reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 8 - MEDICAL SERVICES › Section 8:43J-8.4 - Role of primary health care providers

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				ensure that the parent identifies a primary health care provider for each child, who
				can be contacted when necessary, such as in a medical emergency, and who maintains
				responsibility for the overall medical therapeutic plan and is available for
				consultation and collaboration with the pediatric medical day care facility's
				medical and nursing directors and/or other staff, as appropriate.
(b) The facility shall obtain the following from
				the child's primary health care provider:
1. A
				completed Universal Child Health Record form, CH-14, which is available on the
				Department's forms webpage at
http://www.nj.gov/health/forms/ch-14.pdfor
by telephoning the Division of Family Health Services of the Department at (609)
				292-5666, including the immunization record, which has been signed and dated within
				30 days of admission;
2. Orders written
				within the last 60 days for the specific type and intensity of care that is to be
				provided, which orders are to be signed and dated by the child's primary health care
				provider;
3. Specification of the degree
				of child mobility and specification of any assistive devices that the child
				requires; and
4. Verification at the
				time of the pre-admission physical examination that the child is free of acute
				infectious disease.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 8 - MEDICAL SERVICES › Section 8:43J-8.5 - Medical equipment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The medical director
				shall determine the quantity and types of pediatric medical equipment and supplies
				that the facility is to have on hand to meet the needs of the children.
(b) The facility shall maintain, on hand, in
				operable condition, safely store when not in use and make available as needed,
				emergency equipment suitable for pediatric use, including but not limited to:
1. Oxygen;
2. Suction machine;
3. Ambu bag;
4. Airway;
5. An automatic external defibrillator.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 8 - MEDICAL SERVICES › Section 8:43J-8.6 - Agreement with emergency medical providers

Current through Register Vol. 56, No. 14, July 15, 2024
The facility shall have a current written agreement with local
				  pre-hospital emergency medical providers, at both the basic and advanced life
				  support levels.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 8 - MEDICAL SERVICES › Section 8:43J-8.7 - Medical emergencies

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A facility's medical policies shall address
				procedures to be followed by staff in the event of a medical emergency.
(b) Each facility shall ensure that staff are
				trained in the use of emergency equipment.
(c) Each child shall have an emergency plan
				developed by the child's primary care provider, which addresses the content of the
				Emergency Information Form for Children with Special Needs developed by the American
				Academy of Pediatrics, incorporated herein by reference, as amended and
				supplemented, available at http://www.aap.org/advocacy/blankform.pdf.
1. As appropriate, a child's medical record shall
				contain standing orders from each child's primary health care provider for the use
				of emergency medications, which orders shall conform to the rules of the New Jersey
				Board of Medical Examiners, the New Jersey Board of Nursing and a facility's medical
				policies.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 9 - PHARMACEUTICAL SERVICES › Section 8:43J-9.1 - Designation and responsibilities of consultant pharmacist

