Appendix A - Allowable
Discipline Techniques
Appendix B - Diseases
for Immunizations
(A)What written policies and procedures shall be followed by
the in-home aide (IHA)?
The IHA shall is to:
(1)Not smoke in any areas of the home where when child care is being provided.
(2)Not be under
the influence of any substance that impairs the IHA's ability to perform duties supervise
children who are present.
(3)Have immediate
access at all times to a working telephone on the premises that is capable of
receiving incoming calls and making outgoing calls.
(4)Have children
nap/sleep in their own beds or cribs.
(5)Have infants
placed on their backs to sleep.
(6)Provide daily
outdoor play, weather permitting.
(7)Identify and protect children from vehicular
traffic.
(7)(8) Not prop bottles.
(8)(9) Store formula/breast milk in accordance with
the JFS 01642 "In-Home Aide Assurances" (rev.
10/2017).
(9)(10)Base toilet training on the child's
readiness, and in consultation with the parent.
(10)(11)Not leave children unattended when
transporting children in a vehicle and shall have signed permission forms to
transport children on a routine basis or for field trips. The permission form
will include.:
(a)Child's name.
(b)Destination.
(c)Date of
trip(s).
(d)Time and
duration of the field trip.
(e)Parent's
signature and date.
(11)(12)Provide nutritious, varied and
appropriately timed meals and snacks for all children in accordance with the
parent's wishes.
(12)(13)Immediately notify the public children
services agency (PCSA) if the IHA suspects that a child has been abused or
neglected.
(13)(14)Contact the county agency by the next
business day if the IHA discontinues caring for children.
(14)(15)Conduct monthly an annual fire drilldrills. Written documentation of this drill shall be
kept on-site.
(16) Provide information on formal screenings
and assessments completed by the IHA.
(17) Cooperate with other government agencies
as necessary to maintain compliance with Chapter 5101:2-14 of the
Administrative Code.
(B)What child
guidance techniques shall be used by the IHA?
The IHA shall follow appendix A to this rule regarding guidance
techniques to be used with children.
(C)What records
shall be kept by the IHA?
(1)The IHA shall
have the JFS 01234 "Child Enrollment and Health Information for Child
Care" (rev. 12/2016) on file for all of the
children in care by the first day of care, including any child of the IHA. This
record shall be reviewed at least and updated annually by the parent and updated as needed when information changes. Each
IHA will set a policy regarding whether to provide child care services to
children whose parents refuse to grant consent for transportation to the source
of emergency treatment.
(2)The IHA shall
have verification of a medical exam on file for each child in care, including
any child of the IHA. Children who attend a grade of kindergarten and above in
an elementary school are exempt from this requirement.
(a)The medical
statement shall be on file at the home within thirty days of the child's first
day of care and shall be updated every thirteen months thereafter from the date
of the examination.
(b)The medical
statement shall contain the following information:
(i)The child's
name and birth date.
(ii)The date of
the medical examination is to be no more than thirteen
months prior to the date the form is signed.
(iii)The
signature, business address and telephone number of the licensed
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.
(iv)A record of the immunizations on file within
thirty days of the child's first day of attendance, if a child is not enrolled
in a public or nonpublic school. This record may be an attachment to the
medical statement and is to contain the following information: 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)The child's name
and birth date.
(b)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 B to this rule.
(v)If a child has not received an
immunization(s) to prevent a disease on the appendix of 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.
(v)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 divison 5104.014 of the Revised Code
and found in appendix B to this rule. A child is not required to be immunized
against a disease specified in appendix B to this rule if the medical statement
includes any of the following:
(a)A statement from a
physician, PA, APRN, or CNP that an immunization against the disease is
medically contraindicated for the child.
(b)A statement from a
physician, PA, APRN, or CNP that an immunization against the disease is not
medically appropriate for the child's age.
(c)A statement from
the child's parent or guardian that he or she has declined to have the child immunized
against the disease for reasons of conscience, including religious convictions.
(3)If a special
need or health condition is known or suspected, the IHA shall require the
parent to complete the JFS 01236 "Medical/Physical Care Plan for Child
Care" (rev. 12/2016). The IHA shall review
the information, assure that he or she understands the plan, receive training
if required, have the form signed as needed and maintain a copy in the child's
file.
(a)The JFS 01236
shall be used for children with a condition or diagnosis that require the
following:
(i)Monitoring
the child for symptoms which require the IHA to take action.
