** Archive **
CCMPL 19 (Forms for Licensed Child Care Centers and Type A Homes)
Child Care Manual Procedure Letter No. 19
April 2, 2007
TO: ALL CHILD CARE MANUAL HOLDERS
FROM: Helen E. Jones-Kelley, Director
SUBJECT: Form Revisions for Licensed Child Care Centers and Type A Homes

Recent changes in child care licensing rules, effective January 1, 2007, were the result of the department's rule review process that requires all rules to be reviewed at least every five years. Forms that were affected by these rule changes have been revised to meet the new rule requirements. Changes have been made to the prescribed and sample forms referenced in this letter. These forms are to assist providers in meeting the requirements of rules in Chapters 5101:2-12 and 5101:2-13 of the Administrative Code. Effective immediately the prescribed forms that are contained in this letter must be used in child care centers and type A homes.

All of these forms will be available online in a PDF format. They may be downloaded and many of them will be able to be completed electronically. The forms may also be printed, copied and completed by hand. All previous versions of these forms are obsolete and should be removed from the manual.

The following lists prescribed and sample forms that have been amended. Forms that are identified as reference guides are also included.

PRESCRIBED FORMS - These forms must be used by all centers and type A homes in order to comply with the requirements of the child care licensing rules.

JFS 01210 Application for Child Care License has been revised for minor formatting purposes. This form is not available on the internet. Licensing field offices will continue to send providers this form for a new license and at the time of the license renewal process.

JFS 01235 Sleep Position Waiver Statement for Child Care Centers and Type A Homes has been revised to require sleep position instructions and the signature of a physician in order for an infant to be put to sleep in a position other than the required position on the back.

JFS 01247 Compliance Report has been revised to address rule revisions. This is the paper version of the child care center inspection report. Centers may use the information on this form to assess their compliance with licensing rules.

JFS 01250 Plan of Operation for a Child Care Center has been revised to meet the requirements of the rules effective January 1, 2007. This form is required only for applicants seeking to open a child care center.

JFS 01281 Child Care Playground Inspection Report has been revised to specify that the report must be done quarterly. Center administrators must use this form to complete and record quarterly inspections of playgrounds. This record must be maintained on file for one year.

JFS 01295 Complaint Report has been revised to reflect the correct rule numbers that became effective January 1, 2007. This form is used by department staff when a complaint is received. Child care providers do not need to print or use this form.

JFS 01310 Required Staff/Child Ratios for Child Care Centers has been amended to correct the revision date on the form. March 2006 is the correct date. All content remains the same. Effective January 1, 2007 this form must be posted outside all child care classrooms and areas.

SAMPLE FORMS - Providers may choose to use these forms. These are not required, but the content of the form meets the requirements of the child care licensing rules.

JFS 01225Routine Trip Permission Form has been revised to meet the requirements of the rules effective January 1, 2007.

JFS 01226Field Trip Permission Form has been revised to meet the requirements of the rules effective January 1, 2007.

JFS 01227 Permission to Participate in Swimming Activities has been revised to meet the requirements of the rules effective January 1, 2007.

REFERENCE GUIDES - Reference guides present information and suggestions for best practices and procedures. These guides are not to be used in place of rules.

JFS 01209 Type A Home Licensing Information Letter has been revised to reflect the requirements for the rules effective January 1, 2007. This is a letter sent to those interested in obtaining a type A home license. This form is a reference guide.

JFS 01213 Guidelines for Transportation/Field Trip Safety has been revised to reflect the requirements for the rules effective January 1, 2007. This form is a reference guide.

JFS 01219 Child Care Staff Member and Employee Requirements for Rule 25 and Rule 26 has been revised to clarify the information each person at the center is required to have on file and available for review. This form is a reference guide.

JFS 01260 Diaper Changing Instructions for Child Care has been revised to meet the requirements of the rules effective January 1, 2007. This form is a reference guide.

JFS 01267 Transportation/Field Trip Ratio/Second Adult Requirements has been revised to reflect the requirements for the rules effective January 1, 2007. This form is a reference guide.

JFS 01269 Handwashing Procedures for Child Care has been revised to include the requirement for liquid soap and the additional times that handwashing is required for staff and children. This form is a reference guide.

Forms to Obsolete - If a paper copy of the Child Care Manual is maintained, remove these forms from the manual and destroy them. These forms may no longer be used.

JFS 08084Ohio Employer Tool Kit for Child Care

JFS 01207Cleaning Requirements for Child Care Centers

JFS 01650Type B Family Day Care Home Provisional Limited Certificate

JFS 01651Type B Family Day Care Home Limited Certificate

JFS 01940First Aid Guide

JFS 01993Growth Chart

The electronic version of the Child Care Manual is located at:

http://emanuals.jfs.ohio.gov. The manual contains all rules, forms, transmittal letters and procedure letters that the department has issued to child care providers. A current version of this manual should be utilized by staff in all licensed child care centers and type A homes. A current and updated copy of the manual should be accessible to staff at all times in the center or type A home.

Forms can be located at: http://www.odjfs.state.oh.us/forms/inter.asp. The department will notify all licensed centers and type A homes when forms are changed and the date of the change. When forms are obsolete they should no longer be used. The old version of the form should be removed and replaced with the new one. The use of current forms is necessary in order to be in compliance with child care licensing rules.

Please contact the Help Desk for the Office for Children and Families at 1-866-886-3537, option 4 if you have any questions.

INSTRUCTIONS:The following chart identifies the material that needs to be removed from and inserted into the Child Care Manual (CCM).

LOCATIONREMOVE AND FILE AS OBSOLETEINSERT/REPLACE
CCM Procedure Letters  CCM Procedure Letter No. 19
Child Care Manual Appendix JFS 01210 (9/2006)JFS 01210 (rev. 2/2007)
 JFS 01235 (rev. 9/2006)JFS 01235 (rev. 3/2007)
 JFS 01250 (rev. 9/2006)JFS 01250 (rev. 1/2007)
  JFS 01281 (1/2007)
 JFS 01295 (rev. 12/2001)JFS 01295 (rev. 3/2007)
 JFS 01310 (9/2006)JFS 01310 (rev. 3/2006)
 JFS 01209 (rev. 9/2006)JFS 01209 (rev. 1/2007)
 JFS 01213 (rev. 9/2006)JFS 01213 (rev. 1/2007)
 JFS 01219 (rev. 9/2006)JFS 01219 (rev. 3/2007)
 JFS 01225 (rev. 9/2006)JFS 01225 (rev. 1/2007)
 JFS 01226 (rev. 9/2006)JFS 01226 (rev. 1/2007)
 JFS 01227 (rev. 9/2006)JFS 01227 (rev. 1/2007)
 JFS 01247 (rev. 4/2003)JFS 01247 (rev. 1/2007)
 JFS 01260 (rev. 9/2006)JFS 01260 (rev. 1/2007)
 JFS 01267 (rev. 9/2006)JFS 01267 (rev. 1/2007)
 JFS 01269 (rev. 9/2006)JFS 01269 (rev. 1/2007)
Obsolete - No Replacement JFS 01207 (rev. 9/2006) 
 JFS 01650 (Rev.10/1991) 
 JFS 01651 (Rev.10/1991) 
 JFS 01940 (Rev.11/2001) 
 JFS 01993 (rev. 5/2004) 
 JFS 08084 (rev. 4/2002)