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				designate a consultant pharmacist.
(b)
				The designated consultant pharmacist shall be responsible, in accordance with
				N.J.A.C. 13:39, for the following:
1. Establishing
				written policies and procedures to ensure the safe use, labeling, storage,
				integrity, administration, control and accountability of all medications stored or
				administered by the facility;
2.
				Reviewing the records of all children in the facility at least once every 60 days to
				assure that the medication records are accurate and up-to-date and indicate that
				medications are administered in accordance with the orders of the child's primary
				health care provider;
3. Reviewing a
				child's records at least every 60 days to assure that the facility is monitoring a
				child's medication regimens, laboratory tests, special dietary requirements and
				foods or natural or herbal medicines used and/or administered concomitantly with
				other medications to the same child for potential adverse reaction, allergies,
				medication interaction, contraindications, rationality, medication evaluation and
				test modification; and that the facility documents irregularities and/or changes the
				consultant pharmacist recommends in the child's record and reports these
				irregularities and/or recommended changes to the nursing director and the child's
				primary health care provider; and
4.
				Providing and documenting in-service training and consulting with facility staff to
				assure pharmaceutical and utilization compliance.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 9 - PHARMACEUTICAL SERVICES › Section 8:43J-9.2 - Medication administration policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Registered
				professional nurses or licensed practical nurses acting under direction pursuant to
				N.J.S.A. 45:23-11b and, as applicable, delegation in accordance with
				13:37-6.2, shall accurately administer
				medications and shall ensure that the right medication is administered to the right
				child in the right dose through the right route of administration at the right time
				only upon a written order from the child's primary health care provider, except that
				verbal or telephone medication orders may be taken if:
1. The facility has defined in the facility's
				policies and procedures when verbal or telephone orders may be accepted by a
				registered professional nurse acting within his or her authorized scope of practice
				who shall write the order into the child's medical record; and
2. The facility ensures that, within 72 hours, the
				order is:
i. Countersigned by the prescriber;
				or
ii. Documented by the original
				written order or a plain-paper (non-thermal paper) faxed copy.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 9 - PHARMACEUTICAL SERVICES › Section 8:43J-9.3 - Pharmacy reporting policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The consultant
				pharmacist shall report any irregularities to the nursing director, who shall:
1. Report the irregularity to the administrator
				and the child's primary health care provider; and
2. Act on the report.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 9 - PHARMACEUTICAL SERVICES › Section 8:43J-9.4 - Pharmacy control policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All prescription
				medication shall be supplied to the facility by the child's parent, in the original,
				labeled containers.
(b) Each child's
				individual medication container or package shall be labeled in accordance with
				13:39-5.9.
(c) The facility may keep over-the counter (OTC)
				medications as stock, as approved by the pharmacy consultant who is to monitor the
				OTC medications for accountability.
1. OTC
				medications labels are to include the medication name, strength, manufacturer's
				name, lot number, expiration date, recommended dosage for OTC use (if repackaged),
				and applicable cautionary and/or accessory labeling.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 10 - DIETARY SERVICES › Section 8:43J-10.1 - General requirements for dietary services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Dietary services
				shall be under the direction of a dietitian who meets the requirements in
				8:43J-10.2.
(b) The dietitian shall assess the nutritional
				status and dietary needs of each child as part of the interdisciplinary plan of care
				and every 60 days thereafter, or more often, if medically necessary.
1. The assessment shall address the presence of:
i. Food allergies;
ii. Metabolic disorders; and
iii. Any special needs related to
				feeding.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 10 - DIETARY SERVICES › Section 8:43J-10.2 - Qualifications of the dietitian

Current through Register Vol. 56, No. 14, July 15, 2024
The dietitian shall be a registered dietitian.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 10 - DIETARY SERVICES › Section 8:43J-10.3 - Qualifications of the food service supervisor

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The food service
				supervisor shall:
1. Be a dietitian;
2. Be a graduate of a dietetic technician or
				dietetic assistant training program approved by the Academy of Nutrition and
				Dietetics; or
3. Be a graduate of a New
				Jersey State-approved course in food service management and have at least one year
				of full-time, or full-time equivalent, experience as a food service supervisor in a
				licensed health care facility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 10 - DIETARY SERVICES › Section 8:43J-10.4 - Administrator's responsibilities for dietary services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If meals are
				prepared in the facility, the administrator shall designate a food service
				supervisor who shall be present in the facility during food preparation and service.
1. If the food service supervisor is not a
				dietitian, then:
i. The food service supervisor
				shall have scheduled consultations with a dietitian; and
ii. The administrator shall designate a consultant
				dietitian who shall review the dietary services at a minimum, every 60 days, make
				recommendations, assess the nutritional needs of the children and provide
				nutritional counseling.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 11 - DEVELOPMENTAL AND REHABILITATION SERVICES › Section 8:43J-11.1 - Developmental services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A facility shall
				employ full-time a child life specialist.
(b) A facility shall have each child assessed by a
				child life specialist to determine the child's present performance level in the
				following developmental domains:
1. Gross
				motor;
2. Fine motor;
3. Cognitive; and
4. Social.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 11 - DEVELOPMENTAL AND REHABILITATION SERVICES › Section 8:43J-11.2 - Rehabilitation services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				provide rehabilitation services on-site to those children whose need for these
				services has been documented in the child's interdisciplinary plan of care and
				ordered by the child's primary health care provider.
(b) The facility shall provide a speech-language
				pathology, physical therapy and/or occupational therapy evaluation when ordered by
				the child's primary health care provider.
1. The
				facility shall transmit a report of evaluations and recommendations to the child's
				primary health care provider and a copy shall remain a part of the child's medical
				record.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 11 - DEVELOPMENTAL AND REHABILITATION SERVICES › Section 8:43J-11.3 - Rehabilitation supplies and equipment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) When clinically
				indicated, the facility shall provide visual privacy and provisions for auditory
				privacy for children during evaluation and rehabilitation treatment.
(b) The facility shall ensure that the following
				therapy equipment, in a quantity appropriate to meet the needs of the children
				present, is available:
1. Pediatric therapy table
				with mat;
2. Therapy rolls and
				half-rolls of varying sizes;
3. Nesting
				benches of varying heights;
4. A wooden
				weighted push cart;
5. A toddler's
				swing;
6. A floor mirror;
7. Therapy balls of varying sizes;
8. Steps;
9. Climbing equipment; and
10. Other medically indicated equipment.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 12 - SOCIAL WORK SERVICES › Section 8:43J-12.1 - Qualifications of social workers

