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: Ohio Administrative Code (OAC) Rule 5101:2-12-16 states: What are the specific procedures the licensed child care center needs to follow for standard precautions? (1)Blood spills shall be treated cautiously and decontaminated promptly. Disposable vinyl gloves shall be worn during contact with blood or bodily fluids which contain blood, such as vomit or feces in which blood can be seen. (2)Surfaces contaminated with blood or bodily fluids containing blood shall first be cleaned with hot, soapy water and then sanitized with an appropriate bleach solution which is prepared on a daily basis, according to product guidelines, or other acceptable disinfectant solution which is environmental protection agency (EPA) rated as hospital disinfectant with a label claim for mycobactericidal activity. (3)Disposal of materials that contain blood requires a sealable, leakproof plastic bag or double bagging in plastic bags that are securely tied. (4)Non-disposable items, such as clothing that contain blood, shall be placed in a sealable, leakproof plastic bag or double bagged in plastic bags that are securely tied and sent home with the child. (5)Sharp items used for procedures on children with special care needs, such as lancets for finger sticks or syringes, require a disposable container called a "sharps container." This is a container made out of durable, rigid material which safely stores the lancets or needles until they are disposed of properly. Sharps containers must be stored out of the reach of children. (D)What are the communicable disease requirements for a licensed child care center? (1)Any child enrolled and attending the center with signs or symptoms of illness listed in appendix B to this rule shall be immediately isolated and discharged to his parent or guardian or person designated by the parent or guardian. Appendix B states- A child is considered to be sick when demonstrating any of the following symptoms: • Temperature of at least one hundred and one degrees Fahrenheit (one hundred degrees Fahrenheit if taken axillary) when in combination with any other sign or symptom of illness. • Diarrhea (three or more abnormally, unexpectedly or unexplained loose stools within a twenty-four hour period). • Severe coughing, causing the child to become red or blue in the face or to make a whooping sound. • Difficult or rapid breathing. • Yellowish skin or eyes. • Redness of the eye or eyelid, thick and purulent (pus) eye discharge, matted eyelashes, burning, itching or eye pain. • Untreated infected skin patches, unusual spots or rashes. • Unusually dark urine and /or gray or white stool. • Stiff neck with elevated temperature. • Evidence of untreated lice, scabies, or other parasitic infestations. • Sore throat or difficulty in swallowing. • Vomiting more than one time or when accompanied by any other sign or symptom of illness. When caring for sick children, the center shall: • Isolate the sick child away from other children in another room or portion of a room, but within sight and hearing at all times. • Provide the sick child with a cot or mat or the sick infant with a crib, and make comfortable. • Notify the child’s parent(s) immediately to arrange discharge and if the child’s condition worsens during isolation. • Sanitize the thermometer after each use. (2)The JFS 08087 "Communicable Disease Chart" shall be posted in a location readily available to parents, child care staff members and employees. The chart is to be displayed in the size available in the Ohio department of job and family services (ODJFS) forms central in order for individuals to easily read, identify and respond to communicable diseases. (a)The center is to follow the requirements listed on the JFS 08087. (b)If the communicable disease is required to be reported to the local health department, the center is to report the communicable disease to ODJFS in accordance with paragraph (G) of this rule by the end of the next business day. Paragraph (G) What does the center do if there is a serious incident? (1)The center shall log in to http://oclqs.force.com by the next business day to report the incident, as defined in paragraph (F) of this rule. Paragraph( F) What is a serious incident? (1)Death of a child at the center. (2) An incident, injury, or illness that requires professional medical consultation or treatment for a child. (3) An unusual or unexpected incident which jeopardizes the safety of a child, child care staff member or employee of a center. (3) No later than the end of the next business day, the center shall notify parents when their child has been exposed to a communicable disease listed on the JFS 08087. (4) The center shall release employees and child care staff members who have a communicable disease or who are unable to perform their duties due to illness. Ohio Administrative Code (OAC) Rule 5101:2-13 Routine Cleaning, sanitizing, and disinfecting states (A)What are the requirements to provide and maintain a clean environment, furniture, materials, and equipment in a licensed child care center? (1)Toilet tissue, liquid soap, running water, and individually assigned towels, disposable towels or air dryers shall be provided in all bathrooms. Toilets and bathroom sinks shall be in good working condition. Toilets shall be flushed after each use. (2)Equipment, furnishings, and materials shall be constructed of materials to facilitate cleaning . (4)The center shall be cleaned daily and kept in a sanitary condition at all times. Cleaning and sanitizing shall not take place while rooms are occupied by children, except for general cleanup activities such as sweeping, vacuuming, mopping and wiping off tables which are part of the daily routine. The cleaning and sanitizing schedule contained in appendix A to this rule shall be followed. (5)The premises shall be kept clean to prevent an infestation by insects or rodents. Appendix A Schedule for Cleaning and Sanitizing items To clean: Wash the surface or item with a detergent solution or other appropriate commercial product used for cleaning purposes. Questions about products must be directed to the manufacturer of the product. Follow the manufacturer’s instructions exactly. To sanitize: Centers must use a commercial product registered by the United States Environmental Protection Agency (US EPA) as a sanitizer that has directions for use that are appropriate for the surface or item you are sanitizing. Questions regarding commercial products must be directed to the manufacturer of the product or the US EPA. Follow manufacturer’s instructions exactly when using any product to sanitize. All bottles of cleaners and sanitizers must be labeled with the contents. • Any item soiled with blood or bodily fluids- Clean and Sanitize Immediately • Blankets/sheets ￿ Clean Weekly, when soiled and before another child uses. • Bottles, bottle caps, nipples and other equipment used for bottle feeding - Clean and Sanitize by washing in a dishwasher or by washing, rinsing and boiling them for one minute, before it can be reused. • Carpets -Clean - Vacuum weekly or when soiled. Clean when soiled. • Changing table/pad - Clean when visibly soiled and sanitize after each use. • Reusable Cloths ￿ Clean - Wash daily and when visibly soiled. • Cots/Pads/Mats - clean and sanitize before assigning to a different child, when used by a sick child, when soiled, and at least every 3 months. • Cribs - Clean and Sanitize Monthly, when soiled, and before another child uses. • Diaper receptacles - Clean and Sanitize Daily or more frequently as needed to eliminate odor. • Dishes/Cups/Silverware/ Water Containers - Clean and Sanitize after each use. Water containers that are labeled with the child’s name can be used all day, but must be cleaned and sanitized before used again on another day. • Dividers (must be non-porous material) ￿ Clean when visibly soiled. • Dress up clothes and hats (Dramatic Play) ￿ Clean Monthly and when soiled. • Floors ￿ Clean Weekly and when soiled • Food prep area, including sink - Clean and Sanitize Before and after preparing food (including bottle preparation) and between preparing raw or cooked food • Potty chairs - Clean and Sanitize After each use, empty contents into toilet, rinse with water, clean and sanitize. • Tables (food)/High chair trays - Clean and Sanitize Before and after each use. • Tables (play) -Clean when visibly soiled. Sanitize daily. • Toilet bowls- Clean when visibly soiled. Sanitize weekly. • Toilet seats, handles and hand washing sinks- Clean when visibly soiled. Sanitize daily. • Toys that go into the mouth- Clean and Sanitize After each child’s use. • Toys other than those going into mouth Clean Monthly and when visibly soiled. • Washable furniture (including fabrics on infant equipment) ￿ Clean Weekly and when soiled: upholstered furniture must be steam cleaned when soiled, if not covered by a washable slipcover. Slipcovers must be washed at least every six months and when soiled. • Wastebaskets/Rinse Buckets including lids - Clean and Sanitize Empty daily and more frequently as needed. Clean and sanitize when visibly soiled. (B)What are the handwashing requirements for a center? (1)Handwashing shall occur in a handwashing sink. (2)Commercially manufactured non-permanent sinks may be used if fresh water and waste water are inaccessible to children and disposed of in a sanitary manner. (3) Handwashing requirements for center child care staff members, employees and children are detailed in appendix B to this rule. Appendix B - Handwashing Handwashing shall occur in a sink that is not used for meal preparation or clean-up and is away from the food serving area. Child care staff members and employees shall wash hands, defined as using soap and water or using hand sanitizer, at the following times: • Upon arrival for the day, prior to departure, and upon entry into a classroom. • After toileting or assisting a child with toileting. • After each diaper change or pull-up change. • After contact with bodily fluids or cleaning up spills or objects contaminated with bodily fluids. • After cleaning or sanitizing or using any chemical products. • After handling pets, pet cages or other pet objects that have come in contact with the pet. • Before eating, serving or preparing food or bottles or feeding a child. • Before and after completing a medical procedure or administering medication. • When visibly soiled (must use soap and water). Children shall wash hands, defined as using soap and water or using hand sanitizer (if 24 months or older), at the following times: • Upon arrival for the day and prior to departure. • After toileting/diaper change. • After contact with bodily fluids. • After returning inside after outdoor play. • After handling pets, pet cages or other pet objects that have come in contact with the pet before moving on to another activity. • Before eating or assisting with food preparation. • After water activities. • When visibly soiled (must use soap and water). Children who are unable to stand by themselves may be given wet paper towels and soap to wash and rinse their hands. (D)What are the requirements for toothbrushing in a center? Centers that provide toothbrushing shall: (1)Label each toothbrush with the child's name and store with bristles to air dry in such a way that the toothbrushes cannot contact or drip on each other and the bristles are not in contact with any surface. 2)Ensure that when a single tube of toothpaste is used for more than one child a pea-sized amount shall be dispensed onto a clean piece of paper or paper product for each child. (3)Discard and replace toothbrushes every three months or if the toothbrush becomes contaminated. This applies to all ages of children The Ohio Department of Education (ODE) Preschool Ohio Administrative Code (OAC) Rule 3301-37-05 (B) Furniture, materials and equipment shall meet the safety and sanitation requirements of rule 5101:2-12-12 and rule 5101:2-12-13 of the Administrative Code, which are listed above Ohio Administrative Code (OAC) 3301-37-11 A) A person trained to recognize the common signs of communicable disease or other illness shall observe each child daily as he enters a group. A "person trained to recognize the common signs of communicable disease" means any person trained in prevention, recognition, and management of communicable diseases. (B) The following precautions shall be taken for children suspected of having a communicable disease: (1) The program shall immediately notify the parent or guardian of the child's condition when a child has been observed with signs or symptoms of illness. (2) A child with any of the following signs or symptoms of illness shall be immediately isolated and discharged to his parent or guardian: (a) Diarrhea (three or more abnormally loose stools within a twenty-four-hour period); (b) Severe coughing, causing the child to become red or blue in the face or to make a whooping sound; (c) Difficult or rapid breathing; (d) Yellowish skin or eyes; (e) Redness of the eye or eyelid, thick and purulent (pus) eye discharge, matted eyelashes, burning, itching or eye pain; (f) Temperature of one hundred degrees Fahrenheit taken by the auxiliary method when in combination with other signs of illness; (g) Untreated infected skin patch(es); (h) Unusually dark urine and/or grey or white stool; (i) Stiff neck with an elevated temperature; (j) Evidence of untreated lice, scabies, or other parasitic infestation; (k) Sore throat or difficulty swallowing; or (l) Vomiting more than one time or when accompanied by any other sign or symptom of illness. (3) A child with any of the following signs or symptoms of illness shall be immediately isolated from other children. Decisions regarding whether the child should be discharged immediately or at some other time during the day shall be determined by the director and the parent or guardian. The child, while isolated at the program, shall be carefully watched for symptoms listed in paragraph (B)(2) of this rule as well as the following: (a) Unusual spots or rashes; or (b) Elevated temperature.; (4) Programs shall follow the Ohio department of health's posted " communicable disease chart" for appropriate management of suspected illnesses. (5) A child isolated due to suspected communicable disease shall be: (a) Cared for in a room or portion of a room not being used in the preschool program; (b) Within sight and hearing of an adult at all times. No child shall ever be left alone or unsupervised; (c) Made comfortable and provided with a cot/mat or crib for infants. All linens and blankets used by the ill child shall be laundered before being used by another child. After use, the cots shall be disinfected with an appropriate germicidal agent, or, if soiled with blood, feces, vomit, or other body fluids, the cots shall be cleaned with soap and water and then disinfected with an appropriate germicidal agent; (d) Observed carefully for worsening condition; and (e) Discharged to parent, guardian, or person designated by the parent or guardian as soon as practical. (C) Each program shall have a written policy concerning the management of communicable disease. The policy shall include, at a minimum: (1) The program's means of training all preschool staff in signs and symptoms of illness and in hand-washing and disinfection procedures; (2) Procedures for isolating and discharging an ill child and policy for readmitting such child; (3) Procedures for notifying the parent or guardian immediately when a child is exhibiting signs or symptoms of illness or has been exposed to a communicable disease; and (4) Procedures regarding the care of a mildly ill child. "Mildly ill child" means a child who is experiencing minor common cold symptoms, but who is not exhibiting any of the symptoms specified in paragraph (B) of this rule or a child who does not feel well enough to participate in activities, but who is not exhibiting any of the symptoms specified in paragraph (B) of this rule. (5) Procedures for notifying all parents of enrolled children when children are exposed to a diagnosed communicable disease such as pink eye, ringworm, chicken pox, or lice. Ohio Administrative Code (OAC) 3301-37-06 (E) One cot or mat shall be available for each child who remains more than five consecutive hours in the program. (1) Each cot or mat, with individual bedding, shall be labeled in some manner as to who is assigned to use the cot and shall be for the exclusive use of each child between sanitation procedures. (2) Cots, mats, and individual bedding shall be thoroughly cleaned with an appropriate germicidal detergent and regularly sanitized before assignment for use by another child. (4) Each infant shall be provided with a separate crib. (a) There shall be one crib available which meets the requirements of this rule for each infant. (b) Each crib shall be labeled with each infant's name who is assigned to use the crib and shall be for the exclusive use of said child between sanitation procedures. Cribs shall be thoroughly cleaned with an appropriate germicidal detergent and regularly sanitized before assignment for use by another child. Ohio Administrative Code (OAC) 3301-37-07 e) All preschool staff members shall wash their hands with soap and running water after each diaper change, or after assisting a child with toileting; after cleaning; after toileting; before preparing or eating food; before feeding any child; and when hands have been in contact with nasal or mucous secretions. Disposable towels or an air hand dryer shall be available at all times. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Ohio Administrative Code (OAC) Rule 5101:2-13-16 What are the specific procedures the licensed family child care provider needs to follow for standard precautions? (1)Blood spills shall be treated cautiously and decontaminated promptly. Disposable vinyl gloves shall be worn during contact with blood or bodily fluids which contain blood, such as vomit or feces in which blood can be seen. (2)Surfaces contaminated with blood or bodily fluids containing blood shall first be cleaned with hot, soapy water and then sanitized with an appropriate bleach solution which is prepared on a daily basis, according to product guidelines or other acceptable disinfectant solution which is environmental protection agency (EPA) rated as hospital disinfectant with a label claim for mycobactericidal activity. (3)Disposal of materials that contain blood requires a sealable, leak-proof plastic bag or double bagging in plastic bags that are securely tied. (4)Non-disposable items, such as clothing that contain blood, shall be placed in a sealable, leakproof plastic bag or double bagged in plastic bags that are securely tied and sent home with the child. (5)Sharp items used for procedures on children with special care needs, such as lancets for finger sticks or syringes, require a disposable container called a "sharps container." This is a container made of durable, rigid material which safely stores the lancets or needles until they are disposed of properly. Sharps containers shall be stored out of the reach of children. (D)What are the communicable disease requirements for a licensed family child care provider? (1) If the provider cares for sick children, the provider shall follow the guidelines detailed in appendix B to this rule. Appendix B states- A child is considered to be sick when demonstrating any of the following symptoms: • Temperature of at least one hundred and one degrees Fahrenheit (one hundred degrees Fahrenheit if taken axillary) when in combination with any other sign or symptom of illness. • Diarrhea (three or more abnormally, unexpectedly or unexplained loose stools within a twenty-four hour period). • Severe coughing, causing the child to become red or blue in the face or to make a whooping sound. • Difficult or rapid breathing. • Yellowish skin or eyes. • Redness of the eye or eyelid, thick and purulent (pus) eye discharge, matted eyelashes, burning, itching or eye pain. • Untreated infected skin patches, unusual spots or rashes. • Unusually dark urine and /or gray or white stool. • Stiff neck with elevated temperature. • Evidence of untreated lice, scabies, or other parasitic infestations. • Sore throat or difficulty in swallowing. • Vomiting more than one time or when accompanied by any other sign or symptom of illness. When caring for sick children, the center shall: • Isolate the sick child away from other children in another room or portion of a room, but within sight and hearing at all times. • Provide the sick child with a cot or mat or the sick infant with a crib, and make comfortable. • Notify the child’s parent(s) immediately to arrange discharge and if the child’s condition worsens during isolation. • Sanitize the thermometer after each use. (2) The JFS 08087 "Communicable Disease Chart" shall be posted in a location readily available to parents, child care staff members, employees, and residents. The chart is to be displayed in the size available in the Ohio department of job and family services (ODJFS) forms central in order for individuals to easily read, identify and respond to communicable diseases. (a)The provider is to follow the reporting requirements listed on the JFS 08087. (b)If the communicable disease is required to be reported to the local health department, the provider is to report the communicable disease to the Ohio department of job and family services (ODJFS) in accordance with paragraph (G) of this rule by the end of the next business day. Paragraph (G) What does the center do if there is a serious incident? (1)The center shall log in to http://oclqs.force.com by the next business day to report the incident, as defined in paragraph (F) of this rule. Paragraph( F) What is a serious incident? (1)Death of a child at the center. (2) An incident, injury, or illness that requires professional medical consultation or treatment for a child. (3) An unusual or unexpected incident which jeopardizes the safety of a child, child care staff member or employee of a center. (3) No later than the end of the next business day, the provider shall notify parents when their child has been exposed to a communicable disease listed on the JFS 08087. (4) All the requirements of this rule shall apply if the provider's own child is sick. (5) The provider shall release employees and child care staff members who have a communicable disease or who are unable to perform their duties due to illness. (b)If the communicable disease is required to be reported to the local health department, the provider is to report the communicable disease to the Ohio department of job and family services (ODJFS) Ohio Administrative Code (OAC) Rule 5101:2-13-13A)What are the requirements to provide and maintain a clean environment, furniture, materials and equipment in a licensed family child care home? (1)Toilet tissue, liquid soap, running water, and individually assigned towels or disposable towels shall be provided in all bathrooms. Toilets and bathroom sinks shall be in good working condition. Toilets shall be flushed after each use. (2)Equipment, furnishings, and materials shall be constructed of materials to facilitate cleaning . (3)Accumulated trash and garbage are not to be stored in an area that has been approved for child care. (4)The home shall be cleaned daily and kept in a sanitary condition at all times. Cleaning and sanitizing shall not take place while rooms are occupied by children, except for general cleanup activities such as sweeping and vacuuming, and wiping off tables which are part of the daily routine. The cleaning and sanitizing schedule contained in appendix A to this rule shall be followed. Appendix A Schedule for Cleaning and Sanitizing Items To clean: Wash the surface or item with a detergent solution or other appropriate commercial product used for cleaning purposes. Questions about products must be directed to the manufacturer of the product. Follow the manufacturer’s instructions exactly. To sanitize: Centers must use a commercial product registered by the United States Environmental Protection Agency (US EPA) as a sanitizer that has directions for use that are appropriate for the surface or item you are sanitizing. Questions regarding commercial products must be directed to the manufacturer of the product or the US EPA. Follow the manufacturer’s instructions exactly when using any product to sanitize. All bottles of cleaners and sanitizers must be labeled with the contents. • Any item soiled with blood or bodily fluids- Clean and Sanitize Immediately • Blankets/sheets ￿ Clean Weekly, when soiled and before another child uses. • Bottles, bottle caps, nipples and other equipment used for bottle feeding - Clean and Sanitize by washing in a dishwasher or by washing, rinsing and boiling them for one minute, before it can be reused. • Carpets -Clean - Vacuum weekly or when soiled. Clean when soiled. • Changing table/pad - Clean when visibly soiled and sanitize after each use. • Reusable Cloths ￿ Clean - Wash daily and when visibly soiled. • Cots/Pads/Mats - clean and sanitize before assigning to a different child, when used by a sick child, when soiled, and at least every 3 months. • Cribs - Clean and Sanitize Monthly, when soiled, and before another child uses. • Diaper receptacles - Clean and Sanitize Daily or more frequently as needed to eliminate odor. • Dishes/Cups/Silverware/ Water Containers - Clean and Sanitize after each use. Water containers that are labeled with the child’s name can be used all day, but must be cleaned and sanitized before used again on another day. • Dividers (must be non-porous material) ￿ Clean when visibly soiled. • Dress up clothes and hats (Dramatic Play) ￿ Clean Monthly and when soiled. • Floors ￿ Clean Weekly and when soiled • Food prep area, including sink - Clean and Sanitize Before and after preparing food (including bottle preparation) and between preparing raw or cooked food • Potty chairs - Clean and Sanitize After each use, empty contents into toilet, rinse with water, clean and sanitize. • Tables (food)/High chair trays - Clean and Sanitize Before and after each use. • Tables (play) -Clean when visibly soiled. Sanitize daily. • Toilet bowls- Clean when visibly soiled. Sanitize weekly. • Toilet seats, handles and hand washing sinks- Clean when visibly soiled. Sanitize daily. • Toys that go into the mouth- Clean and Sanitize After each child’s use. • Toys other than those going into mouth Clean Monthly and when visibly soiled. • Washable furniture (including fabrics on infant equipment) ￿ Clean Weekly and when soiled: upholstered furniture must be steam cleaned when soiled, if not covered by a washable slipcover. Slipcovers must be washed at least every six months and when soiled. • Wastebaskets/Rinse Buckets including lids - Clean and Sanitize Empty daily and more frequently as needed. Clean and sanitize when visibly soiled. (B)What are the handwashing requirements for a licensed family child care home? (1)Handwashing shall occur in a handwashing sink. (2)Commercially manufactured non-permanent sinks may be used if fresh and waste water are inaccessible to children and disposed of in a sanitary manner. (3) Handwashing requirements for the family child care provider, child care staff members, employees, residents, and children are detailed in Appendix B to this rule. Appendix B Handwashing The family child care provider, child care staff members, employees, and residents shall wash hands, defined as using soap and water or using hand sanitizer, at the following times: • Upon arrival for the day, after breaks, and upon returning from outside. • After toileting or assisting a child with toileting. • After each diaper change or pull-up change. • After contact with bodily fluids or cleaning up spills or objects contaminated with bodily fluids. • After cleaning or sanitizing or using any chemical products. • After handling pets, pet cages or other pet objects that have come in contact with the pet. • Before eating, serving or preparing food or bottles or feeding a child. • Before and after completing a medical procedure or administering medication. • When visibly soiled (use soap and water). Children shall wash hands, defined as using soap and water or using hand sanitizer (if 24 months or older), at the following times: • Upon arrival for the day and prior to departure. • After toileting/diaper change. • After contact with bodily fluids. • After returning inside after outdoor play. • After handling pets, pet cages or other pet objects that have come in contact with the pet before moving on to another activity. • Before eating or assisting with food preparation. • After water activities. • When visibly soiled (use soap and water). Children who are unable to stand by themselves may be given wet paper towels and soap to wash and rinse their hands. (D)What are the requirements for toothbrushing in a licensed family child care home? Licensed family child care providers who provide toothbrushing shall: (1)Label each toothbrush with the child's name and store with bristles to air dry in such a way that the toothbrushes cannot contact or drip on each other and the bristles are not in contact with any surface. (2)Ensure that when a single tube of toothpaste is used for more than one child a pea-sized amount shall be dispensed onto a clean piece of paper or paper product for each child. (3)Discard and replace toothbrushes every three months or if the toothbrush becomes contaminated. This applies to all ages of children iii. All CCDF-eligible licensed in-home care. Provide the standard: Ohio Administrative Code (OAC) Rule 2-14-05 (E)What are the specific procedures the IHA needs to follow for standard precautions? (1)Blood spills are to be treated cautiously and decontaminated promptly. Disposable vinyl gloves are to be worn during contact with blood or bodily fluids which contain blood, such as vomit or feces in which blood can be seen. (2)Surfaces contaminated with blood or bodily fluids containing blood are to be first cleaned with hot, soapy water and then sanitized with an appropriate bleach solution which is prepared on a daily basis, according to product guidelines or other acceptable disinfectant solution which is environmental protection agency (EPA) rated as hospital disinfectant with a label claim for mycobactericidal activity. (3)Materials that contain blood are to be disposed in a sealable, leak-proof plastic bag or double-bagged in plastic bags that are securely tied. (4)Non-disposable items, such as clothing that contains blood, are to be placed in a sealable, leakproof plastic bag or double-bagged in plastic bags that are securely tied. (5)Sharp items used for procedures on children with special care needs, such as lancets for finger sticks or syringes, require a disposable container called a "sharps container." This is a container made of durable, rigid material that safely stores the lancets or needles until they are disposed of properly. Sharps containers are to be stored out of the reach of children. (B)What are the handwashing requirements for a certified IHA? (1) The IHA and the children in care are to comply with the following handwashing requirements: (a)Handwashing is to occur in a handwashing sink. (b)If the handwashing sink is not of suitable height for use by children, a sturdy, nonslip platform on which the children may stand is to be provided. (c)Handwashing is detailed in Appendix A to this rule. (C)What are the communicable disease requirements for a certified IHA? (1)If the IHA cares for sick children, the IHA is to follow the guidelines detailed in Appendix B to this rule. Appendix B Caring for Sick Children A child is considered to be sick when demonstrating any of the following symptoms: • Temperature of at least one hundred- and one degrees Fahrenheit (one hundred degrees Fahrenheit if taken axillary) when in combination with any other sign or symptom of illness. • Diarrhea (three or more abnormally, unexpectedly or unexplained loose stools within a twenty-four-hour period). • Severe coughing, causing the child to become red or blue in the face or to make a whooping sound. • Difficult or rapid breathing. • Yellowish skin or eyes. • Redness of the eye or eyelid, thick and purulent (pus) eye discharge, matted eyelashes, burning itching or eye pain. • Untreated infected skin patches, unusual spots or rashes. • Unusually dark urine and /or gray or white stool. • Stiff neck with elevated temperature. • Evidence of untreated lice, scabies or other parasitic infestations. • Sore throat or difficulty in swallowing. • Vomiting more than one time or when accompanied by any other sign or symptom of illness. When caring for sick children, the provider is to: • Isolate the sick child away from other children in another room or portion of a room, but within sight or hearing at all times. • Provide the sick child with a cot or bed or the sick infant with a crib, if necessary, and make comfortable. • Notify the child’s parents immediately if the child’s condition worsens during isolation. • Sanitize the thermometer after each use. (2)The JFS 08087 "Communicable Disease Chart" is to be readily available to the IHA, parents and residents. (a)The IHA is to follow the reporting requirements listed on the JFS 08087. (b)If the communicable disease is to be reported to the local health department, the IHA is to report the communicable disease in the Ohio child licensing and quality system (OCLQS) by logging into https://oclqs.force.com by the next business day. Appendix A Handwashing The in-home aide shall wash his or her hands with soap and water or hand-sanitizer at the following times: • Upon arrival for the day, after breaks and upon returning from outside, and prior to leaving for the day. • After toileting or assisting a child with toileting. • After each diaper change or pull-up change. • After contact with bodily fluids or cleaning up spills or objects contaminated with bodily fluids. • After cleaning or sanitizing or using any chemical products. • After handling pets, pet cages or other pet objects that have come in contact with the pet. • Before eating, serving or preparing food or bottles or feeding a child. • Before and after completing a medical procedure or administering medication. • When visibly soiled (must use soap and water). Children in care shall wash their hands with soap and water or hand-sanitizer (if twenty-four months or older) at the following times: • After toileting/diaper change. • After contact with bodily fluids. • After returning inside after outdoor play. • After handling pets, pet cages or other pet objects that have come in contact with the pet before moving on to another activity. • Before eating or assisting with food preparation. • After water activities. • When visibly soiled (must use soap and water). This applies to all ages of children [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Ohio Administrative Code (OAC) Rule 2-18- 10 (D)What are the communicable disease requirements for an approved child day camp? (1)Any child enrolled and attending the child day camp with signs or symptoms of illness listed in Appendix A to this rule is to be immediately isolated and discharged to their parent or guardian or person designated by the parent or guardian. (2)The JFS 08087 "Communicable Disease Chart" is to be displayed in the size available in the Ohio Department of Job and Family Services (ODJFS) forms central in order for individuals to easily read, identify and respond to communicable diseases. Child day camp staff members and employees are to: (a)Follow the requirements listed on the JFS 08087. (b)If the communicable disease is required to be reported to the local health department, the child day camp is to report the communicable disease to ODJFS by the end of the next business day. (3)No later than the end of the next business day, the child day camp is to notify parents when their child has been exposed to a communicable disease listed on the JFS 08087. (4)The child day camp is to release employees and staff members who have a communicable disease or who are unable to perform their duties due to illness. (E)What are the specific procedures the approved day camp needs to follow for standard precautions? (1)Blood spills shall be treated cautiously and decontaminated promptly. Disposable vinyl gloves shall be worn during contact with blood or bodily fluids that contain blood, such as vomit or feces in which blood can be seen. (2)Surfaces contaminated with blood or bodily fluids containing blood shall first be cleaned with hot, soapy water and then sanitized with an appropriate bleach solution which is prepared on a daily basis according to product guidelines, or other acceptable disinfectant solution that is environmental protection agency (EPA) rated as hospital disinfectant with a label claim for mycobactericidal activity. (3)Disposal of materials that contain blood requires a sealable, leakproof plastic bag or double bagging in plastic bags that are securely tied. (4)Non-disposable items, such as clothing that contains blood, shall be placed in a sealable, leakproof plastic bag or double bagged in plastic bags that are securely tied and sent home with the child. (5)Sharp items used for procedures on children with special care needs, such as lancets for finger sticks or syringes, require a disposable container called a "sharps container." This is a container made out of durable, rigid material that safely stores the lancets or needles until they are disposed of properly. Sharps containers are to be stored out of the reach of children. Appendix A Caring for Sick Children A child is considered to be sick when demonstrating any of the following symptoms: • Temperature of at least one hundred and one degrees Fahrenheit (one hundred degrees Fahrenheit if taken axillary) when in combination with any other sign or symptom of illness. • Diarrhea (three or more abnormally, unexpectedly or unexplained loose stools within a twenty-four hour period). • Severe coughing, causing the child to become red or blue in the face or to make a whooping sound. • Difficult or rapid breathing. • Yellowish skin or eyes. • Redness of the eye or eyelid, thick and purulent (pus) eye discharge, matted eyelashes, burning, itching or eye pain. • Untreated infected skin patches, unusual spots or rashes. • Unusually dark urine and /or gray or white stool. • Stiff neck with elevated temperature. • Evidence of untreated lice, scabies, or other parasitic infestations. • Sore throat or difficulty in swallowing. • Vomiting more than one time or when accompanied by any other sign or symptom of illness. When caring for sick children, the approved child day camp shall. • Isolate the sick child away from other children, in another room or portion of a room, but within sight and hearing at all times. • Provide the sick child with a cot or mat and make comfortable. • Notify the child’s parent(s) immediately to arrange discharge and if the child’s condition worsens during isolation. • Sanitize the thermometer after each use. Ohio Administrative Code (OAC) Rule 2-18-13 (E)What are the requirements to provide and maintain a clean environment, furniture, materials, and equipment in an approved child day camp? (1)Flush toilets and bathroom sinks, if available, shall be in good working condition. Toilet tissue, liquid soap, running water, individually assigned towels, disposable towels, or air dryers shall be provided in all bathrooms. If programming activities take place at a primitive campsite, defined as any outdoor space in a natural environment without access to electricity, water supply systems, central food service, sewage treatment facilities and/or housing, or if portable bathrooms are used, waterless hand sanitizing products may be provided instead of running water and liquid soap. ODE School Age Ohio Administrative Code (OAC) Rule 3301-2-08 (A) A person trained to recognize the common signs of communicable disease or other illness as required by paragraph (L) of rule 3301-32-02 of the Administrative Code, shall observe each child daily as the child enters the group. (B) A child with any of the following signs or symptoms of illness shall be isolated immediately. Decisions regarding exclusion from the program either immediately or at some later time in the day shall be determined by the program coordinator or team leader and the parent(s). (1) Diarrhea (three or more loose stool in a twenty-four-hour period) if reported; (2) Severe coughing, causing the child to become red or blue in the face or to make a whooping sound; (3) Difficult or rapid breathing; (4) Yellowish skin or eyes; (5) Redness of the eye or eyelid, thick and purulent (pus) eye discharge, matted eyelashes, burning, itching or eye pain; (6) Temperature of one hundred degrees Fahrenheit taken by the auxiliary method when in combination with other symptoms; (7) Untreated infected skin patch(es); (8) Unusually dark urine and/or grey or white stool if reported; (9) Stiff neck with an elevated temperature; (10) Evidence of untreated lice, scabies, or other parasitic infestation; (11) Sore throat or difficulty in swallowing; or (12) Vomiting more than one time or when accompanied by any other sign or symptom of illness. (C) While isolated, the child shall be: (1) Isolated in a room or portion of a room not being used in the school child program; (2) Within sight or hearing of a staff member; (3) Made comfortable in a warm, safe environment. All linen and blankets used by an ill child shall be laundered before being used by another child, and cots or recovery/nurse station bed, shall be disinfected; and (4) Observed carefully for worsening condition. (D) Notifying, when aware of diagnoses, all parents when children enrolled are exposed to a communicable disease during program time; and (E) Access to the Ohio department of health's poster "communicable disease chart" (jfs.ohio.gov) for staff reference. 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: The following applies to all ages, unless otherwise noted: Ohio Administrative Code (OAC) Rule 5101:2-13-15: The center shall secure and have on file verification of a medical examination for each child. Children who attend a grade of kindergarten and above in an elementary school are exempt from this requirement. The medical statement shall be on file at the center within thirty days of the child's first day of attendance and updated every thirteen months thereafter from the date of the examination. The medical statement shall contain the following information: The child's name and birth date. The date of the medical examination, which is to be no more than thirteen months prior to the date the form is signed. A statement that the child has been examined and is in suitable condition for participation in group care. The signature, business address and telephone number of the physician, as defined in Chapter 4731. of the Revised Code, physician's assistant (PA), advanced practice registered nurse (APRN) or certified nurse practitioner (CNP) who examined the child. A record of the immunizations that the child has had, specifying the month, day and year of each immunization. This record may be an attachment to the medical statement. A statement from the physician, PA, APRN, or CNP that the child has been immunized or is in the process of being immunized against the diseases required by division 5104.014 of the Revised Code and found in appendix A to this rule or a statement that the child meets one of the following: A statement from a physician, PA, APRN, or CNP that an immunization against the disease is medically contraindicated for the child. A statement from a physician, PA, APRN, or CNP that an immunization against the disease is not medically appropriate for the child's age. A statement from the child's parent that he or she has declined to have the child immunized against the disease for reasons of conscience, including religious convictions. Appendix A Diseases for Immunizations -Chicken pox. 2. Diphtheria. 3. Haemophilus influenzae type b. 4. Hepatitis A. 5. Hepatitis B. 6. Influenza (if seasonal vaccine is available). 7. Measles. 8. Mumps. 9. Pertussis. 10. Pneumococcal disease. 11. Poliomyelitis. 12. Rotavirus. 13. Rubella. 