(ii)Administering
procedures which require the IHA to be trained on those procedures.
(iii)Avoiding
specific food(s), environmental conditions or activities.
(iv)A school-age
child to carry and administer their own emergency medication.
(b)The IHA shall:
(i)Complete with the parent a JFS 01236 for each condition per
child.Ensure the parent completes and signs a JFS
01236 for each condition per child.
(ii)Keep the
completed JFS 01236 on file for at least one year.
(iii)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, including being and removed from the home if there is an emergency that
requires the child or children to be moved to
another location or transported on a routine basis or
for field trips.
(c)The plan shall
be reviewed by the parent at least annually and updated as needed.
(4)The IHA shall
maintain daily written attendance records, indicating the hours of care
provided for each child.
(5)Prior to
administering any nonprescription or prescription medication, the IHA shall
have written permission of the parent and physician as required, using the JFS
01217 "Request for Administration of Medication for Child Care" (rev. 12/2016).
(a)When giving
prescription medicinemedication,
the IHA shall ensure the bottle has the child's full name
on it, the dosage and the name of the doctor physician who prescribed the medicinemedication.
(b)The IHA shall
ensure that when dispensing prescription medications to a child that the
instructions of the physician who prescribed the medication are followed.
(D)What are the
disaster plan requirements for a licensed family child
care certified IHA provider?
The IHA shall is to develop a written disaster plan that is dated and reviewed with the parent at least annually:.
(1)The plan shall
include procedures that will be used to prepare for and respond to the
following types of emergency or disaster situations:
(a)Weather
emergencies and natural disasters which include severe thunderstorms,
tornadoes, flash flooding, major snowfall, blizzards, ice storms or earthquakes.
(b)Conduct monthly weather emergency drills
in the months of March through September. Written documentation of these drills
is to be kept on-site.
(b)(c) Emergency outdoor or indoor lockdown or
evacuation due to threats of violence which includes active shooter,
bioterrorism or terrorism.
(c)(d) Emergency or disaster evacuations due to
hazardous materials and spills, gas leaks or bomb threats.
(d)(e) Outbreaks, epidemics or other infectious
disease emergencies.
(e)(f) Loss of power, water or heat.
(f)(g) Other threatening situations that may pose a
health or safety hazard to the children in the home.
(2)The disaster
plan shall include details for:
(a)Shelter in
place or evacuation, including how the IHA will
care for and account for the children until they can be reunited with the
parent.
(b)Assisting
infants and children with special needs and/or health conditions.
(c)Reunification
with parents.
(i)Emergency
contact information for the parents and the IHA.
(ii)Procedures
for notifying and communicating with parents regarding the location of the
children if evacuated.
(iii)Procedures
for communicating with parents during loss of communications, no phone or
internet service available.
(d)The location of
supplies and procedures for gathering necessary supplies for children if
required to shelter in place.
(e)What to do if a
disaster occurs during the transport of children or when on a field trip or
routine trip.
(f)Training of
staff or reassignment of staff duties as appropriate.
(g)Updating the
plan on a yearly basis.
(h)Contact with
local emergency management officials.
(E)The IHA may submit a written request for a county appeal
review to the county agency, pursuant to rule 5101:2-14-07 of the
Administrative Code, no later than fifteen calendar days after the mailing date
of a county agency notification of a proposed adverse action for any of the
following adverse actions proposed by the county agencyIf a county agency proposes any of the following adverse
actions pursuant to Chapter 5101:2-14 or rule 5101:2-16-11 of the
Administrative Code, the IHA may submit a written request for a county review
to the county agency no later than fifteen calendar days after the mailing date
of the county agency's notification:
(1)Denial of an
application for certification.
(2)A decision made
on an inspection or complaint investigation.
(3)Proposal to
revoke a certificate.
(4)Notice that a
certificate will not be renewed.
(5)Notification of
action to recover an overpayment.
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: 5104.019
Rule Amplifies: 5104.019
Prior Effective Dates: 04/01/1982, 05/20/1983, 09/01/1986,
02/15/1988, 05/01/1989, 10/15/1996, 10/01/1997 (Emer.), 12/30/1997, 04/01/2003,
08/14/2008, 12/01/2009, 07/01/2011, 01/01/2014, 12/31/2016, 10/29/2017