Appendix A - Diseases for Immunizations
(A)What are the
requirements for the JFS 01234 "Child Enrollment and Health
Information" (rev. 12/2016) for a licensed
child care center?
The center shall:
(1)Have a
completed JFS 01234 on file for each child attending the
center 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.
(B)What are the child medical statement requirements for the children's medical statement for a licensed
child care center?
(1)The center
shall secure and have on file verification of a medical examination for each
child enrolled. Children who attend a grade of
kindergarten and above in an elementary school are exempt from this
requirement.
(2)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.
(3)The medical
statement shall 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)A statement
that the child has been examined and is in suitable condition for participation
in group care.
(d)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.
(e)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.
(f)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:
(i)A statement
from a physician, PA, APRN, or CNP that an immunization against the disease is
medically contraindicated for the child.
(ii)A statement
from a physician, PA, APRN, or CNP that an immunization against the disease is
not medically appropriate for the child's age.
(iii)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.
(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"
(rev. 12/2016) shallis 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.
(b)(c) Administering procedures which require staff
to be trained on those procedures.
(c)(d) Avoiding specific food(s), environmental
conditions or activities.
(d)(e) A school-age child to carry and administer
their own emergency medication.
(e)(2) The center shallis to:
(i)(a) Ensure the parent
completes and signs a JFS 01236that 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.
(ii)Review the JFS 01236 for completeness
and ensure the form is signed by the administrator or designee.
(iii)(d) Implement and follow all requirements of each
child's JFS 01236.
(iv)Update the JFS 01236 as needed and at
least annually.
(v)Ensure the JFS 01236 is signed by any
trained child care staff member who is providing care to the child.
(vi)Keep the completed JFS 01236 on file at
the center for at least one year.
(vii)(e) Maintain a current JFS
01236 for any child who requires one,Keep each
JFS 01236 in a location that can be easily and quickly accessed, and including being removed from the center if there is an
emergency that requires the children to be moved to another location.
(2)(3) The planJFS 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.
(3)(4) The planJFS 01236 shall be on file with the center by the first
day of attendance or upon confirmation of a health condition.
(4)(5) If the center suspects that a child has a
health condition, the center may require a physician's statement within a
designated timeframe.
(5)(6) Only staff members trained by the parent or a certified professionalon 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.
(6)There shall be a trained child care
staff member on-site at all times whenever a child who has a health condition
is present.
(D)What
information regarding children's records can be shared?
Children's records shall be confidential but shall be available
to the Ohio department of job and family services for the purpose of
administering Chapter 5104. of the Revised Code and Chapter 5101:2-12 of the
Administrative Code. The immunization records shall be subject to review by the
Ohio department of health (ODH) for disease outbreak control and for
immunization level assessment purposes.
(E)How long are child records to be kept on
file at the center?
All child medical statements, JFS 01217
"Request for Administration of Medication for Child Care," JFS 01234
and JFS 01236 as well as all written permission from parents or physicians are
to be kept on file for twelve months from the date the form is signed or
updated, whichever is later, even if the child no longer attends the program or
the form is no longer required for the child.
Effective: 10/29/2021
Five Year Review (FYR) Dates: 7/28/2021 and 10/29/2026
Certification: CERTIFIED ELECTRONICALLY
Date: 10/13/2021
Promulgated Under: 119.03
Statutory Authority: 5104.015
Rule Amplifies: 5104.015
Prior Effective Dates: 03/01/1981, 02/08/1982, 06/01/1984,
09/01/1986, 01/02/1992 (Emer.), 04/01/1992, 04/01/2003, 01/01/2007, 02/01/2009,
12/01/2011, 12/31/2016