Appendix A - List of COVID-19 Symptoms

(A)What are transitional pandemic requirements for a certified in-home aide?

Transitional pandemic requirements are requirements that are followed as Ohio transitions out of pandemic child care for the COVID-19 pandemic and back to certified in-home aide requirements.

(B)When does a certified in-home aide follow these requirements?

Certified in-home aides are to follow these requirements when the governor of Ohio declares a state of emergency for the COVID-19 pandemic and or directs ODJFS to issue transition requirements.

(C)What are the requirements for a transitional in-home aide?

The certified in-home aide is to follow all of the requirements of this chapter, with the following exceptions and additions:

(1)The certified in-home aide will follow all guidelines set by the governor of Ohio or the director of the Ohio department of health.

(2)The in-home aide will wash his or her hands with soap and water or hand-sanitizer at the following times:

(a)Upon arrival for the day, after breaks and upon returning from outside, and prior to leaving for the day.

(b)After caring for someone who is sick.

(c)After toileting or assisting a child with toileting.

(d)After blowing their nose, sneezing, or coughing.

(e)Before and after each diaper change or pull-up change.

(f)After contact with bodily fluids or cleaning up spills or objects contaminated with bodily fluids.

(g)After cleaning or sanitizing or using any chemical products.

(h)After handling pets, pet cages or other pet objects that have come in contact with the pet.

(i)Before and after eating, serving or preparing food or bottles or feeding a child.

(j)Before and after completing a medical procedure or administering medication.

(k)Before and after touching their face or handling their mask.

(l)When visibly soiled (use soap and water).

(3)Children in care will wash their hands with soap and water or hand-sanitizer (if twenty-four months or older) at the following times:

(a)After toileting/diaper change.

(b)After contact with bodily fluids.

(c)After blowing their nose, coughing or sneezing.

(d)After touching their face or handling their mask.

(e)After returning inside after outdoor play.

(f)After handling pets, pet cages or other pet objects that have come in contact with the pet before moving on to another activity.

(g)Before and after eating or assisting with food preparation.

(h)After water activities.

(i)When visibly soiled (use soap and water).

(4)The in-home aide will ensure that the children in care and all residents of the home are assessed for temperature and the symptoms listed in appendix A to this rule prior to or as soon as the in-home aide arrives each day. The in-home aide needs to be assessed for temperature and any of the symptoms listed in appendix A to this rule prior to going to the child's home.

(a)If the in-home aide, any children in care or any resident of the home in which care is provided has a temperature of one hundred degrees or higher:

(i)The in-home aide will stop providing care until the individual has been fever-free without the use of medication for at least twenty-four hours.

(ii)If the person had known contact with someone confirmed or suspected to have COVID-19, the in-home aide will stop providing care until the person completes isolation or quarantine protocols are completed in coordination with the local health department or in compliance with the Ohio department of health (ODH) and United States centers for disease control and prevention (CDC) guidelines.

(b)If the in-home aide, any children in care or any resident of the home in which care is provided has any of the symptoms listed in appendix A to this rule and has had known contact with someone confirmed or suspected to have COVID-19, the in-home aide will stop providing care until the person completes isolation or quarantine protocols in coordination with the local health department or in compliance with ODH and CDC guidelines.

(c)The requirements of this paragraph also apply to anyone whose symptoms are assessed after arrival.

(5)The in-home aide will wear a face covering while indoors, unless not medically appropriate. Face coverings cover the individual's nose and mouth.

(6)If the certified in-home aide or a child in the home tests positive for COVID-19, the in-home aide is to:

(a)Notify ODJFS by the next business day in the Ohio child licensing and quality system as a serious incident pursuant to rule 5101:2-14-05 of the Administrative Code.

(b)Notify the local health department by the next business day.

(c)Ensure that the person completes isolation or quarantine protocols for COVID-19 in coordination with the local health department or in compliance with ODH and CDC guidelines. Care may not resume until the isolation or quarantine is complete.

(D)How long is the transitional pandemic rule effective?

The transitional pandemic rule is valid until the governor of Ohio rescinds the state of emergency and or directs ODJFS to return to full certified in-home aide requirements.

Effective: 4/1/2021

Five Year Review (FYR) Dates: 04/01/2026

Certification: CERTIFIED ELECTRONICALLY

Date: 03/22/2021

Promulgated Under: 119.03

Statutory Authority: 5104.019

Rule Amplifies: 5104.019