisions of the Asbestos Hazard Abatement Subcode of the NJUCC, as specified in N.J.A.C. 5:23-8, as well as the NJDEP, as specified in N.J.A.C. 7:27-17.2. 2. An inspection for asbestos containing materials shall be conducted as part of the Indoor Environmental Health Assessment. If the New Jersey Department of Health determines that corrective action must be taken to minimize exposure potential, the sponsor or sponsor representative shall follow the recommendation of that department for enclosure, removal, or other appropriate action to remove the threat or risk of asbestos contamination, as specified in N.J.A.C. 5:23-8. (k) Swimming pool requirements are as follows: 1. Pools that are at least 24 inches in depth shall be defined as swimming pools and subject to the requirements specified in (k)2 below. 2. The center shall ensure that any swimming pool or natural bathing place used by the children complies with applicable provisions of the Public Recreational Bathing Rules, as specified in N.J.A.C. 8:26, and with applicable provisions of the Building Subcode and Barrier-free Subcode of the NJUCC, as specified in N.J.A.C. 5:23. 3. The center shall ensure that the children using swimming pools or natural bathing facilities are supervised in accordance with applicable provisions of the New Jersey Youth Camp Safety Act rules, as specified in N.J.A.C. 8:25. 4. If a child defecates in the swimming pool, all solid wastes shall be removed and the pool shall be super-chlorinated and not used until the chlorine level returns to levels identified as acceptable in the Public Recreational Bathing Rules, N.J.A.C. 8:26. 5. Wading pools that are 24 inches or less, are filled as needed, are portable, and do not have a filtration system are prohibited. (q) Space and room requirements are as follows: 1. All space and rooms within the center to be used by children shall be inspected and approved by the Office of Licensing prior to their use. In making its determination, the Office of Licensing shall consider whether the space is too far removed, remote, or isolated from other areas of the center to be used by children. i. For those rooms or areas that are too far removed, remote, or isolated from other centrally located rooms or areas of the center, the Office of Licensing may require the use of additional staff members, above those required for staff/child ratios, before granting approval. ii. Rooms or areas of the center that are not Office of Licensing-approved for use by children shall be made inaccessible to children. 2. At no time shall a center: i. Allow more children in attendance than the licensed capacity as specified on the license or the Certificate of Life/Safety Approval; ii. Allow more children in attendance than the licensed room capacity; or iii. Operate in violation of the written conditions on its license or Certificate of Life/Safety Approval including, but not limited to, capacity or age restrictions for specific classrooms. 3. Indoor space requirements for play rooms and sleep rooms are as follows: i. There shall be a minimum of 30 square feet of usable activity indoor floor space for each child in centers that: (1) Began operating prior to July 1, 1989; or (2) Began operating on or after July 1, 1989 and serve fewer than 16 children. i. There shall be a minimum of 35 square feet of usable activity indoor floor space for each child in centers that began operating on or after July 1, 1989 and serve 16 or more children. ii. The minimum square footage of usable activity indoor floor space shall be determined by excluding the space used in or by hallways, toilet facilities, offices, storage rooms, staff rooms, furnace rooms, kitchen areas, lockers, closets, and other stationary equipment or areas that children do not use for sleep or play. iii. Centers serving sick children shall comply with the variation provisions on determining net indoor floor space per child, as specified in N.J.A.C. 3A:52-8.4(a). iv. 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. 4. Separate room or area requirements for children who become ill are as follows: i. There shall be a room, section of a room, or a separate area in the center to which children who are exhibiting those illnesses, symptoms of illness, and diseases specified in N.J.A.C. 3A:52-7.1(c) shall be taken and where they shall be cared for until they can return home, be suitably cared for elsewhere, or be diagnosed as posing no health risk to themselves or others. ii. The separate room, section or area shall be furnished with sleeping equipment and sheets, blankets or other coverings. iii. Centers serving only sick children shall comply with the variation provision for separating ill children, as specified in N.J.A.C. 3A:52-8.4(b) and (c). (r) The center shall take any steps required by the Office of Licensing to correct conditions in the building or center that may endanger the health, safety, and well-being of the children served.￿ ii. All CCDF-eligible licensed family child care homes. Provide the standard: N/A iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: For family child care providers: N.J.A.C. 3A:54-6.3 ￿(a) The provider shall ensure that: 1. Adequate floor space is available for the children's activities. i. The provider shall arrange the play space and the furniture within the family child care home in order to allow adequate room for active and quiet play and for individual and group activities. ii. Program space shall not include the food preparation areas within the kitchen, bathrooms, hallways, stairways, closets, laundry rooms or areas, furnace rooms and storage spaces; 2. The temperature of rooms used by children is maintained at a minimum of 65 degrees Fahrenheit; 3. Floors, walls, ceilings, furniture, equipment and other surfaces are kept clean and in good repair; 4. Adequate ventilation is provided by means of open windows, fans, air conditioning or other mechanical ventilation systems; 5. Warm and cold running water are available; 6. Working indoor toilets are easily accessible to children; 7. Play equipment, materials, and furniture for indoor and outdoor use are of sturdy and safe construction, non-toxic, easy to clean, and free of hazards that may be injurious to young children. i. Furniture, appliances, or equipment with tipping hazards, such as chests, bookshelves, and televisions are secured; ii. Any hazardous equipment is made inaccessible to children or removed until rendered safe or replaced; and iii. Bathtubs, buckets, and other containers of water are emptied immediately after use; 8. Electricity is in service in the home; 9. The home contains sufficient furniture and equipment to accommodate the needs of the children in care; 10. A telephone shall be in service in the home at all times when children are in care; and 11. Pesticides for indoor and outdoor use shall be used according to the manufacturer's directions and in keeping with the applicable provisions specified in N.J.A.C. 7:30-10, Pesticide Control Code. i. No pesticides shall be applied while children are present. ii. Before applying pesticides, all toys and play equipment shall be removed from the area. iii. Children shall be removed from the area until the pesticide has dried or as long as recommended on the label.￿ N.J.A.C. 3A:54-6.5 ￿(a) The provider shall ensure that: 1. The home and its furnishings present no hazard to the health and safety of the children in care; 2. All items that may be hazardous to children, including medicines, poisonous plants, toxic substances, tobacco products, matches and sharp objects, are stored out of the reach of children; 3. Safety barriers are installed to prevent children from falling from stairs, ramps, balconies, porches (when used for child care activities), elevated play areas, and any areas that subject children to falls. i. Gates shall be provided at the top and bottom of each stairway, as appropriate, in areas of the home where infants and toddlers are in care. ii. Gates at the top of the stairs shall be hardware mounted to the wall for stability; 4. All electrical outlets that are accessible to the children are covered with safety caps, ground fault interrupters or have safety outlets installed; 5. A working flashlight is available for emergency lighting; 6. All firearms, other weapons (such as bb guns, paintball guns, hunting knives, bows, swords, and martial arts weapons), and ammunition are stored in locked areas out of the reach of children; 7. The home shall be free of exposed lead-based paint surfaces, which are flaking, peeling or chipped; 8. Unfinished areas of the home including, but not limited to, attics, basements, and additions shall not be used for the care of children; 9. Portable fans shall be kept out of reach of children; and 10. The use of trampolines by enrolled children is prohibited, and shall be inaccessible to the children during operating hours.￿ vi. All CCDF-eligible license-exempt in-home care. Provide the standard: For Approved Homes: Approved Home Inspection Violation Report (DFDI No. 24-06-07) ￿1. Provide adequate floor space for all children’s activities; arranged to allow for active/quiet and individual/group activities. 2. The temperature of rooms used by the children is maintained at a minimum of 65 degrees F. 3. Ensure floors, walls, ceilings, furniture, equipment, and other surfaces are kept clean, in good repair, and do not present any hazardous health and safety issues. 4. Ensure adequate ventilation is provided by means of an open window, fans, air conditioning or other mechanical ventilation systems. Ensure screens are present on open windows. 5. Ensure warm and cold running water is available. 6. Ensure working indoor toilets are easily accessible to children. 7. Ensure play equipment, materials and furniture for indoor and outdoor use are sturdy and safely constructed, non-toxic, easy to clean and free of hazards that may be injurious to children. 8. Ensure the home contains sufficient furniture and equipment to accommodate the needs of the children. 9. Ensure a telephone is in service in the home at all times when children are in care. 10. Ensure electricity is in service in the home. 11. Ensure pesticides for indoor and outdoor use are used in accordance to the manufacturer’s and/or exterminator’s directions and are kept out of reach of children in care. 12. Ensure children are removed from the area until the pesticide has dried or as long as recommended on the label or by exterminator.￿ vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For summer youth camps: N.J.A.C. 8:25-4.1 ￿(a) The youth camp operator shall ensure that the location of the youth camp does not present a fire, health, or safety hazard. 1. Any youth camp constructed after June, 1974, shall not be divided by a public highway or railroad. (b) The youth camp operator shall ensure that the youth camp is located on land that provides good natural drainage or is properly drained through engineered means, so that there is no standing water. (c) The youth camp operator or camp director shall protect campers from hazardous areas, such as roadways, cliffs, sinkholes, pits and abandoned excavations. 1. The youth camp operator or camp director shall ensure that all hazardous areas are guarded or fenced off and warning signs posted to eliminate the possibility of accidents.￿ N.J.A.C. 8:25-4.2 ￿(a) The youth camp operator shall ensure that youth camp structures and facilities are in compliance with local building, zoning, and health codes. 1. The youth camp operator or camp director at new camps and renovated facilities shall make available for review by the Department or local health authority, upon request, letters of approval or a Certificate of Occupancy, as the case may be, issued by the appropriate local authority. (b) The youth camp operator shall ensure that, in new construction of a resident youth camp, the enclosed structure containing sleeping quarters is separated in accordance with N.J.A.C. 5:23, the Uniform Construction Code per the structure's construction type and occupancy. (c) The camp director in a resident youth camp shall ensure that each camper is provided with his or her own bed and not less than 300 cubic feet of air space in his or her sleeping quarters, with at least two feet of space between the sides of each bed. 1. If tents are used as permanent sleeping quarters, the camp director shall ensure that at least 30 square feet of floor space is provided for each camper. (d) The camp director in a resident youth camp shall ensure that the total window or skylight area, as measured between stops, for every habitable room is 10 percent of the floor area of such room. 1. Campers or staff shall be able to open any windows and/or skylights at least 40 percent. (e) The camp director shall ensure that during fly season, every door, window, or other opening to the outside, which is used for ventilation is outfitted with a screen of at least 16 mesh. 1. Each screen door shall swing outward and have an operable self-closing device. (f) The camp director shall ensure that a health center is established and maintained on the campsite for the temporary isolation and treatment of sick or injured members of the camp community, in accordance with the following: 1. The health center may be a room, tent, or building; 2. Hot water shall be available at the health center; 3. If hot water is not readily available, hand sanitizing facilities, such as waterless hand sanitizers shall be maintained on-site at the health center; 4. The health center shall: i. Be protected from flies, vermin and insects where possible; ii. Be located so as to ensure privacy and quiet; iii. Be situated away from the kitchen or food preparation areas; and iv. Include medical equipment and supplies deemed necessary by the directing physician or the health director for the welfare of the campers; and 5. The health center shall be furnished with clean mattresses and sheets. i. Air mattresses or exercise pads may be used as a reasonable alternative providing that they are made of a cleanable material that can be easily disinfected. ii. More than one mattress may be necessary depending on the type and size of the camp, with no less than one mattress for the first 50 campers and one additional mattress for each additional 200 campers.￿ N.J.A.C. 8:25-4.3 ￿(a) The youth camp operator shall ensure that heating equipment conforms to the requirements of the New Jersey Uniform Construction Code at N.J.A.C. 5:23. (b) The camp director shall maintain the heating equipment at a minimum inside ambient temperature of 68 degrees Fahrenheit when the outside temperature less than 55 degrees Fahrenheit. (c) The camp director shall prohibit the use of portable heating devices in the youth camp. (d) The camp director shall ensure that all fireplaces and hot water and steam radiators and pipes are shielded to prevent burns.