This letter transmits revised forms to be used by Child Care Centers and Type A Homes. As a result of the implementation of the Child Care Licensing Rules (OAC Chapter 5101:2-12) on April 1, 2003, the department determined that revisions to some of the Child Care forms are needed.
As referenced in CCMTL 52, child care centers needed to begin utilizing the Incident/Injury Report JFS 01299, Employee Record Chart JFS 01306, Sleep Position Waiver JFS 01235, First Aid Supplies JFS 01244, and Center Plan of Operation JFS 01250 (for initial licensure), as soon as they were received. Of the forms requiring immediate utilization, the Incident/Injury Report JFS 01299, Employee Record Chart JFS 01306 and First Aid Supply List JFS 01244 have been revised. Please begin using the copies of these forms received with this transmittal letter, revision date 7/03. The remaining forms, in order to provide for a transition period, should begin to be implemented as soon as possible upon receipt, with full implementation expected no later than December 31, 2003. Type A Homes forms will need to be utilized as of July 1, 2003, the effective date of the Type A Homes licensing rule revision.
The following tables outline the forms included in this mailing. The tables note sample forms and required forms that have been revised, the revision made to the form and implementation date.
Please contact the Child Care Licensing Section at (614) 466-3822, should you have any questions.
Revised REQUIRED Forms included in this mailing:
| Form Number | Name of Form | Revision | Implementation Date |
|---|
| JFS 01217 | Request for Administration of Medication (Centers and Type A Homes) | Box 2 - added licensed physician, licensed dentist or advance nurse practitioner certified to administer medicine | December 31, 2003 |
| JFS 01234 | Child Enrollment/Health Information (Enrollment, Health, ETA, Roster Permission) (Centers and Type A Homes) | Dentist - recommended for children over 18 months of age, Clarified - immunization records are not required to be on file for school children | December 31, 2003 |
| JFS 01244 | First Aid Supplies List (Centers and Type A Homes) | Updated and Revised - tooth saver is only required for programs serving school children | Immediate |
| JFS 01299 | Incident/Injury Report (Centers and Type A Homes) | Changed Rule reference numbers under Type of Incident/Injury/other | Immediate |
| JFS 01303 | Fire Inspection Report (Centers and Type A Homes) | Added space for Fire Inspector's phone number | December 31, 2003 |
| JFS 01306 | Employee Record Chart (Centers and Type A Homes) | Clarified - CPR expiration date is date to record on the chart | Immediate |
| JFS 01313 | Non Conviction Statement(Centers and Type A Homes) | Added check boxes to indicate Ohio Records check / FBI check requested to BCII | December 31, 2003 |
Revised SAMPLE Forms included in this mailing:
| Form Number | Name of Form | Revision | Implementation Date |
|---|
| JFS 01242 | Medical/Dental and General Emergency Plan (Centers and Type A Homes) | Revised formatting | Sample Form |
| JFS 01305 | Child's Medical Statement | Updated Immunization Record | Sample Form |
Instructions:
From Chapter 7 Forms and Pamphlets, please remove and file as obsolete the forms dated 4/2003 and replace with the enclosed forms dated. 7/2003.