Appendix A - First-AidKit Contents
Appendix B - Caringfor Sick Children
(A)What are themedical, dental, and general emergency requirements for a licensed child carecenter?
The center shall:
(1)Have a writtenplan for medical or dental emergencies on the JFS 01242 "Medical, Dentaland General Emergency Plan for Child Care." (rev. 12/2016). The plan shall be completed,implemented when necessary, and shall be posted, readily in view by each telephone and in each classroom and otherspaces used by the children.
(2)Complete theJFS 01201 "Dental First Aid" (rev. 12/2016)and post in a location readily available to center staff and parents.
(3)Post a fire and weather alert plan thatincludes the details listed in paragraph (H) of this rule and a fire plan ineach classroom and other spaces used by the children. The plan shall include adiagram indicating evacuation routes.
(4)Conduct monthlyfire drills at varying times. Written documentation of these drills shall bekept on-site.
(5)Conduct monthlyweather emergency drills in the months March through September. Writtendocumentation of these drills shall be kept on-site.
(6)Conduct quarterly emergency/lockdown drills in each quarter of the calendar year. Written documentationof these drills shall be kept on-site.
(B)What are thefirst aid kit requirements for a licensed child care center?
(1)The first aidkit shall be kept in a clearly marked, unlocked container out of the reach ofchildren.
(2)One completekit shall be readily available for every seventy-five children at the center and be kept out of the reach of children. Centers thatoperate on separate floors or separate buildings shall have a complete kit oneach floor and in each building.
(3)The first-aidcontainer shall contain all of the items listed in appendix A to this rule.
(4)First aid supplies shall be replaced asthey are used, expired, damaged or if sterile packages are opened.
(C)What are thespecific procedures the licensed child care center needs to follow for standardprecautions?
(1)Blood spillsshall be treated cautiously and decontaminated promptly. Disposable vinylgloves shall be worn during contact with blood or bodily fluids which containblood, such as vomit or feces in which blood can be seen.
(2)Surfacescontaminated with blood or bodily fluids containing blood shall first becleaned with hot, soapy water and then sanitized with an appropriate bleachsolution which is prepared on a daily basis, according to product guidelines,or other acceptable disinfectant solution which is environmental protectionagency (EPA) rated as hospital disinfectant with a label claim formycobactericidal activity.
(3)Disposal ofmaterials that contain blood requires a sealable, leakproof plastic bag ordouble bagging in plastic bags that are securely tied.
(4)Non-disposableitems, such as clothing that contain blood, shall be placed in a sealable,leakproof plastic bag or double bagged in plastic bags that are securely tiedand sent home with the child.
(5)Sharp itemsused for procedures on children with special care needs, such as lancets forfinger sticks or syringes, require a disposable container called a "sharpscontainer." This is a container made out of durable, rigid material whichsafely stores the lancets or needles until they aredisposed of properlythe parent can take them homefor disposal. Sharps containers must be stored out of the reach ofchildren.
(D)What are thecommunicable disease requirements for a licensed child care center?
(1)Any childenrolled and attending the center with signs or symptoms of illness listed inappendix B to this rule shall be immediately isolated and discharged to hisparent or guardian or person designated by the parent or guardian.
(2)The JFS 08087"Communicable Disease Chart" (rev. 12/2016)shall be posted in a location readily available to parents, child care staffmembers and employees. The chart is to be displayed inthe size available in the Ohio department of job and family services (ODJFS)forms central in order for individuals to easily read, identify and respondsubstitutes for use in identifying and responding tocommunicable diseases.
(a)The center is to follow the requirementslisted on the JFS 08087.
(b)If the communicable disease is requiredto be reported to the local health department, the center is to report thecommunicable disease to ODJFS in accordance with paragraph (G) of this rule bythe end of the next business day.
(3)A child isolated due to suspectedcommunicable disease shall be:
(a)Within sight and hearing of a staffmember at all times.
(b)Cared for in another room or portion ofa room away from other children.
(c)Provided with a cot or mat, ifnecessary and made comfortable. After use, the cot or mat shall be sanitizedwith an appropriate sanitizer, or if soiled with blood, feces, vomit or otherbody fluids, the cot or mat shall be cleaned with hot soapy water anddisinfected with an environmental protection agency (EPA) registered productrated as hospital disinfectant with a label claim for mycobactericidalactivity.
(4)(3) No later than the end of the next businessday, the center shall notify parents when their child has been exposed to acommunicable disease listed on the JFS 08087.
(5)(4) The center shall release employees and childcare staff members who have a communicable disease or who are unable to performtheir duties due to illness.
(E)When shall achild care staff member complete the JFS 01299 "Incident/Injury Report forChild Care" (rev. 12/2016)?