￿ N.J.A.C. 8:25-4.4 ￿(a) The camp director shall ensure that all equipment used in the youth camp's programs are of good quality and do not present undue risk of injury to campers or staff. (b) The camp director shall prohibit power equipment from being stored or left unattended in camp areas.￿ N.J.A.C. 8:25-13.1 ￿The youth camp operator shall ensure that the youth camp's electrical systems, equipment, and grounding conforms to the requirements of the New Jersey Uniform Construction Code, N.J.A.C. 5:23.￿ N.J.A.C. 8:25-13.2 (a) The youth camp operator shall ensure that the youth camp's buildings are in compliance with the requirements of the New Jersey Uniform Construction Code, N.J.A.C. 5:23 and the New Jersey Uniform Fire Code, N.J.A.C. 5:70, as applicable. (b) The youth camp operator shall ensure that the youth camp's buildings used in the preparation of food and drink are constructed and operated pursuant to the requirements of Sanitation in Retail Food Establishments and Food and Beverage Vending Machines, N.J.A.C. 8:24. b. Provide the standards, appropriate to the provider setting and age of children, that address the identification of and protection from bodies of water for the following CCDF- eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: For licensed centers: N.J.A.C. 3A:52-5.3 ￿(b) Outdoor maintenance and sanitation requirements are as follows: 1. The building, land, walkways, and outdoor play area shall be free from hazards to the health, safety or well-being of the children. (k) Swimming pool requirements are as follows: 1. Pools that are at least 24 inches in depth shall be defined as swimming pools and subject to the requirements specified in (k)2 below. 2. The center shall ensure that any swimming pool or natural bathing place used by the children complies with applicable provisions of the Public Recreational Bathing Rules, as specified in N.J.A.C. 8:26, and with applicable provisions of the Building Subcode and Barrier-free Subcode of the NJUCC, as specified in N.J.A.C. 5:23. 3. The center shall ensure that the children using swimming pools or natural bathing facilities are supervised in accordance with applicable provisions of the New Jersey Youth Camp Safety Act rules, as specified in N.J.A.C. 8:25. 4. If a child defecates in the swimming pool, all solid wastes shall be removed and the pool shall be super-chlorinated and not used until the chlorine level returns to levels identified as acceptable in the Public Recreational Bathing Rules, N.J.A.C. 8:26. 5. Wading pools that are 24 inches or less, are filled as needed, are portable, and do not have a filtration system are prohibited.￿ N.J.A.C. 3A:52-5.4 (a) For early childhood programs, the following shall apply: ￿7. Outdoor space requirements for children over the age of 10 months are as follows: i. For children in attendance for three or more consecutive hours, existing center(s) shall provide a minimum of 150 square feet of net outdoor space. When more than five children are using such a space at one time, there shall be 30 square feet of net outdoor space for each additional child in addition to the required minimum of 150 square feet. New and relocating centers licensed on or after September 1, 2013, shall provide a minimum of 350 square feet of net outdoor space. When more than 10 children are using such a space at one time, there shall be an additional 35 square feet of net outdoor space for each additional child in addition to the required minimum of 350 square feet. ii. The outdoor area for new and relocating centers licensed on or after September 1, 2013, shall be in close proximity and safe walking route of the center and available for use by the children. iii. Outdoor areas located near or adjacent to hazardous areas determined by the Office of Licensing to be unsafe (including, but not limited to, streets, roads, driveways, parking lots, railroad tracks, swimming pools, rivers, streams, steep grades, cliffs, open pits, high voltage boosters, or propane gas tanks) shall be fenced or otherwise protected by a natural or man-made barrier or enclosure. iv. The center shall not be required to meet the outdoor space requirement in (a)7i above, if the center can establish, to the satisfaction of the Office of Licensing, that: (1) Compliance with the requirement is impossible at the proposed center site or an alternative site, expected to serve the same geographic location; (2) There is a compelling need, as determined by the OOL on a case-by-case basis, for additional child care services in the local area; and (3) There is a designated indoor active play area not used toward the center's licensed capacity that provides 35 square feet per child for at least 25 percent of the licensed capacity of the facility with a minimum of 350 square feet; v. Centers serving only sick children shall comply with the variation provisions for outdoor space, as specified in N.J.A.C. 3A:52-8.4(f)1.￿ ii. All CCDF-eligible licensed family child care homes. Provide the standard: N/A iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: For family child care providers: N.J.A.C. 3A:54-6.6 ￿(a) The provider shall ensure that an adequate, safe outdoor play area is available either adjacent to or within walking distance of the home. (b) Swimming pools, and other containers and natural bodies of water at the family child care home shall be physically inaccessible to children, except when they are supervised as specified in (d) below and all local ordinances that apply to a swimming pool or natural bathing area must be adhered to. (c) Spa pools, hot tubs, and wading pools shall be inaccessible to children and their use shall be prohibited. (d) The following supervision requirements shall apply whenever enrolled children use a pool or other container or body of water at the family child care home or any other location: 1. For pools and other bodies of water that are 24 inches or more in depth: i. One person at least 18 years old shall directly supervise up to two children; ii. Two people, one of which is at least 18 years old shall directly supervise three or more children; and iii. The provider shall maintain a ring buoy with a rope, extension pole, or other device that can be used to rescue a swimmer in distress; 2. For pools and other containers or bodies of water that are less than 24 inches in depth, one person at least 18 years old shall directly supervise all the children. When the number of children using the pool requires a second caregiver to be present, as specified in N.J.A.C. 3A:54-6.1(b)2 or 6.2(b), both caregivers shall directly supervise the children; and 3. At least one person providing supervision shall be certified in cardiopulmonary resuscitation (CPR). (e) The provider shall obtain written consent from the parent(s) of each enrolled child before the child uses a pool or other body of water as specified in (d) above.￿ vi. All CCDF-eligible license-exempt in-home care. Provide the standard: For approved homes: Approved Home Inspection Violation Report (DFDI No. 24-06-07) ￿33. Ensure swimming pools, wading pools, hot tubs, whirlpools, ponds, and natural bodies of water are physically inaccessible to children, except when children are supervised and parent has given authorized permission for use. 34. Maintain devices that can be used for water rescue.￿ vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For summer youth camps: N.J.A.C. 8:25-9.1 ￿(a) The youth camp operator or camp director shall ensure that the youth camp uses swimming pools and bathing beaches, which conform to all applicable municipal ordinances, State statutes, and the Public Recreational Bathing rules, N.J.A.C. 8:26, except as otherwise specified in this subchapter. (b) The camp director shall ensure that the youth camp designates sections in its permanent swimming areas, if any, for non-swimmers, beginners, and swimmers. 1. The lifeguard supervisor shall designate these sections in accordance with the guidelines of his or her certification agency, as set forth at N.J.A.C. 8:25-9.2(a).￿ N.J.A.C. 8:25-9.2 ￿(a) All lifeguards and lifeguard supervisors in the youth camp, or any place where youth camp activities are conducted, who supervise wading, swimming, or watercraft programs shall be certified as lifeguards by a certification agency approved by the Department as listed in "Recognized Certifications (CPR-First Aid- Lifeguarding-Trained Pool Operator)," available at chapter Appendix D. 1. Each lifeguard and lifeguard supervisor's certification shall be appropriate to the level of training and supervision necessary for his or her position. 2. A lifeguard shall be at least 16 years of age, and a lifeguard supervisor shall be at least 18 years of age. (b) A lifeguard supervisor shall attend and supervise each non-instructional swimming program. 1. The lifeguard supervisor shall ensure that watercraft activities are conducted pursuant to the provisions of N.J.A.C. 8:25-9.4. (c) A lifeguard supervisor and one lifeguard shall be on duty, during non- instructional swimming, when there are 30 or fewer campers in the water. 1. One additional lifeguard shall be on duty for every additional 30 campers or fraction thereof that are in the water. (d) One lifeguard and two adults or one adult lifeguard and two counselors shall be on duty, during instructional swimming, when there are 30 or fewer campers in the water. 1. One additional lifeguard shall be on duty for every additional 30 campers or fraction thereof that are in the water. (e) One lifeguard with the assistance of two adults, for each 20 or fewer campers who are in the water, shall supervise swimming pools having a maximum depth of 36 inches and having a maximum swimming area of 500 square feet. 1. One additional lifeguard and one additional adult shall be on duty for every additional 20 campers or fraction thereof that are in the water. (f) The camp director shall ensure that the youth camp conducts off-site swimming activities only at public recreational bathing facilities having waterfront staffing in compliance with the Public Recreational Bathing rules, N.J.A.C. 8:26, and provides prior notification of arrival to the operator of the public recreational bathing facility. 1. Upon arrival at the public recreational bathing facility, the youth camp group leader shall notify the waterfront supervisor(s) of the public recreational bathing facility as to the size of the youth camp group, age range of the group, and any campers with disabilities, if accommodations are needed. 2. An adult, who is assisted by a counselor, shall be responsible for: i. The care and supervision of every 20 campers at off-site swimming activities; and ii. Maintaining the supervision ratios established at N.J.A.C. 8:25-3.2(i), (j) and (k). (g) The camp director shall ensure that the youth camp maintains written policies and procedures on-site delineating the youth camp's responsibilities for off-site swimming. 1. The camp director shall develop and implement a method to keep track of the location and safety of all campers during off-site swimming activities.￿ c. Provide the standards, appropriate to the provider setting and age of children, that address the identification of and protection from vehicular traffic hazards for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: For licensed centers: N.J.A.C. 3A:52-5.3 ￿(b) Outdoor maintenance and sanitation requirements are as follows: 1. The building, land, walkways, and outdoor play area shall be free from hazards to the health, safety or well-being of the children.￿ N.J.A.C. 3A:52-5.4 (a) For early childhood programs, the following shall apply: ￿7. Outdoor space requirements for children over the age of 10 months are as follows: i. For children in attendance for three or more consecutive hours, existing center(s) shall provide a minimum of 150 square feet of net outdoor space. When more than five children are using such a space at one time, there shall be 30 square feet of net outdoor space for each additional child in addition to the required minimum of 150 square feet. New and relocating centers licensed on or after September 1, 2013, shall provide a minimum of 350 square feet of net outdoor space. When more than 10 children are using such a space at one time, there shall be an additional 35 square feet of net outdoor space for each additional child in addition to the required minimum of 350 square feet. ii. The outdoor area for new and relocating centers licensed on or after September 1, 2013, shall be in close proximity and safe walking route of the center and available for use by the children. iii. Outdoor areas located near or adjacent to hazardous areas determined by the Office of Licensing to be unsafe (including, but not limited to, streets, roads, driveways, parking lots, railroad tracks, swimming pools, rivers, streams, steep grades, cliffs, open pits, high voltage boosters, or propane gas tanks) shall be fenced or otherwise protected by a natural or man-made barrier or enclosure. iv. The center shall not be required to meet the outdoor space requirement in (a)7i above, if the center can establish, to the satisfaction of the Office of Licensing, that: (1) Compliance with the requirement is impossible at the proposed center site or an alternative site, expected to serve the same geographic location; (2) There is a compelling need, as determined by the OOL on a case-by-case basis, for additional child care services in the local area; and (3) There is a designated indoor active play area not used toward the center's licensed capacity that provides 35 square feet per child for at least 25 percent of the licensed capacity of the facility with a minimum of 350 square feet; v. Centers serving only sick children shall comply with the variation provisions for outdoor space, as specified in N.J.A.C. 3A:52-8.4(f)1. ii. All CCDF-eligible licensed family child care homes. Provide the standard: N/A iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: N.J.A.C. 3A:54-6.6 ￿(a) The provider shall ensure that an adequate, safe outdoor play area is available either adjacent to or within walking distance of the home. vi. All CCDF-eligible license-exempt in-home care. Provide the standard: Approved Home Inspection Violation Report (DFDI No. 24-06-07) ￿Ensure that vehicular traffic hazards are identified and protected against.￿ vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For summer youth camps: N.J.A.C. 8:25-4.1 ￿(c) The youth camp operator or camp director shall protect campers from hazardous areas, such as roadways, cliffs, sinkholes, pits and abandoned excavations. 