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All social workers
				shall:
1. Be licensed or certified by the New
				Jersey State Board of Social Work Examiners, pursuant to N.J.S.A. 45:15BB-1 et seq.;
				and
2. Have at least one-year of
				experience in providing social work services for children.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 12 - SOCIAL WORK SERVICES › Section 8:43J-12.2 - Provision of social work services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				arrange for the provision of social work services to children and their parents who
				require them, in accordance with N.J.S.A. 45:15BB-1 et seq. and N.J.A.C.
				13:44G.
(b) Social workers shall provide
				at least the following social services:
1.
				Interviewing the child's parent to obtain a social assessment and evaluation of
				needs and problems;
2. Providing, or
				arranging for the provision of individual, family and group counseling that
				addresses the psychological, social, financial, legal and educational needs of the
				child and where appropriate, the child's parent;
3. Assisting with obtaining social work
				services;
4. Referring the children and
				their parent to and/or developing support groups and educational programs;
5. Arranging and/or providing crisis
				intervention;
6. Coordinating the
				child's interdisciplinary plan of care with other community resources;
7. Providing in-service training to staff that
				addresses the psychosocial needs of the child, and the child's parent;
8. Participating in the facility's quality
				improvement program;
9. Participating in
				the child's pre- and post-admission case conferences;
10. Documenting assessments, treatment plans,
				evaluations and clinical notes; and
11.
				Coordinating discharge planning for the child, which shall include providing the
				child's parent information and assistance in accessing necessary and appropriate
				community services.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 13 - PHYSICAL PLANT REQUIREMENTS › Section 8:43J-13.1 - Physical plant

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Construction
				standards for new buildings and alterations, renovations and additions to existing
				buildings for freestanding pediatric medical day care facilities shall comply with
				5:23-3.2 and 7 (the Barrier-Free
				Subcode) of the New Jersey Uniform Construction Code and N.J.A.C. 5:70, the New
				Jersey Uniform Fire Code.
(b) The
				facility shall have all direct care services located on one floor.
(c) Prior to any construction, the facility shall
				submit plans for review to the New Jersey Department of Community Affairs, Health
				Care Plan Review Services Unit for which the telephone number is (609)
				633-8151.
(d) The facility shall install
				fire extinguishers in compliance with N.J.A.C. 5:70:
1. Fire extinguishers shall be examined at least
				annually and maintained in accordance with manufacturers' standards; and
2. Each fire extinguisher shall be labeled to show
				the date of such inspection and maintenance.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 13 - PHYSICAL PLANT REQUIREMENTS › Section 8:43J-13.2 - Functional service areas

