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Chapter 1: Required Signs
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New York City Health Code
Introductory Notes
Title I: Short Title, Definitions and General Provisions
Title II: Control of Disease
Title III: Maternal, Infant, Child and School Health Services
Article 41: Maternity and Newborn Services [Repealed]
Article 42: Abortion Services [Repealed]
Article 43: School-based Programs For Children Ages Three Through Five
Article 45: General Provisions Governing Schools and Children's Institutions
Article 47: Child Care Programs and Family Shelter-Based Drop-Off Child Supervision Programs
§ 47.01 Definitions.
§ 47.03 Permit Required.
§ 47.05 Program Capacity and Limitation on Hours per Child.
§ 47.07 Permit: Required Approvals and Clearances.
§ 47.09 Applications for Permits.
§ 47.11 Written Safety Plan.
§ 47.13 Teaching Staff Qualifications and Coverage in Child Care Programs.
§ 47.15 Teaching Staff Qualifications for Infant/Toddler Child Care Programs.
§ 47.17 Teaching Staff Qualifications for Night Child Care Programs.
§ 47.18 Shelter Child Supervision Liaison and Shelter Child Supervisor Requirements and Qualifications.
§ 47.19 Criminal Justice and Child Abuse Screening of Current and Prospective Personnel; Reports to the Department.
§ 47.21 Corrective Action Plan.
§ 47.23 Supervision; Staff/Child Ratios and Group Size.
§ 47.25 Health; Children's Examinations and Immunizations.
§ 47.27 Health; Daily Requirements; Reports of Absences; Communicable Diseases.
§ 47.29 Health; Emergencies.
§ 47.31 Health; Medication Administration.
§ 47.33 Health; Staff.
§ 47.35 Personal Hygiene Practices; Staff and Child.
§ 47.37 Training.
§ 47.39 Space Allowance; Reservation for Children's Use.
§ 47.41 Indoor Physical Facilities.
§ 47.43 Plumbing; Toilets, Hand Wash, and Diaper Changing Facilities.
§ 47.45 Ventilation and Lighting.
§ 47.47 Outdoor Play Areas and Facilities.
§ 47.49 General Sanitation and Maintenance.
§ 47.51 Rodents, Insects and Other Pests Prohibited; Pesticide Application Notice.
§ 47.53 Pet Animals.
§ 47.55 Equipment and Furnishings.
§ 47.57 Safety; General Requirements.
§ 47.59 Fire Safety.
§ 47.61 Food and Food Safety.
§ 47.63 Lead-Based Paint Restricted.
§ 47.65 Transportation.
§ 47.67 Child Development Policies, Activities, Rest Periods and Clothing.
§ 47.69 Night Child Care.
§ 47.71 Physical Activity and Limits on Television Viewing.
§ 47.73 Required Postings.
§ 47.75 Modification of Provisions.
§ 47.77 Closing and Enforcement.
§ 47.79 Construction and Severability.
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Article 48-A: Year-round After-school and Youth Centers
Article 49: Schools
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§ 47.39 Space Allowance; Reservation for Children's Use.
   (a)   Space for children's exclusive use. Rooms, areas and other spaces utilized by children in a program, including bathrooms, shall be reserved for their exclusive use and shall not be shared with other children or adults while the program is in operation.
   (b)   Minimum square footage/child. The minimum allowance of space for each child in a room/area separated from other rooms/areas by a physical barrier shall be 30 square feet of wall to wall space.
(Amended City Record 9/20/2017, eff. 10/10/2017; amended City Record 6/12/2018, eff. 7/12/2018)
§ 47.41 Indoor Physical Facilities.
   (a)   Egress. All buildings in which child care or supervision is provided by programs that received their first permit after January 1, 1989, shall have two unobstructed means of egress, separated by at least half the diagonal dimension of the occupied space of the building or as otherwise specified by applicable building code. Fire escapes shall not be counted as means of egress.
   (b)   No child care or child supervision provided above third floor. No programs receiving a first permit after January 1, 1989, shall allow children to utilize any rooms, areas or other spaces above the third floor of a building, except that the Department may allow programs to occupy spaces above the third floor where DOB and FDNY or other appropriate government entities have approved such use and the Department has approved the applicant or permittee's evacuation plan.
   (c)   Infant/toddler child care or supervision limited to first floor. No infant/toddler child care program, or family shelter-based drop-off child supervision program that supervises infants or toddlers, receiving a first permit on or after September 1, 2008, shall provide services in any room, area or other space above the first floor or below the ground level floor of a building, except that the Department may allow such programs to occupy spaces above the first floor or one level below the ground level floor of a building, where DOB and FDNY or other appropriate government entities have approved such use and the Department has approved the applicant or permittee's evacuation plan.
