Daily Log of Entry Health Screenings and Attendance
each day of the week shall be submitted to the OOL every Friday.
Complete the checklist below for each visitor, staff member, and child prior to entering or being admitted to the center each day.
Childcare programs operating in public school buildings and receiving children directly from school shall not be required to screen
children a second time upon arrival. Children who meet the following criteria should be promptly isolated and excluded from the facility for
10 days from symptom onset, or until they receive an alternate diagnosis from a healthcare provider or a negative COVID-19 test result.
(Exclude if “Yes”
is marked for
100.4 F or
At least 2 of the following:
Chills, Shivers, Muscle
At least 1 of the
Loss of Taste or
(within 6 feet for at
least 10 minutes)
with a person with
19 in the Past 14
Someone in the
of COVID-19 or
Travel to an
Area of High
*NJ Travel Advisory List: https://covid19.nj.gov/faqs/nj-information/travel-and-transportation/which-states-are-on-the-travel-advisory-list-are-there-travel-restrictions-to-or-from-new-jersey
**Exclusion criteria based on New Jersey Department of Health COVID-19 Public Health Recommendations.