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each pediatric
				medical day care facility shall provide the following functional service areas
				on-site:
1. Administration services as required at
				8:43J-3.4;
2. An employees' lounge as required at
				8:43J-13.5;
3. Housekeeping services as required at
				8:43J-13.6;
4. Social work services as required at
				8:43J-13.7;
5. Child care areas as required at
				8:43J-13.8;
6. Nursing services as required at
				8:43J-13.11;
7. Pharmaceutical services as required at
				8:43J-13.11;
8. An examination room or private treatment space
				as required at 8:43J-13.11;
9. Dietary services as required at
				8:43J-13.12;
10. Physical therapy services as required at
				8:43J-13.13;
11. Speech-language pathology services as required
				at 8:43J-13.14;
12. Laundry services as required at
				8:43J-13.15; and
13. An outdoor play area as required at
				8:43J-13.10.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 13 - PHYSICAL PLANT REQUIREMENTS › Section 8:43J-13.3 - Toilet facilities

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Barrier-free toilet
				facilities shall be provided to meet the needs of the children, staff and
				visitors.
(b) Facilities shall have at
				least:
1. One toilet and one sink, of proper size
				and height for the use of children, for every 10 children;
2. Two adult, singular, unisex toilet rooms, one
				of which is to be barrier-free, for the use of visitors, volunteers and staff;
				and
3. Two diaper changing areas that
				are:
i. Separate from the toilet
				facilities;
ii. Located within five feet
				of a handwashing sink; and
iii.
				Privacy-screened.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 13 - PHYSICAL PLANT REQUIREMENTS › Section 8:43J-13.4 - Administration areas

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The main entrance of
				the facility shall have a lobby and/or reception area, which shall contain space
				for:
1. Waiting for several persons; and
2. Wheelchair storage.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 13 - PHYSICAL PLANT REQUIREMENTS › Section 8:43J-13.5 - Employees' lounge

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				provide an employees' lounge for employees and volunteers.
1. The employees' lounge shall contain secure
				storage space, such as lockers, for the use of employees and volunteers.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 13 - PHYSICAL PLANT REQUIREMENTS › Section 8:43J-13.6 - Housekeeping services area

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				provide a janitor's closet that contains a service sink and storage for housekeeping
				supplies and equipment.
(b) The facility
				shall ensure that the door to the janitor's closet is kept locked when not in use.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 13 - PHYSICAL PLANT REQUIREMENTS › Section 8:43J-13.7 - Social work services area

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				provide office space for the social worker staff to conduct private interviewing and
				counseling.
(b) The facility shall
				provide a secure record storage area for the social worker staff.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 13 - PHYSICAL PLANT REQUIREMENTS › Section 8:43J-13.8 - Child care areas

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Child care areas
				shall consist of an area for:
1. Ambulatory
				children, which may also be used by non-ambulatory children whose medical condition
				permits integration;
2. Toddlers;
				and
3. Non-ambulatory children whose
				medical condition precludes integration with ambulatory children or
				toddlers;
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 13 - PHYSICAL PLANT REQUIREMENTS › Section 8:43J-13.9 - Cribs and mats

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				provide at least one crib or sleeping mat for each child in the program.
1. When in use, there shall be a minimum of three
				feet between cribs and/or sleeping mats.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 13 - PHYSICAL PLANT REQUIREMENTS › Section 8:43J-13.10 - Outdoor play area

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each facility shall
				have an outdoor play area that can be used when weather permits.
(b) The appropriate staff-to-child ratio shall be
				maintained in the outdoor play area when the outdoor play area is in use.
(c) The outdoor play area shall comply with
				N.J.A.C. 5:23-11.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 13 - PHYSICAL PLANT REQUIREMENTS › Section 8:43J-13.11 - Nursing services, pharmaceutical services and examination room or private treatment space

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				provide an office for nursing staff that has a minimum of 100 square feet.
(b) If the nurse's office will also serve as the
				pharmaceutical area, then the facility shall provide a minimum of 120 square feet of
				space for the combined use area.
(c) The
				facility shall provide the following for pharmaceutical services:
1. A dispensing area with a sink for
				handwashing;
2. A locked storage cart or
				locked cabinets; and
3. A separate
				lockable refrigerator or a locked box within a refrigerator for storage of
				medications.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 13 - PHYSICAL PLANT REQUIREMENTS › Section 8:43J-13.12 - Dietary service area

