Appendix A – Handwashing
Appendix B - Caring for Sick
Children
Appendix C - First-Aid Kit Contents
(A)What are the
safe equipment and
sanitary environment and equipment requirements
for an in-home aide (IHA)?
(1)The in-home aide (IHA) shallIHA is
to provide a safe and healthy
environment in the home when children are present.
(2)The home is to be free of peeling or
chipping paint. If a potential lead hazard is identified, the IHA is to notify
the local health department and the county agency by the next business day.
(3)Cleaning and sanitizing equipment and
supplies are to be stored in a space that is inaccessible to children. Cleaning
agents, aerosol cans and all other chemical substances are to be stored in a
designated area in their original containers and/or clearly labeled.
(4)Accumulated trash and garbage are to be
stored outside of the indoor or outdoor play area and not accessible to the
children.
(5)Toilets are to be flushed after each
use.
(6)All weapons, including loaded and
unloaded firearms and ammunition are to be stored in a secure, safe, locked
environment inaccessible to children while in the care of the IHA at the home.
Weapons and firearms include air rifles, hunting slingshots and any other
projectile weapon.
(7)All alcohol, drugs, and household and
child medications are to be kept out of the reach of children while in the care
of the IHA at the home.
(8)Toys or other materials small enough to
be swallowed are to be kept out of the reach of infants and toddlers.
(9)Electrical outlets, including surge
protectors, within the reach of children are to have child proof receptacle
covers when not in use unless designed with safety guards. This requirement
does not apply if the child's home serves only school-age children.
(10) There is to be at least one underwriters
laboratories (UL) or factory mutual laboratories (FM) smoke detector located in
the basement and on each level of the home. The smoke detectors are to be
placed, installed, tested and maintained in accordance with manufacturer's
recommendations.
(11) There is to be at least one UL or FM
portable fire extinguisher in the home which is to have a minimum rating of
1A:10BC. If there is only one UL or FM portable fire extinguisher in the home
it is to be located in the kitchen of the home.
(12) The home is to have both hot and cold
running water. The temperature of the hot water is not to exceed one hundred
twenty degrees Fahrenheit unless the IHA demonstrates that the hot water faucet
can be made inaccessible or inoperable to the children in care.
(2)The IHA shall always be within sight or
hearing of each child in care.
(3)The IHA shall prepare a report to be
given to the child's parent on the day of the incident/injury/illness and kept
on file in the home using the JFS 01299 "Incident/Injury Report for Child
Care".
(4) The IHA is to log into
https://oclqs.force.com by the next business day to report the incident. This
notification does not replace reporting to the county children's protective
services agency if there are concerns of child abuse or neglect as required by
rule 5101:2-14-04 of the Administrative Code.
(a)Death of a child while in the care of
the IHA.
(b) An incident, injury or illness that
requires professional medical consultation or treatment for a child.
(c)An unusual or unexpected incident which
jeopardizes the safety of a child or IHA.
(5)Weapons, firearms and ammunition
materials shall be kept inaccessible to children, out of sight of children in
locked storage areas. Weapons and firearms include air rifles, hunting
slingshots and any other projectile weapon.
(6)Toys or other materials small enough to
be swallowed shall be kept out of the reach of infants and toddlers.
(7)Electrical outlets, including surge
protectors, within the reach of children shall have child proof receptacle
covers when not in use unless designed with safety guards. This requirement
does not apply if the child's home serves only school-age children.
(8)There shall be at least one underwriters
laboratories (UL) or factory mutual laboratories (FM) smoke detector located in
the basement and on each level of the home. The smoke detectors shall be
placed, installed, tested and maintained in accordance with manufacturer's
recommendations.
(9)There shall be at least one UL or FM
portable fire extinguisher in the home which shall have a minimum rating of
1A:10BC. At least one fire extinguisher shall be located in the kitchen of the
home.