(1)Staff shallcomplete the JFS 01299 and provide a copy to the child's parent or the personpicking up the child on the day of the incident or injury if:
(a)A child becomesill and requires first aid or receives an injurywhich requires first aid treatment.
(b)A child istransported in accordance with this rule to a source of emergency assistance.
(c)A childreceives a bump or blow to the head.
(d)An unusual orunexpected incident occurs which jeopardizes the safety of a child or employeeof a center, such as a child leaving the center unattended, a vehicle accidentwith or without injuries or exposure of children to a threatening person orsituation.
(2)Copies of theJFS 01299 shall be kept on file at the center for at least one year and shallbe available for review by the Ohio department of job and family services(ODJFS).
(F)What is aserious incident?
(1)Death of achild at the center.
(2)A child receives a bump or blow to thehead that requires first aid or medical attention.
(3)(2) An incident, injury, or illness that requires a child to beremoved by the parent or emergency services from the center for professional medical consultationor treatment, professional consultationfor a childor transportation foremergency treatment.
(a)If a child is transported for emergencytreatment the child's health and medical records required by rule 5101:2-12-15of the Administrative Code shall accompany the child.
(b)The center administrator or a child carestaff member shall stay with the child until the parent assumes responsibilityfor the child's care.
(4)(3) An unusual or unexpected incident whichjeopardizes the safety of a child, child care staffmember or employee of a center.
(5)(4) An incident defined as a serious risk noncompliancenon-compliancein appendix A to rule 5101:2-12-03 of the Administrative Code.
(G)What does thecenter do if there is a serious incident?
(1)The centershall log in to http://oclqs.force.com by the next business day to report theincident, as defined in paragraph (F) of this rule, andcomplete the JFS 01156 "Serious Incident Reporting for Child Care"(rev. 10/2017).
(2)Thisnotification does not replace reporting to the public children services agency(PCSA) if there are concerns of child abuse and neglect as required by rule5101:2-12-19 of the Administrative Code.
(3)The center mayprint the completed serious incident report in OCLQSJFS 01156 and give to the parent to meet the parentnotification requirements of paragraph (E) of this rule.
(4)If a child is transported by anyoneother than a parent for emergency treatment, the child's health and medicalrecords required by rule 5101:2-12-15 of the Administrative Code are toaccompany the child. The center administrator or a child care staff member isto stay with the child until the parent assumes responsibility for the child'scare.
(H)What are thedisaster plan requirements for a center?
The center shall develop a writtendisaster plan and make it available to all child care staff members andemployees. The center is to develop a writtendisaster plan and train child care staff members and employees on the planannually. Written documentation of this training is to be kept on-site.
(1)The plan shallinclude procedures that will be used to prepare for and respond to thefollowing types of emergency or disaster situations:
(a)Weatheremergencies and natural disasters which include severe thunderstorms,tornadoes, flash flooding, major snowfall, blizzards, ice storms orearthquakes.
(b)Emergencyoutdoor or indoor lockdown or evacuation due to threats of violence whichincludes active shooter, bioterrorism or terrorism.
(c)Emergency ordisaster evacuations due to hazardous materials and spills, gas leaks or bombthreats.
(d)Outbreaks,epidemics or other infectious disease emergencies.
(e)Loss of power,water or heat.
(f)Otherthreatening situations that may pose a health or safety hazard to the childrenin the center.
(2)The disasterplan shallis toinclude details for:
(a)Shelter inplace or evacuation, how the center will care for and account for the childrenuntil they can be reunited with the parent.
(b)Assistinginfants and children with special needs and/or health conditions.
(c)Reunificationwith parents.
(i)Emergencycontact information for the parents and the center.
(ii)Proceduresfor notifying and communicating with parents regarding the location of thechildren if evacuated.
(iii)Proceduresfor communicating with parents during loss of communications, no phone orinternet service available.
(d)The location ofsupplies and procedures for gathering necessary supplies for staff and childrenif required to shelter in place.
(e)What to do if adisaster occurs during the transport of children or when on a field trip orroutine trip.
(f)Making the plan available to all childcare staff members and employees.
(f)(g) Training of staff or reassignment of staffduties as appropriate.
(g)(h) Updating the plan on a yearly basis.
(h)(i) Contact with local emergency managementofficials.
Effective: 10/29/2021
Five Year Review (FYR) Dates: 7/28/2021 and 10/29/2026
Certification: CERTIFIED ELECTRONICALLY
Date: 10/05/2021
Promulgated Under: 119.03
Statutory Authority: 5104.015
Rule Amplifies: 5104.015
Prior Effective Dates: 03/01/1981, 09/01/1986, 01/02/1992(Emer.), 04/01/1992, 04/01/2003, 01/01/2007, 06/01/2007, 12/01/2011,12/31/2016, 10/29/2017