1. The youth camp operator or camp director shall ensure that all hazardous areas are guarded or fenced off and warning signs posted to eliminate the possibility of accidents.￿ 5.3.6 Prevention of shaken baby syndrome, abusive head trauma, and maltreatment health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the prevention of shaken baby syndrome and abusive head trauma and indicate the age of children it applies to for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: In New Jersey, the staff of all providers are also required to be trained in the prevention of shaken baby syndrome, abusive trauma, and child maltreatment. DFDI No.: 23-05-05. For licensed child care centers: N.J.A.C. 3A:52-6.7 ￿(a) Staff members shall not use hitting, shaking or any other form of corporal punishment of children. (b) Staff members shall not use abusive language, ridicule, harsh, humiliating or frightening treatment or any other form of emotional punishment of children. (c) Staff members shall not engage in or inflict any form of child abuse or neglect. (d) Staff members shall not withhold from children food, emotional responses, stimulation, or the opportunities for rest or sleep. (e) Staff members shall not require a child to remain silent or inactive for an inappropriately long period of time for the child's age. (f) Centers shall not prohibit staff members from or discipline staff members for: 1. Making good faith reports of suspected child abuse or neglect to the Division of Child Protection and Permanency or law enforcement; or 2. Taking photographs of children for the purpose of documenting injuries in support of a good-faith report of suspected child abuse or neglect to the Division of Child Protection and Permanency or law enforcement. ii. All CCDF-eligible licensed family child care homes. Provide the standard: N/A iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: For family child care providers: N.J.A.C. 3A:54-6.20 ￿(a) The method of guidance and discipline used by the provider shall: 1. Be positive; 2. Be consistent with the age and needs of the child; and 3. Help the child maintain self control. (b) The provider shall not subject a child to: 1. Humiliating or frightening treatment; 2. Loud, profane or abusive language; 3. Derogatory remarks about the child or the child's family; 4. Spanking, hitting, kicking, biting, shaking or inflicting physical pain in any manner; 5. Deprivation of food, sleep, or toilet access; 6. Force feeding; 7. The withholding of emotional responses or attention; 8. Long periods of enforced silence; 9. Physical or chemical restraints; or 10. Isolation in any area that cannot be seen and supervised by the provider. (c) Napping, toilet training or eating shall not be associated with punishment. (d) The provider and the child's parent(s) shall discuss and agree upon positive methods of discipline, in accordance with the provisions of (a), (b), and (c) above.￿ vi. All CCDF-eligible license-exempt in-home care. Provide the standard: For approved homes: Approved Home Inspection Violation Report (DFDI No. 24-06-07) ￿Use positive methods of guidance and discipline consistent with children’s age and developmental needs; help the child maintain self-control; prohibit humiliating or frightening treatment, loud profane, or abusive language, derogatory remarks about the child or the child’s family, spanking, hitting, kicking, biting, shaking or inflicting physical pain, trauma, or harm in any manner; deprivation of food, sleep or toilet access; force feeding; withholding of emotional responses or attention; long periods of enforced silence; physical or chemical restraints; isolation in any area that cannot be seen or supervised by the provider; punishment that is associated with napping, toilet training or eating.￿ vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For summer youth camps: N.J.A.C. 8:25-3.1 ￿(a) The camp director shall state in writing the youth camp's policies and practices for the discipline of its campers and provide a copy to all camp staff. 1. Youth camp staff and campers shall be prohibited from taking the following actions against any camper: deprivation of food, isolation, subjecting to corporal punishment or abusive physical exercise, as a means of punishment. (b) The camp director shall maintain reasonable groupings of campers, according to the age and the capabilities of each camper in all activities. (c) Any camp owner, operator, director, counselor, or other employee who has reason to believe that a camper has been or is being subjected to any form of hitting, corporal punishment, abusive language or ridicule, or harsh, humiliating or frightening treatment, or any kind of child abuse or neglect by any person shall immediately report such allegations to the Department of Children and Families, child abuse hotline at 1-877-NJAbuse (652-2873) or TTY or TDD 1-800-835-5510.￿ Note: There are no summer camp standards specific to shaken baby syndrome because the CCDF-eligible summer youth camp program is limited to school-age children. DFDI No.: 13-05-02 b. Provide the standards, appropriate to the provider setting and age of children, that address the prevention of child maltreatment and indicate the age of children it applies to for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: In New Jersey, the staff of all providers are also required to be trained in the prevention of shaken baby syndrome, abusive trauma, and child maltreatment. DFDI No.: 23-05-05. For licensed child care centers: N.J.A.C. 3A:52-6.7 ￿(a) Staff members shall not use hitting, shaking or any other form of corporal punishment of children. (b) Staff members shall not use abusive language, ridicule, harsh, humiliating or frightening treatment or any other form of emotional punishment of children. (c) Staff members shall not engage in or inflict any form of child abuse or neglect. (d) Staff members shall not withhold from children food, emotional responses, stimulation, or the opportunities for rest or sleep. (e) Staff members shall not require a child to remain silent or inactive for an inappropriately long period of time for the child's age. (f) Centers shall not prohibit staff members from or discipline staff members for: 1. Making good faith reports of suspected child abuse or neglect to the Division of Child Protection and Permanency or law enforcement; or 2. Taking photographs of children for the purpose of documenting injuries in support of a good-faith report of suspected child abuse or neglect to the Division of Child Protection and Permanency or law enforcement. ii. All CCDF-eligible licensed family child care homes. Provide the standard: N/A iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: For family child care providers: N.J.A.C. 3A:54-6.20 ￿(a) The method of guidance and discipline used by the provider shall: 1. Be positive; 2. Be consistent with the age and needs of the child; and 3. Help the child maintain self control. (b) The provider shall not subject a child to: 1. Humiliating or frightening treatment; 2. Loud, profane or abusive language; 3. Derogatory remarks about the child or the child's family; 4. Spanking, hitting, kicking, biting, shaking or inflicting physical pain in any manner; 5. Deprivation of food, sleep, or toilet access; 6. Force feeding; 7. The withholding of emotional responses or attention; 8. Long periods of enforced silence; 9. Physical or chemical restraints; or 10. Isolation in any area that cannot be seen and supervised by the provider. (c) Napping, toilet training or eating shall not be associated with punishment. (d) The provider and the child's parent(s) shall discuss and agree upon positive methods of discipline, in accordance with the provisions of (a), (b), and (c) above.￿ vi. All CCDF-eligible license-exempt in-home care. Provide the standard: For approved homes: Approved Home Inspection Violation Report (DFDI No. 24-06-07) ￿Use positive methods of guidance and discipline consistent with children’s age and developmental needs; help the child maintain self-control; prohibit humiliating or frightening treatment, loud profane, or abusive language, derogatory remarks about the child or the child’s family, spanking, hitting, kicking, biting, shaking or inflicting physical pain, trauma, or harm in any manner; deprivation of food, sleep or toilet access; force feeding; withholding of emotional responses or attention; long periods of enforced silence; physical or chemical restraints; isolation in any area that cannot be seen or supervised by the provider; punishment that is associated with napping, toilet training or eating.￿ vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For summer youth camps: N.J.A.C. 8:25-3.1 ￿(a) The camp director shall state in writing the youth camp's policies and practices for the discipline of its campers and provide a copy to all camp staff. 1. Youth camp staff and campers shall be prohibited from taking the following actions against any camper: deprivation of food, isolation, subjecting to corporal punishment or abusive physical exercise, as a means of punishment. (b) The camp director shall maintain reasonable groupings of campers, according to the age and the capabilities of each camper in all activities. (c) Any camp owner, operator, director, counselor, or other employee who has reason to believe that a camper has been or is being subjected to any form of hitting, corporal punishment, abusive language or ridicule, or harsh, humiliating or frightening treatment, or any kind of child abuse or neglect by any person shall immediately report such allegations to the Department of Children and Families, child abuse hotline at 1-877-NJAbuse (652-2873) or TTY or TDD 1-800-835-5510.￿ 5.3.7 Emergency preparedness and response planning standard Identify by checking below that the emergency preparedness and response planning due to natural disasters and human-caused events standard includes procedures in the following areas: i. [x] Evacuation ii. [x] Relocation iii. [x] Shelter-in-place iv. [x] Lock down v. Staff emergency preparedness [x] Training [x] Practice drills vi. Volunteer emergency preparedness [x] Training [x] Practice drills vii. [x] Communication with families viii. [x] Reunification with families ix. [x] Continuity of operations x. Accommodation of [x] Infants [x] Toddlers [x] Children with disabilities [x] Children with chronic medical conditions xi. If any of the above are not checked, describe: N/A 5.3.8 Handling and storage of hazardous materials and the appropriate disposal of biocontaminants health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the handling and storage of hazardous materials for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: For licensed child care centers: N.J.A.C. 3A:52-5.3 ￿(a) Indoor maintenance and sanitation requirements are as follows: 1. The center shall be free of moisture resulting from water leaks or seepage. 2. Floors, carpeting, walls, window coverings, ceilings, and other surfaces shall be kept clean and in good repair. 3. Stairways shall be free of tripping hazards, such as toys, boxes, loose steps, uneven treads, torn carpeting, raised strips, or uneven risers. 4. Carpeting shall be securely fastened to the floor. 5. Garbage receptacles shall be: i. Made of durable, leak-proof and nonabsorbent materials; ii. Covered in a secure manner; iii. Emptied to the outdoor garbage receptacle when filled; and iv. Maintained in a sanitary manner. 6. Food waste receptacles shall be lined and maintained in clean and sanitary condition. 7. The center shall be free of rodent or insect infestation and shall take immediate action to remove any infestation that may occur. The center shall maintain on file a record documenting the use of extermination services. 8. Pesticides for indoor and outdoor use shall be used in accordance with the manufacturer's directions and in keeping with the applicable provisions specified in N.J.A.C. 7:30-10, Pesticide Control Code. i. No pesticides shall be applied in or around a child care center during operating hours. ii. Before applying pesticides, all toys and non-permanent play equipment shall be removed from outdoor and indoor play areas. 9. Toilets, wash basins, kitchen sinks, and other plumbing shall be maintained in good operating and sanitary condition. 10. All corrosive agents, insecticides, bleaches, detergents, polishes, any products under pressure in an aerosol spray can, and any toxic substance shall be stored in a locked cabinet or in an enclosure located in an area not accessible to the children. 11. All windows and other glass surfaces that are not made of safety glass and that are located within 36 inches above the floor shall have protective guards. 12. Install window guards, with approval of the local fire official, or provide an alternative method to ensure that children cannot fall out of windows. 13. The center shall ensure that window blind cords and other cords and ropes that present risk of harm are inaccessible to children. 14. All balconies, rooftops, verandas, and all floor levels used by children that are above the first floor and subject the children to an open drop or atrium shall be protected by barriers consisting of safety glass, Plexiglas, or any other materials approved by the Office of Licensing. Such barriers shall extend at least five feet above the floor level. 15. Ventilation outlets shall be clean and free from obstructions, and filters shall be replaced when saturated. 16. Walls shall be painted or otherwise covered whenever there is evidence of: i. Excessive peeling or chipped paint; or ii. Heavily soiled conditions. 17. All televisions and computers shall be secured on a stable surface and shelving shall be secured and not be overloaded. 18. Ensure that microwave ovens, toaster ovens, and other portable devices used to heat or prepare food are out of children's reach, secured on a stable surface, and not in use when children are in the area in order to ensure the safety of children. 19. The center shall test for the presence of radon gas in each classroom on the lowest floor level used by children at least once every five years and shall post the test results in a prominent location in all buildings at the center, as specified in N.J.S.A. 30:5B-5.2. 20. The center shall comply with the provisions specified in P.L. 1999, c. 362 (N.J.S.A. 30:5B-5.5) requiring reports of drinking water tests to be posted in all buildings at the center when received from a water supply company or prepared by the center, for private wells and other non-public water sources. 21. The center shall ensure all guardrails accessible to children are no more than four inches apart or are otherwise protected to prevent head entrapment. (h) Lead paint precautions are as follows: 1. The center shall be free from lead paint hazards. 