(10) An unlocked, closed first-aid container
shall be on the premises and readily available to the IHA but shall be kept out
of reach of children. The first-aid container shall contain all of the items
listed on the JFS 01533 "In-Home Aide Inspection."
(B)What are the
handwashing requirements for a certified IHA and
children in care?
(1)Handwashing is to occur in a handwashing sink. The IHA and the children in care are to comply with the
following handwashing requirements:
(a)Handwashing is to occur in a handwashing
sink.
(b)If the handwashing sink is not of
suitable height for use by children, a sturdy, nonslip platform on which the
children may stand is to be provided.
(c)Handwashing is detailed in appendix A to
this rule.
(2)Handwashing requirements for the IHA and
children are detailed in appendix A to this rule.
(C)What are the communicable disease
requirements for a certified IHA?
(1)If the IHA cares for sick children, the
IHA is to follow the guidelines detailed in appendix B to this rule.
(2)The JFS 08087 "Communicable Disease
Chart" is to be readily available to the IHA, parents and residents.
(a)The IHA is to follow the reporting
requirements listed on the JFS 08087.
(b)If the communicable disease is to be
reported to the local health department, the IHA is to report the communicable
disease in the Ohio child licensing and quality system (OCLQS) by logging into
https://oclqs.force.com by the next business day pursuant to rule 5101:2-14-07
of the Administrative Code.
(D)What are the first aid requirements for
a certified IHA?
(1)An unlocked, closed first-aid container
is to be on premises and readily available to the IHA, but is to be kept out of
reach of children.
(2)The first-aid container is to contain
all of the items listed in appendix C to this rule.
(E)What are the specific procedures the IHA
needs to follow for standard precautions?
(1)Blood spills are to be treated
cautiously and decontaminated promptly. Disposable vinyl gloves are to be worn
during contact with blood or bodily fluids which contain blood, such as vomit
or feces in which blood can be seen.
(2)Surfaces contaminated with blood or
bodily fluids containing blood are to be first cleaned with hot, soapy water
and then sanitized with an appropriate bleach solution which is prepared on a
daily basis, according to product guidelines or other acceptable disinfectant
solution which is environmental protection agency (EPA) rated as hospital
disinfectant with a label claim for mycobactericidal activity.
(3)Materials that contain blood are to be
disposed in a sealable, leak-proof plastic bag or double bagged in plastic bags
that are securely tied.
(4)Non-disposable items, such as clothing
that contain blood, are to be placed in a sealable, leak proof plastic bag or
double bagged in plastic bags that are securely tied.
(5)Sharp items used for procedures on
children with special care needs, such as lancets for finger sticks or
syringes, require a disposable container called a "sharps container."
This is a container made of durable, rigid material which safely stores the
lancets or needles until they are disposed of properly. Sharps containers are
to be stored out of the reach of children.
(F)Are on-site pools allowed to be used at
a child's home?
(1)If the child's home has a swimming pool
located on the premises, the pool is to be made inaccessible to children who
are in care by a fence or other physical barrier (the locked house door is not
a sufficient barrier) that prevents children from accessing the water. A pool
is to meet at least one of the following barrier options:
(a)For in-ground or at ground level pool:
(i)A barrier that prevents a child from
going around, under or through to access the pool water and the means of access
to the pool (i.e. ladder, gate to deck) is secured, locked or removed to
prevent access to pool water.
(ii)A fence that is at least four feet tall
that separates the pool from the play area.
(iii)A secure cover that meets the following
standards:
(a)Inhibits access to
the pool water.
(b)Demonstrates an
opening is sufficiently small and strong enough to prevent an infant from
passing through.
(c)Is able to hold a
weight of at least four hundred eighty-five pounds.
(d)Has manufacture
safety label attached.
(e)Prevents water
collecting on the cover surface.
(b)For an above ground or above ground
level pool:
(i)A minimum of four feet walls (four feet
above ground level) that are non-climbable and non-inflatable and the means of
access to the pool (i.e. ladder, gate to deck) is secured, locked or removed to
prevent access to pool water.