   (d)   Basements. A program receiving a first permit on or after September 1, 2008, shall not allow children to utilize any rooms, areas or other spaces lower than one level below the ground level floor of a building.
   (e)   Window guards. Windows guards shall be installed in accordance with specifications provided or approved by the Department on all windows in all rooms, hallways, and stairwells, except windows giving access to fire escapes.
   (f)   Passageways free of obstruction. All corridors, doorways, stairs, and exits shall be kept unobstructed at all times.
   (g)   Protective barriers in stairways. Protective barriers shall be provided in all stairways used by children. Stairways shall be equipped with low banisters or handrails for use of children. Protective barriers providing visual access shall be installed in lofts used by children.
   (h)   Shielding required. Columns, radiators, pipes, poles, and any other free-standing or attached structures in classrooms and play areas shall have protective guards.
   (i)   Door locks. No door to a bathroom, closet or other enclosed space shall be equipped with a lock that allows the door to be locked from inside the space, except that such devices may be used to secure privacy if they can be overridden from the outside in an emergency, and may otherwise be used as required for compliance with applicable law or regulations regarding lockdown procedures.
   (j)   Finishes and maintenance. Walls, ceilings and floors shall be finished with non-toxic finishes, constructed of materials enabling thorough cleaning, and maintained in good repair, with no holes, missing tiles, peeling plaster, or other defects.
   (k)   Securing entrances and exits. 
      (1)   Monitoring. All interior entrances and exits of the facility must be monitored and kept secure by individual staff, contractors, and/or electronic or other surveillance providing unobstructed views of entrances and exits at all times during operation of the program. Panic bars must be installed on all exterior doors of the facility. When used in this paragraph a "panic bar" means a door latching assembly incorporating a device that releases the latch upon the application of a force in the direction of egress travel.
      (2)   Entry access. All entrances providing access to the facility must be secured with pass key identification or other means that effectively limit access to staff, parents and other authorized persons.
(Amended City Record 9/20/2017, eff. 10/10/2017; amended City Record 6/12/2018, eff. 7/12/2018)
§ 47.43 Plumbing; Toilets, Hand Wash, and Diaper Changing Facilities.
   (a)   Plumbing installation. Plumbing shall be installed only by a licensed plumber and shall be free of cross-connections and other hazards to health. Drinking water from faucets and fountains shall be tested for lead content by an existing permittee upon the effective date of this provision or by a new permittee within 60 days of receiving a permit and by all permittees every five years thereafter using a method approved by the Department. Copies of test results must be sent to the Department upon receipt by mail, email or fax and the permittee shall investigate and take remedial action if lead levels at or above 15 parts per billion (ppb) are detected. Remedial action must be described in a corrective action plan to be submitted to the Department with reports of elevated test results. Until remedial action is completed, the permittee must provide and use bottled potable water from a source approved by the Department or the State Department of Health.
   (b)   Adequate toilets and sinks to be provided. One toilet and one hand wash sink shall be provided for every 15 children ages 24 months and older, or fraction thereof, based on permit capacity. When an extended hand wash facility is equipped with several faucets supplying tempered water, each faucet shall be considered the equivalent of one hand wash sink.
   (c)   Located near children's rooms. Toilets and hand wash sinks shall be located as close as practicable to children's playrooms and classrooms.
   (d)   Staff toilets. Separate adult toilets shall be provided for staff.
   (e)   Sink water supply. Hand wash sinks with an adequate supply of hot and cold running water shall be provided in or adjacent to toilets. Water temperature in hand wash sinks used by children shall not exceed 115 degrees Fahrenheit (46.11 degrees Celsius).
   (f)   Accessibility to children. Toilets and hand wash sinks shall be installed at a height that allows unassisted use by children. If adult-size toilets or hand wash sinks are in place, platforms with easily cleaned surfaces shall be provided for use by children. Such platforms shall be securely affixed to a permanent structure and free of hazards.
   (g)   Soaps and drying devices. All sinks shall be equipped with liquid soap dispensers, individual paper towels or sanitary driers, located within easy reach of the children.
   (h)   Diaper changing. 
      (1)   A firm, non-absorbent, easily cleanable, counter height surface directly adjacent to a sink with running hot and cold water shall be provided in or adjacent to the classroom for diaper changing when needed.
      (2)   A disposable covering shall be provided on diaper changing counters and shall be changed after each use. The counter surface shall be disinfected after each use.
      (3)   A readily accessible receptacle with secure lid and removable plastic liner shall be provided for the disposal of diapers; separate equipment shall be provided for cloth diapers, if used. A properly labeled spray bottle of approved disinfectant shall be provided.
      (4)   Staff changing diapers shall wear disposable rubber or other barrier gloves.