2. The center shall comply with the lead paint inspection requirements specified in (h)3 below, unless the center: i. Is located in a building constructed after 1978; or ii. Submits documentation to the Office of Licensing of a previous lead paint inspection conducted by a Lead Inspector/Risk Assessor, who is certified and employed as specified in (h)3 below, indicating the center is free of lead-based paint hazards; or iii. Submits documentation to the Office of Licensing and the local department of health of: (1) A lead paint inspection and risk assessment conducted by a Lead Inspector/Risk Assessor, who is certified and employed as specified in (h)3 below, within the previous 12 months indicating the presence of lead; and (2) A lead paint risk management plan currently in progress at the center. 3. The center shall ensure that a lead paint inspection of all painted surfaces of the center is conducted by a Lead Inspector/Risk Assessor, who is certified by the New Jersey Department of Community Affairs (DCA) and employed by either a public health agency or a lead evaluation contractor certified by DCA, as specified in N.J.A.C. 5:17. i. If the lead paint inspection indicates the center is free of lead-based paint hazards, the center shall submit documentation of the inspection results to the Office of Licensing and the local department of health. ii. If the lead paint inspection indicates the presence of lead, the center shall ensure that a lead paint risk assessment of the center is conducted by a Lead Inspector/Risk Assessor, who is certified and employed as specified in (h)3 above. iii. The center shall submit documentation of the risk assessment results to the Office of Licensing and the local department of health. 4. If a lead paint risk assessment indicates the presence of a lead hazard, the center shall: i. Ensure that all lead hazards are abated pursuant to N.J.A.C. 5:17 and 5:23 by a Lead Abatement Contractor who is certified and employed as specified in (h)3 above; ii. Submit to the Office of Licensing and the local department of health a certificate of lead abatement issued by the local construction official, or other documentation as appropriate, reflecting that appropriate remedial action to abate the lead hazard has been completed; and iii. Inform the parents of all enrolled children that a lead paint hazard has been found at the center and will be or has been abated, as applicable. 5. If any area of the center is renovated or damaged after a lead paint risk assessment has been conducted, the center shall: i. Ensure that an additional risk assessment is conducted by a Lead Inspector/Risk Assessor who is certified and employed as specified in (h)3 above; and ii. Submit the results of the additional risk assessment to the Office of Licensing and the local department of health. 6. The center shall follow the recommendations of the local department of health for enclosure, removal or other appropriate action to abate lead hazards, and shall permit the local department of health to conduct follow-up inspections to ensure compliance with State statutes governing lead paint hazards. 7. If a previous lead paint inspection indicates the presence of lead, or a lead paint risk management plan is in progress at the center, the center shall: i. Ensure that a lead paint risk assessment is conducted by a Lead Inspector/Risk Assessor who is certified and employed as specified in (h)3 above, upon renewal of the center's license; and ii. Submit the results of the risk assessment to the Office of Licensing and the local department of health. (i) Environmental condition precautions are as follows: 1. 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 submit a written certification to the Office of Licensing indicating whether the building has ever housed a use that was classified under the Uniform Construction Code, N.J.A.C. 5:23, as any of the following: i. Group F - factory/industrial; ii. Group H - high hazard; iii. Group S - storage; iv. Group B - dry cleaners or nail salons; v. Group M - gas stations; or vi. Group A - funeral home. 2. For those buildings that predate the Uniform Construction Code, the facility operator shall at minimum, conduct a Preliminary Assessment in accordance with the Department of Environmental Protection's Technical Requirements for Site Remediation (N.J.A.C. 7:26E) to determine whether the building ever housed a use that would have been classified as any of those uses had the Uniform Construction Code been in effect. 3. In the event that the building housed a use that was or would have been classified as any of those uses listed in (i)1 above, the facility operator shall certify in writing to the Office of Licensing that: i. The site of the center complies with the Madden legislation (P.L. 2007 c. 1), the Site Remediation Reform Act (N.J.S.A. 58:10C-1 et seq.), the Technical Requirements for Site Remediation (N.J.A.C. 7:26E), and the Department of Environmental Protection's Guidance Document for Environmental Guidance for All Child Care Facilities and Education Institutions, incorporated by reference, as amended and supplemented, which can be found at http://nj.gov/dep/srp/guidance; ii. The facility operator has contacted the Department of Environmental Protection (DEP) to determine what further steps, if any, are necessary to address the risks posed by the prior historical use, and the facility operator has complied with all recommended corrective actions; iii. He or she has conducted an Indoor Environmental Health Assessment (IEHA) that has been performed by a Licensed Indoor Environmental Consultant in accordance with the Department of Health rules (N.J.A.C. 8:50); and iv. He or she has submitted the IEHA to the Department of Health for review and evaluation of the indoor environmental conditions in the building where the center is located. 4. Paragraphs (i)1 through 3 above shall not apply to any centers covered by N.J.A.C. 3A:52-2.3(e). 5. 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. i. 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. ii. If the results reveal elevated levels of lead or copper as defined by the New Jersey Department of Environmental Protection, Bureau of Safe Drinking Water, which pose risk of harm to children, the center shall: (1) Immediately discontinue use of all drinking water sources in the building; (2) Provide bottled water for drinking; (3) Provide bottled water for food preparation with approval from the local health official; and (4) Notify parents of the children in attendance at the center. iii. If the facility or site is not provided a potable water supply by a public community water system, the applicant shall provide potable water sampling results demonstrating compliance with maximum contaminant levels for all contaminants required to be tested pursuant to N.J.A.C. 7:10-5 for public non- transient, non-community (NTNC) water systems, including radiological contaminants, regardless of whether they meet the definition of NTNC systems as defined at N.J.A.C. 7:10-1.3. This sampling shall have been conducted within three years of the date of application submission, except nitrates and coliform, for which the sampling shall have been conducted within 90 days of submitting the application. 6. 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 complies with all existing Department of Children and Families regulatory requirements for child care centers with respect to radon, asbestos, and lead listed in (a)19 and (h) above and (j) below. 7. 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 facility operator shall submit to the Office of Licensing a No Further Action letter, Child Care Facility Approval letter, Response Action Outcome letter, or other approval, which indicates that no further remediation is needed for the site from the Department of Environmental Protection, which indicates that no further remediation is needed for the site on which the center is located. 8. At the time of the initial application, any renewal application, relocation of an existing licensed center, and, as determined by the Office of Licensing, on a case- by-case basis, the facility operator shall submit to the Office of Licensing a Safe Building Interior Certification or other approval issued by the Department of Health that indicates that no further remediation is needed for the interior of the building in which the center is located. 9. The Office of Licensing shall not issue licenses or renewals to child care centers that are co-located in a building or other structure that contains a dry cleaner or nail salon unless the applicant obtains indoor air sampling that demonstrates that there is no impact to the child care center. (j) Asbestos precautions are as follows: 1. The building shall comply with the applicable provisions of the Asbestos Hazard Abatement Subcode of the NJUCC, as specified in N.J.A.C. 5:23-8, as well as the NJDEP, as specified in N.J.A.C. 7:27-17.2. 2. An inspection for asbestos containing materials shall be conducted as part of the Indoor Environmental Health Assessment. If the New Jersey Department of Health determines that corrective action must be taken to minimize exposure potential, the sponsor or sponsor representative shall follow the recommendation of that department for enclosure, removal, or other appropriate action to remove the threat or risk of asbestos contamination, as specified in N.J.A.C. 5:23-8. (k) Play equipment, materials, and furniture for indoor and outdoor use shall be of sturdy and safe construction, non-toxic, free of hazards, and used in accordance with the manufacturer's instructions. The center may not use play equipment intended for outdoor use indoors.￿ ii. All CCDF-eligible licensed family child care homes. Provide the standard: N/A iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: For family child care providers: N.J.A.C. 3A:54-6.5 ￿(a) The provider shall ensure that: 1. The home and its furnishings present no hazard to the health and safety of the children in care; 2. All items that may be hazardous to children, including medicines, poisonous plants, toxic substances, tobacco products, matches and sharp objects, are stored out of the reach of children; 3. Safety barriers are installed to prevent children from falling from stairs, ramps, balconies, porches (when used for child care activities), elevated play areas, and any areas that subject children to falls. i. Gates shall be provided at the top and bottom of each stairway, as appropriate, in areas of the home where infants and toddlers are in care. ii. Gates at the top of the stairs shall be hardware mounted to the wall for stability; 4. All electrical outlets that are accessible to the children are covered with safety caps, ground fault interrupters or have safety outlets installed; 5. A working flashlight is available for emergency lighting; 6. All firearms, other weapons (such as bb guns, paintball guns, hunting knives, bows, swords, and martial arts weapons), and ammunition are stored in locked areas out of the reach of children; 7. The home shall be free of exposed lead-based paint surfaces, which are flaking, peeling or chipped; 8. Unfinished areas of the home including, but not limited to, attics, basements, and additions shall not be used for the care of children; 9. Portable fans shall be kept out of reach of children; and 10. The use of trampolines by enrolled children is prohibited, and shall be inaccessible to the children during operating hours.￿ vi. All CCDF-eligible license-exempt in-home care. Provide the standard: For approved homes: Approved Home Inspection Violation Report (DFDI No. 24-06-07) ￿69. Ensure that all adults and children wash their hands with soap and running water: before preparing/serving food; after toileting/assisting a child in toileting; after changing diapers; after contact with body fluids; after caring for animals or their equipment; after contact with animal body secretions; and ensure the appropriate disposal of bio contaminants. Hazardous cleaning solutions, chemicals, and poisons must be labeled and kept in an enclosed cabinet that is not accessible to children. Ensure the appropriate handling and storage of any other hazardous materials.￿ vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For summer youth camps: N.J.A.C. 8:25-6.2 ￿The camp director shall ensure that the storage and handling of flammable liquids and hazardous substances conforms with the requirements of the New Jersey Uniform Construction Code at N.J.A.C. 5:23 and applicable local laws and ordinances.￿ b. Provide the standards, appropriate to the provider setting and age of children, that address the disposal of bio contaminants for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: DFDI No.: 21-11-01 ￿Staff properly dispose of all bio-contaminants to safeguard against the spread of infectious disease including as follows: 1. Staff discard disposable rubber gloves that come into contact with a bio- contaminant after each use. 2. Staff discard tissues, paper towels, disposable wipes, and similar products that come into contact with a bio-contaminant after each use. 3. Staff place soiled disposable diapers in a closed container that is lined with a leak-proof or impervious lining. Staff remove the soiled disposable diapers from the facility and place them in a closed garbage receptacle outside the building on a daily basis. 4. Staff place soiled non-disposable diapers in a sealed plastic container that has been labeled with the child's name and return these diapers to the child's parent/guardian at the end of the day. 5. Staff place soiled clothes in a sealed plastic container that has been labeled with the child's name and return the clothes to the child's parent/guardian at the end of the day or launder the clothes at the facility.￿ ii. All CCDF-eligible licensed family child care homes. Provide the standard: N/A iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: DFDI No.: 21-11-01 ￿Staff properly dispose of all bio-contaminants to safeguard against the spread of infectious disease including as follows: 1. Staff discard disposable rubber gloves that come into contact with a bio- contaminant after each use. 2. Staff discard tissues, paper towels, disposable wipes, and similar products that come into contact with a bio-contaminant after each use. 3. Staff place soiled disposable diapers in a closed container that is lined with a leak-proof or impervious lining. Staff remove the soiled disposable diapers from the facility and place them in a closed garbage receptacle outside the building on a daily basis. 