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
family child care provider?
The provider shall:
(1)Have a
completed JFS 01234 on file for each child in care
by the first day of attendance, including the provider's own children under the
age of six.
(2)Ensure the JFS
01234 is reviewed at least annually by the parent and updated as needed when
information changes. The parent and the provider 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 home 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
family child care provider?
(1)The provider
shall secure and have on file verification of a medical examination for each
child enrolled, including the provider's own
children. 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 home within thirty days of the child's first
day of attendance and shall be 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 specific health condition for a licensed family child care provider?
(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 provider 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 and
that only those staff members who have signed the JFS 01236 can care for the
child.
(ii)Review the JFS 01236 for completeness
and sign.
(iii)(c) 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 home for at least one year.
(vii)(d) 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 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 child care staff
members, if applicable. The parent and the provider shall initial and date the
form when the information is reviewed or updated.
(3)(4) The planJFS 01236 shall be on file with the provider by the
first day of attendance or upon confirmation of a health condition.
(4)(5) If the provider suspects that a child has a
health condition, the provider may require a physician's statement within a
designated timeframe.
(5)(6) The provider, and each child care
staff member, and
substitute including substitute child care staff
members, shall be trained by a parent or
certified professionalon the child's needs and
required procedures before being permitted to perform medical procedures
or other action needed for a health condition or special need.
(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 (ODJFS) and the county agency
for the purpose of administering Chapter 5104. of the Revised Code and Chapter
5101:2-13 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 by the provider?
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: 7/29/2021 and 10/29/2026
Certification: CERTIFIED ELECTRONICALLY
Date: 10/14/2021
Promulgated Under: 119.03
Statutory Authority: 5104.017, 5104.018
Rule Amplifies: 5104.017, 5104.018, 5104.0110
Prior Effective Dates: 01/01/1007, 04/01/1982, 05/20/1983,
09/01/1986, 09/05/1986, 02/15/1988, 05/01/1989, 10/01/1997 (Emer.), 12/30/1997,
04/01/2003, 07/01/2003, 08/14/2008, 02/01/2009, 12/01/2011, 01/01/2014,
12/31/2016