      (5)   Potties shall be used only in bathroom or toilet facilities, and shall be washed and disinfected after each use in a designated utility sink that is not used by staff or children as a hand wash sink.
(Amended City Record 9/20/2016, eff. 10/20/2016; amended City Record 9/20/2017, eff. 10/10/2017; amended City Record 6/12/2018, eff. 7/12/2018)
§ 47.45 Ventilation and Lighting.
   (a)   Ventilation. Ventilation, by natural or artificial means, shall be provided in each room used by children. Internal temperature and humidity shall be regulated so the facility is free of nuisance conditions, including, but not limited to excessive heat, dust, fumes, vapors, gases, odors or condensate. The windows, inlets, outlets and artificial ventilation shall be located and the rate of air flow shall be controlled so as not to subject the children to drafts.
   (b)   Lighting. All parts of a building used for the care or supervision of children shall be adequately lighted by natural or artificial means. All lighting shall be evenly distributed and diffused, free from glare, flickering or shadows. The following lighting levels shall be provided and maintained at children's activity level:
      (1)   Fifty foot-candles of light in all classrooms used for partially sighted children;
      (2)   Thirty foot-candles of light in all other classrooms, study halls or libraries;
      (3)   Twenty foot-candles of light in recreation rooms;
      (4)   Ten foot-candles of light in auditoriums, cafeterias, locker rooms, washrooms, corridors containing lockers;
      (5)   Five foot-candles of light in open corridors and store rooms; and
      (6)   Five foot-candles of light shall be provided during sleeping hours in bathrooms, sleeping areas and exit paths.
(Amended City Record 9/20/2017, eff. 10/10/2017; amended City Record 6/12/2018, eff. 7/12/2018)
§ 47.47 Outdoor Play Areas and Facilities.
   (a)   Adequate, easily accessible outdoor play areas shall be provided at child care programs and may be provided at family shelter-based drop-off child supervision programs. They shall be kept clean and safe, and shall be suitable for children's use.
   (b)   Outdoor play areas located on the premises of a facility shall be enclosed by climb-proof fencing that is a minimum of five feet in height. No razor or barbed wire shall be used at the top of a fence, unless the fence is more than six and one half feet in height.
   (c)   Rooftop play areas may be provided in fireproof buildings, when such use is approved by the Department, DOB, and FDNY or other appropriate government entities. Rooftop play areas shall be enclosed by a climb-proof fence, at least 10 feet in height with an additional 45° inwardly angled panel.
   (d)   Outdoor equipment, including, but not limited to, swings, slides, and climbing apparatus, shall be age and developmentally appropriate, shall be installed, maintained and used in accordance with manufacturers' specifications and instructions, approved by the U.S. Consumer Product Safety Commission, and maintained in good repair.
   (e)   Outdoor play areas shall be maintained free of broken glass or other debris, poison ivy or other poisonous vegetation, pest harborages, or other hazards.
   (f)   Resilient surfaces, approved by the U.S. Consumer Product Safety Commission, that do not contain asphalt or cement, shall be provided under and surrounding climbing and other elevated equipment.
   (g)   Play equipment shall be in good repair, and free from hazards such as sharp edges or pointed parts, or toxic or poisonous finishes or materials, including but not limited to, lead and arsenic.
(Amended City Record 9/20/2017, eff. 10/10/2017; amended City Record 6/12/2018, eff. 7/12/2018)
§ 47.49 General Sanitation and Maintenance.
   (a)   Maintenance. Indoor and outdoor rooms, play areas, and other spaces, including cellars, basements, and adjoining yards and courts, and all furnishings and equipment shall be kept clean of food and debris and maintained in good condition. Interior rooms used by children shall not be cleaned by dry sweeping in the presence of children.
   (b)   Trash and garbage. Trash and garbage shall be stored in rodent proof containers with tightly fitted lids. Trash, garbage, and combustible materials shall not be stored in the furnace or boiler rooms or in rooms or outdoor areas adjacent to the facility that are ordinarily occupied by or accessible to children.
   (c)   Toxic and poisonous materials to be contained. All matches, lighters, medicines, drugs, cleaning materials, detergents, aerosol cans and other poisonous or toxic materials shall be stored in their original containers. Such materials shall be used in such a way that they will not contaminate play surfaces, equipment, food or food preparation areas or constitute a hazard to children. Such materials shall be kept in places that are inaccessible to children, and that can be securely locked.
   (d)   Environmentally sensitive cleaning products. Whenever feasible, programs shall utilize environmentally sensitive cleaning products, as defined in State Education Law § 409-i, or successor statute.
(Amended City Record 9/20/2017, eff. 10/10/2017; amended City Record 6/12/2018, eff. 7/12/2018)
§ 47.51 Rodents, Insects and Other Pests Prohibited; Pesticide Application Notice.