4. Staff place soiled non-disposable diapers in a sealed plastic container that has been labeled with the child's name and return these diapers to the child's parent/guardian at the end of the day. 5. Staff place soiled clothes in a sealed plastic container that has been labeled with the child's name and return the clothes to the child's parent/guardian at the end of the day or launder the clothes at the facility.￿ vi. All CCDF-eligible license-exempt in-home care. Provide the standard: DFDI No.: 21- 11-01 ￿Staff properly dispose of all bio-contaminants to safeguard against the spread of infectious disease including as follows: 1. Staff discard disposable rubber gloves that come into contact with a bio- contaminant after each use. 2. Staff discard tissues, paper towels, disposable wipes, and similar products that come into contact with a bio-contaminant after each use. 3. Staff place soiled disposable diapers in a closed container that is lined with a leak-proof or impervious lining. Staff remove the soiled disposable diapers from the facility and place them in a closed garbage receptacle outside the building on a daily basis. 4. Staff place soiled non-disposable diapers in a sealed plastic container that has been labeled with the child's name and return these diapers to the child's parent/guardian at the end of the day. 5. Staff place soiled clothes in a sealed plastic container that has been labeled with the child's name and return the clothes to the child's parent/guardian at the end of the day or launder the clothes at the facility.￿ vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: DFDI No.: 21-11-01 ￿Staff properly dispose of all bio-contaminants to safeguard against the spread of infectious disease including as follows: 1. Staff discard disposable rubber gloves that come into contact with a bio- contaminant after each use. 2. Staff discard tissues, paper towels, disposable wipes, and similar products that come into contact with a bio-contaminant after each use. 3. Staff place soiled disposable diapers in a closed container that is lined with a leak-proof or impervious lining. Staff remove the soiled disposable diapers from the facility and place them in a closed garbage receptacle outside the building on a daily basis. 4. Staff place soiled non-disposable diapers in a sealed plastic container that has been labeled with the child's name and return these diapers to the child's parent/guardian at the end of the day. 5. Staff place soiled clothes in a sealed plastic container that has been labeled with the child's name and return the clothes to the child's parent/guardian at the end of the day or launder the clothes at the facility.￿ 5.3.9 Precautions in transporting children health and safety standard Provide the standards, appropriate to the provider setting and age of children, that address precautions in transporting children for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: For licensed child care centers: N.J.A.C. 3A:52-9.3 ￿(a) The center shall ensure that each vehicle used to provide transportation of enrolled children to and from the center, as specified in N.J.A.C. 3A:52-9.1(a), except private passenger vehicles, is equipped with the following: 1. Three triangular portable red reflector warning devices; 2. A fully charged fire extinguisher, with a gauge and with a minimum underwriters' rating of 2A 10BC, which shall be located at the front and securely mounted to the right of the driver in a way that does not constitute an obstruction or hazard to the passengers; 3. A seat belt cutter; 4. A removable first-aid kit located in an accessible place within the vehicle; and 5. Forward-facing seats, excluding folding seats and jump seats. Each seat exit shall be clear of obstructions. (b) The center shall ensure that each Type I School Bus has school vehicle Type I, "S1" designated license plates and a valid School Bus inspection sticker issued by the Motor Vehicle Commission (MVC). (c) The center shall ensure that each Type II School Bus has school vehicle Type II, "S2" designated license plates and a valid School Bus inspection sticker issued by the MVC. (d) The center shall ensure that each Type S School Vehicle: 1. Has school vehicle Type II, "S2" designated license plates and a valid School Bus inspection sticker issued by the MVC; 2. Is equipped with a spare tire and a jack; and 3. Meets the requirements specified by the MVC. (e) The center shall use a Type I School Bus, Type II School Bus or Type S School Vehicle at all times when transporting children, except as specified in (f) and (g) below. (f) Any center may authorize staff members or parents of enrolled children to utilize their own private passenger vehicles to transport children from the center to and from scheduled center field trips, outings, or special events (such as visits to the zoo, library, or museum) or to transport children from the center to a hospital, clinic, or office for medical treatment, pursuant to N.J.S.A. 18A:39-20.1. However, staff members and parents may be authorized to do so only if: 1. The vehicle has a capacity of nine or fewer persons; 2. The driver possesses a valid Basic automobile driver's license issued by the MVC or a valid automobile driver's license issued by an approved out-of-State motor vehicle agency for the state in which the driver is a legal resident; 3. The vehicle has a valid motor vehicle inspection sticker issued by the MVC or by an approved out-of-State motor vehicle agency for the state in which the vehicle is legally registered; 4. The vehicle owner possesses vehicle liability insurance at least at the minimum amounts required by New Jersey State insurance law, pursuant to N.J.S.A. 17:28- 1.1a, or at least at the minimum amounts required by a state other than New Jersey in which the vehicle is legally registered; 5. The center maintains transportation records on each vehicle, as specified in N.J.A.C. 3A:52-9.7(b); and 6. The center ensures that the driver and additional adults apply the safety practices, as specified in N.J.A.C. 3A:52-9.5(a) through (d) and (g) through (m). (g) For school-age child care programs, the center may use an autobus under the jurisdiction of the Department of Transportation when chartered for scheduled center field trips, outings, or special events, provided that the driver and each additional adult apply the safety practices, as specified in N.J.A.C. 3A:52-9.5(a) through (e), (h), and (j) through (m). (h) A center that provides or arranges transportation for physically disabled non- ambulatory children shall meet the additional vehicle requirements specified by the MVC.￿ N.J.A.C. 3A:52-9.4 ￿(a) If a center uses a Type I School Bus, Type II School Bus, or Type S School Vehicle, the center shall: 1. Meet all applicable rules of the Motor Vehicle Commission (MVC), Department of Education, and Department of Children and Families; 2. Ensure that each driver of such a vehicle possesses a valid Commercial Driver License (CDL) in at least Class B or Class C, with a passenger endorsement, as required by the MVC for the gross vehicle weight rating (GVWR) of the vehicle, or an out-of-State equivalent license, as approved by the MVC; and 3. Submit a list of all drivers to the MVC when the vehicle is inspected by the MVC.￿ N.J.A.C. 3A:52-9.5 ￿(a) Children shall never be left unattended in a vehicle. (b) Children shall be accepted and discharged from the curbside of the vehicle. (c) The interior and exterior of each vehicle shall be maintained in clean and safe condition, with clear passage to operable doors. (d) All vehicles that are utilized to transport children shall be equipped with car seats (child passenger restraint systems) and booster seats that meet Federal motor vehicle safety standards, as appropriate for the age and weight of the children transported, in accordance with applicable provisions of Motor Vehicle Commission (MVC) law, pursuant to N.J.S.A. 39:3-76.2a and f or 39:3B-10 and 11, as applicable. (e) The driver shall not transport more persons, including children and adults, than: 1. The occupancy of the Type I School Bus, as indicated by the vehicle manufacturer; or 2. The occupancy of the Type II School Bus, Type S School Vehicle, or other approved vehicle, as determined by the number of operable seat belts. (f) The driver and each additional adult on the Type I School Bus shall ensure that: 1. All passengers are seated and remain seated when the bus is in motion; and 2. All passengers below 18 months of age are secured in the proper restraint system, as specified in (d) above, when the bus is in motion. (g) The driver and each additional adult(s) on the Type II School Bus, Type S School Vehicle, and private passenger vehicle shall ensure that: 1. All passengers are seated and remain seated when the vehicle is in motion; and 2. Each child is secured in an operable seat belt or proper restraint system or booster seat, if applicable as specified in (e) above, when the vehicle is in motion. (h) There shall be no standees in any vehicle transporting children. (i) The center shall conduct two emergency evacuation drills each year for passengers who ride the Type I or Type II School Bus. (j) The driver shall conduct a daily check of the vehicle, which shall include all safety equipment, to ensure that the vehicle is in sound operating condition. (k) The driver shall conduct a check of the vehicle, after each run is completed, to ensure that no child has been left in the vehicle. (l) Smoking shall be prohibited in all vehicles when occupied by children. (m) For children below six years of age, the driver or additional adult(s) shall ensure that each child discharged from the vehicle is received by his or her parent or person designated by a child's parent. (n) Children shall not remain in any vehicle for more than one hour at any given time on a daily basis.￿ N.J.A.C. 3A:52-9.7 ￿(a) When the center transports children in a vehicle other than a private passenger vehicle, as specified in N.J.A.C. 3A:52-9.3(f), or a chartered autobus, as specified in N.J.A.C. 3A:52-9.3(g), the center shall maintain on file: 1. A record of each child transported; 2. The name and address of each driver; 3. A photostatic copy of each driver's valid driver's license; and 4. The year, make and model of each vehicle used by the center to transport children. (b) For center-authorized drivers providing periodic transportation in private passenger vehicles, the center shall maintain on file a checklist indicating that the provisions specified in N.J.A.C. 3A:52-9.3(f) have been met. (c) The center shall maintain on file the names and addresses of the person(s) designated as the additional adult(s) and the license numbers of the school bus(es) or vehicle(s) to which they are assigned. (d) The center shall maintain on file inspection and maintenance records for each vehicle, other than a private passenger vehicle or chartered autobus, used by the center to transport children. The center shall: 1. Ensure that each Type I School Bus, Type II School Bus and Type S School Vehicle is inspected by the Motor Vehicle Commission twice a year; 2. Ensure that the inspection and maintenance records for each vehicle meet the requirements specified in N.J.A.C. 13:20-30.3; and 3. For vehicles that have been leased or otherwise contracted for, maintain on file the name and address of the leaser or contractor furnishing the vehicle. (e) The records specified in (d) above shall be retained in the center's files for the life of the vehicle. (f) Documentation of emergency evacuation drills for all passengers who ride the Type I or Type II School Bus shall be maintained in a log containing the following information: 1. The date of the drill; 2. The number of passengers; 3. The time taken to evacuate the bus; and 4. The signature of the person conducting the drill. (g) If transportation services are provided by the center, or by a firm under contract to or other arrangement with the center, the center shall maintain on file a copy of its own vehicle liability insurance, or of that firm's name and vehicle liability insurance coverage in the amount(s) specified in N.J.A.C. 3A:52-9.6. (h) The center shall obtain written authorization from the parent or guardian before transporting a child to or from the center.￿ ii. All CCDF-eligible licensed family child care homes. Provide the standard: N/A iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: For family child care providers: N.J.A.C. 3A:54-6.7 ￿(a) Whenever the provider transports enrolled children, the provider shall comply with all applicable State laws and rules regarding: 1. The use of infant seats, child passenger restraint systems, and seat belts pursuant to N.J.S.A. 39:3-76.2a et seq.; 2. The possession of a valid automobile driver's license and valid vehicle inspection sticker; and 3. The possession of vehicle liability insurance. (b) The provider shall ensure that the parents of all enrolled children are informed when their children are taken on walks away from the home. The provider may utilize a blanket permission slip for taking children on walks only if: 1. Walks are within the provider's neighborhood; 2. The provider makes arrangements for the handling of visits or calls from parents either by: i. Having someone remain at the home; or ii. Utilizing a cellular telephone or telephone answering machine, and posting a notice on the entrance door of the home to inform parents of the children's location; 3. The route of the walk involves no safety hazards; and 4. The walk involves no entrance into a facility unless the facility has been indicated on the blanket permission slip. (c) The provider shall inform the parent(s) of enrolled children in advance of any field trip(s), outing(s) or special event(s) involving the transportation of children away from the home, including whether a school bus, school vehicle or private passenger vehicle is used, and whether the driver will be a staff member, a parent or another person. Before taking a child on such a field trip, outing or special event, the provider shall either: 1. Secure individual permission slips signed by a parent for his or her child(ren) for each proposed trip, outing or special event; 2. Post a notice of a proposed individual field trip, outing or special event in a place of prominence within the home, on which a parent shall be asked to sign consent for his or her child to attend; or 3. Issue to every parent a written schedule of all field trips, outings or special events to be taken during any given time frame (that is, weekly, monthly, yearly). A parent shall be asked to sign this schedule indicating his or her consent for any or all field trips, outings or special events listed. (d) The provider shall maintain on file a record of blanket permission slips for walks and signed individual permission slips for field trips, outings or special events.