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The construction,
				equipment and installation of food service facilities shall meet the requirements of
				the functional program.
(b) Services
				shall consist of an on-site conventional food preparation system, a convenience food
				service system, a catering service or an appropriate combination thereof.
(c) The facility shall provide the following to
				implement the food service selected:
1. If food is
				prepared on-site:
i. A conventional food
				preparation system with space and equipment for preparing, cooking, baking and
				serving meals; or
ii. A convenience food
				system, such as frozen prepared meals, bulk packaged entrees, individually packaged
				portions and contractual commissary services with space and equipment for thawing,
				portioning, cooking and/or baking; or
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 13 - PHYSICAL PLANT REQUIREMENTS › Section 8:43J-13.13 - Physical therapy service area

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				provide:
1. A designated area for the provision of
				physical therapy with a sink for handwashing.
i.
				The area may be within the child care areas;
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 13 - PHYSICAL PLANT REQUIREMENTS › Section 8:43J-13.14 - Speech-language pathology services area

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				provide:
1. A designated area for the provision of
				speech-language pathology services.
i. The area
				may be within the child care areas;
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 13 - PHYSICAL PLANT REQUIREMENTS › Section 8:43J-13.15 - Laundry service area

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If the facility
				provides laundry services on-site, the following areas shall be provided:
1. A laundry processing room;
2. Separate, clearly identified covered waste
				containers for soiled linens and/or soiled disposables in a designated area away
				from child activities and dining areas;
3. Storage for laundry supplies; and
4. A clean linen or disposables storage, issuing
				and holding room or area.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 13 - PHYSICAL PLANT REQUIREMENTS › Section 8:43J-13.16 - Emergency plans and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				develop written emergency plans, policies and procedures to be followed in case of
				medical emergency, equipment breakdown, fire and other disasters, that address, at a
				minimum, the following:
1. Persons to be
				notified;
2. Process of notification and
				verification of notification;
3.
				Locations of emergency equipment and alarm signals;
4. Evacuation routes;
5. Procedures for evacuating children;
6. Procedures for reentry and recovery;
7. Frequency of fire drills; and
8. Tasks and responsibilities assigned to all
				personnel.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 14 - MEDICAL RECORDS › Section 8:43J-14.1 - Maintenance of medical records

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				maintain a current, complete medical record for each child.
(b) The facility shall develop and implement
				written objectives, policies, a procedure manual, an organizational plan and a
				quality improvement program for medical record services.
(c) The facility shall maintain a record system in
				which the child's complete medical record is filed as one unit in one location
				within the facility.
(d) The facility
				shall protect the medical record from loss, destruction or unauthorized
				use.
(e) The facility shall retain
				medical records in accordance with
				26:8-5.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 14 - MEDICAL RECORDS › Section 8:43J-14.2 - Assignment of responsibility

Current through Register Vol. 56, No. 14, July 15, 2024
The facility shall assign responsibility for the medical record
				  service to a full-time employee who, if not a medical record practitioner, functions
				  in consultation with a person so qualified.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 14 - MEDICAL RECORDS › Section 8:43J-14.3 - Contents of medical records

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The child's complete
				medical record shall include, but not be limited to, the following:
1. Child identification data, including:
i. Name;
ii. Date of admission;
iii. Address;
iv. Date of birth;
v. Race;
vi. Religion (if parent elects to
				provide);
vii. Sex;
viii. Referral source;
ix. Payment plan;
x. Travel directions to the child's
				home;
xi. Name, address and contact
				telephone number of the child's parent; and
xii. Name, address and contact telephone number of
				the person(s) to be notified in an emergency;
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 14 - MEDICAL RECORDS › Section 8:43J-14.4 - Medical records policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All orders for
				child-care shall be prescribed in writing and signed and dated by the prescriber.
1. All medication orders shall be in compliance
				with 8:43J-9.2.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 15 - INFECTION CONTROL, SANITATION AND HOUSEKEEPING › Section 8:43J-15.1 - Administrator's responsibilities for infection control