   (a)   Pest free premises. Premises shall be kept free of rodents, insects and other pests and free of any condition conducive to rodent, insect and other pest life.
   (b)   Pest control. Pest control methods shall emphasize prevention of pest infestation by preventing the free movement of pests into, and within the premises and by eliminating the conditions conducive to pests such as clutter and the availability of food and water. Such methods shall include, but not be limited to: closing and filling holes, cracks, and gaps at baseboards, where plumbing, radiator and other pipes and conduits enter the premises, where food storage cabinets join walls, and where shelves meet food storage cabinet interiors, using plaster, spackle, caulk or other appropriate sealants: storing all food products in sealed insect and rodent proof containers; installing door sweeps to prevent pest movement between rooms and areas. When necessary to control pests, permittees shall utilize pest control services provided by exterminators certified to apply pesticides by the New York State Department of Environmental Conservation (NYSDEC). Extermination logs shall be kept on site and maintained for inspection by the NYSDEC. Permittees shall request that exterminators utilize the least toxic methods and substances to control infestations, including but not limited to the use of: boric acid, diatomaceous earth, silica gel, insecticidal baits and gels for cockroaches; and shall not utilize glue traps or rodenticidal bait unless inserted in tamper-resistant containers and placed in locations inaccessible to children. Routine extermination shall not include the use of insecticidal aerosol sprays or foggers. Exterminators' logs of pesticide applications equivalent in content to NYSDEC Form 44-15-26 (Applicator/Technician Pesticide Report) shall be kept on site for three years and made available to the Department upon request.
   (c)   Notice of pesticide applications. Notice of pesticide applications shall be provided to parents not less than 48 hours before such application and shall include: (1) location and specific dates of applications; (2) pesticide product name and U.S. EPA registration number; (3) the name and telephone number of a program staff person to contact for more information; and (4) the following statement: "This notice is to inform you of a pending pesticide application at this child care program/family shelter-based drop-off child supervision program. You may wish to discuss with a representative of the child care program/family shelter-based drop-off child supervision program what precautions are being taken to protect your child from exposure to these pesticides. Further information about the product or products being applied, including any warnings that appear on the label of the pesticide or pesticides that are pertinent to the protection of humans, animals, or the environment, can be obtained by calling the National Pesticide Telecommunication Network Information line at 1-800-858-7378 or the NYS Department of Health Center for Environmental Health Info Line at 1-800-458-1158."
(Amended City Record 9/20/2017, eff. 10/10/2017; amended City Record 6/12/2018, eff. 7/12/2018)
§ 47.53 Pet Animals.
No reptiles, dogs, cats, or any other animals whose possession is prohibited by 24 RCNY Health Code § 161.01, or successor rule, shall be harbored in a facility. Any animals that are harbored in a facility shall be in good health, show no evidence of carrying any disease, and shall pose no threat to children. Pets shall be kept in cages, and waste material within cages shall be cleaned daily or more often, if needed.
(Amended City Record 9/20/2017, eff. 10/10/2017; amended City Record 6/12/2018, eff. 7/12/2018)
§ 47.55 Equipment and Furnishings.
   (a)   Furnishings. 
      (1)   Tables, chairs, furniture and equipment must be age and size appropriate, finished with non-toxic surface coverings, easily cleanable, and cleaned and sanitized as needed, in a manner consistent with the health and safety of the children in the program.
      (2)   All items of large furniture and all electronic appliances capable of being tipped over due to design, height, weight, stability or other features must be secured to the floors or walls of such facility, using angle-braces, anchors or other anchoring devices. Any item of furniture or electronic device which cannot be so anchored must be removed from the child care facility.
   (b)   Naps. 
      (1)   A separate firm sanitary cot, crib, mat, playpen or other sleeping arrangement specifically approved by the Department shall be provided for each child who spends more than four hours a day in the program.
      (2)   Stackable cribs shall be prohibited.
      (3)   Cots or other sleep equipment shall be placed at least two feet apart unless separated by a screen or partition.
      (4)   Pillows shall not be used for children under two years of age except when recommended by a child's health care provider.
      (5)   A clean sheet shall be provided for the exclusive use of each child.
      (6)   Blankets that are sufficient to maintain adequate warmth shall be made available for each child and shall be used when necessary.
      (7)   Sheets, pillows and blankets shall be stored separately for each child to avoid cross-contamination, and sheets, pillow cases and blankets shall be washed at least weekly.
   (c)   Space for clothing. Space shall be provided and arranged so that each child's outer garments may be hung separately, safely and within each child's reach.
(Amended City Record 9/20/2017, eff. 10/10/2017; amended City Record 6/12/2018, eff. 7/12/2018; amended City Record 12/26/2019, eff. 1/25/2020)
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