￿ vi. All CCDF-eligible license-exempt in-home care. Provide the standard: For approved homes: Approved Home Inspection Violation Report (DFDI No. 24-06-07) ￿Give emergency contact information to medical personnel; take emergency contact information on walks/trips, and maintain the ￿Transportation and Field Trip Authorization Form￿ for all children in care. Ensure parent authorization is given for transporting children, walks, field trips or special events. Ensure the use of infant seats/child passenger restraint systems/seatbelts pursuant to New Jersey law.￿ vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For summer youth camps: N.J.A.C. 8:25-8.1 ￿The camp director shall ensure that transportation for campers provided by the camp conforms to the requirements of Motor Vehicles and Traffic Regulation, N.J.S.A. 39:1-1 et seq., and the Motor Vehicle Commission rules promulgated thereunder at N.J.A.C. 13:21.￿ N.J.A.C. 8:25-8.2 ￿(a) The camp director shall ensure the following when providing, or making provision for, transportation of campers: 1. Campers shall never be left unattended in a bus or vehicle; 2. Campers shall only enter and exit from the curbside of the bus or vehicle; 3. The interior and exterior of each bus or vehicle shall be maintained in a clean and safe condition with clear passage to operable doors; 4. Each bus or vehicle used to transport children who are under 18 months of age shall be equipped with child passenger restraint systems which meet Federal motor vehicle safety standards, in accordance with provisions of the Motor Vehicle Commission, pursuant to N.J.S.A. 39:3-76.2a; i. The child passenger shall be secured in the restraint system when the vehicle is in motion. 5. The driver shall not transport more persons than specified by the manufacturer of the vehicle; 6. All passengers shall be seated and shall remain seated whenever the bus or vehicle is in motion; 7. In addition to the driver, at least one adult counselor shall be present for every 10 campers or portion thereof, being transported in any one vehicle to and from off-site trips, except that at least one adult or counselor shall be present for every seven children who are under the age of six and one adult counselor shall be present for every four children under the age of two and a half; 8. The driver shall check the vehicle daily to ensure that the vehicle and all safety equipment are in sound operating condition; and 9. The driver shall check the vehicle after each run is complete to ensure that no campers remain in the vehicle. (b) The camp director shall establish a written policy in which preschool campers shall only be discharged from a vehicle to the custody of a designated person. (c) The camp director shall obtain from each parent or guardian in writing the name(s) of the person(s) to whom the youth camp can discharge the camper. (d) The camp director shall ensure that the youth camp perform emergency evacuation drills for Type I and Type II school buses at least once during each camping session or at least once every four weeks, whichever is more frequent.￿ N.J.A.C. 8:25-8.4 ￿(a) The camp director shall ensure that the youth camp establish and maintain a record of the following: 1. Transportation routes; 2. Names of the campers being transported; 3. The name and address of the driver; 4. A photo static copy of his or her valid school bus drivers license; and 5. If a contractor is used to provide transportation services, the name and address of the contractor. (b) The camp director shall ensure that all drivers possess a valid Commercial Driver's License with a "P" and "S" endorsement and maintain a copy of the license on file. (c) The camp director shall maintain on file, the name and address of the person(s) designated as the additional adult(s) to whom each camper may be released as set forth at N.J.A.C. 8:25-8.2(c), and the license tag number of the school bus or vehicle to which each camper is assigned. (d) The camp director shall maintain on file, documentation of emergency evacuation drills for all passengers who ride the Type I or Type II school buses in a log book containing the following: 1. The date of the drill; 2. The number of passengers; 3. The time taken to evacuate the bus; and 4. The signature of the person conducting the drill.￿ 5.3.10 Pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address pediatric first aid for all staff for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: DFDI No.: 21-11-01 ￿Providers ensure that staff receive training in pediatric first aid and pediatric CPR.￿ DFDI No.: 23-05-05 The staff of all providers are also required to be trained in pediatric first aid and pediatric CPR: ￿All new staff shall complete the following orientation trainings: ● Health, Safety, and Child Growth and Development and Mandated Reporting: Basic Requirements for Licensing; and ● Pediatric First Aid and CPR Training.￿ ii. All CCDF-eligible licensed family child care homes. Provide the standard: N/A iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: For family child care providers: DFDI No.: 21-11-01 ￿Providers ensure that staff receive training in pediatric first aid and pediatric CPR.￿ DFDI No.: 23-05-05 The staff of all providers are also required to be trained in pediatric first aid and pediatric CPR: ￿All new staff shall complete the following orientation trainings: ● Health, Safety, and Child Growth and Development and Mandated Reporting: Basic Requirements for Licensing; and ● Pediatric First Aid and CPR Training.￿ vi. All CCDF-eligible license-exempt in-home care. Provide the standard: For approved homes: DFDI No.: 21-11-01 ￿Providers ensure that staff receive training in pediatric first aid and pediatric CPR.￿ DFDI No.: 23-05-05 The staff of all providers are also required to be trained in pediatric first aid and pediatric CPR: ￿All new staff shall complete the following orientation trainings: ● Health, Safety, and Child Growth and Development and Mandated Reporting: Basic Requirements for Licensing; and ● Pediatric First Aid and CPR Training.￿ vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For summer youth camps: DFDI No.: 21-11-01 ￿Providers ensure that staff receive training in pediatric first aid and pediatric CPR.￿ DFDI No.: 23-05-05 The staff of all providers are also required to be trained in pediatric first aid and pediatric CPR: ￿All new staff shall complete the following orientation trainings: ● Health, Safety, and Child Growth and Development and Mandated Reporting: Basic Requirements for Licensing; and ● Pediatric First Aid and CPR Training.￿ b. Provide the standards, appropriate to the provider setting and age of children, that address pediatric cardiopulmonary resuscitation for all staff for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: For licensed centers: DFDI No.: 21-11-01 ￿Providers ensure that staff receive training in pediatric first aid and pediatric CPR.￿ DFDI No.: 23-05-05 The staff of all providers are also required to be trained in pediatric first aid and pediatric CPR: ￿All new staff shall complete the following orientation trainings: ● Health, Safety, and Child Growth and Development and Mandated Reporting: Basic Requirements for Licensing; and ● Pediatric First Aid and CPR Training.￿ ii. All CCDF-eligible licensed family child care homes. Provide the standard: N/A iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: For family child care providers: DFDI No.: 21-11-01 ￿Providers ensure that staff receive training in pediatric first aid and pediatric CPR.￿ DFDI No.: 23-05-05 The staff of all providers are also required to be trained in pediatric first aid and pediatric CPR: ￿All new staff shall complete the following orientation trainings: ￿ Health, Safety, and Child Growth and Development and Mandated Reporting: Basic Requirements for Licensing; and ￿ Pediatric First Aid and CPR Training.￿ vi. All CCDF-eligible license-exempt in-home care. Provide the standard: For approved homes: DFDI No.: 21-11-01 ￿Providers ensure that staff receive training in pediatric first aid and pediatric CPR.￿ DFDI No.: 23-05-05 The staff of all providers are also required to be trained in pediatric first aid and pediatric CPR: ￿All new staff shall complete the following orientation trainings: ● Health, Safety, and Child Growth and Development and Mandated Reporting: Basic Requirements for Licensing; and ● Pediatric First Aid and CPR Training.￿ vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: For summer youth camps: DFDI No.: 21-11-01 ￿Providers ensure that staff receive training in pediatric first aid and pediatric CPR.￿ DFDI No.: 23-05-05 The staff of all providers are also required to be trained in pediatric first aid and pediatric CPR: ￿All new staff shall complete the following orientation trainings: ● Health, Safety, and Child Growth and Development and Mandated Reporting: Basic Requirements for Licensing; and ● Pediatric First Aid and CPR Training.￿ 5.3.11 Identification and reporting of child abuse and neglect health and safety standard a. Provide the standards, appropriate to the provider setting and age of children, that address the identification of child abuse and neglect for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: DFDI No.: 23-05-05 The staff of all providers are also required to be trained in the recognition and reporting of child abuse and neglect. For licensed centers: N.J.A.C. 3A:52-4.9 ￿(a) The sponsor, sponsor representative, director, or any staff member shall verbally notify the State Central Registry Hotline (1-877 NJ ABUSE/1-877-652- 2873) immediately whenever there is reasonable cause to believe that a child has been subjected to abuse or neglect by a staff member, or any other adult, pursuant to N.J.S.A. 9:6-8.9, 8.10, 8.13, and 8.14. (b) In addition to the reporting requirements specified in (a) above, the sponsor, sponsor representative, director, or any staff member shall advise the parent(s) of the occurrence of any unusual incident(s) that occurred at the center and that might indicate possible abuse or neglect involving the child. Such notification shall be made on the same day on which the incident occurred. Such incidents may include, but are not limited to, unusual sexual activity; violent or destructive behavior; withdrawal or passivity; or significant change(s) in the child's personality, behavior or habits. The center shall maintain on file a record of such incidents and documentation that parents have been informed of them. (c) The Department, during the course of investigating an allegation of child abuse or neglect, may determine that corrective action is necessary to protect the children whenever: 1. The sponsor, sponsor representative, director, or staff member has been found by the Department's Institutional Abuse Investigation Unit (IAIU) to pose a risk of harm to children; 2. The sponsor, sponsor representative, director, or staff member has committed an act of child abuse or neglect, as substantiated by the IAIU; or 3. The sponsor, sponsor representative, director, or staff member has been convicted of such acts. (d) Whenever the Department makes a determination that corrective action is necessary to protect the children, the sponsor or sponsor representative shall carry out the Department's recommendation for corrective action. Such corrective action may include, but not be limited to: 1. Removal or suspension of the affected sponsor, sponsor representative, director, or staff member(s) from the center or reassignment to other duties that do not involve contact with the children; or 2. When the sponsor, sponsor representative, director, or staff member resides at the facility where the center is located, removal of the affected employee from the premises for a period of time extending from one hour prior to the arrival of the children until one hour after the children have left. (e) Such suspension, removal, or reassignment, as specified in (d)1 and 2 above, shall remain in effect until the results of the Department's investigation have been determined and a final decision in the matter has been rendered by the Office of Licensing. (f) If an allegation of child abuse or neglect is substantiated against a staff member, the sponsor or sponsor representative shall immediately terminate the staff member's employment at the center. If an allegation of child abuse or neglect is substantiated against the sponsor or sponsor representative, the Department shall revoke or refuse to renew the license or Certificate of Life/Safety Approval, as applicable.￿ ii. All CCDF-eligible licensed family child care homes. Provide the standard: N/A iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: DFDI No.: 23-05-05 The staff of all providers are also required to be trained in the recognition and reporting of child abuse and neglect. For family child care providers: N.J.A.C. 3A:54-5.10 ￿(a) The provider shall verbally notify the Department's State Central Registry at 1-877-NJ-ABUSE (1-877-652-2873) immediately whenever there is reasonable cause to believe that a child has been or is being subjected to any kind of child abuse or neglect by any person, pursuant to N.J.S.A. 9:6-8.10. (b) The provider shall report the following incidents to the sponsoring organization as soon as possible, but by no later than the beginning of the sponsoring organization's next working day: 1. Any injury that results in the admittance of a child to a hospital or when care is provided by any medical facility while in the provider's care; 2. The death of a child while in the provider's care; 3. Any damage to the provider's home that affects the provider's compliance with the requirements of the Manual of Requirements; 4. Any criminal conviction(s) of the provider, the substitute provider, a member of the provider's household who is at least 14 years old, and the alternate provider and the provider assistant, if any, as specified in N.J.A.C. 3A:54-5.2(a)10; 5. A change of residence by the provider; and 6. The termination of all family child care services by the provider. (c) A Certificate of Registration issued by the sponsoring organization to a provider is the property of the State of New Jersey. The provider shall surrender the Certificate of Registration to the sponsoring organization immediately if any of the following occurs or becomes effective: 1. The provider voluntarily closes the family child care home; 2. The registration is revoked; 3. The registration is suspended; or 4. The provider has not applied for a renewed registration.