14. Tetanus. ODE Preschool Program Ohio Administrative Code (OAC) 3301-37-11 (4)Health and safety procedures, in accordance with section 3301.56 of the Revised Code and, the following: (i) Requiring immunization records and compliance with emergency medical authorization requirements in accordance with rules adopted by the state board of education under section 3301.53 of the Revised Code; Ohio Administrative Code (OAC) 3301-37-08 (A) The parent shall provide, prior to the date of admission or not later than thirty days after date of admission, and every thirteen months from the date of examination thereafter, a medical statement affirming that the child is in suitable condition for enrollment in the program. "Prior to the date of admission" means: (1) For children younger than three years old at the time of admission, the examination shall occur within six months prior to the date of admission; (2) For children three years old or older at the time of admission, the examination shall occur within twelve months prior to the date of admission. (3) A preschool child with a disability shall not be excluded from the program for lack of a medical statement until the team responsible for the individualized education plan (IEP) established pursuant to Chapter 3301-51 of the Administrative Code reconvenes; exclusion from the program until the IEP is revised may be a denial of a free, appropriate public education. (4) The medical statement shall be provided by a physician, physician's assistant, clinical nurse specialist, or certified nurse. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Ohio Administrative Code (OAC) Rule 5101:2-12-15 Licensed family child care providers shall secure and have on file verification of a medical examination for each child. Children who attend a grade of kindergarten and above in an elementary school are exempt from this requirement. The medical statement shall be on file at the center within thirty days of the child's first day of attendance and updated every thirteen months thereafter from the date of the examination. The medical statement shall contain the following information: The child's name and birth date. The date of the medical examination, which is to be no more than thirteen months prior to the date the form is signed. A statement that the child has been examined and is in suitable condition for participation in group care. The signature, business address and telephone number of the physician, as defined in Chapter 4731. of the Revised Code, physician's assistant (PA), advanced practice registered nurse (APRN) or certified nurse practitioner (CNP) who examined the child. A record of the immunizations that the child has had, specifying the month, day and year of each immunization. This record may be an attachment to the medical statement. A statement from the physician, PA, APRN, or CNP that the child has been immunized or is in the process of being immunized against the diseases required by division 5104.014 of the Revised Code and found in appendix A to this rule or a statement that the child meets one of the following: A statement from a physician, PA, APRN, or CNP that an immunization against the disease is medically contraindicated for the child. A statement from a physician, PA, APRN, or CNP that an immunization against the disease is not medically appropriate for the child's age. A statement from the child's parent that he or she has declined to have the child immunized against the disease for reasons of conscience, including religious convictions. Appendix A Diseases for Immunizations -Chicken pox. 2. Diphtheria. 3. Haemophilus influenzae type b. 4. Hepatitis A. 5. Hepatitis B. 6. Influenza (if seasonal vaccine is available). 7. Measles. 8. Mumps. 9. Pertussis. 10. Pneumococcal disease. 11. Poliomyelitis. 12. Rotavirus. 13. Rubella. 14. Tetanus. iii. All CCDF-eligible licensed in-home care. Provide the standard: Ohio Administrative Code (OAC) Rule 2-14-06: (B)What are the child medical statement requirements in a home with a certified IHA? (1)The IHA is to have verification of a medical exam on file for each child in care, including the IHA's own children in care. Children who attend a grade of kindergarten or above in an elementary school are exempt from this requirement. (2)The medical statement is to be on file at the home within thirty days of the child's first day of care and is to be updated every thirteen months thereafter from the date of the examination. (3)The medical statement is to contain the following information: (a)The child's name and birth date. (b)The date of the medical examination, which is to be no more than thirteen months prior to the date the form is signed. (c)The signature, business address and telephone number of the licensed physician as defined in Chapter 4731. of the Revised Code, physician assistant (PA), advanced practice registered nurse (APRN), or certified nurse practitioner (CNP) who examined the child. (d)A record of immunizations on file within thirty days of the child's first day of care, if a child is not enrolled in a public or nonpublic school. This record may be attached to the medical statement and is to contain the following information: (i)The child's name and birth date. (ii)Each immunization the child has had, specifying the month, day and year of the immunization, or that the child is in the process of being immunized against the diseases listed in appendix A to this rule. (e)If a child has not received an immunization(s) to prevent a disease listed in appendix A to this rule, then one or both of the following is to be on file: (i)A statement from a licensed physician as defined in Chapter 4731. of the Revised Code, PA, APRN, or CNP that an immunization against the disease is medically contraindicated for the child or is not medically appropriate for the child's age. (ii)A statement from the child's parent that they have declined to have the child immunized against the disease for reasons of conscience, including religious convictions. Appendix A Diseases for Immunizations 1. Chicken pox. 2. Diphtheria. 3. Haemophilus influenzae type b. 4. Hepatitis A. 5. Hepatitis B. 6. Influenza (if seasonal vaccine is available). 7. Measles. 8. Mumps. 9. Pertussis. 10. Pneumococcal disease. 11. Poliomyelitis. 12. Rotavirus. 13. Rubella. 14. Tetanus. This applies to all ages of children [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: Ohio Administrative Code (OAC) Rule 2-18- 11: C)What are the requirements for immunization records at an approved child day camp? (1)A child who is not enrolled in a public or nonpublic school is to have a record of immunizations on file within thirty days of the child's first day of attendance. (2)The immunization record is to contain the following information: (a)The child's name and birth date. (b)Each immunization the child has had, specifying the month, day and year of each immunization. (c)A statement from the physician, as defined in Chapter 4731. of the Revised Code, physician's assistant (PA), advanced practice registered nurse (APRN), or certified nurse practitioner (CNP) that the child has been immunized or is in the process of being immunized against the diseases outlined in division 5104.014 of the Revised Code and found in appendix A to this rule (3)If a child has not received an immunization(s) against the diseases outlined in division 5104.014 of the Revised Code and found in appendix A to this rule, then one or both of the following is to be on file: (a)A statement from the physician, PA, APRN, or CNP that an immunization against the disease is medically contraindicated for the child or is not medically appropriate for the child's age. (b)A statement from the child's parent that they have declined to have the child immunized against the disease for reasons of conscience, including religious convictions. Appendix A Diseases for Immunizations 1. Chicken pox. 2. Diphtheria. 3. Haemophilus influenzae type b. 4. Hepatitis A. 5. Hepatitis B. 6. Influenza (if seasonal vaccine is available). 7. Measles. 8. Mumps. 9. Pertussis. 10. Pneumococcal disease. 11. Poliomyelitis. 12. Rotavirus. 13. Rubella. 14. Tetanus. This applies to all ages of children 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: The following is not applicable to day camps as they do not serve infants . Ohio Administrative Code (OAC) Rule 5101:2-12-20: (A)What are the sleep and nap requirements for a licensed child care center? (3)Rest or nap areas shall be lighted to allow for visual supervision of all children at all times. (6)Cribs shall be separated from the play space by a safe and sturdy physical barrier which does not impair the ability of child care staff to supervise infants by sight and hearing. Sight and hearing is when the child care staff can see the infants in and out of their cribs and hear their sounds. The barrier shall provide for safe accessibility. (B)What are the crib requirements for a licensed child care center? (a)Any crib manufactured before June 28, 2011, shall have a certificate of compliance (COC) on file. The center may have to contact the manufacturer of the crib to receive a COC if they do not request one from the retailer when they purchase the crib. (b)Cribs with a documented manufacture date after June 28, 2011, have to meet the new federal standards to be sold, so they do not require a COC. The date of manufacture shall be attached to the crib. (c)Cribs shall be used according to manufacturer's instructions. (d)Each crib shall be of sturdy construction and have: (i)Closely spaced bars with corner posts that do not exceed one sixteenth of an inch above the top of the end panel. (ii)Spaces between the bars of the crib and between the bars and end panels of the crib shall not exceed two and three-eighths inches. (e)Cribs shall be used with the mattress supports in their lowest positions and the sides in the highest position. (f)Each crib shall have a firm mattress that is at least one and one half inches thick. (g)The space between the mattress and the side or end panels of the crib shall not exceed one and one-half inches. (h)Each mattress shall be securely covered with a waterproof material which can be thoroughly sanitized and is not dangerous to children. The waterproof cover shall be free of rips or tears. (i)Each mattress shall have a properly fitted clean sheet that is changed at least weekly, when soiled, and before another child uses the mattress. (2)Stacked cribs are prohibited. (4)Bumper pads shall not be used. (5)Nothing shall be placed or hung over the side that obstructs the provider's view of the infant. (6)Infants shall not be placed in cribs with bibs or any other items which could pose a strangulation or suffocation risk. (7)No blankets shall be in the crib for infants under twelve months old. A one- piece sleeper or wearable blanket is permitted. Only children who are not yet able to roll-over are permitted to be swaddled using a wearable swaddling blanket. (8)The cribs may be placed in storage on the premises if not currently assigned to an infant. (9)Infants shall be placed in their cribs for sleeping, and shall not be allowed to sleep in bassinets, swings, car seats or other equipment. If a medical condition exists where a child needs to sleep in equipment other than a crib, written permission shall be obtained from a physician and shall be on file. (10) Infants under twelve months old shall be placed on their backs to sleep unless the parent provides written authorization on the JFS 01235 "Sleep Position Waiver Statement for Child Care" signed by the child's physician. The JFS 01235 shall be maintained on file for review and is valid for one year. Infants who are able to roll from back to front and front to back shall be placed initially on their back for sleeping but allowed to remain in a position they prefer. (11) Cribs assigned to a child shall not be used for storage of toys and other materials. Ohio Administrative Code (OAC) Rule 5101:2-12-21 (B)What is required when evening and overnight care is provided? If a licensed child care center has evening or overnight care, the following are required: (1)Child care staff members shall remain awake at all times. (2)The center shall provide adequate lighting indoors in all areas, including bathrooms, hallways, and sleeping rooms to ensure that child care staff members are able to see all children at all times. (3)The center shall ensure that parking areas, outdoor walkways, and all building entrances be adequately lighted for safety and security. This applies to all ages of children Ohio Department of Education Preschool Programs ODE Ohio Administrative Code (OAC) 3301-37-03 (F) The program is to comply with rule 5101:2-12-20 of the Administrative Code, which is stated above. Ohio Administrative Code (OAC) 3301-37-07 (9) Infants under twelve months old are to be placed on their backs to sleep unless the parent provides written documentation signed by the childs physician, for an alternative position. Infants who are able to roll from back to front and front to back are to be placed initially on their back for sleeping but allowed to remain in a position they prefer. All preschool programs are to comply with the Ohio department of health safe sleep procedures. Ohio Administrative Code (OAC) 3301-37-04 S) In a room where children are napping or resting, if all children are at least eighteen months of age, the maximum number of children per preschool staff member shall, for a period not to exceed one and one-half hours in any twenty- four-hour day, be twice the maximum number of children per preschool staff member established in paragraph (N) of this rule if all the following criteria are met: (1) At least one preschool staff member shall be physically present in the room at all times during nap/rest time; (2) The preschool staff member(s) assigned to a room where children are napping shall be responsible for the care and supervision of the children in the room and shall be able to summon other child-care staff members without leaving the room; (3) There shall be enough preschool staff members readily accessible within the building in which the program is located to ensure that the maximum number of children per preschool staff member as required by paragraph (N) of this rule is met at all times; and (4) Nap/rest-time preparation shall have been completed and all napping children shall be resting or sleeping on cots or mats. ii. All CCDF-eligible licensed family child care homes. Provide the standard: Ohio Administrative Code (OAC) Rule 5101:2-13-20- (A)What are the sleep and nap requirements for a licensed family child care provider? (3)Rest or nap areas shall be lighted to allow for visual supervision of all children at all times. (C)What are the crib and playpen requirements for a licensed family child care provider? (1)Unless the infant meets the requirements of paragraph (D) of this rule, each infant in attendance shall have a separate crib or playpen that meets the following requirements: (a)Any crib manufactured before June 28, 2011, shall have a certificate of compliance (COC) on file. The provider may have to contact the manufacturer of the crib to receive a COC if they do not request one from the retailer when they purchase the crib. (b)Cribs with a documented manufacture date after June 28, 2011, have to meet the new federal standards to be sold, so they do not require a COC. The date of manufacture is to be attached to the crib. (c)Cribs and playpens shall be used according to manufacturer's instructions. (d)Each crib and playpen shall be of sturdy construction and have: (i)Closely spaced bars with corner posts that do not exceed one sixteenth of an inch above the top of the end panel. (ii)Spaces between the bars of the crib or playpen and between the bars and end panels of the crib or playpen shall not exceed two and three-eighths inches. (iii)Playpen mesh openings shall be less than one quarter inch. (e)Cribs and playpens shall be used with the mattress supports in their lowest positions and the sides in the highest positions. (f)Each crib shall have a firm mattress that is at least one and one half inches thick. (g)Each playpen shall have a firm mattress or pad that does not exceed one inch in thickness. (h)The space between the mattress and the side or end panels of the crib or playpen shall not exceed one and one-half inches. (i)Each mattress shall be securely covered with a waterproof material which can be thoroughly sanitized and is not dangerous to children. The waterproof cover shall be free of rips or tears. (j)Each mattress shall have a properly fitted clean sheet that is changed at least weekly, when soiled and before another child uses the mattress. (3)Bumper pads shall not be used. (4)Nothing shall be placed or hung over the side that obstructs the provider's view of the infant. (5)Infants shall not be placed in cribs with bibs or any other items which could pose a strangulation or suffocation risk. (6)No blankets shall be in the crib or playpen for infants under twelve months old. A one-piece sleeper or wearable blanket is permitted. Only children who are not yet able to roll-over are permitted to be swaddled using a wearable swaddling blanket. (7)The cribs or playpens may be placed in storage on the premises if not currently assigned to an infant. (8)Infants shall be placed in their cribs or playpens for sleeping, and shall not be allowed to sleep in bassinets, swings, car seats or other equipment. If a medical condition exists where a child needs to sleep in equipment other than a crib or playpen, written permission shall be obtained from a physician and shall be on file. (9)Infants under twelve months old shall be placed on their backs to sleep unless the parent provides written authorization on the JFS 01235 "Sleep Position Waiver Statement for Child Care" signed by the child's physician. The JFS 01235 shall be maintained on file for review and is valid for one year. Infants who are able to roll from back to front and front to back shall be placed initially on their back for sleeping but allowed to remain in a position they prefer. (10) Cribs or playpens assigned to a child shall not be used for storage of toys and other materials. Ohio Administrative Code (OAC) Rule 5101:2-2-13-21 (B)What is required when evening and overnight care is provided? If the licensed family child care provider has evening or overnight care, the following are required: (1)The provider and/or child care staff member shall remain awake until all children are asleep. When children sleep in the evening or overnight, the provider shall have a monitoring device that ensures sight or hearing at all times. (2)Children under the age of five shall sleep on the same floor as the provider and/or child care staff member. (3)The home shall provide adequate lighting indoors in all areas, including bathrooms, hallways and sleeping rooms to ensure that children can be seen by the provider. This applies to all ages of children iii. All CCDF-eligible licensed in-home care. Provide the standard: Ohio Administrative Code (OAC) Rule 5101:2-14-10: (A)What are the sleep and nap requirements for a certified in-home aide (IHA)? (1)Sleep time and nap time are to be in accordance with the developmental needs of the child. (2)Infants under twelve months old are to be placed on their backs to sleep unless the parent provides written authorization on the JFS 01235 "Sleep Position Waiver Statement for Child Care" signed by the child's physician. The JFS 01235 is to be maintained on file for review and is valid for one year. Infants who are able to roll from back to front and front to back are to be placed initially on their back for sleeping but allowed to remain in a position they prefer. (3)Sleep or nap areas are to be lighted to allow for visual supervision of all children at all times. (B)What are the sleeping arrangements in the child's home? (1)Children living in the home are to sleep in their own beds or cribs. (2)The IHA's children being cared for in the home are to be assigned their own bed, crib, couch, cot, playpen or mat. (3)No child is to be permitted to rest, nap or sleep on the floor without a mat, pad or cot. (4)A mat is a pad that is at least one inch thick and at least as wide and long as the child using the mat. (5)A cot is to stand at least three inches and not more than eighteen inches off the floor. The cot is to be firm enough to support the child, but is to be resilient under pressure. Each cot is to be at least thirty-six inches in length and at least as long as the child using the mat is tall. (6)An air mattress designed for overnight sleeping may be used. All manufacturer's warnings are to be followed. Air mattresses designed for use as flotation devices are not to be used for sleeping or napping. (C)What are the crib and playpen requirements for the child's home? (1)Unless the infant meets the requirements of paragraph (E) of this rule, each infant being cared for in the home is to have a separate crib or playpen that meets the following requirements: (a)Any crib manufactured before June 28, 2011, is to have a certificate of compliance (COC) on file. The IHA may have to contact the manufacturer of the crib to receive a COC if they do not request one from the retailer when they purchase the crib. (b)Cribs with a documented manufacture date after June 28, 2011 have to meet the new federal standards to be sold, so they do not require a COC. The date of manufacture is to be attached to the crib. (c)Cribs and playpens are to be used according to manufacturer's instructions. (d)Each crib and playpen are to be of sturdy construction and have: (i)Closely spaced bars with corner posts that do not exceed one sixteenth of an inch above the top of the end panel. (ii)Spaces between the bars of the crib or playpen and between the bars and end panels of the crib or playpen are not to exceed two and three-eighths inches. (iii)Playpen mesh openings are to be less than one quarter inch. (e)Cribs and playpens are to be used with the mattress supports in their lowest positions and the sides in the highest positions. (f)Each crib is to have a firm mattress that is at least one and one half inches thick. (g)Each playpen is to have a firm mattress or pad that does not exceed one inch in thickness. (h)The space between the mattress and the side or end panels of the crib or playpen are not to exceed one and one-half inches. (i)Each mattress is to be securely covered with a waterproof material which can be thoroughly sanitized and is not dangerous to children. The waterproof cover is to be free of rips or tears. (D)What safety measures for cribs are to be followed by an IHA? (2)Bumper pads are not to be used. (3)Items are not to be placed or hung over the side that obstructs the IHA's view of the infant. (4)Infants are not to be placed in cribs with bibs or any other items which could pose a strangulation or suffocation risk. (5)No blankets are to be in the crib or playpen for infants under twelve months old. A one-piece sleeper or wearable blanket is permitted. Only children who are not yet able to roll-over are permitted to be swaddled using a wearable swaddling blanket. (6)Infants are to be placed in their cribs or playpens for sleeping, and are not to be allowed to sleep in bassinets, swings, car seats or other equipment. If a medical condition exists where a child needs to sleep in equipment other than a crib or playpen, written permission is to be obtained from a physician and is to be maintained on file. (7)Cribs or playpens assigned to a child are not to be used for storage of toys and other materials. (F)What are the requirements for evening and overnight care? (1)Evening and overnight care is any time between the hours of seven p.m. and six a.m. (2)The IHA is to remain awake until all children are asleep. When children sleep in the evening or overnight, the IHA is to have a monitoring device that ensures sight or hearing at all times. (3)Children are to only sleep during evening and overnight care in areas that have been approved for sleeping. (4)Children under the age of five are to sleep on the same floor as the IHA. (6)All indoor areas of the home are to have adequate lighting, including bathrooms, hallways and sleeping rooms to ensure that children can be seen by the IHA. This applies to all ages of children [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: N/A vi. All CCDF-eligible license-exempt in-home care. Provide the standard: N/A vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: N/A 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: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-12-25: (E) What are the requirements for a licensed child care center to administer medications, medical foods or topical products in a licensed child care center? The center shall: (1)Not administer any medication, medical food, or topical product until after the child has received the first dose or application at least once prior to the center administering a dose or applying the product, to avoid unexpected reactions. Emergency medications for the child are exempt from this requirement. (2)Not administer any medication, medical food or topical product for any period of time beyond the date indicated by the physician, physician's assistant, advanced practice registered nurse certified to prescribe medication, or licensed dentist, on the prescription label, for twelve months from the date of the form, or after the expiration date on the medication, whichever comes first. (3)Document each administration or application on the JFS 01217 immediately after administering, including when school-age children administer their own medication. This excludes items in paragraph (D)of this rule. (D) What are the requirements for topical products and lotions? Written parental permission is not required for lip balm use or for using hand sanitizer with children older than twenty-four months. For all other topical products and lotions, the center shall: (1)Ensure that the product is stored in the original container with a manufacturer's label that includes directions based on the age and/or weight of the child. (2)Ensure that the parent provides signed written permission to administer that topical product or lotion. (3)Apply the non-prescription topical products and lotions according to the manufacturer's instructions. Documentation is not required by the staff. (4)Follow prescribed dosages or the manufacturer's recommended dosages for administering non-prescription medication. (5)Complete a separate JFS 01217 for each medication to be administered for each child, excluding items in paragraph (D). Each JFS 01217 is valid for the time period listed on the form, not to exceed twelve months from the date of signature. The following applies to school age children: (F) What are the requirements for storing medication, topical products and medical foods in a licensed child care center? The center shall: (2)Keep medication, medical foods, and topical products out of the reach of children, unless a school-age child is permitted to carry their own emergency medication and a JFS 01236 is completed and on file at the center. (3)Permit school-age children to carry and use their own topical products. The JFS 01217 contains the child birthdate, name, weight, and what box 1 and 2 contain? Box 1 is to be completed by the parent and contains the name of the medication, dosage, to be administered at the following times, for the following time period, and medication expiration date. It states that the child must be given the first dose at home prior to the program administering the medication (unless it is an emergency medication). Box 2 contains instructions and possible side effects to watch for,. The JFS 1236 part 1 contains child’s name, special health condition, signs and symptoms or situations that will require staff to take action, activities, foods, environmental conditions etc to avoid, training instructions and procedures for staff to follow. Part 2 lists the following information: Conditions Requiring Medication or Medical Food Completed by Licensed Physician, Licensed Dentist, Advanced Practice Registered Nurse, or Certified Physician's Assistant (If no medications or medical foods are required for the condition, skip Part II). If a non-prescription medication does not meet any of the items 1-5 below, the parent can complete Part II. Part II must be completed by or separate instructions attached from a Licensed Physician, Licensed Dentist, Advanced Practice Registered Nurse, or Certified Physician's Assistant when any of the following apply: The (prescription or non-prescription) medication contains codeine or aspirin, Instruction is needed for the (prescription or non-prescription) medication, The child does not meet the minimum age or weight requirements as listed on the label instructions on the (prescription or non-prescription) medication, The (prescription or non-prescription) medication is to be given longer than three consecutive days within a fourteen-day period, The intended use differs from the manufacturer's instructions or use. It asks What are the symptoms which require staff to administer medication or medical food?, What are the specific instructions for administration of medication or medical food?, What are the actions to be taken if symptoms do not subside? Part 3-Administration of Medication or Medical Food Training Authorization Completed by parent, trainer, administrator/provider, and/or trained child care staff member(s) Part III must be completed Ohio Department of Education Preschool Programs Ohio Administrative Code (OAC) 3301-37-07 4) Health and safety procedures, in accordance with section 3301.56 of the Revised Code (which states: (C) In each building in which a preschool program is operated there shall be on the premises, and readily available at all times, at least one employee who has completed a course in first aid and in the prevention, recognition, and management of communicable diseases which is approved by the state department of health, and an employee who has completed a course in child abuse recognition and prevention.)and, the following: (c) Fluoride supplements to be administered in accordance with section 3701.136 of the Revised Code, which states: A) The director of health may establish a school-based fluoride mouth rinse program. If the director establishes the program, divisions (B) to (E) of this section are applicable. (B) The director shall conduct a program to educate employees of the department of health and dental hygienists licensed under Chapter 4715. of the Revised Code on how to train employees of, and volunteers for, public and nonpublic schools regarding the proper means of administering fluoride mouth rinse to students. (C) Schools that participate in the school-based fluoride mouth rinse program shall require that their employees and volunteers who intend to administer fluoride mouth rinse to students receive training, by either of the following, on the proper means of administering fluoride mouth rinse to students: (1) An employee of the department of health or a dental hygienist who has been trained through the program the director conducts pursuant to division (B) of this section; (2) A school employee or volunteer who has been trained by an individual described in division (C)(1) of this section. (D)(1) The director shall prescribe a form that the parent, guardian, or other person having care or charge of a student enrolled in a public or nonpublic school that participates in the school-based fluoride mouth rinse program may use to consent to the administration of fluoride mouth rinse to the student for the duration of the student's enrollment in that school. School employees or volunteers shall not administer fluoride mouth rinse to a student unless the consent form from the student's parent, guardian, or other person has been received. (2) The consent form shall include all of the following: (a) A space designated for the student's name and address; (b) A space designated for the name of the student's school; (c) A space designated for the student's grade level and class; (d) A space designated for the signature of the parent, guardian, or other person who authorizes the administration of fluoride mouth rinse to the student; (e) Information on the name, dosage, and intervals at which the fluoride mouth rinse is scheduled to be administered during each school year; (f) The dates the administration of fluoride mouth rinse is to begin and cease, which may, respectively, be the first and last days of a school year; (g) Any other information or spaces the director considers necessary for the proper administration of the program. (d) Prior to administering a prescription or nonprescription medication, food supplement, or medical food, the program shall ensure that: (i) The written instructions of a licensed physician or licensed dentist as appropriate are on file. (ii) Each time medication, medical food, or a food supplement is administered, a written record or log including dosage, date, and time shall be made. That record or log shall be kept on file for one year. (iii) Only employees who are health professionals or who have completed a drug administration training may administer medication pursuant to section 3313.713 of the Revised Code. (iv) Medication shall be stored in a designated locked storage place, except drugs requiring refrigeration shall be kept in a refrigerator not accessible to children. Emergency medication may be kept in an unlocked storage place as long as it is out of reach of children. (v) Parent permission is needed for the application of topical products and lotions and is to be applied according to the manufacturers instructions. Ohio Administrative Code (OAC) 3301-37-10 (6) For the purpose of diapering, topical ointments and creams provided by parents shall include written instructions. Such instructions shall include the name of the ointment, cream, or lotion; name of the child; birth date of the child; date; and signature. Written instructions shall be valid for no longer than three months. Authorization for administration of the ointment, cream, or lotion may be cancelled by written request of the parent at any time. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The following applies to all age groups unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101: 2-13-25: (E) What are the requirements for a licensed family child care home to administer medications, medical foods or topical products in a licensed family child care home? The family child care provider shall: (1)Not administer any medication, medical food, or topical product until the child has received the first dose or application at least once prior to the provider administering a dose or applying the product, to avoid unexpected reactions. Emergency medications for the child are exempt from this requirement. (2)Not administer any medication, medical food or topical product for any period of time beyond the date indicated by the physician, physician's assistant, advanced practice registered nurse certified to prescribe medication, or licensed dentist, on the prescription label, for twelve months from the date of the form, or after the expiration date on the medication, whichever comes first. (3)Document each administration or application on the JFS 01217 immediately after administering, including when school-age children administer their own medication. This excludes items in paragraph (D)of this rule(see below) 4)Follow prescribed dosages or the manufacturer's recommended dosages for administering non-prescription medication. (5)Complete a separate JFS 01217 for each medication to be administered for each child, excluding items in paragraph (D) of this rule. Each JFS 01217 is valid for the time period listed on the form, not to exceed twelve months from the date of signature. (D) What are the requirements for topical products and lotions? Written parental permission is not required for lip balm use or for using hand sanitizer with children older than twenty-four months. For all other topical products and lotions, the family child care provider shall: (1)Ensure that the product is stored in the original container with manufacturer's label that includes directions based on the age and/or weight of the child. (2)Ensure that the parent provides signed written permission to administer that topical product or lotion. (3)Apply the non-prescription topical products and lotions according to the manufacturer's instructions. Documentation is not required by the staff. The following applies to school age children (F) What are the requirements for storing medication, topical products and medical foods in a licensed family child care home? The family child care provider shall: (2)Keep all household and child medication, medical foods, and topical products out of the reach of children, unless a school-age child is permitted to carry their own emergency medication and a JFS 01236 is completed and on file at the home. (3)Permit school-age children to carry and use their own topical products. JFS 01217 contains the child birthdate, name, weight and what box 1 and 2 contain? Box 1 is to be completed by the parent and contains the name of the medication, dosage, to be administered at the following times, for the following time period, and medication expiration date. It states that the child must be given the first dose at home prior to the program administering the medication (unless it is an emergency medication). Box 2 contains Instructions and possible side effects to watch for,. The JFS 01236 part 1 contains child’s name, special health condition, signs and symptoms or situations that will require staff to take action, activities, foods, environmental conditions etc to avoid, training instructions and procedures for staff to follow. Part 2 lists the following information: Conditions Requiring Medication or Medical Food Completed by Licensed Physician, Licensed Dentist, Advanced Practice Registered Nurse, or Certified Physician's Assistant (If no medications or medical foods are required for the condition, skip Part II). If a non-prescription medication does not meet any of the items 1-5 below, the parent can complete Part II. Part II must be completed by or separate instructions attached from a Licensed Physician, Licensed Dentist, Advanced Practice Registered Nurse, or Certified Physician's Assistant when any of the following apply: The (prescription or non-prescription) medication contains codeine or aspirin, Instruction is needed for the (prescription or non-prescription) medication, The child does not meet the minimum age or weight requirements as listed on the label instructions on the (prescription or non-prescription) medication, The (prescription or non-prescription) medication is to be given longer than three consecutive days within a fourteen-day period, The intended use differs from the manufacturer's instructions or use. It asks What are the symptoms which require staff to administer medication or medical food?, What are the specific instructions for administration of medication or medical food?, What are the actions to be taken if symptoms do not subside? Part 3-Administration of Medication or Medical Food Training Authorization Completed by parent, trainer, administrator/provider, and/or trained child care staff member(s) Part III must be completed iii. All CCDF-eligible licensed in-home care. Provide the standard: The following applies to all age groups unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101: 2-14-12 (E)What are the requirements for a certified IHA to administer medications, medical foods or topical products? The IHA is to: (1)Not administer any medication, medical food or topical product until the child has received the first dose or application at least once prior to the IHA administering a dose or applying the product, to avoid unexpected reactions. Emergency medications for the child are exempt from this requirement. (2)Not administer any medication, medical food or topical product for any period of time beyond the date indicated by the physician, physician assistant, advanced practice registered nurse certified to prescribe medication or licensed dentist, on the prescription label, for twelve months from the date of the form, or after the expiration date on the medication, whichever comes first. (3)Document each administration or application on the JFS 01217 immediately after administering, including when school-age children administer their own medication. This excludes items in paragraph (D) of this rule. (4)Follow prescribed dosages or the manufacturer's recommended dosages for administering non-prescription medication. (5)Complete a separate JFS 01217 for each medication to be administered for each child, excluding items in paragraph (D) of this rule. Each JFS 01217 is valid for the time period listed on the form, not to exceed twelve months from the date of signature. (D)What are the requirements for topical products and lotions? Written parental permission does not need to be obtained for lip balm use or for using hand sanitizer with children older than twenty-four months. For all other topical products and lotions, the IHA is to: (1)Ensure that the product is stored in the original container with manufacturer's label that includes directions based on the age and/or weight of the child. (2)Ensure that the parent provides signed written permission to administer that topical product or lotion. (3)Apply the non-prescription topical products and lotions according to the manufacturer's instructions. These may be applied without documentation of the application. The following applies to school age children (F)What are the requirements for storing medication, topical products and medical foods? The IHA is to: (2)Keep all household and child medication, medical foods and topical products out of the reach of children, unless a school-age child is permitted to carry their own emergency medication and a JFS 01236 is completed and on file at the home. (3)Permit school-age children to carry and use their own topical products. JFS 01217 contains the child birthdate, name, weight and what box 1 and 2 contain? Box 1 is to be completed by the parent and contains the name of the medication, dosage, to be administered at the following times, for the following time period, and medication expiration date. It states that the child must be given the first dose at home prior to the program administering the medication (unless it is an emergency medication). Box 2 contains Instructions and possible side effects to watch for,. The JFS 01236 part 1 contains child’s name, special health condition, signs and symptoms or situations that will require staff to take action, activities, foods, environmental conditions etc to avoid, training instructions and procedures for staff to follow. Part 2 lists the following information: Conditions Requiring Medication or Medical Food Completed by Licensed Physician, Licensed Dentist, Advanced Practice Registered Nurse, or Certified Physician's Assistant (If no medications or medical foods are required for the condition, skip Part II). If a non-prescription medication does not meet any of the items 1-5 below, the parent can complete Part II. Part II must be completed by or separate instructions attached from a Licensed Physician, Licensed Dentist, Advanced Practice Registered Nurse, or Certified Physician's Assistant when any of the following apply: The (prescription or non-prescription) medication contains codeine or aspirin, Instruction is needed for the (prescription or non-prescription) medication, The child does not meet the minimum age or weight requirements as listed on the label instructions on the (prescription or non-prescription) medication, The (prescription or non-prescription) medication is to be given longer than three consecutive days within a fourteen-day period, The intended use differs from the manufacturer's instructions or use. It asks What are the symptoms which require staff to administer medication or medical food?, What are the specific instructions for administration of medication or medical food?, What are the actions to be taken if symptoms do not subside? Part 3-Administration of Medication or Medical Food Training Authorization Completed by parent, trainer, administrator/provider, and/or trained child care staff member(s) Part III must be completed [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-18-11 A)What are the requirements for administration of prescription medications and non-prescription medications by an approved child day camp? The approved child day camp is to: (1)Ensure that prescription medication is stored in the original container with the prescription label that includes the child's full name, a current dispensing date within the previous twelve months, and exact dosage and directions for use. (2)Not administer any medication or topical product for any period of time beyond the date indicated by the physician, physician's assistant, advanced practice nurse certified to prescribe medication, or licensed dentist, on the prescription label, for twelve months from the date on the form, or after the expiration date on the medication, whichever comes first. (3)Ensure that non-prescription medications are stored in the original container with a manufacturer's label containing directions based on the age and/or weight of the child. (4) Ensure medication dosages administered do not exceed prescribed dosages or the manufacturer's recommended dosages. (5)Have written permission from the parent for each medication to be administered prior to administering any non-prescription or prescription medication. (6)Document each administration, including a child's self-administration, of medication or application of topical product, unless the topical product is a non- prescription item including bug spray, sunscreen, hand sanitizer and lip balm. Ensure the documentation includes: (a)The child's name. (b)The child's date of birth. (c)The medication name. (d)The medication dosage. (e)The date the medication was administered. (f)The time the medication was administered. (g)The signature of the person administering the medication. (7) Allow school-age children to carry their own emergency medication as long as written permission from the parent is completed and on file at the approved day camp. (8)Allow school-age children to carry and use their own topical products including bug sprays, lip balm and sunscreen. Ohio Department of Education School age Ohio Administrative Code (OAC) 3301-32-10 (13) Nonprescription and prescription medication shall be administered in accordance with program policies and procedures and only with written permission of a parent. Only employees who are health professionals or who have completed drug administration training may administer medication pursuant to section 3313.713 of the Revised Code; (a) All prescription medicine must be current within the last twelve months, kept in its original container, and have a legible label containing the childs name and written instructions for use from a licensed physician, nurse practitioner, or dentist. Medication shall be stored in a designated locked storage place, except that drugs that require refrigeration may be kept in a refrigerator not accessible to children. An inhaler or nonprescription medication may be available to a school child with a special health condition with parental permission in accordance with the programs policy. (b) Except in cases of emergency, parents shall give the first dose of any newly prescribed medication so that they may personally observe the childs reaction. 