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The administrator
				shall ensure the development and implementation of an infection prevention and
				control program.
(b) The administrator
				shall designate a person who shall be responsible for the direction, provision and
				quality of infection prevention and control services, and who shall:
1. Have education, training, experience and
				completed course work in infection control or epidemiology;
2. Be responsible for developing and maintaining
				written objectives for infection prevention and control services;
3. Be responsible for developing a policy and
				procedure manual for infection prevention and control services; and
4. Be responsible for developing an organizational
				plan and a quality improvement program for infection prevention and control
				services.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 15 - INFECTION CONTROL, SANITATION AND HOUSEKEEPING › Section 8:43J-15.2 - Child immunization

Current through Register Vol. 56, No. 14, July 15, 2024
Each facility shall ensure that each child is immunized in
				  accordance with N.J.A.C. 8:57.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 15 - INFECTION CONTROL, SANITATION AND HOUSEKEEPING › Section 8:43J-15.3 - Infection control policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				develop, implement and review, at least annually, written policies and procedures
				regarding infection prevention and control that are consistent with the following:
1. Guideline for Hand Hygiene in Health-Care
				Settings: Recommendation of the Healthcare Infection Control Practices Advisory
				Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force, published in the
				Morbidity and Mortality Weekly Report at MMWR 2002; 51 (No. RR-16), incorporated
				herein by reference published by the Coordinating Center for Health Information and
				Service, available at
http://www.cdc.gov/mmwr/PDF/rr/rr5116.pdf
and at
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5116a1.htm
;
				and
2. The standard precautions for
				Bloodborne Pathogens at
				29 CFR 1910.1030,
				incorporated herein by reference.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 15 - INFECTION CONTROL, SANITATION AND HOUSEKEEPING › Section 8:43J-15.4 - Employee Mantoux testing

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each new employee
				upon employment shall receive a two-step Mantoux tuberculin skin test with five
				tuberculin units of purified protein derivative.
1. The only exceptions shall be employees with
				documented negative two-step Mantoux skin test results (zero to nine millimeters of
				induration) within the last year, employees with a documented positive Mantoux skin
				test result (10 or more millimeters of induration), employees who have received
				appropriate medical treatment for tuberculosis, or when medically
				contraindicated.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 15 - INFECTION CONTROL, SANITATION AND HOUSEKEEPING › Section 8:43J-15.5 - Employee health history and examinations

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				require all new employees to complete a health history and to receive an examination
				performed by a physician or an advanced practice nurse within two weeks prior to the
				first day of employment or upon employment.
1. The
				examination may be deferred for up to 30 days if the nursing director performs a
				nursing assessment on the new employee upon employment.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 15 - INFECTION CONTROL, SANITATION AND HOUSEKEEPING › Section 8:43J-15.6 - Regulated medical waste

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				ensure that regulated medical waste is collected, stored, handled and disposed of in
				accordance with applicable Federal and State laws.
(b) The facility shall comply with the
				13:1E-48.1 et seq., the Comprehensive
				Regulated Medical Waste Management Act, and all rules promulgated pursuant thereto,
				including N.J.A.C. 7:26-3A.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 15 - INFECTION CONTROL, SANITATION AND HOUSEKEEPING › Section 8:43J-15.7 - Provision of housekeeping, sanitation and safety

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				provide and maintain a sanitary and safe environment for children.
(b) The facility shall be clean, orderly and free
				of offensive odors.
(c) The facility
				shall provide housekeeping and pest control services.
(d) The facility shall develop and implement
				written objectives, policies, a procedure manual, an organizational plan and a
				quality improvement program for housekeeping, sanitation and safety.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 15 - INFECTION CONTROL, SANITATION AND HOUSEKEEPING › Section 8:43J-15.8 - Housekeeping