￿ vi. All CCDF-eligible license-exempt in-home care. Provide the standard: DFDI No.: 23- 05-05 The staff of all providers are also required to be trained in the recognition and reporting of child abuse and neglect. For approved homes: Approved Home Inspection Violation Report (DFDI No. 24-06-07) ￿Inform the Department of Children and Families (DCF) of instances of suspected child abuse and/or neglect of children in care through 1-877 NJ ABUSE (1-877-652- 2873).￿ vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: DFDI No.: 23-05-05 The staff of all providers are also required to be trained in the recognition and reporting of child abuse and neglect. For summer youth camps: N.J.A.C. 8:25-3.1 (a) The camp director shall state in writing the youth camp's policies and practices for the discipline of its campers and provide a copy to all camp staff. 1. Youth camp staff and campers shall be prohibited from taking the following actions against any camper: deprivation of food, isolation, subjecting to corporal punishment or abusive physical exercise, as a means of punishment. (b) The camp director shall maintain reasonable groupings of campers, according to the age and the capabilities of each camper in all activities. (c) Any camp owner, operator, director, counselor, or other employee who has reason to believe that a camper has been or is being subjected to any form of hitting, corporal punishment, abusive language or ridicule, or harsh, humiliating, or frightening treatment, or any kind of child abuse or neglect by any person shall immediately report such allegations to the Department of Children and Families, child abuse hotline at 1-877-NJAbuse (652-2873) or TTY or TDD 1-800-835-5510.￿ N.J.A.C. 8:25-3.2 (d) The camp director shall include the following in the orientation: 2. The youth camp operator or camp director shall develop and implement a program of staff training on issues related to child abuse and neglect, such as, but not limited to, understanding the staff members' responsibilities, reporting, recognition, and observation of campers. b. Provide your standards, appropriate to the provider setting and age of children, that address the reporting of child abuse and neglect for the following CCDF-eligible providers: i. All CCDF-eligible licensed center care. Provide the standard: DFDI No.: 23-05-05 The staff of all providers are also required to be trained in the recognition and reporting of child abuse and neglect. For licensed centers: N.J.A.C. 3A:52-4.9 ￿(a) The sponsor, sponsor representative, director, or any staff member shall verbally notify the State Central Registry Hotline (1-877 NJ ABUSE/1-877-652- 2873) immediately whenever there is reasonable cause to believe that a child has been subjected to abuse or neglect by a staff member, or any other adult, pursuant to N.J.S.A. 9:6-8.9, 8.10, 8.13, and 8.14. (b) In addition to the reporting requirements specified in (a) above, the sponsor, sponsor representative, director, or any staff member shall advise the parent(s) of the occurrence of any unusual incident(s) that occurred at the center and that might indicate possible abuse or neglect involving the child. Such notification shall be made on the same day on which the incident occurred. Such incidents may include, but are not limited to, unusual sexual activity; violent or destructive behavior; withdrawal or passivity; or significant change(s) in the child's personality, behavior, or habits. The center shall maintain on file a record of such incidents and documentation that parents have been informed of them. (c) The Department, during the course of investigating an allegation of child abuse or neglect, may determine that corrective action is necessary to protect the children whenever: 1. The sponsor, sponsor representative, director, or staff member has been found by the Department's Institutional Abuse Investigation Unit (IAIU) to pose a risk of harm to children; 2. The sponsor, sponsor representative, director, or staff member has committed an act of child abuse or neglect, as substantiated by the IAIU; or 3. The sponsor, sponsor representative, director, or staff member has been convicted of such acts. (d) Whenever the Department makes a determination that corrective action is necessary to protect the children, the sponsor or sponsor representative shall carry out the Department's recommendation for corrective action. Such corrective action may include, but not be limited to: 1. Removal or suspension of the affected sponsor, sponsor representative, director, or staff member(s) from the center or reassignment to other duties that do not involve contact with the children; or 2. When the sponsor, sponsor representative, director, or staff member resides at the facility where the center is located, removal of the affected employee from the premises for a period of time extending from one hour prior to the arrival of the children until one hour after the children have left. (e) Such suspension, removal, or reassignment, as specified in (d)1 and 2 above, shall remain in effect until the results of the Department's investigation have been determined and a final decision in the matter has been rendered by the Office of Licensing. (f) If an allegation of child abuse or neglect is substantiated against a staff member, the sponsor or sponsor representative shall immediately terminate the staff member's employment at the center. If an allegation of child abuse or neglect is substantiated against the sponsor or sponsor representative, the Department shall revoke or refuse to renew the license or Certificate of Life/Safety Approval, as applicable.￿ ii. All CCDF-eligible licensed family child care homes. Provide the standard: N/A iii. All CCDF-eligible licensed in-home care. Provide the standard: [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: N/A v. All CCDF-eligible license-exempt family child care homes. Provide the standard: DFDI No.: 23-05-05 The staff of all providers are also required to be trained in the recognition and reporting of child abuse and neglect. For family child care providers: N.J.A.C. 3A:54-5.10 ￿(a) The provider shall verbally notify the Department's State Central Registry at 1-877-NJ-ABUSE (1-877-652-2873) immediately whenever there is reasonable cause to believe that a child has been or is being subjected to any kind of child abuse or neglect by any person, pursuant to N.J.S.A. 9:6-8.10. (b) The provider shall report the following incidents to the sponsoring organization as soon as possible, but by no later than the beginning of the sponsoring organization's next working day: 1. Any injury that results in the admittance of a child to a hospital or when care is provided by any medical facility while in the provider's care; 2. The death of a child while in the provider's care; 3. Any damage to the provider's home that affects the provider's compliance with the requirements of the Manual of Requirements; 4. Any criminal conviction(s) of the provider, the substitute provider, a member of the provider's household who is at least 14 years old, and the alternate provider and the provider assistant, if any, as specified in N.J.A.C. 3A:54-5.2(a)10; 5. A change of residence by the provider; and 6. The termination of all family child care services by the provider. (c) A Certificate of Registration issued by the sponsoring organization to a provider is the property of the State of New Jersey. The provider shall surrender the Certificate of Registration to the sponsoring organization immediately if any of the following occurs or becomes effective: 1. The provider voluntarily closes the family child care home; 2. The registration is revoked; 3. The registration is suspended; or 4. The provider has not applied for a renewed registration.￿ vi. All CCDF-eligible license-exempt in-home care. Provide the standard: DFDI No.: 23- 05-05 The staff of all providers are also required to be trained in the recognition and reporting of child abuse and neglect. For approved homes: Approved Home Inspection Violation Report (DFDI No. 24-06-07) ￿Inform the Department of Children and Families (DCF) of instances of suspected child abuse and/or neglect of children in care through 1-877 NJ ABUSE (1-877-652- 2873).￿ vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: DFDI No.: 23-05-05 The staff of all providers are also required to be trained in the recognition and reporting of child abuse and neglect. For summer youth camps: N.J.A.C. 8:25-3.1 (a) The camp director shall state in writing the youth camp's policies and practices for the discipline of its campers and provide a copy to all camp staff. 1. Youth camp staff and campers shall be prohibited from taking the following actions against any camper: deprivation of food, isolation, subjecting to corporal punishment or abusive physical exercise, as a means of punishment. (b) The camp director shall maintain reasonable groupings of campers, according to the age and the capabilities of each camper in all activities. (c) Any camp owner, operator, director, counselor, or other employee who has reason to believe that a camper has been or is being subjected to any form of hitting, corporal punishment, abusive language or ridicule, or harsh, humiliating, or frightening treatment, or any kind of child abuse or neglect by any person shall immediately report such allegations to the Department of Children and Families, child abuse hotline at 1-877-NJAbuse (652-2873) or TTY or TDD 1-800-835-5510.￿ N.J.A.C. 8:25-3.2 (d) The camp director shall include the following in the orientation: 2. The youth camp operator or camp director shall develop and implement a program of staff training on issues related to child abuse and neglect, such as, but not limited to, understanding the staff members' responsibilities, reporting, recognition, and observation of campers. c. Confirm if child care providers must comply with the Lead Agency’s procedures for reporting child abuse and neglect as required by the Child Abuse Prevention and Treatment Act (42 U.S.C. 5106a(b)(2)(B)(i): [x] Yes, confirmed. [ ] No. If no, describe: 5.3.12 Additional optional standards In addition to the required health and safety standards, does the Lead Agency require providers to comply with the following optional standards? [x] Yes. [ ] No. If no, skip to Section 5.4 If yes, describe the standard(s). i. Nutrition. Describe: Licensed centers are subject to standards in this area: N.J.A.C. 3A:52-6.3 ￿(a) All centers shall comply with the following requirements: 1. Food served to children who are present during normal mealtime hours or required snack periods, as specified in (b) and (c) below, shall be provided either by the child's parent or by the center. 2. If the center chooses to provide food, the center shall ensure that all food served to children is prepared by either: i. The center on-site or off-site; or ii. A caterer who is licensed, registered, certified, or otherwise approved, as appropriate, by the local or county health department or State Department of Health, as applicable. 3. If the center chooses to have parents provide food, the center shall have a supply of food at the center for any child whose parent forgets. 4. If the center provides food, the center shall ensure that the food is stored, prepared, and served in a sanitary manner. 5. Staff members shall advise parents of any repetitive feeding problems experienced by their child. 6. Staff members shall not force-feed or coerce a child to eat against his or her will. 7. A snack shall be served to all children who are under the center's care for at least three consecutive hours and for all children who are served on an after-school basis. 8. Drinking water shall be made available to all children. 9. Centers that provide meals shall ensure that: i. For children on special diets (for example, due to health reasons, religious belief or parental request), an alternative choice of food is provided by either the center or the child's parent; and ii. Individualized written diets and feeding schedules, if submitted to the center by the child's parent or health care provider, are posted in a location that is accessible to staff members caring for the children, and are followed. 10. The center shall have a supply of food at the center and shall serve a snack to any child who is hungry or has missed a meal. 11. Unless contraindicated by the parent or health care provider, the center shall: i. Not serve sugar sweetened or artificially sweetened beverages. Parents that provide such beverages for their children shall be provided with information regarding healthier options; ii. Not provide solid food to children under the age of six months; iii. Not provide cows' milk to children under the age of 12 months; iv. Provide only whole pasteurized milk to children between the ages of 12 and 24 months or milk with reduced fat (two percent) for those children who are at risk for hypercholesterolemia or obesity; v. Provide skim (fat-free) or one percent milk to children older than two years of age; vi. Ensure that food and beverages are in accordance with minimum Child and Adult Care Food Program's (CACFP) standards, contained in the Child and Adult Care Food Program, 7 CFR 226.20, which is incorporated herein by reference, and can be obtained at https://www.fns.usda.gov/cacfp, including portion size and nutritional value; vii. Provide a variety of both fruits and vegetables and high portion of whole grains; and viii. Limit foods that are high in solid fats, added sugar, trans fats, and sodium. 12. The center shall ensure that these safety and sanitation practices are followed: i. Older infants shall not carry bottles, sippy cups, or regular cups with them while crawling or walking; ii. Sippy cups shall be labeled with the child's name; iii. Food left uneaten in a dish shall be discarded; iv. Food shall not be shared among children using the same dish or spoon; and v. Unused portions of food shall be labeled with the child's name, date, and type of food. The food shall be stored in the refrigerator, returned to the parent, or discarded with the parent's consent. All unused food shall be discarded if not consumed by the end of the day. For early childhood programs, the following shall apply: 1. Centers operating for more than three consecutive hours shall have a working refrigerator. 2. Food brought from outside the center for a child shall be inspected by a staff member for spoilage before it is served. 