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: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-12-15 (A)What are the requirements for the JFS 01234 "Child Enrollment and Health Information" for a licensed child care center? The center shall: (1)Have a completed JFS 01234 on file for each child by the first day of attendance. (2)Ensure the JFS 01234 is reviewed at least annually by the parent and updated as needed when information changes. The parent and administrator shall initial and date the form when the information is reviewed or updated. C)What are the health care plan requirements for caring for children with a specific health condition in a licensed child care center? (1)The JFS 01236 "Medical/Physical Care Plan for Child Care" is to be used for children with a condition or diagnosis that require the following: (a)Monitoring the child for symptoms which require the staff to take action. (b)Ongoing administration of medication or medical foods. Medical food means food that is formulated to be consumed under the supervision of a physician, PA, APRN, or CNP and which is intended for the specific dietary management of a disease or condition. (c) Administering procedures which require staff to be trained on those procedures. (d) Avoiding specific food(s), environmental conditions or activities. (e) A school-age child to carry and administer their own emergency medication. (2) The center is to: (3) The JFS 01236 shall be reviewed by the parent at least annually and updated as needed, including an updated list of trained staff members, if applicable. The parent and administrator shall initial and date the form when the information is reviewed or updated. Ohio Administrative Code (OAC) Rule 5101:2-12-25: (A)When is a JFS 01217 "Request for Administration of Medication for Child Care" required? (1)The JFS 01217 is required for all prescription and non-prescription medication, including sample medication. (2)The JFS 01217 is not required for a medication or medical food required by a JFS 01236 "Child Medical/Physical Care Plan for Child Care" pursuant to rule 5101:2-12-15 of the Administrative Code. (3)The JFS 01217 is not required for non-prescription topical lotions or products. (B) What are the requirements for prescription medications, non-prescription medicines containing codeine or aspirin, or non-prescription medication to be given longer than three consecutive days in a fourteen day period? (1)The center shall ensure that the parent completes and signs box one of the JFS 01217 . (2)The center shall ensure that the instructions in box two of the JFS 01217 are completed and signed by a licensed physician, as defined in Chapter 4731. of the Revised Code, licensed dentist, advanced practice registered nurse or certified physician's assistant. (3)Box two of the JFS 01217 does not need to be completed if the medication is stored in the original container with prescription label that includes the child's full name, a current dispensing date within the previous twelve months, exact dosage and directions for use. (C) What are the requirements for non-prescription medications? The center shall: (1)Ensure that the parent completes and signs box one of the JFS 01217. (2)Ensure that one of the following is met: (a)The medication is stored in the original container with a manufacturer's label containing directions based on the age and/or weight of the child. (b)The instructions in box two of the JFS 01217 are completed and signed by a licensed physician as defined in Chapter 4731. of the Revised Code, licensed dentist, advanced practice registered nurse, or certified physician's assistant, this excludes topical preventative products and lotions unless the instructions exceed or do not match the manufacturer's instructions or the non-prescription medication is not stored in original container. (D) What are the requirements for topical products and lotions? Written parental permission is not required for lip balm use or for using hand sanitizer with children older than twenty-four months. For all other topical products and lotions, the center shall: (1)Ensure that the product is stored in the original container with a manufacturer's label that includes directions based on the age and/or weight of the child. (2)Ensure that the parent provides signed written permission to administer that topical product or lotion Ohio Department of Education Preschool Programa Ohio Administrative Code (OAC) 3301-37-07 (c) Fluoride supplements to be administered in accordance with section 3701.136 of the Revised Code, which states: A) The director of health may establish a school-based fluoride mouth rinse program. If the director establishes the program, divisions (B) to (E) of this section are applicable. (D)(1) The director shall prescribe a form that the parent, guardian, or other person having care or charge of a student enrolled in a public or nonpublic school that participates in the school-based fluoride mouth rinse program may use to consent to the administration of fluoride mouth rinse to the student for the duration of the student's enrollment in that school. School employees or volunteers shall not administer fluoride mouth rinse to a student unless the consent form from the student's parent, guardian, or other person has been received. (2) The consent form shall include all of the following: (a) A space designated for the student's name and address; (b) A space designated for the name of the student's school; (c) A space designated for the student's grade level and class; (d) A space designated for the signature of the parent, guardian, or other person who authorizes the administration of fluoride mouth rinse to the student; (e) Information on the name, dosage, and intervals at which the fluoride mouth rinse is scheduled to be administered during each school year; (d) Prior to administering a prescription or nonprescription medication, food supplement, or medical food, the program shall ensure that: (i) The written instructions of a licensed physician or licensed dentist as appropriate are on file. (ii) Each time medication, medical food, or a food supplement is administered, a written record or log including dosage, date, and time shall be made. That record or log shall be kept on file for one year. (iii) Only employees who are health professionals or who have completed a drug administration training may administer medication pursuant to section 3313.713 of the Revised Code. (iv) Medication shall be stored in a designated locked storage place, except drugs requiring refrigeration shall be kept in a refrigerator not accessible to children. Emergency medication may be kept in an unlocked storage place as long as it is out of reach of children. (v) Parent permission is needed for the application of topical products and lotions and is to be applied according to the manufacturers instructions. Ohio Administrative Code (OAC) 3301-37-10 (6) For the purpose of diapering, topical ointments and creams provided by parents shall include written instructions. Such instructions shall include the name of the ointment, cream, or lotion; name of the child; birth date of the child; date; and signature. Written instructions shall be valid for no longer than three months. Authorization for administration of the ointment, cream, or lotion may be cancelled by written request of the parent at any time. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-13-15- (A)What are the requirements for the JFS 01234 "Child Enrollment and Health Information" (rev. 12/2016) for a licensed family child care provider? The provider shall: (1)Have a completed JFS 01234 on file for each child in care by the first day of attendance, including the provider's own children under the age of six. (2)Ensure the JFS 01234 is reviewed at least annually by the parent and updated as needed when information changes. The parent and the provider shall initial and date the form when the information is reviewed or updated. C)What are the health care plan requirements for caring for children with specific health condition for a licensed family child care provider? (1)The JFS 01236 "Medical/Physical Care Plan for Child Care" is to be used for children with a condition or diagnosis that require the following: (a)Monitoring the child for symptoms which require the staff to take action. (b)Ongoing administration of medication or medical foods. Medical food means food that is formulated to be consumed under the supervision of a physician, PA, APRN, or CNP and which is intended for the specific dietary management of a disease or condition. (c) Administering procedures which require staff to be trained on those procedures. (d) Avoiding specific food(s), environmental conditions or activities. (e) A school-age child to carry and administer their own emergency medication. (2) The provider is to: (3) The JFS 01236 shall be reviewed by the parent at least annually and updated as needed, including an updated list of trained child care staff members, if applicable. The parent and the provider shall initial and date the form when the information is reviewed or updated. Ohio Administrative Code (OAC) Rule 5101:22-13-25 (A)When is a JFS 01217 "Request for Administration of Medication for Child Care" required? (1)The JFS 01217 is required for all prescription and non-prescription medication, including sample medication. (2)The JFS 01217 is not required for a medication required by a JFS 01236 "Child Medical/Physical Care Plan for Child Care" pursuant to rule 5101:2-13-15 of the Administrative Code. (3)The JFS 01217 is not required for non-prescription topical products or lotions. (B) What are the requirements for prescription medications, non-prescription medicines containing codeine or aspirin, or non-prescription medication to be given longer than three consecutive days in a fourteen day period? (1)The family child care provider shall ensure that the parent completes and signs box one of the JFS 01217 . (2)The family child care provider shall ensure that the instructions in box two of the JFS 01217 are completed and signed by a licensed physician as defined in Chapter 4731. of the Revised Code, licensed dentist, advanced practice registered nurse or certified physician's assistant. (3)Box two of the JFS 01217 does not need to be completed if the medication is stored in the original container with a prescription label that includes the child's full name, a current dispensing date within the previous twelve months, exact dosage and directions for use. (C) What are the requirements for non-prescription medications? The family child care provider shall: (1)Ensure that the parent completes and signs box one of the JFS 01217. (2)Ensure that one of the following is met: (a)The medication is stored in the original container with a manufacturer's label containing directions based on the age and/or weight of the child. (b)The instructions in box two of the JFS 01217 are completed and signed by a licensed physician as defined in Chapter 4731. of the Revised Code, licensed dentist, advanced practice registered nurse or certified physician's assistant. This excludes topical preventative products and lotions unless the instructions exceed or do not match the manufacturer's instructions or the non-prescription medication is not stored in the original container. (D) What are the requirements for topical products and lotions? Written parental permission is not required for lip balm use or for using hand sanitizer with children older than twenty-four months. For all other topical products and lotions, the family child care provider shall: (1)Ensure that the product is stored in the original container with manufacturer's label that includes directions based on the age and/or weight of the child. (2)Ensure that the parent provides signed written permission to administer that topical product or lotion. iii. All CCDF-eligible licensed in-home care. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-14-06 A)What are the requirements for the JFS 01234 "Child Enrollment and Health Information for Child Care" in a home with a certified in-home aide (IHA)? The IHA is to: (1)Have a completed JFS 01234 on file for each child in care by the first day of care, including the IHA's own children in care. (2)Ensure the JFS 01234 is reviewed at least annually by the parent and updated as needed when information changes. The parent and the IHA are to initial and date the form when information is reviewed or updated. (C)What are the health care plan requirements for caring for children with a specific health condition in a home with a certified IHA? (1)The JFS 01236 "Medical/Physical Care Plan for Child Care" is to be used for children with a condition or diagnosis that includes the following: (a)Monitoring the child for symptoms in order to take action, if necessary. (b)Ongoing administration of medication or medical foods. Medical food means food that is formulated to be consumed under the supervision of a physician, PA, APRN, or CNP and which is intended for the specific dietary management of a disease or condition. (c)Administering procedures that the IHA is trained to provide. (d)Avoiding specific food(s), environmental conditions or activities. (e)A school-age child to carry and administer their own emergency medication. (2)The IHA is to: (a)Ensure that there is a completed JFS 01236 for each condition per child, including the IHA's own children in care. (3)The JFS 01236 is to be reviewed by the parent at least annually and updated as needed. The parent and the IHA are to initial and date the form when information is reviewed or updated. Ohio Administrative Code (OAC) Rule 5101:2-14-12 A)When does an in-home aide (IHA) use the JFS 01217 "Request for Administration of Medication for Child Care"? (1)The JFS 01217 is to be used to document medication administration of all prescription and non-prescription medication, including sample medication. (2)The JFS 01217 is not to be used for medication required by a JFS 01236 "Child Medical/Physical Care Plan for Child Care" pursuant to rule 5101:2-14-06 of the Administrative Code. (3)The JFS 01217 is not to be used for non-prescription topical products or lotions. (B)What are the requirements for prescription medications, non-prescription medicines containing codeine or aspirin, or non-prescription medication to be given longer than three consecutive days in a fourteen day period? (1)The IHA is to ensure that the parent completes and signs box one of the JFS 01217. (2)The IHA is to ensure that the instructions in box two of the JFS 01217 are completed and signed by a licensed physician as defined in Chapter 4731. of the Revised Code, licensed dentist, advanced practice registered nurse or certified physician assistant. (3)Box two of the JFS 01217 does not need to be completed if the medication is stored in the original container with prescription label that includes the child's full name, a current dispensing date within the previous twelve months, exact dosage and directions for use. (C)What are the requirements for non-prescription medications? The IHA is to: (1)Ensure that the parent completes and signs box one of the JFS 01217. (b)The instructions in box two of the JFS 01217 are completed and signed by a licensed physician as defined in Chapter 4731. of the Revised Code, licensed dentist, advanced practice registered nurse or certified physician assistant. This excludes topical preventative products and lotions unless the instructions exceed or do not match the manufacturer's instructions or the non-prescription medication is not stored in the original container. (D)What are the requirements for topical products and lotions? Written parental permission does not need to be obtained for lip balm use or for using hand sanitizer with children older than twenty-four months. For all other topical products and lotions, the IHA is to: (1)Ensure that the product is stored in the original container with manufacturer's label that includes directions based on the age and/or weight of the child. (2)Ensure that the parent provides signed written permission to administer that topical product or lotion. (3)Apply the non-prescription topical products and lotions according to the manufacturer's instructions. These may be applied without documentation of the application. [ ]Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The following applies to all age groups unless noted otherwise. Ohio Administrative Code (OAC) Rule 2-18-11 (A)What are the requirements for administration of prescription medications and non- prescription medications by an approved child day camp? The approved child day camp is to: (5)Have written permission from the parent for each medication to be administered prior to administering any non-prescription or prescription medication. (7) Allow school-age children to carry their own emergency medication as long as written permission from the parent is completed and on file at the approved day camp. (8)Allow school-age children to carry and use their own topical products including bug sprays, lip balm and sunscreen. D)What if a child has a special need or health condition? (1)A written medical care plan shall be used for children with a condition or diagnosis that requires specific care and/or intervention by child day camp staff. The written plan shall include the following: (a)The symptoms the staff should monitor which may require staff to take action. (b)Administering procedures which require staff to be trained on those procedures. (c)Avoiding specific food(s), environmental conditions or activities. (d)Permission for the child to carry and administer their own emergency medication, if applicable. (2)The approved child day camp is to: (a)Ensure that there is a completed written medical care plan for each condition per child. Ohio Department of Education School age (B) Individual child records shall be maintained, updated at least annually, and include, but not necessarily be limited to, the following: (5) Signed parental permission slip for administration of medication and log of medication administration; 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: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-12-15 (A)What are the requirements for the JFS 01234 "Child Enrollment and Health Information" for a licensed child care center? The center shall: (1)Have a completed JFS 01234 on file for each child by the first day of attendance. (2)Ensure the JFS 01234 is reviewed at least annually by the parent and updated as needed when information changes. The parent and administrator shall initial and date the form when the information is reviewed or updated. (3)Send the child's JFS 01234 with any child who is being transported for emergency assistance. (4)Maintain a current copy of the completed JFS 01234 for each child in care in a location that can be easily and quickly accessed and removed from the center if there is an emergency that requires the children to be moved to another location. (C)What are the health care plan requirements for caring for children with a specific health condition in a licensed child care center? (1)The JFS 01236 "Medical/Physical Care Plan for Child Care" is to be used for children with a condition or diagnosis that require the following: (a)Monitoring the child for symptoms which require the staff to take action. (b)Ongoing administration of medication or medical foods. Medical food means food that is formulated to be consumed under the supervision of a physician, PA, APRN, or CNP and which is intended for the specific dietary management of a disease or condition. (c) Administering procedures which require staff to be trained on those procedures. (d) Avoiding specific food(s), environmental conditions or activities. (e) A school-age child to carry and administer their own emergency medication. (2) The center is to: (a) Ensure that there is a completed JFS 01236 for each condition per child. (b)Ensure that all child care staff members who are trained to perform the medical procedure have signed the JFS 01236. (c)Ensure that there is at least one child care staff member caring for the child at all times who has signed the JFS 01236 on the child's condition. This includes on- site at field trips. (d) Implement and follow all requirements of each child's JFS 01236. (e) Keep each JFS 01236 in a location that can be easily and quickly accessed, including being removed from the center if there is an emergency that requires the children to be moved to another location. (3) The JFS 01236 shall be reviewed by the parent at least annually and updated as needed, including an updated list of trained staff members, if applicable. The parent and administrator shall initial and date the form when the information is reviewed or updated. (4) The JFS 01236 shall be on file with the center by the first day of attendance or upon confirmation of a health condition. (5) If the center suspects that a child has a health condition, the center may require a physician's statement within a designated timeframe. (6) Only staff members trained on the child's needs and required procedures shall be permitted to perform medical procedures or other action needed for a health condition or special need. Ohio Administrative Code (OAC) Rule 51012-12-22 (A)What are the requirements for meals and snacks in a licensed child care center? The center is to: 4)Provide meals and snacks according to the posted current weekly menu, and spaced no more than four hours apart. (a)The menus shall be posted in a visible place readily accessible to parents. (b)The menus shall include all meals and snacks being served by the center, any substitutions shall be noted at the time of the change. (10) Have provisions for safe storage of parent provided food. (12)Ensure that individual servings or individual packages of food or drink that have been served to a child are discarded or sent home with the child if not consumed during meal or snack time. Food or drink that is individually packaged and the package has not been opened may be stored at the center to be served again or sent home. The following applies to infants Ohio Administrative Code (OAC) Rule 51012-12-23 (B)What are the requirements for infant bottle and food preparation? The center shall: (1)Prepare and serve infant food in a manner appropriate to the developmental needs of each child. The center shall introduce new foods only after consultation with the parent. The center shall comply with written feeding instructions from the infant's parent, physician, physician's assistant, or certified nurse practitioner (CNP) which shall include the following: (a)Type of food and/or formula/breast milk. (b)Amount of food and/or formula/breast milk. (c)Feeding times or frequency of feedings. (2)Require the parent to update the written feeding instructions as needed. (3)Not feed any foods, other than formula or breast milk, to infants under four months of age, unless there is written documentation on file from a physician, physician's assistant or CNP. (8) Label all bottles or prepared food with the infant's name and date of preparation. All formula shall be refrigerated immediately after preparation or upon arrival if the formula is prepared by the parent. All commercially prepared food shall be stored according to the manufacturer's instructions and not served after the expiration date. (9)Ensure that if breast milk is provided by the parent, it shall be labeled with the infant's name, the date pumped, and the date the bottle was prepared Ohio Department of Education Preschool Programs Ohio Administrative Code (OAC) 3301-37-08 (B) The program shall secure and have on file all required information no later than the first day of attendance unless otherwise required (2) The health record of each child shall include but not be limited to: (a) A statement signed by a licensed physician as required by paragraph (A) of this rule; (b) Physician's or dentist's authorization and written instructions to administer prescription medication, medical food, modified diet, or fluoride supplement to a child enrolled in the program; (d) A list of any allergies and treatment for said allergies; (e) A list of any prescription or nonprescription medications, food supplements, modified diets, or fluoride supplements currently being administered to the child; (f) A list of any chronic physical problems and any history of hospitalization; (g) A list of any diseases the child has had; (h) Names and telephone numbers of physician and dentist in case of emergency; and (i) Permission of parent for emergency medical and dental care and transportation as required by section 3313.712 of the Revised Code. Ohio Administrative Code (OAC) 3301-37-09 (B) The program is not to allow screen time during meals and snacks. (C) The program shall serve snacks and meals to children who attend four or more hours in accordance with all of the following: (1) Snacks served shall be of quantity, variety, and quality in accordance with required daily allowance as prescribed by the U.S. department of agriculture meal patterns. If a child requires a modified diet that eliminates an entire food group, written instructions from a physician, physician assistant, clinical nurse specialist or certified nurse are to be obtained. To the extent possible, a familys preferred dietary preferences (i.e. vegetarian, vegan) should be accommodated. (6) Current menus for the entire week shall be posted in a conspicuous place and shall reflect all meals and snacks to be served by the program. Any substitute foods served shall be from the same basic food group and shall be recorded on the posted menu on the day the substitute food is served. The following applies to infant (D) Programs shall provide infant food and/or formula in accordance with all of the following: (1) Infant food and/or formula provided by the parent shall be labeled with the child's name, date of preparation, and immediately refrigerated, except for unopened commercially prepared canned food or formula. (2) If breast milk is provided by the parent or guardian, it shall be labeled with the child's name, date expressed, date of receipt, and shall be immediately refrigerated. Formula provided by the parent shall be labeled with the child's name, the date of receipt, and immediately refrigerated. Breast milk or formula shall not be stored for more than twenty-four hours. The unused portion of formula, breast milk, or food remaining in the container from which the infant has been directly fed shall not be reheated or served a second time and shall be discarded. (3) Infant food and formula shall be prepared, stored, and served in a manner appropriate to the equipment use and the needs of each individual child according to his stage of development and in conformity with written instruction from the parent or physician in charge of the child. (4) Breast milk or formula shall not be heated in a microwave oven. (5) Food heated in a microwave oven shall be stirred or shaken during heating to avoid uneven heating. (6) Infants shall be held or fed sitting up, and at no time should a bottle be propped. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-13-15- (A)What are the requirements for the JFS 01234 "Child Enrollment and Health Information" (rev. 12/2016) for a licensed family child care provider? The provider shall: (1)Have a completed JFS 01234 on file for each child in care by the first day of attendance, including the provider's own children under the age of six. (2)Ensure the JFS 01234 is reviewed at least annually by the parent and updated as needed when information changes. The parent and the provider shall initial and date the form when the information is reviewed or updated. (3)Send the child's JFS 01234 with any child who is being transported for emergency assistance. (4)Maintain a current copy of the completed JFS 01234 for each child in care in a location that can be easily and quickly accessed and removed from the home if there is an emergency that requires the children to be moved to another location. (5)Set a policy regarding whether to provide care to children whose parents refuse to grant consent for transportation to the source of emergency treatment. Ohio Administrative Code (OAC) Rule 5101:2-13-15- (C)What are the health care plan requirements for caring for children with specific health condition for a licensed family child care provider? (1)The JFS 01236 "Medical/Physical Care Plan for Child Care" is to be used for children with a condition or diagnosis that require the following: (a)Monitoring the child for symptoms which require the staff to take action. (b)Ongoing administration of medication or medical foods. Medical food means food that is formulated to be consumed under the supervision of a physician, PA, APRN, or CNP and which is intended for the specific dietary management of a disease or condition. (c) Administering procedures which require staff to be trained on those procedures. (d) Avoiding specific food(s), environmental conditions or activities. (e) A school-age child to carry and administer their own emergency medication. (2) The provider is to: (a) Ensure that there is a completed JFS 01236 for each condition per child. (b)Ensure that all child care staff members who are trained to perform the medical procedure have signed the JFS 01236 and that only those staff members who have signed the JFS 01236 can care for the child. (c) Implement and follow all requirements of each child's JFS 01236. (d) Keep each JFS 01236 in a location that can be easily and quickly accessed, including being removed from the home if there is an emergency that requires the children to be moved to another location. (3) The JFS 01236 shall be reviewed by the parent at least annually and updated as needed, including an updated list of trained child care staff members, if applicable. The parent and the provider shall initial and date the form when the information is reviewed or updated. (4) The JFS 01236 shall be on file with the provider by the first day of attendance or upon confirmation of a health condition. (5) If the provider suspects that a child has a health condition, the provider may require a physician's statement within a designated timeframe. (6) The provider and each child care staff member, including substitute child care staff members, shall be trained on the child's needs and required procedures before being permitted to perform medical procedures or other action needed for a health condition or special need. Ohio Administrative Code (OAC) Rule 5101:2-13-22 ￿ (A)What are the requirements for meals and snacks for a licensed family child care provider? 4)Provide meals and snacks according to the posted current weekly menu, and spaced no more than four hours apart. (a)The menus shall be posted in a visible place readily accessible to parents. (b)The menus shall include all meals and snacks being served by the provider, any substitutions shall be noted at the time of the change. (10) Have provisions for safe storage of parent provided food. (12)Ensure individual servings or individual packages of food or drink that have been served to a child be discarded or sent home with the child if not consumed during meal or snack time. Food or drink that is individually packaged and the package has not been opened may be stored at the provider's home to be served again or sent home. The following applies to infants Ohio Administrative Code (OAC) Rule 51012-13-23 (B)What are the requirements for infant bottle and food preparation? The family child care provider shall: (1)Prepare and serve infant food in a manner appropriate to the developmental needs of each child. The family child care provider shall introduce new foods only after consultation with the parent. The provider shall comply with written feeding instructions from the infant's parent, physician, physician's assistant or certified nurse practitioner (CNP), which shall include the following: (a)Type of food and/or formula/breast milk. (b)Amount of food and/or formula/breast milk. (c)Feeding times or frequency of feedings. (2)Require the parent to update the written feeding instructions as needed. (3)Not feed any foods, other than formula or breast milk, to infants under four months of age, unless there is written documentation on file from a physician, physician's assistant or CNP. (8) Label all bottles or prepared food with the infant's name and date of preparation. All formula shall be refrigerated immediately after preparation or upon arrival if the formula is prepared by the parent. All commercially prepared food shall be stored according to manufacturer's instructions and not served after the expiration date. (9)Ensure that if breast milk is provided by the parent, it shall be labeled with the infant's name, the date pumped, and the date the bottle was prepared. iii. All CCDF-eligible licensed in-home care. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-14-06 (A)What are the requirements for the JFS 01234 "Child Enrollment and Health Information for Child Care" in a home with a certified in-home aide (IHA)? The IHA is to: (1)Have a completed JFS 01234 on file for each child in care by the first day of care, including the IHA's own children in care. (2)Ensure the JFS 01234 is reviewed at least annually by the parent and updated as needed when information changes. The parent and the IHA are to initial and date the form when information is reviewed or updated. (3)Send the child's JFS 01234 with any child who is being transported for emergency assistance. (4)Maintain a current copy of the completed JFS 01234 for each child in care in a location that can be easily and quickly accessed and removed from the home if there is an emergency where the children are moved to another location, and for transporting children on all trips, except routine walks. (5)Set a policy regarding whether to provide care to children whose parents refuse to grant consent for transportation to the source of emergency treatment. (C)What are the health care plan requirements for caring for children with a specific health condition in a home with a certified IHA? (1)The JFS 01236 "Medical/Physical Care Plan for Child Care" is to be used for children with a condition or diagnosis that includes the following: (a)Monitoring the child for symptoms in order to take action, if necessary. (b)Ongoing administration of medication or medical foods. Medical food means food that is formulated to be consumed under the supervision of a physician, PA, APRN, or CNP and which is intended for the specific dietary management of a disease or condition. (c)Administering procedures that the IHA is trained to provide. (d)Avoiding specific food(s), environmental conditions or activities. (e)A school-age child to carry and administer their own emergency medication. (2)The IHA is to: (a)Ensure that there is a completed JFS 01236 for each condition per child, including the IHA's own children in care. (b)Implement and follow all requirements of each child's JFS 01236. (c)Keep each JFS 01236 in a location that can be easily and quickly accessed, including being removed from the home if there is an emergency where the children are moved to another location, and for transporting children on all trips except routine walks. (3)The JFS 01236 is to be reviewed by the parent at least annually and updated as needed. The parent and the IHA are to initial and date the form when information is reviewed or updated. (4)The JFS 01236 is to be on file in the home by the first day the IHA provides child care services, or upon confirmation of a health condition. (5)If the IHA suspects that a child has a health condition, the IHA may collect a physician's statement from the parent within a designated time frame. (6)The IHA is to be trained on the child's needs and all procedures before being permitted to perform medical procedures or other action needed for a health condition or special need. Ohio Administrative Code (OAC) Rule 5101:2-14-11 (A)What are the requirements for meals and snacks for a certified in-home aide (IHA)? The IHA is to: (8)Ensure individual servings or individual packages of food or drink that have been served to a child are discarded or stored as instructed by the child's parent. Food or drink that is individually packaged and the package has not been opened may be stored in the home to be served again. The following applies to infants Ohio Administrative Code (OAC) Rule 5101:2-14-13 B)What are the requirements for infant bottle and food preparation? The IHA is to: (1)Prepare and serve infant food in a manner appropriate to the developmental needs of each child. The IHA is to introduce new foods only after consultation with the parent. The IHA is to comply with written feeding instructions from the infant's parent, physician, physician's assistant or certified nurse practitioner (CNP), which is to include the following: (a)Type of food and/or formula/breast milk. (b)Amount of food and/or formula/breast milk. (c)Feeding times or frequency of feedings. (2)Ensure the parent updates the written feeding instructions as needed. (3)Not feed any foods, other than formula or breast milk, to infants under four months of age, unless there is written documentation on file from a physician, physician's assistant or CNP. (8)Label all bottles or prepared food with the infant's name and date of preparation. All formula is to be refrigerated immediately after preparation or if the formula is prepared by the parent. All commercially prepared food is be stored according to manufacturer's instructions and not served after the expiration date. (9)Ensure that if breast milk is provided by the parent, it is to be labeled with the infant's name, the date pumped, and the date the bottle was prepared. The IHA is to follow the chart in appendix A to this rule for storing breast milk. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The following applies to all school age children Ohio Administrative Code (OAC) Rule 5101:2-18-11 (D)What if a child has a special need or health condition? (1)A written medical care plan shall be used for children with a condition or diagnosis that requires specific care and/or intervention by child day camp staff. The written plan shall include the following: (a)The symptoms the staff should monitor which may require staff to take action. (b)Administering procedures which require staff to be trained on those procedures. (c)Avoiding specific food(s), environmental conditions or activities. (d)Permission for the child to carry and administer their own emergency medication, if applicable. (2)The approved child day camp is to: (a)Ensure that there is a completed written medical care plan for each condition per child. (b)Implement and follow all requirements of each child's medical care plan. (c)Ensure that all child day camp staff members who are trained to perform the medical procedure have signed the medical care plan. (d)Ensure that there is at least one child care staff member caring for the child at all times who has signed the medical care plan on the child's condition. This includes on-site at field trips. (e)Keep the medical care plan in a location that can be easily and quickly accessed at all times, including being removed from the approved child day camp if there is an emergency where the children need to be moved to another location. (3)The written medical care plan shall be on file with the approved child day camp by the first day of attendance or upon confirmation of a health condition. (4)If the approved child day camp suspects that a child has a health condition, the camp may require a physician's statement within a designated timeframe. (5)Only staff members trained on the child's needs and required procedures shall be permitted to perform medical procedures or other action needed for a health condition or a special need. Ohio Department of Education School Age Ohio Administrative Code (OAC) 3301-32-06 (B) Individual child records shall be maintained, updated at least annually, and include, but not necessarily be limited to, the following: (1) Registration information including, but not necessarily limited to, the following: childs name, date of birth, date of admission, parents name, home address, business address and telephone number where the parent can be reached during the time the child attends the program (if applicable) and/or procedures for reaching the parents, name of the school the child attends, and any special concerns such as dietary restrictions and allergies; Ohio Administrative Code (OAC) 3301-32-07 (A) Programs that provide meals or snacks shall: (1) Follow the policies and requirements of the school district, county board of developmental disabilities, community school or eligible nonpublic school. School district, county board of developmental disabilities, community school, or eligible nonpublic school food service personnel must review the program's menus and food preparation practices at least once annually. (2) Serve varied and nutritious meals and snacks. Menus must be planned on a weekly basis at a minimum and posted in a conspicuous place where they can be reviewed by parents. (a) The menus are to include all meals and snacks being served by the center with any substitutions noted at the time of the change. (4) Provide for a child's special dietary needs as prescribed by the child's source of medical care or require the parent to provide the prescribed diet items that are not part of the program's menu plan. (5) Keep in the child's record a list of the allergies suffered by the child in attendance of the program. All program personnel, including those in food service, shall be informed of these allergies. (7) Serve food that is developmentally appropriate in size, amount and texture (8) Provide for the safe storage of all food. (9) Not have screens (television, computer, etc.) on during meals and snacks. (D) Programs that allow or require parents to provide food for meals or snacks shall: (1) Provide parents with written nutritional information and have a copy of this written nutritional information on file at the program. (2) Have provisions for safe storage of parent provided food. 