(ii)A fence that is at least four feet tall
that separates the pool from the play area.
(iii)A secure cover that meets the following
standards:
(a)Inhibits access to
the pool water.
(b)Demonstrates an
opening is sufficiently small and strong enough to prevent an infant from
passing through.
(c)Is able to hold a
weight of at least four hundred eighty-five pounds.
(d)Has manufacture
safety label attached.
(e)Prevents water
collecting on the cover surface.
(2)The IHA is not to permit use of the pool
by children in care.
(G) What are the requirements for swimming
sites for the IHA and children in care?
(1)An approved off-site swimming site is to
meet all state and local guidelines for environmental health inspections.
Activities in bodies of water and more than eighteen inches in depth are to be
supervised by people who are currently certified lifeguards or water safety
instructors by the "American Red Cross" or an equivalent water safety
program, as determined by ODJFS.
(2)Pursuant to rule 5101:2-14-08 of the
Administrative Code, the IHA is to actively supervise children and is to be
able to clearly see all parts of the swimming area, including the bottom of the
pool. The provider is not to serve as a life guard.
(3)The use of saunas, hot tubs and spas by
children is prohibited and are to be inaccessible to them.
(4)Swimming in lakes, rivers, ponds, creeks
or other similar bodies of water is prohibited.
(5)Wading pools less than eighteen inches
in wall height are permitted regardless of the amount of water put into it.
(a)Wading pools are to be filtered or
emptied daily, and portable wading pools are to be disinfected daily or more
often if needed.
(b)The IHA is to supervise children at all
times while a wading pool is in use and is to be able to clearly see all parts
of the wading area.
(H)What are the requirements for parental
permission for water and swimming activities?
(1) The IHA is to have written permission
from the parent when water is directly accessible to children and for the
following activities:
(a)Before the child swims or plays in water
eighteen inches or more in depth.
(b)Before the child participates in
activities, in or on water eighteen inches or more in depth.
(c)Before infants and toddlers use wading
pools.
(2)Written parental permission is to be on
file for one year at the home. Written permission for on-going activities such
as wading pools is to be updated annually.
(I)What is to be included in the written
parental permission?
(1)Child's name and date of birth.
(2)Statement indicating whether the child
is a non-swimmer or capable of swimming.
(3)Location of the water activities or
swimming site by water of eighteen or more inches in depth.
(4)A signature and date from the parent
indicating permission for the activity.
(J)What are the regulations for pets in the
child's home?
(1)Pets and animals are to be permitted if
they present no apparent threat to the safety or health of the children.
(2)All pets are to be properly housed,
cared for, licensed and inoculated. All local and state ordinances governing
the keeping of animals (exotic or domesticated) are to be followed and updated
as required. Verification of license and compliance with local and state
requirements and inoculations, for each pet requiring such license or
inoculations, or regulated by local or state government is to be on file at the
child's home.
(3)The IHA is not permitted to bring their
own pet or animal to the child's home.
(C)What are the requirements to provide and
maintain a clean environment by the IHA?
(1)Cleaning and sanitizing equipment and
supplies shall be stored in a space that is inaccessible to children.
(2)Accumulated trash and garbage shall be
stored outside of the indoor or outdoor play area and shall not be accessible
to the children.
Effective: 11/12/2023
Five Year Review (FYR) Dates: 10/29/2026
Certification: CERTIFIED ELECTRONICALLY
Date: 11/02/2023
Promulgated Under: 119.03
Statutory Authority: 5104.019
Rule Amplifies: 5104.019
Prior Effective Dates: 04/01/1982, 05/20/1983, 10/01/1983,
09/01/1986, 02/15/1988, 05/01/1989, 07/01/1995, 03/15/1996, 10/15/1996,
10/01/1997 (Emer.), 12/30/1997, 01/01/2001, 04/01/2003, 08/14/2008, 08/03/2013,
01/01/2014, 12/31/2016, 10/29/2021