3. Feeding requirements for centers serving children less than 18 months of age are as follows: i. The center shall develop mutually with each child's parent(s) and follow a feeding plan regarding the feeding schedule, specific formula, breastfeeding arrangements and accommodations, and/or expressed breast milk, nutritional needs, and introduction of new food for each child. ii. For children less than 12 months of age, the feeding plan shall be: (1) Documented in writing; (2) Maintained on file; and (3) Made available to each staff member responsible for feeding each child; iii. All food served to a child shall be appropriate to the child's developmental eating ability; iv. The requirements for bottles are as follows: (1) Each child's bottle(s) shall be labeled with the child's name and dated; (2) The center shall sanitize each child's bottles, including the nipples, when the center provides the bottles; (3) Breast milk shall be gently mixed but not be shaken; (4) Refrigerated breast milk must be used within 24 hours; (5) Formula or breast milk that is served, but not completely consumed or refrigerated, shall be discarded; and (6) No milk, formula, or breast milk shall be warmed in a microwave oven; v. A child who is too young to use a feeding chair or other seating apparatus shall be held when fed; vi. A child who, because of age or developmental readiness, no longer needs to be held for feeding shall be provided with an infant seat, high chair with safety strap, or other age-appropriate seating apparatus, which meets the standards of a recognized safety organization (such as the Juvenile Products Manufacturers Association, the American Society for Testing and Materials, or the United States Consumer Product Safety Commission); vii. When a child is feeding, the bottle shall not be propped at any time; and viii. When a child is bottle-feeding while resting, the bottle shall be removed when the child falls asleep. 4. Mealtime and snack requirements for centers serving children 18 months of age or older and those children younger than 18 months of age who are developmentally ready to eat regular meals and snacks are as follows: i. Centers that provide breakfast shall ensure that breakfast includes the following: (1) Fruits, vegetables or fruit or vegetable juice; and (2) Enriched whole grain bread, a bread product or cereal and/or a protein alternative. ii. The center shall serve lunch for all children who have not eaten lunch and are: (1) Present during 11:00 A.M. to 1:00 P.M.; and (2) Under the center's care for at least five consecutive hours; iii. The center shall serve dinner for all children who: (1) Have not eaten dinner; (2) Are present from 5:00 P.M. to 7:00 P.M.; and (3) Are scheduled to remain after 7:00 P.M.; iv. Centers that provide meals shall ensure that lunch and dinner for each child include the following: (1) Meat, poultry, fish or a protein alternative; (2) Fruits or vegetables; (3) Bread or bread products; and (4) Milk, juice or water; v. Centers that provide snacks shall ensure that the snack includes one juice, milk, or fruit and one food supplement selected from the lunch and dinner choices specified in (b)4iv above, except on special occasions, such as holidays and birthdays; and vi. Centers that provide meals shall ensure that milk is served at least once a day. For school-age child care programs, the following shall apply: 1. Centers that store perishable foods or medication shall have access to a refrigerator. 2. Centers that provide snacks should include one juice, milk or fruit and one food supplement selected from the food choices specified in (b)4iv above. 3. On days when school is not in session, if applicable, the center shall serve meals as specified in (b)4 above.￿ Family child care providers are subject to standards in this area: N.J.A.C. 3A:54-6.14 ￿(a) The provider shall ensure that all enrolled children receive nutritious meals that have been prepared by: 1. The provider; 2. The parent(s) of an enrolled child; or 3. Another source, such as a caterer who is licensed, registered, certified, or otherwise approved, as appropriate by the local or county health department or State Department of Health, as applicable. 4. If the provider chooses to have parents provide food, the provider shall have a supply of food at the home for any child whose parent forgets. (b) The provider shall ensure the provision of: 1. Breakfast for all children who: i. Have not eaten breakfast; and ii. Are present during the hours of 7:00 A.M. to 10:00 A.M.; 2. Lunch for all children who: i. Have not eaten lunch; ii. Are present during the hours of 10:00 A.M. to 1:00 P.M.; and iii. Are under the provider's care for at least five consecutive hours; 3. Dinner for all children who: i. Have not eaten dinner; ii. Are present during the hours of 5:00 P.M. to 7:00 P.M.; and iii. Are under the provider's care for at least five consecutive hours; and 4. A snack for all children who are under the provider's care for at least three consecutive hours, or who have arrived from school. (c) The provider shall consult with each child's parent(s) regarding the feeding schedule, nutritional needs and introduction of new foods for each child. (d) Clean and sanitary drinking water shall be made available to the children at all times.￿ Approved homes are subject to standards in this area: Approved Home Inspection Violation Report (DFDI No. 24-06-07) ￿Provide nutritious meals and snacks; consult with parents on children’s feeding schedule, nutritional needs, food allergies and introduction of new foods for each child; have drinking water available at all times. Ensure that bottles are not propped for feeding; identify each child’s bottle, sipping cup; refrigerate formula and expressed breast milk.￿ Summer youth camps are subject to standards in this area: N.J.A.C. 8:25-7.1 ￿(a) The camp director shall ensure that the youth camp conforms to Sanitation in Retail Food Establishments and Food and Beverage Vending Machines, N.J.A.C. 8:24, with respect to foods and food service. (b) The camp director shall ensure that the youth camp provides food of sufficient quantity and nutritional quality to provide for the dietary needs of each camper. (c) The camp director shall ensure that the youth camp prepares and serves meals in an appetizing and sanitary manner, and shall prepare meals as close to serving time as possible. (d) The camp director shall ensure that the youth camp posts the week's menu in the food preparation area. 1. Food substitutes shall be noted on the menus in writing. 2. After use, the menus shall be kept on file for the entire period of the camping season. (e) The camp director shall ensure that the youth camp schedules mealtimes to meet the camper's needs and so that there are no excessively long periods of time without food. 1. At least three meals and two snacks shall be provided each day in a resident youth camp. (f) The camp director shall ensure that the youth camp meets all of the requirements at N.J.A.C. 8:24 when permitting potentially hazardous foods to be brought on site.￿ ii. Access to physical activity. Describe: Licensed child care centers are subject to standards in this area: N.J.A.C. 3A:52-4.5 (b) The staff member(s) specified in N.J.A.C. 3A:52-4.5 who are responsible for developing and overseeing the implementation of the center's daily activities shall ensure that: Children are provided with daily structured and unstructured developmentally appropriate indoor and outdoor energetic physical activity as follows: i. At least 30 total minutes daily for children receiving child care less than four hours; ii. At least 60 total minutes daily for children receiving child care more than four hours; and iii. Whenever feasible, and unless the child is eating, sleeping, needs to complete a seated activity, or is ill, children shall not be inactive for more than 30 minutes;…￿ Family child care providers are subject to standards in this area: N.J.A.C. 3A:54-6.12 Activities for children ￿(a) Activities for the children shall be structured to include: 1. Active and quiet play; 2. Indoor and outdoor play; 3. Rest or sleep; and 4. Meals and snacks. (b) The provider shall supply safe toys, play equipment, and creative materials to ensure each child the opportunity to participate in a variety of activities appropriate for the ages, interests, and number of children present. 1. Programs for pre-school age children shall offer materials from the following categories: i. Dramatic play and language development (for example, dress-up clothes, puppets, books, play telephones and unbreakable dishes); ii. Visual and small muscle development (for example, mobiles, unbreakable mirrors, blocks, rattles, puzzles, sorting and stacking toys); iii. Auditory development (for example, records, musical instruments and tapes); iv. Creative expression (for example, clay, non-toxic paint, paper and blunt scissors); and v. Large muscle development (for example, swings, balls, bicycles, large boxes and wagons). 2. Programs for infants and toddlers shall include the applicable items for (b)1 above, and a daily routine adapted to the individual needs of each infant and toddler that fits, as much as possible, into the schedule set up by the parent. i. Infants shall have age-appropriate, supervised tummy time at least twice a day; and ii. Infants shall have developmentally appropriate outdoor activities and/or carriage/stroller rides daily, weather permitting. 3. The provider shall maintain on file a written schedule of daily activities and provide a copy for the parents. (c) The provider shall ensure that children are supervised while in swings, high chairs or stationary activity centers and do not remain in such equipment for more than 30 consecutive minutes; and that the majority of every child's waking hours are spent out of cribs and playpens in a safe, clean place where he or she may move and explore freely. (d) The provider shall plan the day to allow for time to offer each child individual attention, affection and comfort. (e) Television, computers, and other video equipment shall be used with discretion and shall not be used as a substitute for planned activities.￿ Approved homes are subject to standards in this area: Approved Home Inspection Violation Report (DFDI No. 24-06-07) ● ￿Ensure there is safe and age-appropriate equipment and supplies for the number of children in care. ● Provide children with: active and quiet play; indoor and outdoor play; rest or sleep. ● Provide age-appropriate materials and activities for: dramatic play/language development; auditory development; visual/small muscle development; large muscle development; creative expression. ● Ensure that children are supervised while in swings, high chairs, or stationary activity centers; do not remain in equipment for more than 30 consecutive minutes; majority of every child’s waking hours are spent out of cribs, and playpen is in a safe, clean place where he or she may move and explore freely. ● Ensure school age children participate in appropriate activities such as but not limited to outdoor play; active play; and completing homework assignments if necessary; discuss with and agree upon with parents the use of phone, television, computer and electronic devices.￿ iii. Caring for children with special needs. Describe: Family child care providers are subject to standards in this area: N.J.A.C. 3A:54-6.18 ￿(a) When a provider identifies or suspects an enrolled child as having a developmental delay or disability, the provider shall inform the child's parent and contact the sponsoring organization for technical assistance in meeting the child's needs. (b) When the provider enrolls a child with special needs: 1. The provider shall request that the parent provide a written up-to-date special needs care plan completed by the child's primary health care provider or any other person who has evaluated or treated the child with input from the parent or guardian regarding the specialized care or accommodations that a child with special needs requires; 2. The special needs care plan shall include the following: i. A list of the child's diagnoses; ii. Contact information for the primary care provider and any relevant specialists; iii. Medications to be administered on a scheduled basis; iv. Medications to be administered on an emergent basis with clearly stated parameters of signs and symptoms that warrant giving the medication written in plain language; v. Procedures to be performed; vi. Any allergies; vii. Dietary modifications; viii. Activity modifications; ix. Environmental modifications; x. Stimulus that initiates or precipitates a reaction or series of reactions (triggers to avoid); xi. Symptoms for caregivers to observe; and xii. Emergency response plan, if the child has an emergency. 3. The provider shall make reasonable accommodations to serve a child with special needs unless such accommodations impose an undue hardship on the family child care home. If the accommodations cause undue hardship, written notification shall be provided to the parent and the sponsoring organization regarding the reasons for not enrolling the child. A copy of which shall be maintained by the provider.￿ Approved homes are subject to standards in this area: Approved Home Inspection Violation Report (DFDI No. 24-06-07) ￿50. Ensure reasonable accommodations, special care and activities are provided for children who have been identified with special needs as recommended by the parents or physician.￿ iv. Any other areas determined necessary to promote child development or to protect children’s health and safety. Describe: DHS/DFD contracts with a variety of quality partners to deliver both foundational and progressive training to the workforce. Most training topics are offered in English and Spanish and are provided in-person and/or virtually. All training offerings are posted on the NJ Child Care Information System (NJCCIS) NJ Workforce Registry. Quality partners include: ● CCR&Rs that offer the CCDBG required training along with other topics that include Dual Language Learners and Cultural Competency. ● Child Care Health Consultants offer training on a variety of health-related topics some of which include: nutrition, physical activity, medication administration, hand washing, and keeping children healthy in child care. ● Montclair State University’s Center for Autism and Early Childhood Mental Health provides coaching and training on topics related to social-emotional development, "Pyramid Model", and supporting the workforce on working with children with special needs. ● Rutgers University’s GNJK Training Services provides a variety of topics which include curricula, "Ages and Stages Developmental Screening", Performance Based Assessment Training (GOLD and COR), developmentally appropriate practices, the NJ Early Learning Guidelines/Standards, Evaluating and Supporting Teachers, and Health and Safety Basics, as well as, the Health and Safety Basics Refresher. Grow NJ Kids (QRIS) requires training hours at the various levels of the rating system. For example, training topics such as the Pyramid Model, NJ Early Learning Standards, and formal curriculum training are required, which enhances staff professional development and training.