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				establish and implement a written work plan for housekeeping operations, with
				categorization of cleaning assignments as daily, weekly, monthly or annually within
				each area of the facility.
(b) The
				facility shall develop procedures for the selection and use of housekeeping and
				cleaning products and equipment.
(c) The
				facility shall train housekeeping personnel in cleaning procedures, including the
				use, cleaning and care of equipment.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 16 - TRANSPORTATION SERVICES › Section 8:43J-16.1 - Transportation services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				provide transportation services, either directly or through contractual
				arrangements, to all children who require transportation between the facility and
				the child's home.
1. No child's total
				transportation time between the facility and the child's home shall exceed one hour
				one way, and shall not exceed two hours a day.
2. The facility shall accommodate the special
				transportation needs of the child and the medical equipment used by the
				child.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 16 - TRANSPORTATION SERVICES › Section 8:43J-16.2 - Transportation staffing levels

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The nursing director
				shall determine staffing levels to be met in a vehicle whenever a child is being
				transported, based on the particular needs of the child.
1. The facility shall ensure that at least one
				direct care staff member, in addition to the driver, is on duty in a vehicle
				whenever a child is being transported.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 16 - TRANSPORTATION SERVICES › Section 8:43J-16.3 - Security and accountability during transportation

Current through Register Vol. 56, No. 14, July 15, 2024
The facility shall establish and implement plans for security and
				  accountability for the child and the child's personal possessions while
				  transportation services are being provided.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 17 - QUALITY IMPROVEMENT › Section 8:43J-17.1 - Quality improvement program

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				establish and implement a written plan for a quality improvement program for child
				care, which shall specify a timetable and the person(s) responsible for the quality
				improvement program and shall provide for ongoing monitoring of staff and child-care
				services.
(b) The facility shall
				establish and implement a quality assurance committee whose members shall include:
1. A Board-certified pediatrician familiar with
				pediatric medical day care facility services and implementation of quality
				improvement programs;
2. A registered
				professional nurse with special expertise in the care of medically complex children;
				and
3. A certified child life specialist
				or a social worker with expertise in the care of medically complex children and
				their families.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 17 - QUALITY IMPROVEMENT › Section 8:43J-17.2 - Use of restraints

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				establish and implement policies and procedures that support a restraint-free
				environment for all children.
(b) A
				restraint shall be used only on an order from a child's primary health care
				provider.
(c) A specific procedure shall
				be established for the use of each type of restraint.
(d) The least restrictive restraint shall be used
				in compliance with the child's primary health care provider's order.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43J - STANDARDS FOR LICENSURE OF PEDIATRIC MEDICAL DAY CARE FACILITIES › Subchapter 17 - QUALITY IMPROVEMENT › Section 8:43J-17.3 - Staff development

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				provide each new employee with an orientation to acquaint the employee with the
				philosophy, organization, program, practices and goals of the facility.
(b) The facility shall provide or arrange ongoing
				staff development and/or continuing education programs appropriate to the category
				of personnel to be conducted and documented to facilitate quality
				child-care.
(c) The facility shall
				provide staff development and/or continuing education programs to:
1. Facilitate the ability of the staff to function
				as a member of an interdisciplinary team, which includes health professionals and
				the parent;
2. Improve communication
				skills to facilitate a collaborative relationship between parent and
				staff;
3. Increase staff's understanding
				of the effects that childhood illness has on the child's development and the parent
				and family members;
4. Develop case
				management skills to assist the family in setting priorities, planning and
				implementing the child's care at home; and
5. Provide training in the implementation of new
				technology.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 44 - CHAPTER IV OF THE STATE SANITARY CODE › Subchapter 2 - OPERATION OF CLINICAL LABORATORIES › Section 8:44-2.2 - Applicability of regulations