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: The following standards apply to provider settings regarding all ages unless otherwise noted and address responses to medical emergencies including those that are due to food and allergic reactions. Ohio Administrative Code (OAC) Rule 5101: 2-12-25 (standards are for administration of medication including those needed for food and allergic reactions.) (A)When is a JFS 01217 "Request for Administration of Medication for Child Care" required? (1)The JFS 01217 is required for all prescription and non-prescription medication, including sample medication. (2)The JFS 01217 is not required for medication or medical food required by a JFS 01236 "Child Medical/Physical Care Plan for Child Care" pursuant to rule 5101:2-12-15 of the Administrative Code. (E) What are the requirements for a licensed child care center to administer medications, medical foods or topical products in a licensed child care center? The center shall: (1)Not administer any medication, medical food, or topical product until after the child has received the first dose or application at least once prior to the center administering a dose or applying the product, to avoid unexpected reactions. Emergency medications for the child are exempt from this requirement. (2)Not administer any medication, medical food or topical product for any period of time beyond the date indicated by the physician, physician's assistant, advanced practice registered nurse certified to prescribe medication, or licensed dentist, on the prescription label, for twelve months from the date of the form, or after the expiration date on the medication, whichever comes first. (3)Document each administration or application on the JFS 01217 immediately after administering, including when school-age children administer their own medication. This excludes items in paragraph (D)of this rule. (4)Follow prescribed dosages or the manufacturer's recommended dosages for administering non-prescription medication. (5)Complete a separate JFS 01217 for each medication to be administered for each child, excluding items in paragraph (D). Each JFS 01217 is valid for the time period listed on the form, not to exceed twelve months from the date of signature. Ohio Administrative Code (OAC) Rule 5101: 2-12-16 (Standard is addressing medical emergencies including those due to food or allergic reactions.) (A)What are the medical, dental, and general emergency requirements for a licensed child care center? The center shall: (1)Have a written plan for medical or dental emergencies on the JFS 01242 "Medical, Dental and General Emergency Plan for Child Care." The plan shall be completed, implemented when necessary, and shall be posted, readily in view in each classroom and other spaces used by the children. (C)What are the health care plan requirements for caring for children with a specific health condition in a licensed child care center? (This includes those needed for environmental and food allergies.) (1)The JFS 01236 "Medical/Physical Care Plan for Child Care" is to be used for children with a condition or diagnosis that require the following: (a)Monitoring the child for symptoms which require the staff to take action. (b)Ongoing administration of medication or medical foods. Medical food means food that is formulated to be consumed under the supervision of a physician, PA, APRN, or CNP and which is intended for the specific dietary management of a disease or condition. (c) Administering procedures which require staff to be trained on those procedures. (d) Avoiding specific food(s), environmental conditions or activities. (e) A school-age child to carry and administer their own emergency medication. (2) The center is to: (a) Ensure that there is a completed JFS 01236 for each condition per child. (b)Ensure that all child care staff members who are trained to perform the medical procedure have signed the JFS 01236. (c)Ensure that there is at least one child care staff member caring for the child at all times who has signed the JFS 01236 on the child's condition. This includes on-site at field trips. (d) Implement and follow all requirements of each child's JFS 01236. (e) Keep each JFS 01236 in a location that can be easily and quickly accessed, including being removed from the center if there is an emergency that requires the children to be moved to another location. (6) Only staff members trained on the child's needs and required procedures shall be permitted to perform medical procedures or other action needed for a health condition or special need. (E)When shall a child care staff member complete the JFS 01299 "Incident/Injury Report for Child Care" ? (1)Staff shall complete the JFS 01299 and provide a copy to the child's parent or the person picking up the child on the day of the incident or injury if: (a)A child becomes ill or receives an injury which requires first aid treatment. (b)A child is transported in accordance with this rule to a source of emergency assistance. (G)What does the center do if there is a serious incident? (1)The center shall log in to http://oclqs.force.com by the next business day to report the incident, as defined in paragraph (F) of this rule. (3)The center may print the completed serious incident report in OCLQS and give to the parent to meet the parent notification requirements of paragraph (E) of this rule. (4)If a child is transported by anyone other than a parent for emergency treatment, the child's health and medical records are to accompany the child. The center administrator or a child care staff member is to stay with the child until the parent assumes responsibility for the child's care. ODE Preschools Ohio Administrative Code (OAC) 3301-37-07 (4) Health and safety procedures, in accordance with section 3301.56 of the Revised Code and, the following: (iii) Posting medical and dental emergency procedures in each preschool room and by each telephone and making such available to school personnel, children, and parents; (iv) Posting emergency numbers by each telephone; vi) Procedures for providing written notification to parents on the day of the injury/incident, when a child is injured or a serious health/safety incident occurs and maintaining a log of all injury/incident reports. Ohio Administrative Code (OAC) 3301-37-08 (B) The program shall secure and have on file all required information no later than the first day of attendance unless otherwise required (e) A list of any prescription or nonprescription medications, food supplements, modified diets, or fluoride supplements currently being administered to the child; (f) A list of any chronic physical problems and any history of hospitalization; (g) A list of any diseases the child has had; (h) Names and telephone numbers of physician and dentist in case of emergency; and (i) Permission of parent for emergency medical and dental care and transportation as required by section 3313.712 of the Revised Code. (D) The program shall notify parents in writing within twenty-four hours when a child is injured and maintain a log of injury reports. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-13-16 (A)What are the medical, dental and general emergency requirements for a licensed family child care provider? The family child care provider shall: (1)Have a written plan for medical or dental emergencies on the JFS 01242 "Medical, Dental and General Emergency Plan for Child Care." The plan shall be completed, implemented when necessary, and shall be posted in a noticeable location on each level of the home in use for child care. (E)When shall a family child care provider complete the JFS 01299 "Incident/Injury Report for Child Care"? (1)The family child care provider shall complete the JFS 01299 and provide a copy to the child's parent or the person picking up the child on the day of the incident or injury if: (a)A child becomes ill or receives an injury which requires first aid treatment. (b)A child is transported in accordance with this rule to a source of emergency assistance. (F)What is a serious incident? (1)Death of a child at the home. (2) An incident, injury, or illness that requires professional medical consultation or treatment for a child. (G)What does the licensed family child care provider do if there is a serious incident? (1)The licensed family child care provider shall log in to http://oclqs.force.com by the next business day to report the incident, as defined in paragraph (F) of this rule. (3)The provider may print the completed serious incident report in OCLQS and give to the parent to meet the parent notification requirements of paragraph (E) of this rule. (4)If a child is transported by anyone other than a parent for emergency treatment, the child's health and medical records required by rule 5101:2-13-15 of the Administrative Code are to accompany the child. Ohio Administrative Code (OAC) Rule 5101:2-13-15 (C)What are the health care plan requirements for caring for children with specific health condition for a licensed family child care provider? (1)The JFS 01236 "Medical/Physical Care Plan for Child Care" is to be used for children with a condition or diagnosis that require the following: (a)Monitoring the child for symptoms which require the staff to take action. (b)Ongoing administration of medication or medical foods. Medical food means food that is formulated to be consumed under the supervision of a physician, PA, APRN, or CNP and which is intended for the specific dietary management of a disease or condition. (c) Administering procedures which require staff to be trained on those procedures. (d) Avoiding specific food(s), environmental conditions or activities. (e) A school-age child to carry and administer their own emergency medication. (2) The provider is to: (a) Ensure that there is a completed JFS 01236 for each condition per child. (b)Ensure that all child care staff members who are trained to perform the medical procedure have signed the JFS 01236 and that only those staff members who have signed the JFS 01236 can care for the child. (c) Implement and follow all requirements of each child's JFS 01236. (d) Keep each JFS 01236 in a location that can be easily and quickly accessed, including being removed from the home if there is an emergency that requires the children to be moved to another location. (3) The JFS 01236 shall be reviewed by the parent at least annually and updated as needed, including an updated list of trained child care staff members, if applicable. The parent and the provider shall initial and date the form when the information is reviewed or updated. (4) The JFS 01236 shall be on file with the provider by the first day of attendance or upon confirmation of a health condition. (5) If the provider suspects that a child has a health condition, the provider may require a physician's statement within a designated timeframe. (6) The provider and each child care staff member, including substitute child care staff members, shall be trained on the child's needs and required procedures before being permitted to perform medical procedures or other action needed for a health condition or special need. Ohio Administrative Code (OAC) Rule 5101:2-13-25 (A)When is a JFS 01217 "Request for Administration of Medication for Child Care" required? (1)The JFS 01217 is required for all prescription and non-prescription medication, including sample medication. (2)The JFS 01217 is not required for a medication required by a JFS 01236 "Child Medical/Physical Care Plan for Child Care" pursuant to rule 5101:2-13-15 of the Administrative Code. (3)The JFS 01217 is not required for non-prescription topical products or lotions. (E) What are the requirements for a licensed family child care home to administer medications, medical foods or topical products in a licensed family child care home? The family child care provider shall: (1)Not administer any medication, medical food, or topical product until the child has received the first dose or application at least once prior to the provider administering a dose or applying the product, to avoid unexpected reactions. Emergency medications for the child are exempt from this requirement. (2)Not administer any medication, medical food or topical product for any period of time beyond the date indicated by the physician, physician's assistant, advanced practice registered nurse certified to prescribe medication, or licensed dentist, on the prescription label, for twelve months from the date of the form, or after the expiration date on the medication, whichever comes first. (3)Document each administration or application on the JFS 01217 immediately after administering, including when school-age children administer their own medication. This excludes items in paragraph (D)of this rule. (4)Follow prescribed dosages or the manufacturer's recommended dosages for administering non-prescription medication. (5)Complete a separate JFS 01217 for each medication to be administered for each child, excluding items in paragraph (D) of this rule. Each JFS 01217 is valid for the time period listed on the form, not to exceed twelve months from the date of signature. iii. All CCDF-eligible licensed in-home care. Provide the standard:: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-14-07 (A)What are the medical, dental and general emergency requirements for a certified in-home aide (IHA)? The IHA is to: (1)Have a written plan for medical or dental emergencies on the JFS 01242 "Medical, Dental and General Emergency Plan for Child Care." The plan is to be completed, implemented when necessary and kept in a location that is readily available to the IHA. (C)What are the health care plan requirements for caring for children with a specific health condition in a home with a certified IHA? (1)The JFS 01236 "Medical/Physical Care Plan for Child Care" is to be used for children with a condition or diagnosis that includes the following: (a)Monitoring the child for symptoms in order to take action, if necessary. (b)Ongoing administration of medication or medical foods. Medical food means food that is formulated to be consumed under the supervision of a physician, PA, APRN, or CNP and which is intended for the specific dietary management of a disease or condition. (c)Administering procedures that the IHA is trained to provide. (d)Avoiding specific food(s), environmental conditions or activities. (e)A school-age child to carry and administer their own emergency medication. (2)The IHA is to: (a)Ensure that there is a completed JFS 01236 for each condition per child, including the IHA's own children in care. (b)Implement and follow all requirements of each child's JFS 01236. (c)Keep each JFS 01236 in a location that can be easily and quickly accessed, including being removed from the home if there is an emergency where the children are moved to another location, and for transporting children on all trips except routine walks. (3)The JFS 01236 is to be reviewed by the parent at least annually and updated as needed. The parent and the IHA are to initial and date the form when information is reviewed or updated. (4)The JFS 01236 is to be on file in the home by the first day the IHA provides child care services, or upon confirmation of a health condition. (5)If the IHA suspects that a child has a health condition, the IHA may collect a physician's statement from the parent within a designated time frame. (6)The IHA is to be trained on the child's needs and all procedures before being permitted to perform medical procedures or other action needed for a health condition or special need. (B)When is the certified IHA to complete the JFS 01299 "Incident/Injury Report for Child Care"? (1)The IHA is to complete the JFS 01299 and provide a copy to the parent on the day of the incident/injury if: (a)A child becomes ill or receives an injury in which first aid treatment is applied. (b)A child is transported in accordance with this rule to a source of emergency assistance. (C)What is a serious incident? (1)Death of a child at the home. (2)An incident, injury, or illness that requires professional medical consultation or treatment for a child. (D)What does the certified IHA do if there is a serious incident, as defined in paragraph (C) of this rule? (1)The IHA is to log into https://oclqs.force.com by the next business day to report the incident. (3)The IHA may print the completed serious incident report in OCLQS and give to the parent to meet the parent notification requirements in paragraph (B) of this rule. (4)If the child is transported by anyone other than a parent for emergency treatment, the child's health and medical records as outlined in rule 5101:2-14-06 of the Administrative Code, are to accompany the child. Ohio Administrative Code (OAC) Rule 5101:2-14-12 A)When does an in-home aide (IHA) use the JFS 01217 "Request for Administration of Medication for Child Care"? (1)The JFS 01217 is to be used to document medication administration of all prescription and non-prescription medication, including sample medication. (2)The JFS 01217 is not to be used for medication required by a JFS 01236 "Child Medical/Physical Care Plan for Child Care" pursuant to rule 5101:2-14-06 of the Administrative Code. (3)The JFS 01217 is not to be used for non-prescription topical products or lotions. (E)What are the requirements for a certified IHA to administer medications, medical foods or topical products? The IHA is to: (1)Not administer any medication, medical food or topical product until the child has received the first dose or application at least once prior to the IHA administering a dose or applying the product, to avoid unexpected reactions. Emergency medications for the child are exempt from this requirement. (2)Not administer any medication, medical food or topical product for any period of time beyond the date indicated by the physician, physician assistant, advanced practice registered nurse certified to prescribe medication or licensed dentist, on the prescription label, for twelve months from the date of the form, or after the expiration date on the medication, whichever comes first. (3)Document each administration or application on the JFS 01217 immediately after administering, including when school-age children administer their own medication. This excludes items in paragraph (D) of this rule. (4)Follow prescribed dosages or the manufacturer's recommended dosages for administering non-prescription medication.(5)Complete a separate JFS 01217 for each medication to be administered for each child, excluding items in paragraph (D) of this rule. Each JFS 01217 is valid for the time period listed on the form, not to exceed twelve months from the date of signature. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The following applies to all school age children Ohio Administrative Code (OAC) Rule 5101:2-18-11 (D)What if a child has a special need or health condition? (1)A written medical care plan shall be used for children with a condition or diagnosis that requires specific care and/or intervention by child day camp staff. The written plan shall include the following: (a)The symptoms the staff should monitor which may require staff to take action. (b)Administering procedures which require staff to be trained on those procedures. (c)Avoiding specific food(s), environmental conditions or activities. (d)Permission for the child to carry and administer their own emergency medication, if applicable. (2)The approved child day camp is to: (a)Ensure that there is a completed written medical care plan for each condition per child. (b)Implement and follow all requirements of each child's medical care plan. (c)Ensure that all child day camp staff members who are trained to perform the medical procedure have signed the medical care plan. (d)Ensure that there is at least one child care staff member caring for the child at all times who has signed the medical care plan on the child's condition. This includes on-site at field trips. (e)Keep the medical care plan in a location that can be easily and quickly accessed at all times, including being removed from the approved child day camp if there is an emergency where the children need to be moved to another location. (3)The written medical care plan shall be on file with the approved child day camp by the first day of attendance or upon confirmation of a health condition. (4)If the approved child day camp suspects that a child has a health condition, the camp may require a physician's statement within a designated timeframe. (5)Only staff members trained on the child's needs and required procedures shall be permitted to perform medical procedures or other action needed for a health condition or a special need. (A)What are the requirements for administration of prescription medications and non-prescription medications by an approved child day camp? The approved child day camp is to: (1)Ensure that prescription medication is stored in the original container with the prescription label that includes the child's full name, a current dispensing date within the previous twelve months, and exact dosage and directions for use. (2)Not administer any medication or topical product for any period of time beyond the date indicated by the physician, physician's assistant, advanced practice nurse certified to prescribe medication, or licensed dentist, on the prescription label, for twelve months from the date on the form, or after the expiration date on the medication, whichever comes first. (3)Ensure that non-prescription medications are stored in the original container with a manufacturer's label containing directions based on the age and/or weight of the child. (4) Ensure medication dosages administered do not exceed prescribed dosages or the manufacturer's recommended dosages. (5)Have written permission from the parent for each medication to be administered prior to administering any non-prescription or prescription medication. (6)Document each administration, including a child's self-administration, of medication or application of topical product, unless the topical product is a non- prescription item including bug spray, sunscreen, hand sanitizer and lip balm. Ensure the documentation includes: (a)The child's name. (b)The child's date of birth. (c)The medication name. (d)The medication dosage. (e)The date the medication was administered. (f)The time the medication was administered. (g)The signature of the person administering the medication. (7) Allow school-age children to carry their own emergency medication as long as written permission from the parent is completed and on file at the approved day camp. (8)Allow school-age children to carry and use their own topical products including bug sprays, lip balm and sunscreen. Ohio Administrative Code (OAC) Rule 51012-18-10 (B)What is a serious incident? (1)Death of a child at the approved child day camp. (2)An incident, injury or illness that requires professional medical consultation or treatment for a child. C)What does the approved child day camp do if there is a serious incident? The approved day camp is to: (1)Log in to Ohio child licensing and quality system (OCLQS) at https://oclqs.force.com by the next business day to report the incident as described in paragraph (2)Notify in writing the parents of the child(ren) involved in the serious incident. A copy of the completed serious incident report in OCLQS may be given to the parent or the person picking up the child to meet this notification requirement. (3)If a child is transported by anyone other than a parent for emergency treatment the child's health and medical records are to accompany the child. The child day camp administrator or a child day camp staff member is to stay with the child until the parent assumes responsibility for the child's care. ODE School Age Ohio Administrative Code (OAC) 3301-32-06 (B) Individual child records shall be maintained, updated at least annually, and include, but not necessarily be limited to, the following: (1) Registration information including, but not necessarily limited to, the following: childs name, date of birth, date of admission, parents name, home address, business address and telephone number where the parent can be reached during the time the child attends the program (if applicable) and/or procedures for reaching the parents, name of the school the child attends, and any special concerns such as dietary restrictions and allergies; (2) Telephone numbers of three authorized person(s) to take the child from the program in the event of an emergency; (3) Parental consent for first-aid, medication, and transportation to an emergency care facility; (4) Name and telephone number of the childs physician, dentist, or other health care providers; (5) Signed parental permission slip for administration of medication and log of medication administration; (7) Transportation plan that shall include parental designations of any authorized persons to take the child from the program; (8) If a school district, county board of developmental disabilities, community school, or eligible nonpublic school policy permits, a transportation plan shall include mutual agreement and consent between the program coordinator and the childs parents allowing a school child to leave the school child care program for specific activities. The agreement shall specify, but not be limited to, the following: (a) Childs destination; and (b) Estimated time or arrival and departure, and the time period for which the agreement is valid. (9) Information on special medical or health needs, allergies, dietary restrictions; 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: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-12-12 (A)What are the safe equipment requirements for a licensed child care center? (1)Equipment, materials, and furniture shall be sturdy, safe, and easy to clean and maintain. They shall also be free of sharp points or corners, splinters, or protruding nails; loose or rusty parts; peeling or chipping paint ; or other hazardous features. (2)Furniture, equipment and materials which are not usable due to breakage or being a hazard shall be removed immediately and stored away from children until repaired or replaced. (3)Air conditioners, heat pumps, electric fans and space heaters shall be mounted or placed out of the children's reach or have safeguards which prevent children from being injured. All heaters utilized by the child care center shall be approved in writing by the fire department and/or the building department. (4)Indoor swings (excluding infant swings), slides, climbers, and climbing apparatuses shall not be placed over carpet, concrete, tile, or any similarly hard surface. There shall be shock absorbent protective covering under and around this equipment. If climbing equipment is over three feet high, landing mats at least one and one half inches thick shall be used. The protective covering shall be used and placed according to manufacturers' guidelines. (5)All children's equipment shall be used in accordance with the manufacturer's guidelines. (6)Trampolines, ball pits, and inflatable play equipment intended for climbing and bouncing, including but not limited to slides and bounce houses shall not be permitted for use at the center. (B)What are the safe environment requirements for a licensed child care center? (1)Weapons, firearms and ammunition materials shall not be on the premises. Weapons and firearms include air rifles, hunting slingshots and any other projectile weapon. (3)Illegal drugs and substances shall not be on the premises. Alcohol shall only be kept in areas not approved or used for child care. (6) Children in care shall be protected from any items and conditions which threaten their health, safety, and well being, including but not limited to: stoves, bodies of water, window covering pull cords, telephone cords, electrical cords, extension cords, lead hazards, asbestos, wells, traffic, employee's personal belongings and other environmental hazards and dangerous situations. If a potential lead hazard is identified, ODJFS will make a referral to the appropriate agency. (7) If area rugs are used, they shall have a nonskid backing and floor surfaces shall be maintained to not cause a tripping hazard. (8) Toys or other materials small enough to be swallowed shall be kept out of the reach of infants and toddlers. (9)Cleaning and sanitizing equipment and supplies shall be stored in a space that is inaccessible to children. Cleaning agents, aerosol cans and all other chemical substances shall be stored in a designated area in their original containers and/or clearly labeled. (a)School-age children may use cleaning equipment, supplies, and cleaning agents with adult supervision. (b)The cleaning equipment, supplies, and cleaning agents may be accessible in spaces only used by school-age children. (10)Mercury thermometers shall not be used. (11)Electrical outlets, including surge protectors, within the reach of children shall have child proof receptacle covers when not in use unless designed with safety guards, except for space used only by school-age children. (12)Renovations and remodeling to areas in which child care is provided shall be conducted in a safe manner to ensure that lead poison hazards are not introduced into the environment as required by Chapter 3742. of the Revised Code. (13)Unless toilets and sinks are of suitable height for use by the children, the center shall provide a sturdy, nonslip platform on which the children may stand. (14)Lawnmowers, sharp tools, machinery and other equipment shall not be used or stored where children have access to them. (15)All areas used by children shall be ventilated and shall provide protection from rodents, insects and other hazards. (16)Aerosol spray products shall not be used in rooms where children are in attendance. (C)What are the regulations for having pets in a licensed child care center? (1)Pets and animals shall be permitted if they present no apparent threat to the safety or health of the children. (3)Children shall not be directly exposed to animal urine or feces inside the program or in the outdoor play area. Ohio Administrative Code (OAC) Rule 5101:2-12-11 (E)What are the requirements for on-site and off-site outdoor equipment? (1)Outdoor equipment, whether stationary or portable, shall be safe and designed to meet the developmental needs of all of the age groups of children using the space. (2)Equipment, such as, but not limited to, climbing gyms, swings, and slides shall: (a)Be placed out of the path of the area's main traffic pattern. (b)Be anchored or stable and have all parts in good working order and securely fastened. (c)Have all climbing ropes anchored at both ends and not capable of looping back on themselves creating a loop with an interior perimeter of five inches or greater. (d)Have "S" hooks that are closed in order to prevent the chain from slipping off of the hook and prevents strangulation if they are used. (e)Be free of rust, cracks, holes, splinters, sharp points or edges, chipped or peeling paint, lead hazards, toxic substances, protruding bolts, or tripping hazards. (f)Have no openings that are greater than three and one half inches, but less than nine inches to avoid entrapment of the head or other body parts. (g)Have protected barriers on platforms that are thirty inches high or higher. A protective barrier means an enclosing device around an elevated platform that is intended to prevent both inadvertent and deliberate attempts to pass through the device. (h)Be assembled, installed and utilized according to manufacturer's guidelines. (3)Functionally linked play equipment may be used if each piece of the adjacent equipment is not more than twelve inches apart for preschool-age children or eighteen inches apart for school-age children. Functionally linked play equipment means two or more play structures designed and installed adjacently to create one integral unit that provides more than one play activity for children. (F)What are the requirements for a fall zone? (1)Outdoor play equipment designated for climbing, swinging, balancing and sliding shall have a fall zone of protective resilient material on the ground under and around the equipment. (a)The material may be one of the following, but not limited to, washed pea gravel, mulch, sand, wood chips or synthetic material such as rubber mats or tiles manufactured for this purpose. (b)Equipment shall not be placed directly over concrete, asphalt, blacktop, dirt, rocks, grass or any other hard surface. (c)Synthetic surfaces shall follow manufacturer's guidelines for depth. (d)Protective resilient material depth for equipment shall be appropriate for the height and type of equipment as specified in appendix A to this rule. (e)All loose fill materials, such as mulch, sand, wood chips, washed pea gravel shall be raked, as needed to retain their proper distribution and depth. Foreign materials are to be removed prior to use by children. (2)All space around equipment designed for or observed being used for climbing, swinging, balancing or sliding shall extend a minimum of six feet in all directions from the perimeter of the equipment or a minimum of three feet in all directions if the equipment is exclusively used by children six months to twenty-three months of age. (a)The fall zone for moving or swinging equipment is measured from the point of furthest extension. (b)The fall zone between two stationary pieces of equipment shall be a minimum of nine feet. For equipment exclusively used by children six months to twenty- three months of age, the fall zone requirement is four and one-half feet. (c)Fall zones shall be kept clear of all obstacles that children could run into or fall on top of including retaining devices such as, but not limited to, fencing, walls, landscape timbers and mulch retaining walls. (d)Equipment used for climbing shall not be placed over carpet or mats that are not intended for use as surfacing for climbing ODE Preschool Ohio Administrative Code (OAC) Rule 3301-37-05 (D) The indoor space shall include not less than thirty-five square feet of usable, wall-to-wall, floor space for each child. 5) Electrical outlets are to be covered when not in use unless documentation is on file that the outlets are tamper resistant. (6) The center is to be cleaned daily and kept in a sanitary condition at all times. Cleaning and sanitizing is not to take place while rooms are occupied by children, except for general cleanup activities such as sweeping, vacuuming, mopping and wiping off tables which are part of the daily routine. (7) Smoking is prohibited on the premises. (8) The public may use areas such as entry ways, hallways, bathrooms, and other areas normally available for public use if such access does not constitute a risk or hazard to the health and safety of the children in care. (E) Safe play space, including both indoor and outdoor play space, totaling not less than sixty square feet for each child using the space at any one time, shall be regularly available and scheduled for use. Additionally, play spaces comply with the following: (1) The surface of the outdoor play space shall offer proection from falls and shall be well drained. (2) The play space, including both indoor and outdoor play space, shall be free of hazards such as, but not limited to, chipped and peeling paint containing lead, mold, peeling plaster, holes in the walls, broken glass, potholes, garbage, flammable materials and other debris. Equipment and furniture must be without sharp corners, splinters, or loose and/or peeling paint containing lead. Corrective action will be issued for any loose and/or peeling paint that may contain lead. (F) Infants and toddlers shall be provided space apart from their sleeping quarters so that each child is allowed to sit, crawl, toddle or walk, and play safely and comfortably according to his/her stage of development.: (G) Infants and non-ambulatory children eighteen months of age or older shall receive care in rooms approved for that use by local building, fire officials, and the department prior to use. (I) Cribs are to be separated from infant play space by a safe and sturdy physical barrier which does not impair the ability to supervise infants by sight and hearing. Sight and hearing is when the preschool staff can see the infants in and out of their cribs and hear their sounds. The barrier provides for safe accessibility. Ohio Administrative Code (OAC) Rule 3301-37-05 (A) Indoor and outdoor play space shall contain furniture, materials and equipment of appropriate size and type to meet the intellectual, physical, social and emotional needs of the preschool children enrolled in the program. Material and equipment shall be: (1) Maintained in a safe and sanitary condition; and (2) Provided in quantities proportionate to the enrollment. (B) Furniture, materials and equipment shall meet the safety and sanitation requirements of rule 5101:2-12-12 and rule 5101:2-12-13 of the Administrative Code, which are listed above. The following requirements shall also be met: (1) Protective mats shall be placed under climbers; (2) Space heaters shall not be used in any preschool program unless approved in writing by the building and/or fire official having jurisdiction in the area; and (3) If electrical fans are used, they shall have protective coverings; shall not be easily tipped over; and shall be placed so that they are not hazardous to children. (4) Cleaning and sanitizing supplies shall be stored in a space that is inaccessible to children. Cleaning agents, aerosol cans and all other chemical substances are to be stored in a designated area in their original containers and/or clearly labeled. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-13-12 A)What are the safe equipment requirements for a licensed family child care provider? (1)Equipment, materials, and furniture shall be sturdy, safe and easy to clean and maintain. They shall also be free of sharp points or corners, splinters, or protruding nails; loose or rusty parts; peeling or chipping paint; or other hazardous features. (2)Furniture, equipment and materials which are not usable due to breakage or being a hazard, shall be removed immediately and stored away from children until repaired or replaced. (3)Air conditioners, heat pumps, electric fans and space heaters shall be mounted or placed out of the children's reach or have safeguards which prevent children from being injured. (4)Indoor swings, (excluding infant swings), slides, climbers and climbing apparatuses shall not be placed over carpet, concrete, tile, or any similarly hard surface. There shall be shock absorbent protective covering under and around this equipment. If climbing equipment is over three feet high, landing mats at least one and one half inches thick shall be used. The protective covering shall be used and placed according to manufacturer's guidelines. (5)All children's equipment shall be used in accordance with the manufacturer's guidelines. (6)Trampolines, ball pits, and inflatable play equipment intended for climbing and bouncing, including but not limited to slides and bounce houses shall not be permitted for use at the family child care home. (B)What are the safe environment requirements for a licensed family child care provider? (1)Weapons, firearms and ammunition materials shall be kept inaccessible to children, out of sight of children and in locked storage areas. Weapons and firearms include air rifles, hunting slingshots and any other projectile weapon. 7)Children in care shall be protected from any items and conditions which threaten their health, safety, and well being, including but not limited to: stoves, bodies of water, window covering pull cords, telephone cords, electrical cords, extension cords, lead hazards, asbestos, wells, traffic, provider's, staff's or household member's personal belongings and other environmental hazards and dangerous situations. If a potential lead hazard is identified, ODJFS will make a referral to the appropriate agency. (8)If area rugs are used, they shall have a nonskid backing and floor surfaces shall be maintained to not cause a tripping hazard. (9)Toys or other materials small enough to be swallowed shall be kept out of the reach of infants and toddlers. (10) Cleaning and sanitizing equipment and supplies shall be stored in a space that is inaccessible to children. Cleaning agents, aerosol cans and all other chemical substances shall be stored in a designated area in their original containers and/or clearly labeled. (11) Mercury thermometers shall not be used. 12) Electrical outlets, including surge protectors, within the reach of children shall have child proof receptacle covers when not in use unless designed with safety guards, except for homes which serve school-age children exclusively. (13) Renovations and remodeling to the home shall be conducted in a safe manner to ensure that lead poison hazards are not introduced into the environment as required by Chapter 3742. of the Revised Code. (14) Unless toilets and sinks are of suitable height for use by the children, the home shall provide a sturdy, nonslip platform on which the children may stand. (15) Lawnmowers, sharp tools, machinery and other equipment shall not be used or stored where children have access to them. (16) All areas used by children shall be ventilated and shall provide protection from rodents, insects and other hazards. (17) Aerosol spray products shall not be used in rooms where children are in attendance. (C)What are the regulations for having pets in a licensed family child care home? (1)Pets and animals shall be permitted if they present no apparent threat to the safety or health of the children. (2)All pets shall be properly housed, cared for, licensed and inoculated. All local and state ordinances governing the keeping of animals (exotic or domesticated) shall be followed and updated as required. Verification of license and compliance with local and state requirements and inoculations, for each pet requiring such license or inoculations, or regulated by local or state government shall be on file at the family child care provider's home. (3)Children shall not be directly exposed to animal urine or feces inside the home or in the outdoor play area. Ohio Administrative Code (OAC) Rule 5101:2-13-11 D)What are the requirements for outdoor equipment? (1)Outdoor equipment, whether stationary or portable, shall be safe and designed to meet the developmental needs of all of the age groups of children using the space. (2)Equipment such as, but not limited to, climbing gyms, swings, slides shall: (a)Be placed out of the path of the area's main traffic pattern. (b)Be anchored or stable and have all parts in good working order and securely fastened. (c)Have all climbing ropes anchored at both ends and not capable of looping back on themselves creating a loop with an interior perimeter of five inches or greater. (d)Have "S" hooks that are closed in order to prevent the chain from slipping off of the hook and to prevent strangulation, if they are used. (e)Be free of rust, cracks, holes, splinters, sharp points or edges, chipped or peeling paint, lead hazards, toxic substances, protruding bolts or tripping hazards. (f)Have no openings that are greater than three and one half inches, but less than nine inches to avoid entrapment of the head or other body parts. (g)Have protective barriers on platforms that are thirty inches high or higher. A protective barrier means an enclosing device around an elevated platform that is intended to prevent both inadvertent and deliberate attempts to pass through the device. (h)Be assembled, installed and utilized according to manufacturer's guidelines. (E)What are the requirements for a fall zone? Outdoor play equipment designated for climbing, swinging, balancing and sliding shall have a fall zone of protective resilient material on the ground under and around the equipment. (1)The material may be one of the following, but not limited to, washed pea gravel, mulch, sand, wood chips, or synthetic material such as rubber mats or tiles manufactured for this purpose. (2)Equipment shall not be placed directly over concrete, asphalt, blacktop, dirt, rocks, grass or any other hard surface. (3)Synthetic surfaces shall follow manufacturer's guidelines for depth. (4)All loose fill materials, such as mulch, sand, wood chips, washed pea gravel shall be raked, as needed to retain their proper distribution and depth. Foreign materials are to be removed prior to use by children. iii. All CCDF-eligible licensed in-home care. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-14-05 (A)What are the safe and sanitary environment and equipment requirements for an in-home aide (IHA)? (1)The IHA is to provide a safe and healthy environment in the home when children are present. (2)The home is to be free of peeling or chipping paint. If a potential lead hazard is identified, the IHA is to notify the local health department and the county agency by the next business day. (3)Cleaning and sanitizing equipment and supplies are to be stored in a space that is inaccessible to children. Cleaning agents, aerosol cans and all other chemical substances are to be stored in a designated area in their original containers and/or clearly labeled. (4)Accumulated trash and garbage are to be stored outside of the indoor or outdoor play area and not accessible to the children. (6)All weapons, including loaded and unloaded firearms and ammunition are to be stored in a secure, safe, locked environment inaccessible to children while in the care of the IHA at the home. Weapons and firearms include air rifles, hunting slingshots and any other projectile weapon. (7)All alcohol, drugs, and household and child medications are to be kept out of the reach of children while in the care of the IHA at the home. (8)Toys or other materials small enough to be swallowed are to be kept out of the reach of infants and toddlers. (9)Electrical outlets, including surge protectors, within the reach of children are to have child proof receptacle covers when not in use unless designed with safety guards. This requirement does not apply if the child's home serves only school-age children. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The following applies to school age children Ohio Administrative Code (OAC) Rule 5101:2-18-13 (A)What are the safe equipment requirements for an approved child day camp? The approved child day camp is to: (1)Ensure that materials and furniture shall be sturdy, safe and easy to clean and maintain. They are also to be free of sharp points or corners; splinters or protruding nails; loose or rusty parts; peeling or chipping paint ; or other hazardous features. (2)Ensure that equipment and materials which are not usable due to breakage or being a hazard are removed immediately and stored away from children until repaired or replaced. (3)Ensure that all children's equipment is used in accordance with the manufacturer's guidelines. (4)Ensure that safety gear required for an activity is appropriately sized and designed specifically for the activity being conducted. (5)Ensure that air conditioners, heat pumps, electric fans and space heaters are mounted or placed out of the reach of children or have safeguards which prevent children from being injured. (B)What are the safe environment requirements for an approved child day camp? (1)Illegal drugs and substances shall not be on the premises. Alcohol shall be inaccessible to children and shall only be kept in areas not approved or used by children. (3)Children shall be protected from any items and conditions which threaten their health, safety and well being, including but not limited to: electrical cords, extension cords, lead hazards, asbestos, wells, vehicular traffic, bodies of water, employee's personal belongings and other environmental hazards and dangerous situations. If a potential lead hazard is identified, the Ohio department of job and family services (ODJFS) will make a referral to the appropriate agency. (4)Cleaning agents and all other chemical substances shall be stored in a designated area in their original containers and/or clearly labeled. Children may use cleaning equipment, supplies, and cleaning agents with adult supervision. (5)Specialized activity equipment that is potentially hazardous in nature, such as, but not limited to, bows and arrows, air guns, sharp tools etc, shall be stored in a location that is locked and inaccessible to children when the equipment is not in use. (6)Children shall not have access to specialized activity areas unless supervised by qualified child day camp staff members. (7)Safety zones and boundaries shall be required for all specialized activities, as necessary. All persons who may be close to the area for any reason must be aware of and oriented to the safety zones and boundaries. Camps may use posted signs or warnings, physical barriers, or specific scheduling procedures to control access to these areas. (8)Renovations and remodeling to areas in which programming takes place and children have access is to be conducted in a safe manner to ensure that lead poison hazards are not introduced into the environment as required by Chapter 3742. of the Revised Code. D)What are the requirements for animals owned or utilized for programming by the approved child day camp? The approved child day camp is to: (1)Permit pets and animals if they present no apparent threat to the safety or health of the children. (2)Ensure that pets and animals that are owned by the approved child day camp, live at any approved child day camp primary use spaces, or are utilized by the approved child day camp for program activities, are properly housed, cared for, licensed and inoculated. All local and state ordinances governing the keeping of animals (exotic or domesticated) shall be followed and updated as required. Verification of license and compliance with local and state requirements and inoculations, for each animal requiring such license or inoculations, or regulated by local or state government, shall be on file at the approved child day camp. (3)Ensure that children feed or care for animals under the supervision of child day camp staff members. (4)Ensure that children are not directly exposed to animal urine or feces inside buildings or in outdoor play areas. (E)What are the requirements to provide and maintain a clean environment, furniture, materials and equipment in an approved child day camp? (2)Equipment, furnishings and materials shall be kept clean and in good repair. (3)Accumulated trash and garbage shall be stored away from the outdoor and/or indoor camp activity areas and shall not be accessible to the children. (4)Buildings and areas used by children shall be cleaned daily and kept in a sanitary condition at all times. (5)If the water at the child day camp's primary use area(s) is not publicly supplied, the child day camp shall contact the Ohio environmental protection agency (EPA) to determine if it qualifies as a public water system. (a)If the water supply qualifies as a public water system, the child day camp shall comply with Ohio EPA standards. (b)If the water supply does not qualify as a public water system, the child day camp shall contact the local health department to have the water tested and follow any additional requirements requested by the health department. A copy of the water test shall be retained at the approved child day camp and be made available upon request. (c)If child day camp activities take place at a primitive campsite as defined in rule 5101:2-18-01 of the Administrative Code as any outdoor space in a natural environment without access to electricity, water supply systems, central food service, sewage treatment facilities and/or housing. Appropriate water purification methods based on advice from local officials shall be used before water from natural sources may be consumed by children. (6)On-site sewage disposal systems shall not present a public health hazard. ODE School Age Programs Ohio Administrative Code (OAC) Rule 3301-32-04 Safe indoor and outdoor environments free of hazards shall be maintained as follows:. (2) Children may use cleaning supplies with adult supervision. (3) Furniture, equipment, and supplies shall be appropriate to the age and size of the children who use them. (4) Equipment and furniture must be without sharp corners, splinters, or loose and/or peeling paint containing lead. Corrective action will be issued for any loose and/or peeling paint that may contain lead. (5) Areas used by children must be free from debris, loose or peeling paint or wallpaper, crumbling plaster, holes in walls, floors, or ceilings, or litter. Rugs must have nonskid backing or be firmly attached to the floor and be free from wrinkles, tears, or edges that interfere with walking. (6) The program facility must be cleaned daily, including cleaning and sanitizing of toilets and table tops. (J) Safe outdoor play space totaling not less than sixty square feet for each child using the space at any one time, shall be regularly available and scheduled for use, unless the program operates for less than three hours per day. (1) The surface of the outdoor play space shall be well drained and offer protection from falls. (2) The play space shall be free of hazards such as, but not limited to, broken glass, potholes, garbage, flammable materials and other debris. (3) The play area shall be well defined to protect children from traffic, animals, or other hazards. (4) The program shall provide equipment for materials that promote large muscle development in adequate amounts for the group size. Outdoor equipment is to be stable, free of rust, cracks, holes, splinters, sharp points, edges, protruding bolts or tripping hazards. Equipment is to be age appropriate and not include openings that may cause body part entrapment. (5) A shaded area is to be available. The shade may be naturally occurring from trees, buildings or overhangs. (6) Play areas should be inspected at least once quarterly while the program is in operation and documentation kept on file for one year. (7) Sandboxes are to be covered when not in use. 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: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-12-24 What are the requirements for swimming sites for a licensed child care center? (1)All swimming sites shall meet all state and local guidelines for environmental health inspections. Inspection reports for on-site and private pools shall be on file at the center. (2)A center shall have one lifeguard present for every thirty-five children when children are involved in a water activity for on-site or private pools over eighteen inches in depth. (3)Activities in bodies of water eighteen inches or more in depth shall be supervised by people who are currently certified as lifeguards or water safety instructors by the "American Red Cross" or an equivalent water safety program, as determined by the Ohio department of job and family services (ODJFS). If the lifeguard is a child care staff member, they shall not be counted as a child care staff member in the staff/child ratio. (4)Child care staff members shall be actively supervising children and shall be able to clearly see all parts of the swimming area including the bottom of pools. (5)The use of saunas, hot tubs, and spas by children is prohibited. (6)Swimming in lakes, rivers, ponds, creeks or other similar bodies of water is prohibited. (7)Swimming pools, wading pools and other swimming/wading sites shall be made inaccessible to the children when not in use. (8)A center may use wading pools less than eighteen inches in wall height regardless of the amount of water put into it. (a)Wading pools shall be filtered or emptied daily, and portable wading pools shall be sanitized daily or more often if needed. (b)The child care staff member shall supervise children at all times while a wading pool is in use and shall be able to clearly see all parts of the wading area. Ohio Administrative Code (OAC) Rule 5101:2-12-12 (B)What are the safe environment requirements for a licensed child care center? (6))Children in care shall be protected from any items and conditions which threaten their health, safety, and well being, including but not limited to: stoves, bodies of water, window covering pull cords, telephone cords, electrical cords, extension cords, lead hazards, asbestos, wells, traffic, provider's, staff's or household member's personal belongings and other environmental hazards and dangerous situations. Ohio Administrative Code (OAC) Rule 5101:-2-12-11 (C)What are the on-site outdoor space requirements for a center? (2)Bodies of water (other than water tables designed for children to play in only with their hands) shall be separated from the play area by a fence or other physical barrier (the center door only is not a sufficient barrier) that prevents children from accessing the water. ODE Preschool Programs Ohio Administrative Code (OAC) Rule 3301-37-05 (H) Swimming pools, wading pools, and other swimming/wading sites shall be made inaccessible to the children when not in use. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:-2-13-24 (A)Are on-site pools allowed to be used at a licensed family child care home? (1)If the family child care provider has a swimming pool located on the premises, the provider shall make the pool inaccessible to children who are in care by a fence or other physical barrier (the locked house door is not a sufficient barrier) that prevents children from accessing the water. A pool shall meet at least one of the following barrier options: (a)For in-ground or at ground level pool: (i)A barrier that prevents a child from going around, under or through to access the pool water and the means of access to the pool (i.e. ladder, gate to deck) is secured, locked or removed to prevent access to pool water. (ii)A fence that is at least four feet tall that separates the pool from the play area. (iii)A secure cover that meets the following standards: (a)Inhibits access to the pool water. (b)Demonstrates an opening is sufficiently small and strong enough to prevent an infant from passing through. (c)Is able to hold a weight of at least four hundred eighty-five pounds. (d)Has manufacture safety label attached. (e)Prevents water collecting on the cover surface. (b)For an above ground or above ground level pool: (i)A minimum of four feet walls (four feet above ground level) that are non- climbable and non-inflatable and the means of access to the pool (i.e. ladder, gate to deck) is secured, locked or removed to prevent access to pool water. (ii)A fence that is at least four feet tall that separates the pool from the play area. (iii)A secure cover that meets the following standards: (a)Inhibits access to the pool water. (b)Demonstrates an opening is sufficiently small and strong enough to prevent an infant from passing through. (c)Is able to hold a weight of at least four hundred eighty-five pounds. (d)Has manufacture safety label attached. (e)Prevents water collecting on the cover surface. (2)The provider shall not permit use of the pool by children in care. (B)What are the requirements for swimming sites for licensed family child care? (1)Approved off-site swimming sites shall meet all state and local guidelines for environmental health inspections. Activities in bodies of water more than eighteen inches in depth shall be supervised by people who are currently certified as lifeguards or water safety instructors by the "American Red Cross" or an equivalent water safety program, as determined by the Ohio department of job and family services (ODJFS). If the lifeguard is a child care staff member, they shall not be counted as a child care staff member in the staff/child ratio. (2)t the provider shall actively supervise children and shall be able to clearly see all parts of the swimming area, including the bottom of the pool. The provider shall not serve as the life guard. (3)The use of saunas, hot tubs and spas by children is prohibited and these items shall be inaccessible to them. (4)Swimming in lakes, rivers, ponds, creeks or other similar bodies of water is prohibited. (5)The provider may use wading pools less than eighteen inches in wall height regardless of the amount of water put into it. (a)Wading pools shall be filtered or emptied daily, and portable wading pools shall be disinfected daily or more often if needed. (b)The provider shall supervise children at all times while a wading pool is in use and shall be able to clearly see all parts of the wading area. Ohio Administrative Code (OAC) Rule 5101:-2-13-12 What are the safe environment requirements for a licensed family child care provider? (7)Children in care shall be protected from any items and conditions which threaten their health, safety, and well being, including but not limited to: stoves, bodies of water, window covering pull cords, telephone cords, electrical cords, extension cords, lead hazards, asbestos, wells, traffic, provider's, staff's or household member's personal belongings and other environmental hazards and dangerous situations. If a potential lead hazard is identified, ODJFS will make a referral to the appropriate agency. Ohio Administrative Code (OAC) Rule 5101:2-13-11 (B)What are the outdoor space requirements for a licensed family child care home? 3)Bodies of water (other than water tables designed for children to play in only with their hands) shall be separated from the play area by a fence or other physical barrier (the house door alone is not a sufficient barrier) that prevents children from accessing the water. iii. All CCDF-eligible licensed in-home care. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:-2-14-05 (F)Are on-site pools allowed to be used at a child's home? (1)If the child's home has a swimming pool located on the premises, the pool is to be made inaccessible to children who are in care by a fence or other physical barrier (the locked house door is not a sufficient barrier) that prevents children from accessing the water. A pool is to meet at least one of the following barrier options: (a)For in-ground or at ground level pool: (i)A barrier that prevents a child from going around, under or through to access the pool water and the means of access to the pool (i.e. ladder, gate to deck) is secured, locked or removed to prevent access to pool water. (ii)A fence that is at least four feet tall that separates the pool from the play area. (iii)A secure cover that meets the following standards: (a)Inhibits access to the pool water. (b)Demonstrates an opening is sufficiently small and strong enough to prevent an infant from passing through. (c)Is able to hold a weight of at least four hundred eighty-five pounds. (d)Has manufacture safety label attached. (e)Prevents water collecting on the cover surface. (b)For an above ground or above ground level pool: (i)A minimum of four feet walls (four feet above ground level) that are non- climbable and non-inflatable and the means of access to the pool (i.e. ladder, gate to deck) is secured, locked or removed to prevent access to pool water. (ii)A fence that is at least four feet tall that separates the pool from the play area. (iii)A secure cover that meets the following standards: (a)Inhibits access to the pool water. (b)Demonstrates an opening is sufficiently small and strong enough to prevent an infant from passing through. (c)Is able to hold a weight of at least four hundred eighty-five pounds. (d)Has manufacture safety label attached. (e)Prevents water collecting on the cover surface. (2)The IHA is not to permit use of the pool by children in care. (G) What are the requirements for swimming sites for the IHA and children in care? (1)An approved off-site swimming site is to meet all state and local guidelines for environmental health inspections. Activities in bodies of water and more than eighteen inches in depth are to be supervised by people who are currently certified lifeguards or water safety instructors by the "American Red Cross" or an equivalent water safety program, as determined by ODJFS. (2)The IHA is to actively supervise children and is to be able to clearly see all parts of the swimming area, including the bottom of the pool. The provider is not to serve as a life guard. (3)The use of saunas, hot tubs and spas by children is prohibited and are to be inaccessible to them. (4)Swimming in lakes, rivers, ponds, creeks or other similar bodies of water is prohibited. (5)Wading pools less than eighteen inches in wall height are permitted regardless of the amount of water put into it. (a)Wading pools are to be filtered or emptied daily, and portable wading pools are to be disinfected daily or more often if needed. (b)The IHA is to supervise children at all times while a wading pool is in use and is to be able to clearly see all parts of the wading area. (H)What are the requirements for parental permission for water and swimming activities? (1) The IHA is to have written permission from the parent when water is directly accessible to children and for the following activities: (a)Before the child swims or plays in water eighteen inches or more in depth. (b)Before the child participates in activities, in or on water eighteen inches or more in depth. (c)Before infants and toddlers use wading pools. (2)Written parental permission is to be on file for one year at the home. Written permission for on-going activities such as wading pools is to be updated annually. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The following applies to school age children Ohio Administrative Code (OAC) Rule 5101:2-18-13 (B)What are the safe environment requirements for an approved child day camp? (1)Illegal drugs and substances shall not be on the premises. Alcohol shall be inaccessible to children and shall only be kept in areas not approved or used by children. (2)Buildings used by children shall maintain an indoor temperature of at least sixty-five degrees Fahrenheit. If a building used by children exceeds eighty-five degrees Fahrenheit, ventilation that produces air movement, or air conditioning, shall be provided. (3)Children shall be protected from any items and conditions which threaten their health, safety and well being, including but not limited to: electrical cords, extension cords, lead hazards, asbestos, wells, vehicular traffic, bodies of water, employee's personal belongings and other environmental hazards and dangerous situations. If a potential lead hazard is identified, the Ohio department of job and family services (ODJFS) will make a referral to the appropriate agency. (C)What are the swimming and water safety requirements for an approved child day camp? (1)All swimming sites shall meet all state and local guidelines for environmental health inspections. Inspection reports for on-site and private pools shall be on file at the approved child day camp. (2)An approved child day camp shall have one lifeguard present for every thirty- five children when children are involved in a water activity for on-site and private pools over eighteen inches in depth. (3)Activities in bodies of water eighteen inches or more in depth, including natural bodies of water as defined in rule 5101:2-18-01 as of the Administrative Code as "Natural bodies of water" mean any river, stream, creek or spring or any natural or man-made lake or pond, shall be supervised by people who are currently certified as lifeguards or water safety instructors by the "American Red Cross" or an equivalent water safety program, as determined by the American camp association (ACA) or ODJFS. If the lifeguard is a child day camp staff member, they shall not be counted as a child day camp staff member in the staff/child ratio. (4)Child day camp staff members shall be actively supervising children and shall be able to clearly see all parts of the swimming area. (5)When children are engaged in water activities, supervision of children shall include a minimum of two child day camp staff members, one of whom is eighteen years of age or older. ODE School Age Programs Ohio Administrative Code (OAC) Rule 3301-32-04 (K) Swimming pools, wading pools, and other bodies of water two or more feet in depth shall be fenced or otherwise made inaccessible to the children when adult supervision is not available. Traffic 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: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-12-11 (C)What are the on-site outdoor space requirements for a center? ( b)Is located away from traffic or protected from traffic or animals by a continuous fence in good condition with functioning gates or a continuous natural barrier or a combination of fence and natural barrier. The fence or natural barrier shall ensure that children are not able to leave the outdoor play area unsupervised and shall ensure that any hazards from the outside cannot enter the outdoor play area without the staff being aware of them. Examples of natural barriers include, but are not limited to space, dense hedges, walls, permanently anchored dividers or partitions. A playground on the premises that is regulated by another state agency is exempt from this requirement. (c)Has functional latches on gates which cannot be easily opened by young children if gates are used. Gates shall not be locked when children are present at the center. ODE Preschool Programs Ohio Administrative Code (OAC) Rule 3301-37-05 (3) The play area shall be well defined to protect children from traffic, animals, or other hazards. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-13-11 B)What are the outdoor space requirements for a licensed family child care home? (b)Is located away from traffic or protected from traffic by a continuous fence in good condition with functioning gates or a continuous natural barrier, or a combination of fence and natural barrier. The fence or natural barrier shall ensure that children are not able to leave the outdoor play area unsupervised and shall ensure that any hazards from the outside cannot enter the outdoor play area without the child care staff member or provider being aware of them. Examples of natural barriers include, but are not limited to space, dense hedges, walls, permanently anchored dividers or partitions. iii. All CCDF-eligible licensed in-home care. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-14-08 (A)What are the requirements for supervision for a certified in-home aide (IHA)? (a)The IHA is to identify traffic hazards when outdoors and protect children from vehicular traffic. (b)The IHA is to remain outdoors with infants, toddlers and preschoolers at all times. (c)School-age children may be permitted in the outdoor play space without the IHA as long as the children remain within sight and hearing of the IHA if both of the following occur: (i)The children are not engaged in higher risk activities such as, but not limited to, swimming, activities with animals, or using equipment with motors or moving parts. (ii)The IHA is always able to intervene if needed. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The following applies to school age Ohio Administrative Code (OAC) Rule 5101:2-18-13 (B)What are the safe environment requirements for an approved child day camp? (3)Children shall be protected from any items and conditions which threaten their health, safety and well being, including but not limited to: electrical cords, extension cords, lead hazards, asbestos, wells, vehicular traffic, bodies of water, employee's personal belongings and other environmental hazards and dangerous situations. If a potential lead hazard is identified, the Ohio department of job and family services (ODJFS) will make a referral to the appropriate agency. 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: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-12-19 (C)What are the child guidance techniques to be used in the licensed child care center? (1)All employees shall follow Appendix A to this rule regarding guidance techniques to be used with children. Appendix A to rule 2-12-19 Prohibited Discipline Techniques The following techniques or practices shall not be used by any child care staff member or employee of a licensed child care center as a means to control or discipline children: 1. Abuse, endanger or neglect of children, including shaking a baby. 2. Utilize cruel, harsh, unusual, or extreme techniques. 3. Utilize any form of corporal punishment. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-13-19 (C)What are the child guidance techniques to be used in the licensed family child care home? (1)The provider, child care staff members and substitutes shall follow Appendix A to this rule regarding guidance techniques to be used with children. Appendix A to rule 2-13-19 Prohibited Discipline Techniques The following techniques or practices shall not be used by any child care staff member or employee of a licensed family child care provider as a means to control or discipline children: 1. Abuse, endanger or neglect of children, including shaking a baby. 2. Utilize cruel, harsh, unusual, or extreme techniques. 3. Utilize any form of corporal punishment. iii. All CCDF-eligible licensed in-home care. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-14-08 (A)What are the requirements for supervision for a certified in-home aide (IHA)? (D)What are the child guidance techniques to be used by the IHA? (1)The IHA is to follow Appendix A to this rule regarding child guidance techniques to be used with the children, including the IHA's own children. Appendix A Prohibited Discipline Techniques The following techniques or practices shall not be used by any child care staff member or employee of a licensed child care center as a means to control or discipline children: 1. Abuse, endanger or neglect of children, including shaking a baby. 2. Utilize cruel, harsh, unusual, or extreme techniques. 3. Utilize any form of corporal punishment. [x] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: NA 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: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-12-19 (C)What are the child guidance techniques to be used in the licensed child care center? (1)All employees shall follow Appendix A to this rule regarding guidance techniques to be used with children. Appendix A to rule 2-12-19 The following techniques or practices may be used by all child care staff members and employees of a licensed child care center as a means to guide or discipline children of all ages. Any technique or practice used shall be developmentally appropriate, and consistent and shall occur at the time of the incident. 1. Setting clear limits. 2. Redirecting to an appropriate activity. 3. Showing positive alternatives. 4. Modeling the desired behavior. 5. Reinforcing appropriate behavior. 6. Encouraging children to control their own behavior, cooperate with others and solve problems by talking. 7. Separation from the situation, if used, shall last no more than one minute per each year of the child's age and shall not be used with infants. Upon the child’s return to the activity, the provider shall review the reason for the separation and discuss the expected behavior with the child. 8. Holding a child for a short period of time, such as in a protective hug, so that the child may regain self-control. Prohibited Discipline Techniques The following techniques or practices shall not be used by any child care staff member or employee of a licensed child care center as a means to control or discipline children: 1. Abuse, endanger or neglect of children, including shaking a baby. 2. Utilize cruel, harsh, unusual, or extreme techniques. 3. Utilize any form of corporal punishment. 4. Delegate children to manage or discipline other children. 5. Use physical restraints on a child. 6. Restrain a child by any means other than holding children for a short period of time, such as in a protective hug, so that the children may regain control. o Prone restraint of a child is prohibited. Prone restraint is defined as all items or measures used to limit or control the movement or normal functioning of any portion, or all, of a child's body while the child is in a face-down position. o Prone restraint includes physical or mechanical restraint. 12. Punish children for failure to eat or sleep or for toileting accidents. ODE Preschool programs Ohio Administrative Code (OAC) Rule 3301-37-10 (B) The center shall have a written discipline policy describing the center's philosophy of discipline and the specific methods of discipline used at the center. This written policy shall be on file at the center for review. Constructive, developmentally appropriate child guidance and management techniques are to be used at all times, and shall include such measures as redirection, separation from problem situations, talking with the child about the situation, and positive reinforcement for appropriate behavior. ((C) Behavior management/discipline policies and procedures shall ensure the safety, physical, and emotional well-being of all individuals on the premises. (D) The center's actual methods of discipline shall apply to all persons on the premises. (1) There shall be no cruel, harsh, corporal punishment or any unusual punishments such as, but not limited to, punching, pinching, shaking, spanking, or biting. (2) No discipline shall be delegated to any other child. (3) No physical restraints shall be used to confine a child by any means other than holding a child for a short period of time, so the child may regain control. (4) No child shall be placed in a locked room or confined in an enclosed area such as a closet, a box, or a similar cubicle. (5) No child shall be subjected to profane language, threats, derogatory remarks about himself or his family, or other verbal abuse. (6) Discipline shall not be imposed on a child for failure to eat, failure to sleep, or for toileting accidents. (7) Techniques of discipline shall not humiliate, shame, or frighten a child. (8) Discipline shall not include withholding food, rest, or toilet use, and food shall not be used as a reward for behavior. (9) Separation, when used as discipline shall be brief in duration and appropriate to the child's age and developmental ability, and the child shall be within sight and hearing of a preschool staff member in a safe, lighted, and well-ventilated space. (10) The center shall not abuse or neglect children and shall protect children from abuse and neglect while in attendance in the preschool program. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-13-19 (C)What are the child guidance techniques to be used in the licensed family child care home? (1)The provider, child care staff members and substitutes shall follow Appendix A to this rule regarding guidance techniques to be used with children. Appendix A to rule 2-13-19 The following techniques or practices may be used by all child care staff members and employees of a licensed child care center as a means to guide or discipline children of all ages. Any technique or practice used shall be developmentally appropriate, consistent and shall occur at the time of the incident. 1. Setting clear limits. 2. Redirecting to an appropriate activity. 3. Showing positive alternatives. 4. Modeling the desired behavior. 5. Reinforcing appropriate behavior. 6. Encouraging children to control their own behavior, cooperate with others and solve problems by talking. 7. Separation from the situation, if used, shall last no more than one minute per each year of the child's age and shall not be used with infants. Upon the child’s return to the activity, the provider shall review the reason for the separation and discuss the expected behavior with the child. 8. Holding a child for a short period of time, such as in a protective hug, so that the child may regain self-control. Prohibited Discipline Techniques The following techniques or practices shall not be used by any child care staff member or employee of a licensed child care center as a means to control or discipline children: 1. Abuse, endanger or neglect of children, including shaking a baby. 2. Utilize cruel, harsh, unusual, or extreme techniques. 3. Utilize any form of corporal punishment. 4. Delegate children to manage or discipline other children. 5. Use physical restraints on a child. 6. Restrain a child by any means other than holding children for a short period of time, such as in a protective hug, so that the children may regain control. o Prone restraint of a child is prohibited. Prone restraint is defined as all items or measures used to limit or control the movement or normal functioning of any portion, or all, of a child's body while the child is in a face-down position. o Prone restraint includes physical or mechanical restraint. 12. Punish children for failure to eat or sleep or for toileting accidents. iii. All CCDF-eligible licensed in-home care. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-14-08 (D)What are the child guidance techniques to be used by the IHA? (1)The IHA is to follow Appendix A to this rule regarding child guidance techniques to be used with the children, including the IHA's own children. Appendix A to rule 2-12-19 The following techniques or practices may be used by all child care staff members and employees of a licensed child care center as a means to guide or discipline children of all ages. Any technique or practice used shall be developmentally appropriate, consistent and shall occur at the time of the incident. 1. Setting clear limits. 2. Redirecting to an appropriate activity. 3. Showing positive alternatives. 4. Modeling the desired behavior. 5. Reinforcing appropriate behavior. 6. Encouraging children to control their own behavior, cooperate with others and solve problems by talking. 7. Separation from the situation, if used, shall last no more than one minute per each year of the child's age and shall not be used with infants. Upon the child’s return to the activity, the provider shall review the reason for the separation and discuss the expected behavior with the child. 8. Holding a child for a short period of time, such as in a protective hug, so that the child may regain self-control. Prohibited Discipline Techniques The following techniques or practices shall not be used by any child care staff member or employee of a licensed child care center as a means to control or discipline children: 1. Abuse, endanger or neglect of children, including shaking a baby. 2. Utilize cruel, harsh, unusual, or extreme techniques. 3. Utilize any form of corporal punishment. 4. Delegate children to manage or discipline other children. 5. Use physical restraints on a child. 6. Restrain a child by any means other than holding children for a short period of time, such as in a protective hug, so that the children may regain control. o Prone restraint of a child is prohibited. Prone restraint is defined as all items or measures used to limit or control the movement or normal functioning of any portion, or all, of a child's body while the child is in a face-down position. o Prone restraint includes physical or mechanical restraint. 12. Punish children for failure to eat or sleep or for toileting accidents. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-18-09 (D)What child guidance techniques shall be used in the approved child day camp? (1)All child day camp staff members, including administrators and owners, shall follow Appendix A to this rule regarding guidance techniques to be used with children. Appendix A -The following techniques or practices may be used by all child care staff members and employees of a licensed child care center as a means to guide or discipline children of all ages. Any technique or practice used shall be developmentally appropriate, consistent and shall occur at the time of the incident. 1. Setting clear limits. 2. Redirecting to an appropriate activity. 3. Showing positive alternatives. 4. Modeling the desired behavior. 5. Reinforcing appropriate behavior. 6. Encouraging children to control their own behavior, cooperate with others and solve problems by talking. 7. Separation from the situation, if used, shall last no more than one minute per each year of the child's age and shall not be used with infants. Upon the child’s return to the activity, the provider shall review the reason for the separation and discuss the expected behavior with the child. 8. Holding a child for a short period of time, such as in a protective hug, so that the child may regain self-control. Prohibited Discipline Techniques The following techniques or practices shall not be used by any child care staff member or employee of a licensed child care center as a means to control or discipline children: 1. Abuse, endanger or neglect of children, including shaking a baby. 2. Utilize cruel, harsh, unusual, or extreme techniques. 3. Utilize any form of corporal punishment. 4. Delegate children to manage or discipline other children. 5. Use physical restraints on a child. 6. Restrain a child by any means other than holding children for a short period of time, such as in a protective hug, so that the children may regain control. o Prone restraint of a child is prohibited. Prone restraint is defined as all items or measures used to limit or control the movement or normal functioning of any portion, or all, of a child's body while the child is in a face-down position. o Prone restraint includes physical or mechanical restraint. 12. Punish children for failure to eat or sleep or for toileting accidents. ODE School Age Programs Ohio Administrative Code (OAC) Rule 3301-32-09 (A) The program shall have a written discipline policy describing the program's philosophy and restrictions as listed in paragraph (I) of rule 3301-32-09 of the Administrative Code of discipline and the specific methods of discipline used at the program. This written policy shall be on file at the program for review. Constructive, developmentally-appropriate child guidance and management techniques are to be used at all times, and shall include such measures as redirection, separation from problem situations, talking with the child about the situation, and praise for appropriate behavior. (B) All school age child care staff members shall receive a copy of the program's discipline policy for review upon employment. (C) The school child program shall provide in-service training to staff regarding the written discipline policy and procedures before the school child program begins and/or before staff members begin working with children. (D) The parent of a child enrolled in a program shall receive the program's written discipline policy. (E) A school age child care staff member in charge of a child or a group of children shall be responsible for their discipline. (F) Discipline shall be constructive and educational in nature, and may include such measures as praise for appropriate behavior, diversion, talking with the child, and separation from problem situations. (G) Exclusion from the school child program for disciplinary reasons shall be addressed in the policy and procedures. (H) The program shall neither abuse nor neglect children, but shall protect children from abuse and neglect while in attendance at the school child program. (I) The program's actual methods of discipline shall apply to all persons on the premises. (1) There shall be no cruel, harsh, or corporal punishment, or any unusual punishments such as, but not limited to, punching, pinching, shaking, spanking, or biting. (2) Discipline shall not be delegated to a child. (3) No physical restraints shall be used to confine a child by any means other than holding a child for a short period of time, so that the child may regain control. (4) No child shall be placed in a locked room or otherwise confined in an enclosed area such as a closet, box, or similar cubicle. (5) No child shall be subjected to profane language, threats, derogatory remarks about himself/herself or his/her family, or any other verbal abuse. (6) Discipline shall not be imposed on a child for failure to eat or sleep, or for toileting accidents. (7) Techniques of discipline shall not be intended to humiliate, shame, or frighten a child. (8) Discipline shall not include the withholding of food, rest, or toilet use. (9) Separation shall be brief in duration, and age and developmentally- appropriate. The child shall be within sight and hearing of a school child care staff member, and in a safe, lighted, and well-ventilated space. 