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Except as otherwise
				provided herein, the regulations shall apply to clinical laboratories engaged in the
				performance of chemical, bacteriologic, virologic, parasitologic, serologic,
				mycologic, hematologic, immunohematologic, biophysical, cytologic, radiobioassay or
				other examinations of materials derived from the human body for the purpose of
				yielding information for the diagnosis, prevention or treatment of disease or the
				assessment of medical condition.
(b) The
				rules do not apply to the following:
1. Anatomic
				pathology, which is defined as the gross or microscopic examination of tissues by a
				physician specifically trained to interpret and diagnose disease by such
				examination;
2. Clinical laboratories
				operated and maintained exclusively for research and teaching purposes, involving no
				patient or public health services, whatsoever;
3. Clinical laboratories operated by the United
				States Government;
4. Blood banks
				licensed under P.L. 1963, c.33 (26:2A-2 et
				seq.);
5. Clinical laboratories
				possessing a Federal Certificate of Waiver as defined by Federal Clinical Laboratory
				Amendments of 1988 (CLIA '88) ( P.L. 100-578 ) and regulations adopted thereunder (
				42 CFR Part 493, published in the Federal Register, February 28, 1992);
				and
6. Clinical laboratories which are
				operated by the Department of Corrections, any county jail, any county probation
				department, or any drug or alcohol treatment center providing services to persons
				under the jurisdiction of any of these agencies or in a program of supervisory
				treatment pursuant to the provisions of
				N.J.S.
				2C:43-13 and which perform only urinalysis for
				screening purposes to detect the presence of alcohol or illegal substances. The
				Attorney General shall approve procedures, methods and devices used by these
				agencies or centers in screening for alcohol or illegal substances.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 44 - CHAPTER IV OF THE STATE SANITARY CODE › Subchapter 2 - OPERATION OF CLINICAL LABORATORIES › Section 8:44-2.3 - Laboratory director

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The clinical
				laboratory shall be under the direction of a qualified person.
(b) The director shall administer the technical
				and scientific operation of the laboratory including the reporting of findings of
				laboratory tests.
1. The director shall serve the
				laboratory full time, or on a regular part-time basis. The director shall not
				individually serve as director or Co-director of more than three
				laboratories.
2. Commensurate with the
				laboratory workload, the director shall spend an adequate amount of time in the
				laboratory to direct and supervise the technical performance of the staff and shall
				be readily available for personal or telephone consultation.
3. The director is responsible for the proper
				performance of all tests made in the laboratory.
4. The director is responsible for the employment
				of qualified laboratory personnel and their inservice training.
5. If the director is to be absent, the director
				must arrange for a qualified substitute director.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 44 - CHAPTER IV OF THE STATE SANITARY CODE › Subchapter 2 - OPERATION OF CLINICAL LABORATORIES › Section 8:44-2.4 - Supervision

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The clinical
				laboratory shall be supervised by qualified personnel.
(b) The laboratory shall have one or more
				supervisors who, under the general discussion of the laboratory director, supervise
				technical personnel and report of findings, perform tests requiring special
				scientific skills, and, in the absence of the director, are held responsible for the
				proper performance of all laboratory procedures. A laboratory director who qualifies
				under subsection (c) of this section is also qualified as a general supervisor;
				therefore, depending upon the size and functions of the laboratory, the laboratory
				director may also serve as the laboratory supervisor.
1. Required supervisors: There are two categories
				of required supervisors. A general supervisor--one who meets the requirements of
				subsection (c) of this section--is on the laboratory premises during all hours in
				which tests are being performed. With respect to the specialty of diagnostic
				cytology, cytotechnologists do not examine side preparations unless a supervisor who
				qualifies pursuant to the provisions of paragraph 4 of subsection (c) of this
				section or N.J.A.C. 8:44-1.5(c)8 is on the premises at all times. A technical
				supervisor--one who meets the pertinent requirements of N.J.A.C. 8:44-1.5(c)
				--spends an adequate amount of time in the laboratory to supervise the technical
				performance of the staff in the specialty and is readily available for personal or
				telephone consultation. A general supervisor may also be a technical supervisor in
				those specialties in which the requirements of N.J.A.C. 8:44-1.5(c) are
				met.
2. Supervision of emergency
				procedures: When emergencies arise outside regularly scheduled hours of duty, an
				individual who qualifies as a general supervisor is not required to be on the
				premises provided that the technologist performing tests is qualified to perform
				such tests, the supervisor who is responsible for the results of the work reviews
				them during the next duty period, and a record is maintained to reflect the actual
				review. Night time, week-end, or holiday duty hours shall be considered as Emergency
				Procedures.