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. [ ] 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: We recognize the rule language for relocation currently under the Ohio Department of Education and Workforce’s (DEW), formerly Ohio Department of Education, school aged and preschools is not explicitly stated in the information above, it is referenced and addressed in amendment documentation previously submitted, and does state school age and preschool programs must meet or exceed our requirements. Currently, all DEW emergency plans, which include relocation and shelter in place, exceed guidelines and are monitored and by the Department of Homeland Security. While we feel requirements are met/exceeded, we believe it could be more explicitly stated; hence the attached guidance letter and robust future rule and program integration project currently in progress. It is important to note, beginning July 1, 2024, the Ohio Department of Children and Youth (DCY) will officially transition all early childhood care and education licensed programming administration to DCY as we’ve previously discussed with statutory authority beginning in January 2025. DCY is in the process of cross walking all licensing rules so that we can better stream line requirements of all family based, center based, preschool, and school based settings as appropriate and in collaboration with DEW. All safety and health requirements will be integrated as closely as possible and we will require documentation and verification during onsite monitoring visits as part of our inspection process. All training, guidance and technical assistance will be completed by DCY and incorporate all setting and program types. This will be clearly stated in revised rules and will increase consistency amongst programs, settings, and monitoring processes. 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: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-12-16- (C))What are the specific procedures the licensed child care center needs to follow for standard precautions? (1)Blood spills shall be treated cautiously and decontaminated promptly. Disposable vinyl gloves shall be worn during contact with blood or bodily fluids which contain blood, such as vomit or feces in which blood can be seen. (2)Surfaces contaminated with blood or bodily fluids containing blood shall first be cleaned with hot, soapy water and then sanitized with an appropriate bleach solution which is prepared on a daily basis, according to product guidelines, or other acceptable disinfectant solution which is environmental protection agency (EPA) rated as hospital disinfectant with a label claim for mycobactericidal activity. Non-disposable items, such as clothing that contain blood, shall be placed in a sealable, leakproof plastic bag or double bagged in plastic bags that are securely tied and sent home with the child. (4)Non-disposable items, such as clothing that contain blood, shall be placed in a sealable, leakproof plastic bag or double bagged in plastic bags that are securely tied and sent home with the child. Ohio Administrative Code (OAC) Rule 5101: 2-12-13 (B)What are the handwashing requirements for a licensed family child care home? (1)Handwashing shall occur in a handwashing sink . (2)Commercially manufactured non-permanent sinks may be used if fresh and waste water are inaccessible to children and disposed of in a sanitary manner. (3) Handwashing requirements for the family child care provider, child care staff members, employees, residents, and children are detailed in Appendix B to this rule. Appendix B - Handwashing shall occur in a sink that is not used for meal preparation or clean-up and is away from the food serving area. Child care staff members and employees shall wash hands, defined as using soap and water or using hand sanitizer, at the following times: • Upon arrival for the day, prior to departure, and upon entry into a classroom. • After toileting or assisting a child with toileting. • After each diaper change or pull-up change. • After contact with bodily fluids or cleaning up spills or objects contaminated with bodily fluids. • After cleaning or sanitizing or using any chemical products. • After handling pets, pet cages or other pet objects that have come in contact with the pet. • Before eating, serving or preparing food or bottles or feeding a child. • Before and after completing a medical procedure or administering medication. • When visibly soiled (must use soap and water). Children shall wash hands, defined as using soap and water or using hand sanitizer (if 24 months or older), at the following times: • Upon arrival for the day and prior to departure. • After toileting/diaper change. • After contact with bodily fluids. • After returning inside after outdoor play. • After handling pets, pet cages or other pet objects that have come in contact with the pet before moving on to another activity. • Before eating or assisting with food preparation. • After water activities. • When visibly soiled (must use soap and water). Children who are unable to stand by themselves may be given wet paper towels and soap to wash and rinse their hands. Ohio Administrative Code (OAC) Rule 5101:2-12-23 (C)What are the requirements for diapering? (1)Diapers shall be changed immediately when wet or soiled. (2)Clothing shall be changed immediately when wet or soiled. (3)When changing diapers the center is to comply with the following: (a)The center shall wash all soiled areas of the child's body with either a wash cloth, which is then appropriately sanitized, or a disposable wipe. (b)If a diaper-changing surface is used to change more than one child, the provider shall place a disposable separation material between the child and the changing surface. A different separation material shall be used for each diaper change. (c) If a diapering product is used on more than one child: (i)The container shall not touch the child to avoid cross contamination. (ii)The product shall be administered to avoid cross contamination. (f)If using gloves while diapering, the center is to use non-latex gloves. (4)The center shall store and launder soiled diapers or clothing as follows: (a)If soiled diapers or clothing are to be sent home with a parent, the center shall store the diapers or clothing for no longer than one day in an individual covered container or plastic bag away from the child's belongings and out of the reach of children. (b)The center shall store soiled diapers and diapering washcloths, which are to be laundered by the center, in a covered container with sanitizing solution. (c)If soiled diapers are to be commercially laundered, the center shall hold them for laundering pickup for no longer than seven days. (e)If the center is laundering diapers, the center shall follow the manufacturer's guidelines. ODE Preschool Programs Ohio Administrative Code (OAC) Rule 3301-37-06 (5) Safe handling and storage of hazardous materials and the appropriate disposal of bio-contaminants comply with the following: (a) Blood spills are treated cautiously and decontaminated promptly. Disposable gloves are to be worn during contact with blood or bodily fluids which contain blood, such as vomit or feces in which blood can be seen. (b) Surfaces contaminated with blood or bodily fluids containing blood are first cleaned with hot, soapy water and then sanitized with an appropriate bleach solution which is prepared on a daily basis according to product guidelines, or other acceptable disinfectant solution which is environmental protection agency (EPA) rated as hospital disinfectant with a label claim for mycobactericidal activity. (d) Non-disposable items, such as clothing that contains blood, is placed in a sealable, leakproof plastic bag or are double bagged in plastic bags that are securely tied and sent home with the child. G) Potty chairs in the program shall be provided in accordance with all of the following: (1) Potty chairs shall not be located in areas used for food preparation or serving or in areas not normally used for diaper changing or toileting. (2) Potties shall be emptied, cleaned, disinfected, and rinsed with water after each use. The rinsing solution shall be disposed of into a toilet, not a sink. (3) Disposable cloths used for cleaning potties shall be used once and disposed of in a plastic-lined covered receptacle. Reusable cloths shall be stored in an appropriate germicidal solution and held for laundering for no longer than one day Ohio Administrative Code (OAC) Rule 3301-37-07 e) All preschool staff members shall wash their hands with soap and running water after each diaper change, or after assisting a child with toileting; after cleaning; after toileting; before preparing or eating food; before feeding any child; and when hands have been in contact with nasal or mucous secretions. Disposable towels or an air hand dryer shall be available at all times. Ohio Administrative Code (OAC) Rule 3301-37-10 (A) The changing of diapers for all non-toilet-trained children shall be handled in conformity with the following methods: (1) The changing of diapers for all non-toilet-trained children shall occur in a space that contains a hand-washing facility. Handwashing facilities that are located elsewhere may be used if a program assures that children are safe and conditions are sanitary while toileting or being diapered. (2) The program shall provide disposable gloves for diapering; however, the use of gloves or hand sanitizer does not preclude requirements for proper hand washing. (3) If diapers are to be changed in a crib or at a central changing station, there shall be some separation material between the child and the changing surface. The material shall be discarded and replaced after each change. If the crib bedding becomes wet or soiled during the diaper change, it is to be replaced with clean bedding. (4) If the diaper-changing station is soiled after the diaper change, it shall be cleaned with soap and water and then disinfected with an appropriate germicidal agent. A child is not to be left unattended on the diaper changing station. (5) Any product used during diaper changing on more than one child shall be used in such a way that the container does not touch the child. Any product obtained applied to a child shall be applied in such a manner so as not to contaminate the product or its container. Common containers shall be cleaned and disinfected with an appropriate germicidal agent when soiled. © Storage and laundering of soiled diapers shall be handled in accordance with the following methods: (1) Diapers or clothing soiled with fecal matter and sent home with a child need not be rinsed at the program facility, but may be placed directly into a container that can be sanitized or bag, sealed tightly, stored away from the rest of the child’s belongings and out of the reach of children. (2) Soiled diapers to be disposed of or cleaned by the program shall be placed in a common plastic-lined covered container which shall be emptied, cleaned, and disinfected with an appropriate germicidal agent daily or more frequently as needed. Diapers to be laundered at the program facility should be stored in an appropriate germicidal solution until laundered. (3) Soiled diapers to be commercially laundered shall be held for pickup for laundering for no longer than seven days. (4) Diapers to be laundered at home or by the program shall be held for laundering for no longer than one day. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-13-16 (C)What are the specific procedures the licensed family child care provider needs to follow for standard precautions? (1)Blood spills shall be treated cautiously and decontaminated promptly. Disposable vinyl gloves shall be worn during contact with blood or bodily fluids which contain blood, such as vomit or feces in which blood can be seen. (2)Surfaces contaminated with blood or bodily fluids containing blood shall first be cleaned with hot, soapy water and then sanitized with an appropriate bleach solution which is prepared on a daily basis, according to product guidelines or other acceptable disinfectant solution which is environmental protection agency (EPA) rated as hospital disinfectant with a label claim for mycobactericidal activity. (4)Non-disposable items, such as clothing that contain blood, shall be placed in a sealable, leakproof plastic bag or double bagged in plastic bags that are securely tied and sent home with the child. Ohio Administrative Code (OAC) Rule 5101:2-13-13 (B)What are the handwashing requirements for a licensed family child care home? (1)Handwashing shall occur in a handwashing sink . (2)Commercially manufactured non-permanent sinks may be used if fresh and waste water are inaccessible to children and disposed of in a sanitary manner. (3) Handwashing requirements for the family child care provider, child care staff members, employees, residents, and children are detailed in Appendix B to this rule. Appendix B - Handwashing shall occur in a sink that is not used for meal preparation or clean-up and is away from the food serving area. Child care staff members and employees shall wash hands, defined as using soap and water or using hand sanitizer, at the following times: • Upon arrival for the day, prior to departure, and upon entry into a classroom. • After toileting or assisting a child with toileting. • After each diaper change or pull-up change. • After contact with bodily fluids or cleaning up spills or objects contaminated with bodily fluids. • After cleaning or sanitizing or using any chemical products. • After handling pets, pet cages or other pet objects that have come in contact with the pet. • Before eating, serving or preparing food or bottles or feeding a child. • Before and after completing a medical procedure or administering medication. • When visibly soiled (must use soap and water). Children shall wash hands, defined as using soap and water or using hand sanitizer (if 24 months or older), at the following times: • Upon arrival for the day and prior to departure. • After toileting/diaper change. • After contact with bodily fluids. • After returning inside after outdoor play. • After handling pets, pet cages or other pet objects that have come in contact with the pet before moving on to another activity. • Before eating or assisting with food preparation. • After water activities. • When visibly soiled (must use soap and water). Children who are unable to stand by themselves may be given wet paper towels and soap to wash and rinse their hands. Ohio Administrative Code (OAC) Rule 5101:2-13-23 (C)What are the requirements for diapering? (1)The family child care provider shall change a child's diaper immediately when wet or soiled. (2)Clothing shall be changed immediately when wet or soiled. (3)When changing diapers the provider is to comply with the following: (a)The provider shall wash all soiled areas of the child's body with either a wash cloth which is then appropriately sanitized, or a disposable wipe. (b)If a diaper-changing surface is used to change more than one child, the provider shall place a disposable separation material between the child and the changing surface. A different separation material shall be used for each diaper change. (c) If a diapering product is used on more than one child: (i)The container shall not touch the child to avoid cross contamination. (ii)The product shall be administered to avoid cross contamination. e)If using gloves while diapering, the provider is to use non-latex gloves. (4)The family child care provider shall store and launder soiled diapers or clothing as follows: (a)If soiled diapers or clothing are to be sent home with a parent, the provider shall store the diapers or clothing for no longer than one day in an individual covered container or plastic bag away from the child's belongings and out of the reach of children. (b)The provider shall store soiled diapers and diapering washcloths, which are to be laundered in the provider's home, in a covered container with sanitizing solution. (c)If soiled diapers are to be commercially laundered, the provider shall hold them for laundering pickup for no longer than seven days. (d)The provider shall store soiled disposable diapers in a plastic-lined covered container that prevents hand contamination and is not easily accessible to children and discard diapers daily or more frequently as needed to eliminate odor. (e)If the provider is laundering diapers, the provider shall follow the manufacturer's guidelines. iii. All CCDF-eligible licensed in-home care. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-14-05 (E)What are the specific procedures the IHA needs to follow for standard precautions? (1)Blood spills are to be treated cautiously and decontaminated promptly. Disposable vinyl gloves are to be worn during contact with blood or bodily fluids which contain blood, such as vomit or feces in which blood can be seen. (2)Surfaces contaminated with blood or bodily fluids containing blood are to be first cleaned with hot, soapy water and then sanitized with an appropriate bleach solution which is prepared on a daily basis, according to product guidelines or other acceptable disinfectant solution which is environmental protection agency (EPA) rated as hospital disinfectant with a label claim for mycobactericidal activity. (4)Non-disposable items, such as clothing that contain blood, are to be placed in a sealable, leak proof plastic bag or double bagged in plastic bags that are securely tied. (B)What are the handwashing requirements for a certified IHA ? (1) The IHA and the children in care are to comply with the following handwashing requirements: (a)Handwashing is to occur in a handwashing sink. (b)If the handwashing sink is not of suitable height for use by children, a sturdy, nonslip platform on which the children may stand is to be provided. (c)Handwashing is detailed in Appendix A to this rule. Appendix A - Handwashing shall occur in a sink that is not used for meal preparation or clean-up and is away from the food serving area. Child care staff members and employees shall wash hands, defined as using soap and water or using hand sanitizer, at the following times: • Upon arrival for the day, prior to departure, and upon entry into a classroom. • After toileting or assisting a child with toileting. • After each diaper change or pull-up change. • After contact with bodily fluids or cleaning up spills or objects contaminated with bodily fluids. • After cleaning or sanitizing or using any chemical products. • After handling pets, pet cages or other pet objects that have come in contact with the pet. • Before eating, serving or preparing food or bottles or feeding a child. • Before and after completing a medical procedure or administering medication. • When visibly soiled (must use soap and water). Children shall wash hands, defined as using soap and water or using hand sanitizer (if 24 months or older), at the following times: • Upon arrival for the day and prior to departure. • After toileting/diaper change. • After contact with bodily fluids. • After returning inside after outdoor play. • After handling pets, pet cages or other pet objects that have come in contact with the pet before moving on to another activity. • Before eating or assisting with food preparation. • After water activities. • When visibly soiled (must use soap and water). Children who are unable to stand by themselves may be given wet paper towels and soap to wash and rinse their hands. Ohio Administrative Code (OAC) Rule 5101:2-14-13 (C)What are the requirements for diapering? (1)The IHA is to change a child's diaper immediately when wet or soiled. (2)Clothing is to be changed immediately when wet or soiled. (3)When changing diapers the IHA is to comply with the following: (a)The IHA is to wash all soiled areas of the child's body with either a wash cloth which is then appropriately sanitized, or a disposable wipe. (b)If a diaper-changing surface is used to change more than one child, the IHA place a disposable separation material between the child and the changing surface. A different separation material is to be used for each diaper change. (c)If a diapering product is used on more than one child: (i)The container is not to touch the child to avoid cross contamination. (ii)The product is to be administered to avoid cross contamination. (4)The IHA is to store and launder soiled diapers or clothing as follows: (a)The IHA is to store soiled diapers and diapering washcloths, which are to be laundered in the child's home, in a covered container with sanitizing solution. (b)If soiled diapers are to be commercially laundered, a parent is to make the arrangements. (d)If the IHA is laundering diapers, the IHA is to follow the manufacturer's guidelines. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The following applies to school age children Ohio Administrative Code (OAC) Rule 5101:2-18-13 (E)What are the specific procedures the approved day camp needs to follow for standard precautions? (1)Blood spills shall be treated cautiously and decontaminated promptly. Disposable vinyl gloves shall be worn during contact with blood or bodily fluids which contain blood, such as vomit or feces in which blood can be seen. (2)Surfaces contaminated with blood or bodily fluids containing blood shall first be cleaned with hot, soapy water and then sanitized with an appropriate bleach solution which is prepared on a daily basis according to product guidelines, or other acceptable disinfectant solution which is environmental protection agency (EPA) rated as hospital disinfectant with a label claim for mycobactericidal activity. (4)Non-disposable items, such as clothing that contains blood, shall be placed in a sealable, leakproof plastic bag or double bagged in plastic bags that are securely tied and sent home with the child. ODE School Age Programs Ohio Administrative Code (OAC) Rule 3301-32-04 (1) Safe handling and storage of hazardous materials and the appropriate disposal of bio-contaminants: (a) Blood spills are to be treated cautiously and decontaminated promptly. Disposable vinyl gloves are to be worn during contact with blood or bodily fluids which contain blood, such as vomit or feces in which blood can be seen. (b) Surfaces contaminated with blood or bodily fluids containing blood are to first be cleaned with hot, soapy water, and then sanitized with an appropriate bleach solution which is prepared on a daily basis, according to product guidelines, or other acceptable disinfectant solution which is environmental protection agency (EPA) rated as hospital disinfectant with a label claim for mycobactericidal activity. (d) Non-disposable items, such as clothing that contain blood, are to be placed in a sealable, leakproof plastic bag or double bagged in plastic bags that are securely tied and sent home with the child. 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: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-12-16 (C))What are the specific procedures the licensed child care center needs to follow for standard precautions? 3)Disposal of materials that contain blood requires a sealable, leakproof plastic bag or double bagging in plastic bags that are securely tied (5)Sharp items used for procedures on children with special care needs, such as lancets for finger sticks or syringes, require a disposable container called a "sharps container." This is a container made out of durable, rigid material which safely stores the lancets or needles until they are disposed of properly. Sharps containers must be stored out of the reach of children. 2-12-23 (C)What are the requirements for diapering? (d)The center shall store soiled disposable diapers in a plastic-lined covered container that prevents hand contamination and is not easily accessible to children and discard diapers daily or more frequently as needed to eliminate odor. ODE Preschool Programs Ohio Administrative Code (OAC) Rule 3301-37-06 G) Potty chairs in the program shall be provided in accordance with all of the following: (3) Disposable cloths used for cleaning potties shall be used once and disposed of in a plastic-lined covered receptacle. Reusable cloths shall be stored in an appropriate germicidal solution and held for laundering for no longer than one day (c) The disposal of materials that contain blood are done by the use of a sealable, leakproof plastic bag or by double bagging in plastic bags that are securely tied. (e) The disposal of sharp items used for procedures on children with special care needs, such as lancets for finger sticks or syringes, is done by way of a disposable container called a "sharps container." This is a container made out of durable, rigid material which safely stores the lancets or syringes until the parent can take them home for disposal. Sharps containers are to be stored out of the reach of children. Ohio Administrative Code (OAC) Rule 3301-37-10 (2) Soiled diapers to be disposed of or cleaned by the program shall be placed in a common plastic-lined covered container which shall be emptied, cleaned, and disinfected with an appropriate germicidal agent daily or more frequently as needed. Diapers to be laundered at the program facility should be stored in an appropriate germicidal solution until laundered. (5) Soiled disposable diapers shall be discarded daily. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-13-23 C)What are the requirements for diapering? (d)The provider shall store soiled disposable diapers in a plastic-lined covered container that prevents hand contamination and is not easily accessible to children and discard diapers daily or more frequently as needed to eliminate odor. Ohio Administrative Code (OAC) Rule 5101:2-13-16 (C)What are the specific procedures the licensed family child care provider needs to follow for standard precautions? (3)Disposal of materials that contain blood requires a sealable, leak-proof plastic bag or double bagging in plastic bags that are securely tied. (5)Sharp items used for procedures on children with special care needs, such as lancets for finger sticks or syringes, require a disposable container called a "sharps container." This is a container made of durable, rigid material which safely stores the lancets or needles until they are disposed of properly. Sharps containers shall be stored out of the reach of children. iii. All CCDF-eligible licensed in-home care. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-14-05 (3)Materials that contain blood are to be disposed in a sealable, leak-proof plastic bag or double bagged in plastic bags that are securely tied. (5)Sharp items used for procedures on children with special care needs, such as lancets for finger sticks or syringes, require a disposable container called a "sharps container." This is a container made of durable, rigid material which safely stores the lancets or needles until they are disposed of properly. Sharps containers are to be stored out of the reach of children. Ohio Administrative Code (OAC) Rule 5101:2-14-13 (C)What are the requirements for diapering? (c)The IHA is to store soiled disposable diapers in a plastic-lined covered container that prevents hand contamination and is not easily accessible to children and discard diapers daily or more frequently as needed to eliminate odor. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The following applies to school age children Ohio Administrative Code (OAC) Rule 5101:2-18-10 (E)What are the specific procedures the approved day camp needs to follow for standard precautions? (3)Disposal of materials that contain blood requires a sealable, leakproof plastic bag or double bagging in plastic bags that are securely tied. (5)Sharp items used for procedures on children with special care needs, such as lancets for finger sticks or syringes, require a disposable container called a "sharps container." This is a container made out of durable, rigid material which safely stores the lancets or needles until they are disposed of properly. Sharps containers are to be stored out of the reach of children. ODE School Age Program Ohio Administrative Code (OAC) Rule 3301-32-04 (c) Disposal of materials that contain blood are to be kept in a sealable, leakproof plastic bag or double bagging in plastic bags that are securely tied. (e) Sharp items used for procedures on children with special care needs, such as lancets for finger sticks or syringes, are to be kept in a disposable container called a "sharps container." This is a container made out of durable, rigid material which safely stores the lancets or needles until the parent can take them home for disposal. Sharps containers are to be stored out of the reach of children. 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: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-12-14 (A)What is to be available on all trips, including routine walking trips? The center is to: (1)Have written and signed permission from the parent before transporting or escorting a child away from the center for field trips and routine trips as detailed in Appendix A to this rule. The permission slips are to be kept on file at the center for one year from the date of the trip. (2)Attach to each child on a routine or field trip, except children being transported only to and from school or to and from home, identification containing the center's name, address, and a telephone number to contact in the event the child becomes lost. (3)Have a completed copy of the JFS 01234 "Child Enrollment and Health Information for Child Care" for each child on the trip, except routine walks. (4)Have first aid supplies as required by rule 5101:2-12-16 of the Administrative Code. (5)Have the completed JFS 01236 "Child Medical/Physical Care Plan for Child Care" for any child who has a health condition which could need medication, special procedures or precautions during the course of the trip. The center is also to take supplies needed to provide such treatment and medications that may need to be administered during the trip. (6)Have a working cellular phone or other means of immediate communication. Cellular phones are not to be used by a driver while the vehicle is in motion. (7)Ensure that the child care staff member responsible for each child on the field trip maintains a written record of which vehicle each child is being transported in and the cellular phone number of the adult in that vehicle who could be contacted in an emergency. (8)Ensure that a person trained in cardiopulmonary resuscitation (CPR), first aid and management of communicable disease in accordance with rule 5101:2-12-10 of the Administrative Code is present in the vehicle for routine trips and field trips and at the destination on all field trips. More than one person may be used to meet this requirement. (9)Ensure that if the vehicle used to transport children is manufactured with seat belts, they are to be utilized by adults and children, no more than one person may be strapped in each seat belt. Children or adults are not to be permitted to stand in a moving vehicle, sit on the floor or ride in a vehicle where all seats are not securely anchored. (10) Not leave children in the vehicle when it is being refueled except when a trip is of such a length as to need refueling after starting with a full tank. (B)What are the ratio and supervision requirements for trips, including routine walking trips? (1)The staff/child ratio requirements of rule 5101:2-12-18 of the Administrative Code are to be met on field trips and routine trips. Children are to be assigned to specific child care staff members for all field trips. (2)Parents, guardians or adults authorized by the center may be drivers on field trips as long as staff/child ratio requirements are met at the destination. (3)One additional adult is to be present in the vehicle whenever five or more children are being transported and one or more of the children are infants. (4)One additional adult is to be present in the vehicle when there are seven or more children being transported and no infants are present. (5)One additional adult is to be present in the vehicle when there are ten or more school-age children, or the driver is to have a means of immediate communication, such as a cellular phone, to summon an additional adult when only school-age children are transported in one vehicle. (6)The additional adult in the vehicle may be the driver, parent or volunteer. (7)The vehicle is to be checked at completion of each trip to ensure that no child has been left on the vehicle. (8)During routine walking trips or walking field trips, one additional adult is to be present when there are five or more infants or a combination of seven or more toddlers, preschool and school-age children or for ten or more school-age children if the group of children on the walking trip includes only school-age children. (9)While children are being transported from their homes or schools directly to the center or from the center directly to their homes or schools, the children are not to count in the center's capacity Appendix A to Rule 5101:2-12-16 First-Aid Kit Contents The first-aid kit shall contain unexpired items (where applicable) and include at least all of the following: • One roll of first-aid tape. • Individually wrapped sterile gauze squares in assorted sizes. • Sterile adhesive bandages in assorted sizes. • Tweezers. • Gauze rolled bandage. • Triangular bandage. • Rounded end scissors. • Tooth preservation system or fresh chilled liquid milk in which to transport a lost permanent tooth (for homes serving school age children only), including a written reference indicating location of the refrigerator/freezer where milk is stored if a tooth preservation system is not part of the first aid kit. • A working digital thermometer. • Disposable non-latex gloves. • A working flashlight. • An instant cold pack that has not been activated or ice, including a written reference indicating location of the refrigerator/freezer where the ice is stored if an instant cold pack is not part of the first aid kit. • Sealable leak-proof plastic bags in assorted sizes or double bagged plastic bags that can be securely tied for materials soiled with blood or bodily fluids. • Pocket mask or face shield, appropriate for all ages of children in care, for cardiopulmonary resuscitation (CPR) administration. In addition to the above items, on field trips or when transporting away from the home, the following items are required: • Soap or waterless sanitizer. • Bottled water. 5101:2-13-18 that is mentioned above states (A)What are the requirements for staff/child ratios and maximum group size for a licensed family child care provider? (1)Each child care staff member shall care for no more than six children at any one time. No more than three of those children may be under two years of age. (2)The family child care provider shall not exceed the license capacity at any time when caring for children during the provider's hours of operation. (3)The family child care provider shall ensure that the required staff/child ratios are maintained at all times including during routine trips and field trips. (B)What children in the home are counted in ratio and group size? (1)Any child present at the home who meets any of the following shall be counted in the group size: (a)All children under six years old, including those related to the provider, the provider's own children and residents of the family child care home. (b)Children six years old through fourteen years old who are not related to the provider. (c)Children six years old up to fifteen years old who are related to the provider and for whom care is privately or publicly funded. (d)Children fifteen years old through seventeen years old who are authorized to the provider for publicly funded child care pursuant to Chapter 5101:2-16 of the Administrative Code. (e)Foster children shall be counted as a child not related to the provider. (2)If the parent of a child is also present and caring for the child, the child does not count in group size, unless the parent is the licensed family child care provider, a resident of the family child care home, an employee, or a child care staff member. (C)What are the driver requirements for employees and child care staff members of the center? driver shall: (1)The employee or child care staff member driver is to: (a)Be at least eighteen years old. (b)Hold a currently valid driver's license required for the type of vehicle driven in accordance with Ohio law. (i)A copy of each driver's current driver's license is to be kept on file at the center. (ii)The center is responsible for ensuring that the copy of the driver's license on file is kept current. (c)Be free from the influence of any substance which could impair driving abilities. (d)Ensure that all passengers, which includes the driver, adhere to the state of Ohio's child restraint law found in section 4511.81 of the Revised Code when transporting children in care. (e)Not allow children under twelve years of age to ride in the front seat of any vehicle. (f)See that each child safely boards and exits the vehicle from the curb side of the street whenever physically possible and out of the path of moving vehicles. Drop off or pick up at which it is not possible to board and exit from the curb side is to be conducted in a safe manner and with close supervision by the child care staff member responsible for the children. (g)Complete the Ohio department of job and family services (ODJFS) child care transportation training in the Ohio professional registry (OPR). (i)A trained child care staff member is not required in the vehicle on field trips when parents are providing the transportation. (ii)A trained child care staff member is not required when public transportation is being utilized or if the school district is providing transportation to or from the center . (h)Practice the emergency exiting procedures. (i)The emergency exiting procedures are to be practiced with the children on a monthly basis. (ii)This practice is to occur during months that the vehicle is used for transporting children and is to take place on the center's premises or another safe location that is protected from traffic and other hazards to ensure the safety of the children involved. (iii)A written record is to be kept of the dates when the emergency exiting procedure was practiced and the staff that were involved. (2)Parents, who are not employed by the center, who use their vehicles for transportation to occasional field trips do not have to meet the requirements of paragraph (C) of this rule. For the purposes of this rule, "occasional" means three or fewer times per calendar year. (3)The requirements outlined in paragraph (C) of this rule do not apply to public transportation drivers or companies contracted by the program and who are not employees or child care staff members. (4)Training for transportation is to be documented in the OPR or kept on file at the center in the employee's or child care staff member's file for review by the ODJFS. (D)What are the vehicle requirements for the center? (1)Any vehicle operated by the center or driven by an employee or child care staff member to transport children for routine trips or field trips is to be mechanically safe at all times. (2)Requirements for center vehicles used for transportation of children are listed in Appendix B to this rule. (3)The personal vehicles driven by parents who are not employed by the center are not required to meet the requirements of (2) the requirements of paragraph (E) of this rule. (E)When are vehicles used for transporting children to be inspected? The vehicles used for transporting children are to be inspected weekly by child care center staff and annually by an Automotive Service Excellence (ASE) certified mechanic, Federal Motor Carrier Safety Administration (FMCSA) safety inspector, or the Ohio State Highway Patrol. (1)The center is to maintain documentation that staff have performed weekly inspections followed by any necessary repairs or other appropriate actions, for the following items: (a)A visual inspection of the vehicle's tires for wear and adequate pressure. (b)A visual inspection for working headlights and taillights, signals, mirrors, wiper blades and dash gauges. (c)An inspection for properly functioning child and driver restraints. (d)An inspection for properly functioning doors and windows. (e)An inspection for, and cleaning of, debris from the vehicle's interior. (2)The annual safety check is to be completed and approved prior to the use of any vehicle for transporting children, except that a new vehicle purchased directly from the dealer is to have the safety check completed before one year from the date of purchase. The bill of sale from the vehicle purchase is to be maintained on file at the center to verify compliance. (a)Verification of the safety check is to be documented on the JFS 01230 "Vehicle Inspection Report for Child Care" and include notation and correction of any safety violation, and is to be maintained on file at the center for review by the ODJFS. (b)A vehicle sticker issued from the Ohio state highway patrol indicating the vehicle has passed a school bus or personal vehicle inspection may be used to meet the annual safety check requirement. (c)School buses and multifunction school activity buses which are inspected and licensed by the Ohio state highway patrol are exempt from the annual safety check required in this rule. The center is to prepare the buses before each trip following the Ohio department of education's operational and safety rules of Chapter 3301-83 of the Administrative Code. Appendix A Written Permission When Children Are Transported Routine Trips Written permission from the parent shall include: • The child’s name. • The destination(s) of the trip(s). • The signature of the parent. • The date on which the permission was signed. • A statement notifying parents how their child will be transported. The written permission shall be valid for the routine trip(s) for one year or until withdrawn by the parent. Field Trips Written permission from the parent shall include: • The child’s name. • The date(s) and destination(s) of the trip(s). • The departure and return time(s) of the trip(s). • The signature of the parent. • The date on which the permission was signed. • A statement notifying parents how their child will be transported. Appendix B Licensed Center Vehicle Requirements A. Centers may use any of the following vehicles to transport children: 1. School buses as defined in section 4511.01 ORC. 2. Multi-function school-activity buses. 3. Vehicles designed by the manufacturer to carry nine or fewer passengers. B. No program shall transport children in converted cargo vans or passenger vans designed by the manufacturer to carry ten or more passengers. C. Vehicles used for transporting children which are purchased or leased after September 1, 2008 and are required by the United States Department of transportation to be equipped with seat belts at the time of manufacturing or assembly, shall have factory installed passenger restraint anchorages and passenger restraints that are suitable for the use in transporting children of any age. "Factory installed" means installed by the manufacturer or retrofitting that is accompanied by a certification document from the manufacturer. Add-on restraints such as infant carriers, car seats or booster seats are designed to be installed by the end user and are not subject to these requirements. D. The driver is considered to be a passenger of any vehicle approved for use in this appendix. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-13-14 A)What shall be available on all trips, including routine walking trips? The licensed family child care provider shall: (1)Have written and signed permission from the parent before transporting or escorting a child away from the home for field trips and routine trips as detailed in appendix A to this rule. The permission slips shall be kept on file at the home for one year from the date of the trip. (2)Attach to each child on a routine or field trip, except children being transported only to and from school or only to and from home, identification containing the family child care provider's name, address, and a telephone number to contact in the event the child becomes lost. (3)Have a completed copy of the JFS 01234 "Child Enrollment and Health Information for Child Care" for each child on the trip, except routine walks. (4)Have first aid supplies as required by rule 5101:2-13-16 of the Administrative Code. (5)Have the completed JFS 01236 "Child Medical/Physical Care Plan for Child Care" for any child who has a health condition which could require medication, special procedures or precautions during the course of the trip. The family child care provider, child care staff member or substitute child care staff member shall also take supplies needed to provide such treatment and medications that may need to be administered during the trip. (6)Have a working cellular phone or other means of immediate communication. Cellular phones shall not be used by a driver while the vehicle is in motion. (7)Ensure that if the vehicle used to transport children is manufactured with seat belts, they shall be utilized by adults and children, no more than one person may be strapped in each seat belt. Children or adults shall not be permitted to stand in a moving vehicle, sit on the floor or ride in a vehicle where all seats are not securely anchored. (B)What are the ratio and supervision requirements for trips, including routine walking trips? (1)The staff/child ratio and group size requirements of rule 5101:2-13-18 of the Administrative Code shall be met on field trips and routine trips. Children shall be assigned to the provider or specific child care staff members for all field trips. Appendix A to rule 5101:2-13-16 o First-Aid Kit Contents The first-aid kit shall contain unexpired items (where applicable) and include at least all of the following: • One roll of first-aid tape. • Individually wrapped sterile gauze squares in assorted sizes. • Sterile adhesive bandages in assorted sizes. • Tweezers. • Gauze rolled bandage. • Triangular bandage. • Rounded end scissors. • Tooth preservation system or fresh chilled liquid milk in which to transport a lost permanent tooth (for homes serving school age children only), including a written reference indicating location of the refrigerator/freezer where milk is stored if a tooth preservation system is not part of the first aid kit. • A working digital thermometer. • Disposable non-latex gloves. • A working flashlight. • An instant cold pack that has not been activated or ice, including a written reference indicating location of the refrigerator/freezer where the ice is stored if an instant cold pack is not part of the first aid kit. • Sealable leak-proof plastic bags in assorted sizes or double bagged plastic bags that can be securely tied for materials soiled with blood or bodily fluids. • Pocket mask or face shield, appropriate for all ages of children in care, for cardiopulmonary resuscitation (CPR) administration. In addition to the above items, on field trips or when transporting away from the home, the following items are required: • Soap or waterless sanitizer. • Bottled water. 5101:2-13-18 that is mentioned above states (A)What are the requirements for staff/child ratios and maximum group size for a licensed family child care provider? (1)Each child care staff member shall care for no more than six children at any one time. No more than three of those children may be under two years of age. (2)The family child care provider shall not exceed the license capacity at any time when caring for children during the provider's hours of operation. (3)The family child care provider shall ensure that the required staff/child ratios are maintained at all times including during routine trips and field trips. (B)What children in the home are counted in ratio and group size? (1)Any child present at the home who meets any of the following shall be counted in the group size: (a)All children under six years old, including those related to the provider, the provider's own children and residents of the family child care home. (b)Children six years old through fourteen years old who are not related to the provider. (c)Children six years old up to fifteen years old who are related to the provider and for whom care is privately or publicly funded. (d)Children fifteen years old through seventeen years old who are authorized to the provider for publicly funded child care pursuant to Chapter 5101:2-16 of the Administrative Code. (e)Foster children shall be counted as a child not related to the provider. (2)If the parent of a child is also present and caring for the child, the child does not count in group size, unless the parent is the licensed family child care provider, a resident of the family child care home, an employee, or a child care staff member. (2)Parents, guardians or adults authorized by the provider may be drivers on field trips provided that staff/child ratio requirements are met at the destination. (3) The vehicle shall be checked at completion of each trip to ensure that no child has been left on the vehicle. (C)What are the driver requirements for employees and child care staff members of the family child care home? driver shall: (1)The employee or child care staff member driver shall: (a) Be at least eighteen years old. (b) Hold a currently valid driver's license required for the type of vehicle driven in accordance with Ohio law. (i) A copy of each driver's current driver's license shall be kept on file at the home. (ii) The family child care provider is responsible for assuring that the copy of the driver's license on file is kept current. (c) Be free from the influence of any substance which could impair driving abilities. (d) Ensure that all passengers, which includes the driver, adhere to the state of Ohio's child restraint law found in section 4511.81 of the Revised Code when transporting children in care. (e) Not allow children under twelve years of age to ride in the front seat of any vehicle. (f) Complete the Ohio department of job and family services (ODJFS) child care transportation training in the Ohio professional registry (OPR). (i) A trained child care staff member is not required in the vehicle on field trips when parents are providing the transportation. (ii) A trained child care staff member is not required when public transportation is being utilized or the school district is providing transportation to or from the provider's home. (2) Only a child care staff member or employee who is used in accordance with the requirements in rule 5101:2-13-08 of the Administrative Code may transport children without the provider present, except parents may transport children for field trips. (D)What are the vehicle requirements for a licensed family child care home? (1)Any vehicle operated by the family child care home provider, child care staff member, or substitute child care staff member to transport children for routine trips or field trips shall be mechanically safe at all times. (2)Requirements for type A home vehicles used for transportation of children are listed in appendix B to this rule. (3)Requirements for type B home vehicles used for transportation of children are listed in appendix C to this rule. (E)When shall vehicles used for transporting children be inspected? (1)The licensed family child care provider shall maintain documentation that staff have performed weekly inspections followed by any necessary repairs or other appropriate actions, for the following items: (a)A visual inspection of the vehicle's tires for wear and adequate pressure. (b)A visual inspection for working headlights and taillights, signals, mirrors, wiper blades and dash gauges. (c)An inspection for properly functioning child and driver restraints. (d)An inspection for properly functioning doors and windows. (e)An inspection for, and cleaning of, debris from the vehicle's interior. (F)Parents, who are not employed by the family child care provider, who use their vehicles for transportation for field trips shall not have to meet the requirements of paragraph (E) of this rule. Appendix A Written Permission When Children Are Transported Routine Trips Written permission from the parent shall include: • The child’s name. • The destination(s) of the trip(s). • The signature of the parent. • The date on which the permission was signed. • A statement notifying parents how their child will be transported. The written permission shall be valid for the routine trip(s) for one year or until withdrawn by the parent. Field Trips Written permission from the parent shall include: • The child’s name. • The date(s) and destination(s) of the trip(s). • The departure and return time(s) of the trip(s). • The signature of the parent. • The date on which the permission was signed. • A statement notifying parents how their child will be transported. Appendix B Type A Home Vehicle Requirements A. Type A Homes may use any of the following vehicles to transport children: 1. School buses as defined in section 4511.01 ORC. 2. Multi-function school-activity buses. 3. Vehicles designed by the manufacturer to carry nine or fewer passengers. B. C. Type A Homes shall not transport children in converted cargo vans or passenger vans designed by the manufacturer to carry ten or more passengers. Vehicles used for transporting children which are purchased, leased or contracted after September 1, 2008, are required by the United States Department of transportation to be equipped with seat belts at the time of manufacturing or assembly, shall have factory installed passenger restraint anchorages and passenger restraints that are suitable for the use in transporting children of any age. "Factory installed" means installed by the manufacturer or retrofitting that is accompanied by a certification document from the manufacturer. Add-on restraints such as infant carriers, car seats or booster seats are designed to be installed by the end user and are not subject to these requirements. D. The driver is considered to be a passenger of any vehicle approved for use in this appendix. Appendix C Type B Home Vehicle Requirements Type B Homes that are issued a provisional license after the effective date of this rule shall not be permitted to use converted cargo vans or passenger vans designed by the manufacturer to carry ten or more passengers. This applies to all vehicles that are owned, leased or contracted. b. Type B Homes that replace or add a vehicle shall not be permitted to use converted cargo vans or passenger vans designed by the manufacturer to carry ten or more passengers. This applies to all vehicles that are owned, leased or contracted. c. Vehicles used for transporting children which are purchased, leased or contracted after the effective date of this rule and which are required by the United States Department of transportation to be equipped with seat belts at the time of manufacture or assembly, shall have factory installed passenger restraint anchorages and passenger restraints that are suitable for use in transporting children of any age. "Factory installed" means installed by the manufacturer or retrofitting that is accompanied by a certification document from the manufacturer. Add-on restraints such as infant carriers, car seats or booster seats are designed to be installed by the end user and are not subject to these requirements. 2. Effective January 1, 2022: a. Type B Homes may use any of the following vehicles to transport children: i. School buses as defined in section 4511.01 ORC. ii. Multi-function school-activity buses. iii. Vehicles designed by the manufacturer to carry nine or fewer passengers. b. Type B Homes shall not transport children in converted cargo vans or passenger vans designed by the manufacturer to carry ten or more passengers. c. Vehicles used for transporting children which are purchased, leased or contracted after the effective date of this rule and which are required by the United States department of transportation to be equipped with seat belts at the time of manufacturing or assembly, shall have factory installed passenger restraint anchorages and passenger restraints that are suitable for the use in transporting children of any age. "Factory installed" means installed by the manufacturer or retrofitting that is accompanied by a certification document from the manufacturer. Add-on restraints such as infant carriers, car seats or booster seats are designed to be installed by the end user and are not subject to these requirements. 3. The driver is considered to be a passenger of any vehicle approved for use in this appendix. iii. All CCDF-eligible licensed in-home care. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-14-09 (A)What is to be completed for all trips, including routine trips? The in-home aide (IHA) is to: (1)Have written and signed permission from the parent before transporting or escorting a child away from the home for field trips and routine trips as detailed in appendix A to this rule. The permission slip is to be kept on file at the home for one year from the date of the trip. (2)Attach to each child on a routine or field trip, except children being transported only to and from school or only to and from home, identification containing the IHA's name, the child's address and a telephone number to contact in the event the child becomes lost. (3)Have first aid supplies as outlined in Appendix C to rule 5101:2-14-05 of the Administrative Code Appendix C to rule 5101:2-14-05 First-Aid Kit Contents The first-aid kit is to contain unexpired items (where applicable) and include at least all of the following: • One roll of first-aid tape. • Individually wrapped sterile gauze squares in assorted sizes. • Sterile adhesive bandages in assorted sizes. • Tweezers. • Gauze rolled bandage. • Triangular bandage. • Rounded end scissors. • Tooth preservation system or fresh chilled liquid milk in which to transport a lost permanent tooth (for homes serving school age children only), including a written reference indicating location of the refrigerator/freezer where milk is stored if a tooth preservation system is not part of the first aid kit. • A working digital thermometer. • Disposable non-latex gloves. • A working flashlight. • An instant cold pack that has not been activated or ice, including a written reference indicating location of the refrigerator/freezer where the ice is stored if an instant cold pack is not part of the first aid kit. • Sealable leak-proof plastic bags in assorted sizes or double bagged plastic bags that can be securely tied for materials soiled with blood or bodily fluids. • Pocket mask or face shield, appropriate for all ages of children in care, for cardiopulmonary resuscitation (CPR) administration. In addition to the above items, on field trips or when transporting away from the home, the following items are required: • Soap or waterless sanitizer. • Bottled water. (4)Take all supplies needed to provide treatment and medications for any child with a JFS 01236 "Child Medical/Physical Care Plan for Child Care" transported during the trip, as outlined in rule 5101:2-14-06 of the Administrative Code. (B)What are the driver requirements for a certified IHA who transports children in care? (1)The IHA driver is to : (a)Complete the one-time Ohio department of job and family services (ODJFS) child care transportation training in the Ohio professional registry (OPR), unless public transportation is being used or the school district is providing transportation to and from the child's home. (b)Ensure that all passengers, including the driver, follow the state of Ohio's child restraint law found in section 4511.81 of the Revised Code when transporting children in care. (c) Not allow children under twelve years of age to ride in the front seat of any vehicle. (2)The requirements outlined in paragraph (B) of this rule do not apply to public transportation drivers. (C) What are the inspection requirements for vehicles used for transporting children in care? The IHA is to maintain documentation that monthly inspections have been performed, followed by any necessary repairs or other appropriate actions, for the following items: (1) A visual inspection for the vehicle's tires for wear and adequate pressure. (2) A visual inspection for working headlights, taillights, signals, mirrors, wiper blades and dash gauges. (3) An inspection for properly functioning child and driver restraints. (4) An inspection for properly functioning doors and windows. (5)An inspection for, and cleaning of, debris from the vehicle's interior. Ohio Administrative Code (OAC) Rule 5101:5101:2-14-06 states (C)What are the health care plan requirements for caring for children with a specific health condition in a home with a certified IHA? (c)Keep each JFS 01236 in a location that can be easily and quickly accessed, including being removed from the home if there is an emergency where the children are moved to another location, and for transporting children on all trips except routine walks. (5)Have a working cellular phone or other means of immediate communication. Cellular phones are not to be used by a driver while the vehicle is in motion. (6)Ensure that if the vehicle used to transport children is manufactured with seat belts, they are utilized by adults and children, with no more than one person strapped in each seat belt. Children or adults are not to be permitted to stand in a moving vehicle, sit on the floor or ride in a vehicle where all seats are not securely anchored. (7)The vehicle is to be checked at completion of each trip to ensure that no child has been left in the vehicle. Appendix A Written Permission When Children Are Transported Routine Trips Written permission from the parent shall include: • The child’s name. • The destination(s) of the trip(s). • The signature of the parent. • The date on which the permission was signed. • A statement notifying parents how their child will be transported. The written permission shall be valid for the routine trip(s) for one year or until withdrawn by the parent. Field Trips Written permission from the parent shall include: • The child’s name. • The date(s) and destination(s) of the trip(s). • The departure and return time(s) of the trip(s). • The signature of the parent. • The date on which the permission was signed. • A statement notifying parents how their child will be transported. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The following applies to school age children Ohio Administrative Code (OAC) Rule 5101:2-18-12 (A)What shall be available on all trips, including routine walking trips? The approved child day camp is to: (1)Have written and signed permission from the parent before transporting or escorting a child away from the primary use spaces of the approved child day camp for field trips and routine trips as detailed in appendix A to this rule. The permission slips shall be kept on file at the approved day camp for one year. (2)Have the information pursuant to rule 5101:2-18-05 of the Administrative Code for each child on the trip, except routine walks. (3)Have the written medical form pursuant to rule 5101:2-18-11 of the Administrative Code for any child who has a health condition which could require medications, special procedures or precautions during the course of the trip. The approved child day camp shall also take supplies needed to provide such treatment. (4)Have a working cellular phone or other means of immediate communication. Cellular phones shall not be used by a driver while the vehicle is in motion. (5)Ensure that the child day camp staff member responsible for each child on the field trip maintains a written record of which vehicle each child is being transported in and the cellular phone number of the adult in that vehicle who could be contacted in an emergency. (6)Ensure that a person trained in cardiopulmonary resuscitation (CPR) and first aid in accordance with rule 5101:2-18-08 of the Administrative Code shall be present in the vehicle for routine trips and field trips and at the destination on all field trips. More than one person may be used to meet this requirement. (7)Ensure that if the vehicle used to transport children is manufactured with seat belts, they shall be utilized by all the adults and children in the vehicle, and no more than one person shall be strapped in each seat belt. Children or adults shall not be permitted to stand in a moving vehicle, sit on the floor or ride in a vehicle where all seats are not securely anchored. (8)Ensure that reasonable accommodations are provided for children with special health needs, so that children are not excluded from trips because of a special health need. Ohio Administrative Code (OAC) Rule 5101:2-18-05 (A)What are the responsibilities of the child day camp administrator in an approved child day camp? The child day camp administrator shall: (8)Have a file available on-site for each enrolled child by the child's first day of attendance which shall include: (a)The child's name and birthdate. (b)Emergency contact names and telephone numbers. (c)The name, address and telephone number of the child's primary care physician. (d)A medical care plan if necessary pursuant to rule 5101:2-18-11 of the Administrative Code. Ohio Administrative Code (OAC) Rule 5101:2-18-11 (A)What are the requirements for administration of prescription medications and non-prescription medications by an approved child day camp? (5)Have written permission from the parent for each medication to be administered prior to administering any non-prescription or prescription medication. (6)Document each administration, including a child's self-administration, of medication or application of topical product, unless the topical product is a non- prescription item including bug spray, sunscreen, hand sanitizer and lip balm. Ensure the documentation includes: (a)The child's name. (b)The child's date of birth. (c)The medication name. (d)The medication dosage. (e)The date the medication was administered. (f)The time the medication was administered. (g)The signature of the person administering the medication. (7) Allow school-age children to carry their own emergency medication as long as written permission from the parent is completed and on file at the approved day camp. (D)What if a child has a special need or health condition? (1)A written medical care plan shall be used for children with a condition or diagnosis that requires specific care and/or intervention by child day camp staff. The written plan shall include the following: (a)The symptoms the staff should monitor which may require staff to take action. (b)Administering procedures which require staff to be trained on those procedures. (c)Avoiding specific food(s), environmental conditions or activities. (d)Permission for the child to carry and administer their own emergency medication, if applicable. (2)The approved child day camp is to: (a)Ensure that there is a completed written medical care plan for each condition per child. (b)Implement and follow all requirements of each child's medical care plan. (c)Ensure that all child day camp staff members who are trained to perform the medical procedure have signed the medical care plan. (d)Ensure that there is at least one child care staff member caring for the child at all times who has signed the medical care plan on the child's condition. This includes on-site at field trips. (e)Keep the medical care plan in a location that can be easily and quickly accessed at all times, including being removed from the approved child day camp if there is an emergency where the children need to be moved to another location. (3)The written medical care plan shall be on file with the approved child day camp by the first day of attendance or upon confirmation of a health condition. (4)If the approved child day camp suspects that a child has a health condition, the camp may require a physician's statement within a designated timeframe. (5)Only staff members trained on the child's needs and required procedures shall be permitted to perform medical procedures or other action needed for a health condition or a special need. (B)What are the ratio and supervision requirements for trips, including routine walking trips? The approved child day camp is to: (1)Meet the staff/child ratio requirements of rule 5101:2-18-09 of the Administrative Code on field trips and routine trips. Children shall be assigned to specific child day camp staff members for all field trips. (2)Ensure an additional adult is present in the vehicle for every ten children, or the driver has a means of immediate communication, such as a cellular phone, to summon an additional adult. The additional adult in the vehicle may be the driver, parent or volunteer. (3)Ensure the staff/child ratio requirements of rule 5101:2-18-09 of the Administrative Code are met while children are being transported if public transportation is being utilized. (4)Ensure that an adult is present in the vehicle any time children are in the vehicle. At no time are children to be left unattended. (5)Check the vehicle at completion of each trip to ensure that no child has been left in the vehicle. (6)Ensure that during routine walking trips or walking field trips, an additional adult is present for every ten school-age children. Ohio Administrative Code (OAC) Rule 5101:2-18-09 (A)What are the requirements for staff/child ratios for an approved child day camp? (1)The approved child day camp shall ensure that the following day camp staff members/child ratios are maintained at all times: (a)For children five to eleven years of age, a one to eighteen staff to child ratio is required. (b)For children eleven to eighteen years of age, a one to twenty staff to child ratio is required. (2)Approved child day camp staff members shall not be counted in the staff/child ratio when engaged in duties or activities that interfere with supervision of children. (3)Children shall be organized and assigned to a group. (a)A child with special needs shall be included in the group that best meets the child's developmental needs. (b)Specific child day camp staff members shall be assigned and responsible for the care and supervision of the children in their group on a daily basis. (C)What are the requirements for drivers who are used in the staff/child ratio or are child day camp staff members? The driver shall: (1)Be at least eighteen years old. (2)On routine trips, be an employee or child day camp staff member with the exception of contracted transportation services. (3)Never leave children alone in a vehicle, including leaving children in the vehicle when it is being refueled, except when a trip is of such a length as to require refueling after starting with a full tank. (4)Meet the requirements of an employee or child day camp staff member as required in rule 5101:2-18-06 of the Administrative Code. (5)Ensure that all passengers, including the driver, follow the state of Ohio's child restraint law found in section 4511.81 of the Revised Code when transporting children enrolled in the approved child day camp. (6)Not allow children under twelve years of age to ride in the front seat of any vehicle. (7)Be trained utilizing the American camp association (ACA) training for drivers standards and the ACA accident procedures standards if the driver is an employee of the approved child day camp. (a)A trained driver is not required when public transportation is being utilized, or if the driver is a contracted driver. (b)Training for transportation shall be completed at least annually for all drivers and shall be documented and kept on file at the approved child day camp in the employee's or the child day camp staff member's file for review by ODJFS. (8)Contracted drivers are not used in staff/child ratios and are not employees of the child day camp. For these drivers, the administrator is to keep the transportation contract on file for review. (D)What are the vehicle requirements for the approved child day camp? Any vehicle operated by the child day camp or driven by a child day camp staff member to transport children for routine trips or field trips shall be mechanically safe at all times. (E)When shall vehicles used for transporting children be inspected? (1)The approved child day camp shall maintain documentation that staff have performed weekly inspections followed by any necessary repairs or other appropriate actions, for the following items: (a)A visual inspection of the vehicle's tires for wear and adequate pressure. (b)A visual inspection for working headlights and taillights, signals, mirrors, wiper blades and dash gauges. (c)An inspection for properly functioning child and driver restraints. (d)An inspection for properly functioning doors and windows. (e)An inspection for, and cleaning of, debris from the vehicle's interior. (2)The child day camp shall require providers of transportation services to maintain documentation that the transportation services staff have performed the required weekly inspections and necessary repairs or other appropriate actions required by paragraph (E)(1) of this rule. (F)What are the requirements for the vehicle safety inspection? (1)The safety inspection shall be performed within the month prior to seasonal use. A new vehicle purchased directly from the dealer is to have the safety check completed before one year from the date of purchase. The bill of sale from the vehicle purchase is to be maintained on file at the approved child day camp to verify compliance. (2)The safety inspection shall be performed by an automotive service excellence (ASE) certified mechanic, federal motor carrier safety administration (FMCSA) safety inspector, or the Ohio state highway patrol. (a)A vehicle sticker issued from the Ohio state highway patrol indicating the vehicle has passed a school bus or personal vehicle inspection may be used to meet this requirement. (b)School buses and multifunction school activity buses which are inspected and licensed by the Ohio state highway patrol are exempt from the seasonal safety check required in this rule. The approved child day camp is to prepare the buses before each trip following the Ohio department of education's operational and safety rules of Chapter 3301-83 of the Administrative Code. (3)Verification of the safety check shall be documented on the JFS 01230 "Vehicle Inspection Report for Child Care Centers." This verification shall include notation and correction of any safety violation and shall be maintained on file at the approved child day camp for review by ODJFS. 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: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-12-10- (A)What are the health training requirements for a child care center? (1)All child care staff members are to be currently trained in first aid and cardiopulmonary resuscitation (CPR) appropriate for the age and developmental levels of the children in care. (a)First aid and CPR trainings are to be completed within the first ninety days of hire. (b)Until all required individuals are current in the trainings, at a minimum, the center is to have at least one trained child care staff member on-site (in each building) during all hours of operation who meets this requirement. (2) A center shall have at least one child care staff member on-site (in each building) during all hours of operation who is currently trained in the management of communicable disease. (4) Trainings shall meet course and trainer requirements in Appendix A to this rule. (5)If a child care staff member meets the trainer requirements in Appendix A to this rule for a health training, that person is considered to meet the training requirement for that health training pursuant to paragraphs (A)(1) and (A)(2) of this rule. (6) Audiovisual or electronic media training shall not be used to meet the CPR training requirement pursuant to paragraph (A)(1) of this rule unless there is also an in-person component of the training. Appendix A -Health Training Courses Course Content for First Aid 1. May include cardiopulmonary resuscitation (CPR) training 2. Is valid for the number of years indicated on the JFS 01276 "Health Training Documentation for Child Care," card or certificate provided by the training organization 3. Covers the following topics: • Abrasions, lacerations and bleeding, including nosebleed • Burns • Fainting • Poisoning, including swallowed, skin or eye contact, and inhaled • Puncture wounds, including splinters • Injuries, including insect, animal, and human bites • Poison control • Shock • Seizure care • Musculoskeletal injury (such as sprains, fractures) • Dental and mouth injuries/trauma • Head injuries, including shaken baby syndrome/abusive head trauma • Allergic reactions • Asthmatic reactions • Eye injuries • Loss of consciousness • Electric shock • Drowning • Heat-related injuries, including heat exhaustion/heat stroke • Cold related injuries, including frostbite • Moving and positioning injured/ill persons • Illness-related emergencies (such as stiff neck, inexplicable confusion, sudden onset of blood-red or purple rash, severe pain, temperature and looking/acting severely ill) • Standard Precautions Course Content for CPR 1. Follows a curriculum that is appropriate for the age and developmental levels of the children in care 2. Is valid for the number of years as indicated on the JFS 01276 "Health Training Documentation for Child Care," card or certificate provided by the training organization. Health Training Approved Trainers First Aid Trainers 1. Currently certified first aid trainer 2. Licensed physician, physician's assistant (PA), advanced practice registered nurse (APRN), certified nurse practitioner (CNP), or registered nurse (RN) 3. Emergency medical services instructor 4. Licensed athletic trainer CPR Trainers 1. Currently certified CPR instructor 2. Emergency medical services instructor (C)What verification is needed on file at the center to document the completed training? (1)The health trainings shall be documented by one of the following: (a)Verification from the Ohio professional registry (OPR). (b)The JFS 01276 "Health Training Documentation for Child Care" . (c)Training cards or certificates issued by the training organization. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-13-10 A)What health training is required for a licensed family child care provider prior to licensure? The family child care provider is to complete the following: (1)Current certification in first aid and cardiopulmonary resuscitation (CPR). Training shall be appropriate for all of the ages and developmental levels of children in care. (B)What health training is required for a licensed family child care provider once licensed? (1)Maintain current certification in first aid and CPR. The training shall be appropriate for all of the ages and developmental levels of children in care. (3)Audiovisual or electronic media training shall not be used to meet the CPR training requirement pursuant to paragraphs (A)(1) and (B)(1) of this rule unless there is also an in-person component of the training. (C)What health training is required for a family child care staff member and a substitute child care staff member? (1)Prior to being left alone with children, but within the first ninety days of hire, all child care staff members shall complete and remain current in the following: (a)CPR. (b)First aid. (D)What are the requirements for the health trainings pursuant to paragraphs (A), (B) and (C) of this rule? (1)The trainings are to meet course and trainer requirements in Appendix A to this rule. (2)Audiovisual or electronic media training is not to be used to meet the CPR training requirement pursuant to paragraphs (A)(1) and (B)(1) of this rule unless there is also an in-person component of the training. (3)If the child care staff member meets the trainer requirements in Appendix A to this rule for a health training, that person is considered to meet the training requirement for first aid, CPR, or management of communicable disease. Appendix A -Health Training Courses Course Content for First Aid 1. May include cardiopulmonary resuscitation (CPR) training 2. Is valid for the number of years indicated on the JFS 01276 "Health Training Documentation for Child Care," card or certificate provided by the training organization 3. Covers the following topics: • Abrasions, lacerations and bleeding, including nosebleed • Burns • Fainting • Poisoning, including swallowed, skin or eye contact, and inhaled • Puncture wounds, including splinters • Injuries, including insect, animal, and human bites • Poison control • Shock • Seizure care • Musculoskeletal injury (such as sprains, fractures) • Dental and mouth injuries/trauma • Head injuries, including shaken baby syndrome/abusive head trauma • Allergic reactions • Asthmatic reactions • Eye injuries • Loss of consciousness • Electric shock • Drowning • Heat-related injuries, including heat exhaustion/heat stroke • Cold related injuries, including frostbite • Moving and positioning injured/ill persons • Illness-related emergencies (such as stiff neck, inexplicable confusion, sudden onset of blood-red or purple rash, severe pain, temperature and looking/acting severely ill) • Standard Precautions Course Content for CPR 1. Follows a curriculum that is appropriate for the age and developmental levels of the children in care 2. Is valid for the number of years as indicated on the JFS 01276 "Health Training Documentation for Child Care," card or certificate provided by the training organization. Health Training Approved Trainers First Aid Trainers 1. Currently certified first aid trainer 2. Licensed physician, physician's assistant (PA), advanced practice registered nurse (APRN), certified nurse practitioner (CNP), or registered nurse (RN) 3. Emergency medical services instructor 4. Licensed athletic trainer CPR Trainers 1. Currently certified CPR instructor 2. Emergency medical services instructor (C)What verification is needed on file at the center to document the completed training? (1)The health trainings shall be documented by one of the following: (a)Verification from the Ohio professional registry (OPR). (b)The JFS 01276 "Health Training Documentation for Child Care" . (c)Training cards or certificates issued by the training organization. iii. All CCDF-eligible licensed in-home care. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-14-03 (A)What health training is to be completed before an in-home aide (IHA) may be certified? The IHA is to complete the following prior to certification: (1)Current certification in first aid and cardiopulmonary resuscitation (CPR). Both the first aid and the CPR trainings are to be appropriate for the ages and developmental levels of the children in care, as described in appendix A to this rule. (4)If the IHA meets the trainer requirements in appendix A to this rule for a health training, the person is considered to meet the health training requirement for that health training, pursuant to paragraphs (A) and (B) of this rule. (5)Audiovisual or electronic media training is not to be used to meet the CPR training requirement pursuant to paragraphs (A)(1) and (B)(1) of this rule unless there is also an in-person component of the training. (B)What are the on-going health training requirements for a certified IHA? (1)Maintain current certification in first aid and cardiopulmonary resuscitation (CPR) appropriate for the ages and developmental levels of the children in care, as described in Appendix A to this rule. Appendix A Health Training Courses Course Content for First Aid 1. May include cardiopulmonary resuscitation (CPR) training 2. Follows a curriculum that is appropriate for the age and developmental levels of the children in care 3. Is valid for the number of years as indicated on the JFS 01276 "Health Training Documentation for Child Care," card or certificate provided by the training organization 4. Covers the following topics: • Abrasions, lacerations and bleeding, including nosebleed • Burns • Fainting • Poisoning, including swallowed, skin or eye contact and inhaled • Puncture wounds, including splinters • Injuries, including insect, animal and human bites • Poison control • Shock • Seizure care • Musculoskeletal injury (such as sprains, fractures) • Dental and mouth injuries/trauma • Head injuries, including shaken baby syndrome/abusive head trauma • Allergic reactions • Asthmatic reactions • Eye injuries • Loss of consciousness • Electric shock • Drowning • Heat-related injuries, including heat exhaustion/heat stroke • Cold related injuries, including frostbite • Moving and positioning injured/ill persons • Illness-related emergencies (such as stiff neck, inexplicable confusion, sudden onset of blood-red or purple rash, severe pain, temperature and looking/acting severely ill) • Standard Precautions Course Content for CPR 1. Follows a curriculum that is appropriate for the age and developmental levels of the children in care 2. Is valid for the number of years as indicated on the JFS 01276 "Health Training Documentation for Child Care," card or certificate provided by the training organization Course Content for Management of Communicable Disease 1. Follows the curriculum prescribed by the Ohio Department of Job and Family Services (ODJFS) 2. Is valid for three years Health Training Approved Trainers First Aid Trainers 1. Currently certified first aid trainer 2. Licensed physician, physician assistant (PA), advanced practice registered nurse (APRN), certified nurse practitioner (CNP), or registered nurse (RN) 3. Emergency medical services instructor 4. Licensed athletic trainer CPR Trainers 1. Currently certified CPR instructor 2. Emergency medical service instructor (D)What verification is needed on file to document the completed training? (1)Health trainings are to be documented by one of the following: (a)Verification from the Ohio professional registry (OPR). (b)The JFS 01276 "Health Training Documentation for Child Care." (c)Training cards or certificates issued by the training organization. [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-18-08 A)What are the health training requirements for an approved child day camp? (1)All child day camp staff members are to be currently trained in first aid and cardiopulmonary resuscitation (CPR). Both the first aid and the CPR trainings are to be appropriate for the age and developmental levels of the children in care. (a)First aid and CPR trainings are to be completed within the first thirty days of hire. (b)Until all required individuals are current in the trainings, at a minimum, the child day camp is to have at least one trained child day camp staff member on-site (in each building or on the grounds) during all hours of operation who meets this requirement. (2)An approved child day camp shall have at least one child day camp staff member on-site (in each building or on grounds) during all hours of operation who is currently trained in management of communicable disease (more than one person may be used to meet this requirement). (3) All child day camp staff members are to be currently trained in child abuse and neglect recognition and prevention. The child abuse and neglect recognition and prevention training shall be completed within thirty days of hire. (a)If the child day camp provides training in child abuse and neglect recognition and prevention and meets the American camp association (ACA) requirements, it can be taken in place of the Ohio department of job and family (ODJFS) training. (b)Until all required individuals are current in this training, at a minimum, the child day camp is to have at least one trained child day camp staff member on-site (in each building or on the grounds) during all hours of operation who meets this requirement. (4)Trainings are to meet course and trainer requirements in Appendix A to this rule. (5)If a child day camp staff member meets the trainer requirements in Appendix A to this rule for a health training, that person is considered to meet the health training requirement for that health training pursuant to paragraphs (A)(1) and (A)(2) of this rule. (6)Audiovisual or electronic media training are not to be used to meet the CPR training requirement pursuant to paragraph (A)(1) of this rule unless there is also an in-person training component. Appendix A Course Content for First Aid 1. Health Training Courses May include cardiopulmonary resuscitation (CPR) training 2. Follows a curriculum that is appropriate for the age and developmental levels of the children in care 3. Is valid for the number of years indicated on the JFS 01276 "Health Training Documentation for Child Care", card or certificate provided by the training organization 4. Covers the following topics: • Abrasions, lacerations and bleeding, including nosebleed • Burns • Fainting • Poisoning, including swallowed, skin or eye contact, and inhaled • Puncture wounds, including splinters • Injuries, including insect, animal, and human bites • Poison control • Shock • Seizure care • Musculoskeletal injury (such as sprains, fractures) • Dental and mouth injuries/trauma • Head injuries, including shaken baby syndrome/abusive head trauma • Allergic reactions • Asthmatic reactions • Eye injuries • Loss of consciousness • Electric shock • Drowning • Heat-related injuries, including heat exhaustion/heat stroke • Cold related injuries, including frostbite • Moving and positioning injured/ill persons • Illness-related emergencies (such as stiff neck, inexplicable confusion, sudden onset of blood-red or purple rash, severe pain, temperature and looking/acting severely ill) • Standard Precautions Course Content for CPR 1. Follows a curriculum that is appropriate for the age and developmental levels of the children in care 2. Is valid for the number of years as indicated on the JFS 01276 "Health Training Documentation for Child Care", card or certificate provided by the training organization Health Training Approved Trainers First Aid Trainers 1. Currently certified first aid trainer 2. Licensed physician, physician's assistant (PA), advanced practice registered nurse (APRN), certified nurse practitioner (CNP), or registered nurse (RN) 3. Emergency medical services instructor 4. Licensed athletic trainer CPR Trainers 1. Currently certified CPR instructor 2. Emergency medical services instructor (C)What verification is needed on file at the approved child day camp to document the completed training? (1)The health trainings shall be documented by one of the following: (a)Verification from the Ohio professional registry (OPR). (b)Training cards or certificates issued by the training organization. (c)The JFS 01276 "Health Training Documentation for Child Care" 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: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:22-12-10- (A)What are the health training requirements for a child care center? (1)All child care staff members are to be currently trained in first aid and cardiopulmonary resuscitation (CPR) appropriate for the age and developmental levels of the children in care. (a)First aid and CPR trainings are to be completed within the first ninety days of hire. (b)Until all required individuals are current in the trainings, at a minimum, the center is to have at least one trained child care staff member on-site (in each building) during all hours of operation who meets this requirement. (2) A center shall have at least one child care staff member on-site (in each building) during all hours of operation who is currently trained in the management of communicable disease. (4) Trainings shall meet course and trainer requirements in appendix A to this rule. (5)If a child care staff member meets the trainer requirements in appendix A to this rule for a health training, that person is considered to meet the training requirement for that health training pursuant to paragraphs (A)(1) and (A)(2) of this rule. (6) Audiovisual or electronic media training shall not be used to meet the CPR training requirement pursuant to paragraph (A)(1) of this rule unless there is also an in-person component of the training. Appendix A -Health Training Courses Course Content for First Aid 1. May include cardiopulmonary resuscitation (CPR) training 2. Is valid for the number of years indicated on the JFS 01276 "Health Training Documentation for Child Care," card or certificate provided by the training organization 3. Covers the following topics: • Abrasions, lacerations and bleeding, including nosebleed • Burns • Fainting • Poisoning, including swallowed, skin or eye contact, and inhaled • Puncture wounds, including splinters • Injuries, including insect, animal, and human bites • Poison control • Shock • Seizure care • Musculoskeletal injury (such as sprains, fractures) • Dental and mouth injuries/trauma • Head injuries, including shaken baby syndrome/abusive head trauma • Allergic reactions • Asthmatic reactions • Eye injuries • Loss of consciousness • Electric shock • Drowning • Heat-related injuries, including heat exhaustion/heat stroke • Cold related injuries, including frostbite • Moving and positioning injured/ill persons • Illness-related emergencies (such as stiff neck, inexplicable confusion, sudden onset of blood-red or purple rash, severe pain, temperature and looking/acting severely ill) • Standard Precautions Course Content for CPR 1. Follows a curriculum that is appropriate for the age and developmental levels of the children in care 2. Is valid for the number of years as indicated on the JFS 01276 "Health Training Documentation for Child Care," card or certificate provided by the training organization. Health Training Approved Trainers First Aid Trainers 1. Currently certified first aid trainer 2. Licensed physician, physician's assistant (PA), advanced practice registered nurse (APRN), certified nurse practitioner (CNP), or registered nurse (RN) 3. Emergency medical services instructor 4. Licensed athletic trainer CPR Trainers 1. Currently certified CPR instructor 2. Emergency medical services instructor (C)What verification is needed on file at the center to document the completed training? (1)The health trainings shall be documented by one of the following: (a)Verification from the Ohio professional registry (OPR). (b)The JFS 01276 "Health Training Documentation for Child Care" . ii. All CCDF-eligible licensed family child care homes. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:22-13-10 (A)What health training is required for a licensed family child care provider prior to licensure? The family child care provider is to complete the following: (1)Current certification in first aid and cardiopulmonary resuscitation (CPR). Training shall be appropriate for all of the ages and developmental levels of children in care. (B)What health training is required for a licensed family child care provider once licensed? (1)Maintain current certification in first aid and CPR. The training shall be appropriate for all of the ages and developmental levels of children in care. (3)Audiovisual or electronic media training shall not be used to meet the CPR training requirement pursuant to paragraphs (A)(1) and (B)(1) of this rule unless there is also an in-person component of the training. (C)What health training is required for a family child care staff member and a substitute child care staff member? (1)Prior to being left alone with children, but within the first ninety days of hire, all child care staff members shall complete and remain current in the following: (a)CPR. (b)First aid. (D)What are the requirements for the health trainings pursuant to paragraphs (A), (B) and (C) of this rule? (1)The trainings are to meet course and trainer requirements in appendix A to this rule. (2)Audiovisual or electronic media training is not to be used to meet the CPR training requirement pursuant to paragraphs (A)(1) and (B)(1) of this rule unless there is also an in-person component of the training. (3)If the child care staff member meets the trainer requirements in appendix A to this rule for a health training, that person is considered to meet the training requirement for first aid, CPR, or management of communicable disease. Appendix A -Health Training Courses Course Content for First Aid 1. May include cardiopulmonary resuscitation (CPR) training 2. Is valid for the number of years indicated on the JFS 01276 "Health Training Documentation for Child Care," card or certificate provided by the training organization 3. Covers the following topics: • Abrasions, lacerations and bleeding, including nosebleed • Burns • Fainting • Poisoning, including swallowed, skin or eye contact, and inhaled • Puncture wounds, including splinters • Injuries, including insect, animal, and human bites • Poison control • Shock • Seizure care • Musculoskeletal injury (such as sprains, fractures) • Dental and mouth injuries/trauma • Head injuries, including shaken baby syndrome/abusive head trauma • Allergic reactions • Asthmatic reactions • Eye injuries • Loss of consciousness • Electric shock • Drowning • Heat-related injuries, including heat exhaustion/heat stroke • Cold related injuries, including frostbite • Moving and positioning injured/ill persons • Illness-related emergencies (such as stiff neck, inexplicable confusion, sudden onset of blood-red or purple rash, severe pain, temperature and looking/acting severely ill) • Standard Precautions Course Content for CPR 1. Follows a curriculum that is appropriate for the age and developmental levels of the children in care 2. Is valid for the number of years as indicated on the JFS 01276 "Health Training Documentation for Child Care," card or certificate provided by the training organization. Health Training Approved Trainers First Aid Trainers 1. Currently certified first aid trainer 2. Licensed physician, physician's assistant (PA), advanced practice registered nurse (APRN), certified nurse practitioner (CNP), or registered nurse (RN) 3. Emergency medical services instructor 4. Licensed athletic trainer CPR Trainers 1. Currently certified CPR instructor 2. Emergency medical services instructor (C)What verification is needed on file at the center to document the completed training? (1)The health trainings shall be documented by one of the following: (a)Verification from the Ohio professional registry (OPR). (b)The JFS 01276 "Health Training Documentation for Child Care" . (c)Training cards or certificates issued by the training organization. iii. All CCDF-eligible licensed in-home care. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-14-03 (A)What health training is to be completed before an in-home aide (IHA) may be certified? The IHA is to complete the following prior to certification: (1)Current certification in first aid and cardiopulmonary resuscitation (CPR). Both the first aid and the CPR trainings are to be appropriate for the ages and developmental levels of the children in care, as described in Appendix A to this rule. (4)If the IHA meets the trainer requirements in appendix A to this rule for a health training, the person is considered to meet the health training requirement for that health training, pursuant to paragraphs (A) and (B) of this rule. (5)Audiovisual or electronic media training is not to be used to meet the CPR training requirement pursuant to paragraphs (A)(1) and (B)(1) of this rule unless there is also an in-person component of the training. (B)What are the on-going health training requirements for a certified IHA? (1)Maintain current certification in first aid and cardiopulmonary resuscitation (CPR) appropriate for the ages and developmental levels of the children in care, as described in appendix A to this rule. Appendix A Health Training Courses Appendix 5101:2-14-03 Course Content for First Aid 1. May include cardiopulmonary resuscitation (CPR) training 2. Follows a curriculum that is appropriate for the age and developmental levels of the children in care 3. Is valid for the number of years as indicated on the JFS 01276 "Health Training Documentation for Child Care," card or certificate provided by the training organization 4. Covers the following topics: • Abrasions, lacerations and bleeding, including nosebleed • Burns • Fainting • Poisoning, including swallowed, skin or eye contact and inhaled • Puncture wounds, including splinters • Injuries, including insect, animal and human bites • Poison control • Shock • Seizure care • Musculoskeletal injury (such as sprains, fractures) • Dental and mouth injuries/trauma • Head injuries, including shaken baby syndrome/abusive head trauma • Allergic reactions • Asthmatic reactions • Eye injuries • Loss of consciousness • Electric shock • Drowning • Heat-related injuries, including heat exhaustion/heat stroke • Cold related injuries, including frostbite • Moving and positioning injured/ill persons • Illness-related emergencies (such as stiff neck, inexplicable confusion, sudden onset of blood-red or purple rash, severe pain, temperature and looking/acting severely ill) • Standard Precautions Course Content for CPR 1. Follows a curriculum that is appropriate for the age and developmental levels of the children in care 2. Is valid for the number of years as indicated on the JFS 01276 "Health Training Documentation for Child Care," card or certificate provided by the training organization Course Content for Management of Communicable Disease 1. Follows the curriculum prescribed by the Ohio Department of Job and Family Services (ODJFS) 2. Is valid for three years Health Training Approved Trainers First Aid Trainers 1. Currently certified first aid trainer 2. Licensed physician, physician assistant (PA), advanced practice registered nurse (APRN), certified nurse practitioner (CNP), or registered nurse (RN) 3. Emergency medical services instructor 4. Licensed athletic trainer CPR Trainers 1. Currently certified CPR instructor 2. Emergency medical service instructor [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-18-08 A)What are the health training requirements for an approved child day camp? (1)All child day camp staff members are to be currently trained in first aid and cardiopulmonary resuscitation (CPR). Both the first aid and the CPR trainings are to be appropriate for the age and developmental levels of the children in care. (a)First aid and CPR trainings are to be completed within the first thirty days of hire. (b)Until all required individuals are current in the trainings, at a minimum, the child day camp is to have at least one trained child day camp staff member on-site (in each building or on the grounds) during all hours of operation who meets this requirement. (2)An approved child day camp shall have at least one child day camp staff member on-site (in each building or on grounds) during all hours of operation who is currently trained in management of communicable disease (more than one person may be used to meet this requirement). (b)Until all required individuals are current in this training, at a minimum, the child day camp is to have at least one trained child day camp staff member on-site (in each building or on the grounds) during all hours of operation who meets this requirement. (4)Trainings are to meet course and trainer requirements in appendix A to this rule. (5)If a child day camp staff member meets the trainer requirements in appendix A to this rule for a health training, that person is considered to meet the health training requirement for that health training pursuant to paragraphs (A)(1) and (A)(2) of this rule. (6)Audiovisual or electronic media training are not to be used to meet the CPR training requirement pursuant to paragraph (A)(1) of this rule unless there is also an in-person training component. Appendix A Health Training Courses Appendix 5101:2-14-03 Course Content for First Aid 1. May include cardiopulmonary resuscitation (CPR) training 2. Follows a curriculum that is appropriate for the age and developmental levels of the children in care 3. Is valid for the number of years as indicated on the JFS 01276 "Health Training Documentation for Child Care," card or certificate provided by the training organization 4. Covers the following topics: • Abrasions, lacerations and bleeding, including nosebleed • Burns • Fainting • Poisoning, including swallowed, skin or eye contact and inhaled • Puncture wounds, including splinters • Injuries, including insect, animal and human bites • Poison control • Shock • Seizure care • Musculoskeletal injury (such as sprains, fractures) • Dental and mouth injuries/trauma • Head injuries, including shaken baby syndrome/abusive head trauma • Allergic reactions • Asthmatic reactions • Eye injuries • Loss of consciousness • Electric shock • Drowning • Heat-related injuries, including heat exhaustion/heat stroke • Cold related injuries, including frostbite • Moving and positioning injured/ill persons • Illness-related emergencies (such as stiff neck, inexplicable confusion, sudden onset of blood-red or purple rash, severe pain, temperature and looking/acting severely ill) • Standard Precautions Course Content for CPR 1. Follows a curriculum that is appropriate for the age and developmental levels of the children in care 2. Is valid for the number of years as indicated on the JFS 01276 "Health Training Documentation for Child Care," card or certificate provided by the training organization ourse Content for Management of Communicable Disease 1. Follows the curriculum prescribed by the Ohio Department of Job and Family Services (ODJFS) 2. Is valid for three years Health Training Approved Trainers First Aid Trainers 1. Currently certified first aid trainer 2. Licensed physician, physician assistant (PA), advanced practice registered nurse (APRN), certified nurse practitioner (CNP), or registered nurse (RN) 3. Emergency medical services instructor 4. Licensed athletic trainer CPR Trainers 1. Currently certified CPR instructor 2. Emergency medical service instructor (C)What verification is needed on file at the approved child day camp to document the completed training? (1)The health trainings shall be documented by one of the following: (a)Verification from the Ohio professional registry (OPR). (b)Training cards or certificates issued by the training organization. (c)The JFS 01276 "Health Training Documentation for Child Care" 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: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-12-10- A)What are the health training requirements for a child care center? (3) All child care staff members are to be currently trained in child abuse and neglect recognition and prevention. (a)Child abuse and neglect recognition and prevention training is to be completed within the first sixty days of hire. (b)Until all required individuals are current in the trainings, at a minimum, the center is to have at least one trained child care staff member on-site (in each building) during all hours of operation who meets this requirement. (4) Trainings shall meet course and trainer requirements in Appendix A to this rule. Appendix A Health Training Courses- Course Content for Child Abuse and Neglect Recognition and Prevention 1. The Ohio department of job and family services child abuse and neglect recognition and prevention training which is valid for two years, OR 2. Course created that covers all of the following topics which is valid for three years: • Ohio law and rules pertaining to child abuse and neglect, including definitions, reporting and confidentiality requirements and the requirement to report suspected abuse or neglect by child care staff members if observed or suspected • Physical and behavioral indicators of child abuse and neglect • Details on reporting, including penalty, immunity and how and to whom to report • Race, equity, and diversity including how implicit biases may impact reporting • The investigatory role of the children's protective services agency • The sharing of information and the role of law enforcement, licensing and the courts in reports of child abuse and neglect • Helping families who have occurrences of abuse or neglect • Prevention of child abuse and neglect in the center, including: staff supervision and training, policies and procedures and appropriate discipline ii. All CCDF-eligible licensed family child care homes. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101: 2-13-10 (A)What health training is required for a licensed family child care provider prior to licensure? The family child care provider is to complete the following: (3)Current training in one of the following child abuse and neglect recognition and prevention trainings: (a)Ohio department of job and family services (ODJFS) child abuse and neglect recognition and prevention training. (b)Child abuse and neglect recognition and prevention training as described in appendix A to this rule. (B)What health training is required for a licensed family child care provider once licensed? (2)Maintain current training in management of communicable disease and child abuse and neglect recognition and prevention. (C)What health training is required for a family child care staff member and a substitute child care staff member? (1)Prior to being left alone with children, but within the first ninety days of hire, all child care staff members shall complete and remain current in the following: (d) One of the following child abuse and neglect recognition and prevention trainings: (i)ODJFS child abuse and neglect recognition and prevention training. (ii)Child abuse and neglect recognition and prevention training as described in appendix A to this rule. (D)What are the requirements for the health trainings pursuant to paragraphs (A), (B) and (C) of this rule? (1)The trainings are to meet course and trainer requirements in Appendix A to this rule. Appendix A Health Training Courses- Course Content for Child Abuse and Neglect Recognition and Prevention 1. The Ohio department of job and family services child abuse and neglect recognition and prevention training which is valid for two years, OR 2. Course created that covers all of the following topics which is valid for three years: • Ohio law and rules pertaining to child abuse and neglect, including definitions, reporting and confidentiality requirements and the requirement to report suspected abuse or neglect by child care staff members if observed or suspected • Physical and behavioral indicators of child abuse and neglect • Details on reporting, including penalty, immunity and how and to whom to report • Race, equity, and diversity including how implicit biases may impact reporting • The investigatory role of the children's protective services agency • The sharing of information and the role of law enforcement, licensing and the courts in reports of child abuse and neglect • Helping families who have occurrences of abuse or neglect • Prevention of child abuse and neglect in the center, including: staff supervision and training, policies and procedures and appropriate discipline iii. All CCDF-eligible licensed in-home care. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-14-03 (A)What health training is to be completed before an in-home aide (IHA) may be certified? The IHA is to complete the following prior to certification: (3)Current training in one of the following child abuse and neglect recognition and prevention trainings: (a)Ohio department of job and family services (ODJFS) child abuse and neglect recognition and prevention training. (b)Child abuse and neglect recognition and prevention training as described in appendix A to this rule. (4)If the IHA meets the trainer requirements in Appendix A to this rule for a health training, the person is considered to meet the health training requirement for that health training, pursuant to paragraphs (A) and (B) of this rule. (B)What are the on-going health training requirements for a certified IHA? (2)Maintain current training in management of communicable diseases and child abuse and neglect recognition and prevention, as described in Appendix A to this rule. Appendix A Health Training Courses 5101:2-14-03 Course Content for Course Content for Child Abuse and Neglect Recognition and Prevention 1. The Ohio department of job and family services child abuse and neglect training which is valid for two years, OR 2. Course created that covers all the following topics which is valid for three years: ￿ Ohio law and rules pertaining to child abuse and neglect, including definitions, reporting and confidentiality requirements and the requirement to report suspected abuse or neglect by IHA if observed or suspected ￿ Physical and behavioral indicators of child abuse and neglect ￿ Details on reporting, including penalty, immunity and how and to whom to report. ￿ Race, equity and diversity including how implicit biases may impact reporting ￿ The investigatory role of the children's protective services agency ￿ The sharing of information and the role of law enforcement, licensing and the courts in reports of child abuse and neglect ￿ Helping families who have occurrences of abuse or neglect ￿ Prevention of child abuse and neglect in the child's home, including: ￿ IHA supervision and training, policies and procedures and appropriate discipline Health Training Approved Trainers 3. Current trainer employed by local health department Child Abuse and Neglect Recognition and Prevention Trainers 1. Authorized trainer for a public children services agency (PCSA) 2. Person with at least an associate degree in social work, child development or related field from accredited college and two years of experience professionally assessing Appendix A to Rule 5101:2-14-03 child abuse and neglect for a PCSA or an agency contracted by a PCSA or providing counseling to abused children or training others in child abuse prevention or the combination of experience and training 3. Licensed physician, PA, APRN, CNP, or RN with two years of experience professionally assessing child abuse and neglect or providing counseling to abused children or training others in child abuse prevention or the combination of experience and training [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-18-08 (A)What are the health training requirements for an approved child day camp? (3) All child day camp staff members are to be currently trained in child abuse and neglect recognition and prevention. The child abuse and neglect recognition and prevention training shall be completed within thirty days of hire. (a)If the child day camp provides training in child abuse and neglect recognition and prevention and meets the American camp association (ACA) requirements, it can be taken in place of the Ohio department of job and family (ODJFS) training. (b)Until all required individuals are current in this training, at a minimum, the child day camp is to have at least one trained child day camp staff member on-site (in each building or on the grounds) during all hours of operation who meets this requirement. (4)Trainings are to meet course and trainer requirements in Appendix A to this rule. (5)If a child day camp staff member meets the trainer requirements in Appendix A to this rule for a health training, that person is considered to meet the health training requirement for that health training pursuant to paragraphs (A)(1) and (A)(2) of this rule. Appendix A Appendix a Health Training Courses 5101:2-14-03 Course Content for Course Content for Child Abuse and Neglect Recognition and Prevention 1. The Ohio department of job and family services child abuse and neglect training which is valid for two years, OR 2. Course created that covers all the following topics which is valid for three years: ￿ Ohio law and rules pertaining to child abuse and neglect, including definitions, reporting and confidentiality requirements and the requirement to report suspected abuse or neglect by IHA if observed or suspected ￿ Physical and behavioral indicators of child abuse and neglect ￿ Details on reporting, including penalty, immunity and how and to whom to report. ￿ Race, equity and diversity including how implicit biases may impact reporting ￿ The investigatory role of the children's protective services agency ￿ The sharing of information and the role of law enforcement, licensing and the courts in reports of child abuse and neglect ￿ Helping families who have occurrences of abuse or neglect ￿ Prevention of child abuse and neglect in the child's home, including: ￿ IHA supervision and training, policies and procedures and appropriate discipline Health Training Approved Trainers 3. Current trainer employed by local health department Child Abuse and Neglect Recognition and Prevention Trainers 1. Authorized trainer for a public children services agency (PCSA) 2. Person with at least an associate degree in social work, child development or related field from accredited college and two years of experience professionally assessing Appendix A to Rule 5101:2-14-03 child abuse and neglect for a PCSA or an agency contracted by a PCSA or providing counseling to abused children or training others in child abuse prevention or the combination of experience and training 3. Licensed physician, PA, APRN, CNP, or RN with two years of experience professionally assessing child abuse and neglect or providing counseling to abused children or training others in child abuse prevention or the combination of experience and training Ohio Administrative Code (OAC) Rule 5101:2-18-09 (E)What are the child abuse and/or neglect reporting requirements? If the owner, administrator, employee or child day camp staff member suspects that a child has been abused or neglected, he or she shall immediately notify the public children services agency (PCSA). 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: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-12-19 (D)What are the child abuse and/or neglect reporting requirements? If the owner, administrator, employee or child care staff member suspects that a child has been abused or neglected, he or she shall immediately notify the Public Children Services Agency (PCSA). ODE Preschool Programs Ohio Administrative Code (OAC) Rule 3301-37-10 (11) A staff member who suspects that a child has been abused or neglected is to immediately notify the public children services agency and a serious incident report is to be completed and submitted to the department in accordance with section 2151.421 of the Revised Code. ii. All CCDF-eligible licensed family child care homes. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-13-19 D)What are the child abuse and/or neglect reporting requirements? If the provider, employee or child care staff member suspects that a child has been abused or neglected, he or she shall immediately notify the Public Children Services Agency (PCSA). iii. All CCDF-eligible licensed in-home care. Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-14-08 (E)What are the child abuse and neglect reporting requirements? If the IHA suspects that a child has been abused or neglected, the IHA is to immediately notify the Public Children Services Agency (PCSA). [ ] Not applicable. iv. All CCDF-eligible license-exempt center care. Provide the standard: NA v. All CCDF-eligible license-exempt family child care homes. Provide the standard: NA vi. All CCDF-eligible license-exempt in-home care. Provide the standard: NA vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps, day camps, etc.). Provide the standard: The following applies to all age groups, unless noted otherwise. Ohio Administrative Code (OAC) Rule 5101:2-18-09 (E)What are the child abuse and/or neglect reporting requirements? If the owner, administrator, employee or child day camp staff member suspects that a child has been abused or neglected, he or she shall immediately notify the Public Children Services Agency (PCSA). ODE School Age Programs Ohio Administrative Code (OAC) Rule 3301-32-10 (A) The program shall develop and maintain written program policies and procedures that are consistent with the policies and procedures of the school district board of education. Such written policies and procedures shall include, but not necessarily be limited to, the following: (21) Reporting child abuse or suspicions of child abuse or neglect as required by section 2151.421 of the Revised Code to the local children's protective service agency. The school child program shall neither abuse nor neglect children, but shall protect children from abuse or neglect while in the program's care; 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: The following applies to center based and family home child care and children of all ages: Ohio Administrative Code (OAC) Rule 5101:2-12-22 A)What are the requirements for meals and snacks in a licensed child care center? The center is to: (1)Serve varied, nutritious, and appropriately timed meals and snacks as described in Appendix A to this rule. (5)Serve only one hundred per cent, undiluted fruit or vegetable juice, if used to meet the fruit or vegetable requirement for meals and snacks. Other fruit or vegetable juice is permitted as a beverage alternative. (6)Ensure that supplemental food is on-site at the center and that no child goes more than four hours without at least a snack or meal, except when sleeping. Appendix A The content of meals, snacks and breakfast shall be selected from the following four basic food groups: 1. Meat or meat alternative 2. Breads and grains 3. Fruits and vegetables (juices may be used if 100% and undiluted) 4. Fluid Milk (see appendix C to rule 5101:2-13-22) Meal Requirements Meal-provide 1/3 of the recommended daily dietary allowances as specified by the United States Department of Agriculture USDA Food Groups- All of the following: • 1 serving of fluid milk • 1 serving of meat or meat alternative • 1 serving of fruit* • 1 serving of vegetables* • 1 serving of bread and grains Breakfast - 1 serving each from 3 of the 4 basic food groups Snack - 1 serving each from 2 of the 4 basic food groups A vegetable may be used to meet the entire fruit requirement. When two vegetables are served at lunch or dinner, two different kinds of vegetables are to be served. Appendix C - Fluid Milk Requirements for Children by Age The licensed family child care provider is to ensure that children are served fluid milk unless the parent provides written instructions by a licensed physician, physician's assistant (PA), advanced practice registered nurse (APRN) or certified nurse practitioner (CNP). Below is a list of age appropriate fluid milk selections that meet the ODJFS requirement for family child care homes. Infants up to twelve months of age - Formula • Breast milk Infants and toddlers twelve months of age up to twenty-four months of age - Unflavored whole homogenized vitamin D fortified cow's milk • Breast milk at parent's request, without written instructions from a licensed physician, PA, APRN, or CNP • Non-cow milk substitutions that are nutritionally equivalent to milk, with written parental consent Toddlers and children twenty-four months of age and older - Unflavored one percent milk that is vitamin A and D fortified • Unflavored fat free or skim milk that is vitamin A and D fortified • Non-cow milk substitutions that are nutritionally equivalent to milk, with written parental consent Note: The licensed family child care provider is not to use reconstituted dry powdered milk as a beverage unless the parent provides written instructions by a licensed physician, PA, APRN, or CNP. The following applies in in-home aide care and children of all ages Ohio Administrative Code (OAC) Rule 5101:2-14-11 Meal and Snack Requirements (A)What are the requirements for meals and snacks for a certified in-home aide (IHA)? The IHA is to: (1)Provide nutritious, varied and appropriately timed meals and snacks for all children in accordance with parent's wishes as described in Appendix A to this rule. (2)Serve food that is not a choking hazard, and that is developmentally appropriate in size, amount and texture. (3)Ensure that meals and snacks are served in the hours as described in Appendix A to this rule, except when sleeping. (4)Serve only one hundred percent, undiluted fruit or vegetable juice, if used to meet the fruit or vegetable requirement for meals and snacks. Other fruit or vegetable juice is permitted as a beverage alternative. Appendix A Meal-provide 1/3 of the recommended daily dietary allowances as specified by the United States Department of Agriculture USDA Food Groups- All of the following: • 1 serving of fluid milk • 1 serving of meat or meat alternative • 1 serving of fruit* • 1 serving of vegetables* • 1 serving of bread and grains Breakfast - 1 serving each from 3 of the 4 basic food groups Snack - 1 serving each from 2 of the 4 basic food groups A vegetable may be used to meet the entire fruit requirement. When two vegetables are served at lunch or dinner, two different kinds of vegetables are to be served. ii. Access to physical activity. Describe: The following applies to center based child care and children of all ages: Ohio Administrative Code (OAC) Rule 5101:2-12-11 (C)What are the on-site outdoor space requirements for a center? (1)The center shall have an on-site outdoor space that: (a)Provides at least sixty square feet of usable space per child using the area at one time. (f)Provides a shaded area. The shade may be naturally occurring from trees, building, or overhangs. The center may also install lawn umbrellas that are securely anchored or other structures that provide shade in a safe manner. (D)What are the exemptions for having an on-site outdoor space? (1)A center may be exempt if both of the following apply: (a)The center has an indoor recreation area that has a minimum of one thousand four hundred forty square feet of space that is separate from the indoor space required by this rule and is regularly available and scheduled for daily use. (b)There is a safe park or play area regularly available, scheduled for daily use in suitable weather and approved by the ODJFS. Access to this area shall be safe and convenient, and children shall be closely supervised during play and when going to and from the area. Ohio Administrative Code (OAC) Rule 5101:2-12-17 A)What are the programming requirements for a licensed child care center? The requirements include: (1)Posting the daily schedule for each age group in each classroom. (2)Providing opportunities for both quiet and active play suitable to the developmental levels and abilities of each child in care. (3)Providing activities to promote the children's physical, social-emotional, cognitive and language development. (5)Providing outdoor play in suitable weather for any infant over twelve months of age, toddler, preschool, and school-age child in attendance four or more consecutive daylight hours. Suitable weather is at a minimum of twenty-five to ninety degrees Fahrenheit. (6)Indoor gross motor play such as, climbing, jumping, running, riding wheel toys, yoga, other physical fitness or music and movement on days when outdoor play is not provided. The following applies to family child care homes and children of all ages Ohio Administrative Code (OAC) Rule 5101:2-13-11 (B)What are the outdoor space requirements for a licensed family child care home? (1)The home shall have an on-site outdoor space that: (a)Provides at least sixty square feet of usable space per child using the area at one time. C)What are the exemptions from having an on-site outdoor space? If an on-site play area is not available, a provider may use an off-site play area for daily use if it is determined, upon inspection by the provider and the county agency, that the area and its accessibility are safe. An off-site play area approved for regular use shall meet the same requirements as the on- site play areas listed in this rule. Ohio Administrative Code (OAC) Rule 5101:2-13-07 A)What are the programming requirements for a licensed family child care provider? The requirements include: (2)Providing opportunities for both quiet and active play suitable to the developmental levels and abilities of each child in care. (3)Providing activities to promote the children's physical, social-emotional, cognitive and language development. (5)Providing outdoor play in suitable weather. Suitable weather is at a minimum twenty-five to ninety degrees Fahrenheit. (a)For any infant over twelve months of age, toddler, preschool and school- age child in attendance four or more consecutive daylight hours. (b)If only one staff member is present and there is an infant under twelve months of age in care, the provider is exempt from this requirement. (6)Indoor gross motor play such as, climbing, jumping, running, riding wheel toys, yoga, other physical fitness or music and movement on days when outdoor play is not provided. iii. Caring for children with special needs. Describe: The following applies to center based child care and children of all ages: Ohio Administrative Code (OAC) Rule 5101:2-12-17 (A)What are the programming requirements for a licensed child care center? The requirements include: (2)Providing opportunities for both quiet and active play suitable to the developmental levels and abilities of each child in care. B)What materials and equipment are required for a licensed child care center? The center shall: (1)Provide durable furniture such as tables and chairs. This furniture shall be child sized or safely adapted for use by children. (2)Provide developmentally appropriate play materials to be used as part of the daily schedule. These materials shall be readily accessible, and arranged in an orderly manner so that children have opportunities to select, remove, and replace play materials with minimal assistance during the day. (a)The center shall have materials from each category in appendix A to this rule for infants, toddlers and preschool-age children. (b)The center shall have materials from at least five of the nine categories in appendix A to this rule for school-age children. (3)Ensure that equipment, materials, and furnishings provided for both indoor and outdoor play are: (a)Varied and adequate to meet the developmental needs of the children. (b)Sufficient in quantity that each child can be actively involved in an activity. Appendix A -Categories of Developmentally Appropriate Equipment and Materials. Infant • Pretend or dramatic play materials. • Manipulative materials and equipment. • Large blocks. • Language arts and auditory materials and equipment. • Music equipment. • Transportation materials and equipment. • Gross motor activities materials and equipment. • Sensory perceptual motor materials. Toddler and Preschool • Art supplies. • Manipulative materials and equipment. • Blocks. • Science-nature equipment. • Language arts and auditory materials and equipment. • Pretend or dramatic play materials. • Music equipment. • Transportation materials and equipment. • Gross motor equipment. • Sensory motor equipment. School-Age • Art supplies. • Manipulative materials and equipment. • Blocks. • Science-nature materials. • Language arts materials and equipment. • Pretend or dramatic play materials. • Music equipment. • Transportation materials and equipment. • Sports and gross motor equipment. The following applies to family childcare homes and children of all ages: Ohio Administrative Code (OAC) Rule 5101:2-13-17 (A)What are the programming requirements for a licensed family child care provider The requirements include: (2)Providing opportunities for both quiet and active play suitable to the developmental levels and abilities of each child in care. B)What materials and equipment are required for a licensed child care center? The family child care provider shall: (1)Provide durable furniture such as tables and chairs. This furniture shall be child sized or safely adapted for use by children. (2)Provide developmentally appropriate play materials to be used as part of the daily schedule. These materials shall be readily accessible and arranged in an orderly manner so that children have opportunities to select, remove, and replace play materials with minimal assistance during the day. (a)The family child care provider shall have materials from each category in appendix A to this rule for infants, toddlers and preschool-age children. (b)The family child care provider shall have materials from at least five of the nine categories in appendix A to this rule for school-age children. (3)Ensure that equipment, materials, and furnishings provided for both indoor and outdoor play are: (a)Varied and adequate to meet the developmental needs of the children. (b)Sufficient in quantity that each child can be actively involved in an activity. Appendix A -Categories of Developmentally Appropriate Equipment and Materials. Infant • Pretend or dramatic play materials. • Manipulative materials and equipment. • Large blocks. • Language arts and auditory materials and equipment. • Music equipment. • Transportation materials and equipment. • Gross motor activities materials and equipment. • Sensory perceptual motor materials. Toddler and Preschool • Art supplies. • Manipulative materials and equipment. • Blocks. • Science-nature equipment. • Language arts and auditory materials and equipment. • Pretend or dramatic play materials. • Music equipment. • Transportation materials and equipment. • Gross motor equipment. • Sensory motor equipment. School-Age • Art supplies. • Manipulative materials and equipment. • Blocks. • Science-nature materials. • Language arts materials and equipment. • Pretend or dramatic play materials. • Music equipment. • Transportation materials and equipment. • Sports and gross motor equipment. iv. Any other areas determined necessary to promote child development or to protect children’s health and safety. Describe: No