Appendix A -First-Aid Kit Contents
Appendix B -Caring for Sick Children
(A) What are the
medical, dental, and general emergency requirements for a licensed child care
center?
The center shall:
(1) Have a written
plan for medical or dental emergencies on the JFS 01242 "Medical, Dental
and General Emergency Plan for Child Care"
(rev. 12/2016). The plan shall be completed, implemented when necessary, and
shall be posted, readily in view by each telephone and in each classroom and
other spaces used by the children.
(2) Complete the
JFS 01201 "Dental First Aid" (rev. 12/2016) and post in a location
readily available to center staff and parents.
(3) Post a fire
and weather alert plan in each classroom and other spaces used by the children.
The plan shall include a diagram indicating evacuation routes.
(4) Conduct
monthly fire drills at varying times. Written documentation of these drills
shall be kept on-site.
(5) Conduct
monthly weather emergency drills in the months March through September. Written
documentation of these drills shall be kept on-site.
(6) Conduct
quarterly emergency/lockdown drills. Written documentation of these drills
shall be kept on-site.
(B) What are the
first aid kit requirements for a licensed child care center?
(1) The first aid
kit shall be kept in a clearly marked, unlocked container out of the reach of
children.
(2) One complete
kit shall be readily available for every seventy-five children at the center
and be kept out of the reach of children. Centers that operate on separate
floors or separate buildings shall have a complete kit on each floor and in
each building.
(3) The first-aid
container shall contain all of the items listed in appendix A to this rule.
(4) First aid
supplies shall be replaced as they are used, expired, damaged or if sterile
packages are opened.
(C) What are the
specific procedures the licensed child care center needs to follow for standard
precautions?
(1) Blood spills
shall be treated cautiously and decontaminated promptly. Disposable vinyl
gloves shall 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 shall first be
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) Disposal of
materials that contain blood requires a sealable, leakproof plastic bag or
double bagging in plastic bags that are securely tied.
(4) Non-disposable
items, such as clothing that contain blood, shall be placed in a sealable,
leakproof plastic bag or double bagged in plastic bags that are securely tied
and sent home with the child.
(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 out of durable, rigid material which
safely stores the lancets or needles until the parent can take them home for
disposal. Sharps containers must be stored out of the reach of children.
(D) What are the
communicable disease requirements for a licensed child care center?
(1) Any child
enrolled and attending the center with signs or symptoms of illness listed in
appendix B to this rule shall be immediately isolated and discharged to his
parent or guardian or person designated by the parent or guardian.
(2) The JFS 08087
"Communicable Disease Chart" (rev. 12/2016) shall be posted in a
location readily available to parents, child care staff members and substitutes
for use in identifying and responding to communicable diseases.
(3) A child
isolated due to suspected communicable disease shall be:
(a) Within sight
and hearing of a staff member at all times.
(b) Cared for in
another room or portion of a room away from other children.
(c) Provided with
a cot or mat, if necessary and made comfortable. After use, the cot or mat
shall be sanitized with an appropriate sanitizer, or if soiled with blood,
feces, vomit or other body fluids, the cot or mat shall be cleaned with hot
soapy water and disinfected with an environmental protection agency (EPA)
registered product rated as hospital disinfectant with a label claim for
mycobactericidal activity.
(4) No later than
the end of the next business day, the center shall notify parents when their
child has been exposed to a communicable disease listed on the JFS 08087.
(5) The center
shall release employees and child care staff members who have a communicable
disease or who are unable to perform their duties due to illness.
(E) When shall a
child care staff member complete the JFS 01299 "Incident/Injury Report for Child Care" (rev. 12/2016)?
(1) Staff shall
complete the JFS 01299 and provide a copy to the child's parent or the person
picking up the child on the day of the incident or injury if:
(a) A child
becomes ill and requires first aid or receives an injury which requires first
aid treatment.
(b) A child is
transported in accordance with this rule to a source of emergency assistance.
(c) A child
receives a bump or blow to the head.
(d) An unusual or
unexpected incident occurs which jeopardizes the safety of a child or employee
of a center, such as a child leaving the center unattended, a vehicle accident
with or without injuries or exposure of children to a threatening person or
situation.
(2) Copies of the
JFS 01299 shall be kept on file at the center for at least one year and shall
be available for review by the Ohio department of job and family services
(ODJFS).
(F) What is a
serious incident?
(1) Death of a
child at the center.
(2) A child
receives a bump or blow to the head that requires first aid or medical
attention.
(3) An incident,
injury, or illness requires a child to be removed by the parent or emergency
services from the center for medical treatment, professional consultation or
transportation for emergency treatment.
(a) If a child is
transported for emergency treatment the child's health and medical records
required by rule 5101:2-12-15 of the Administrative Code shall accompany the
child.
(b) The center
administrator or a child care staff member shall stay with the child until the
parent assumes responsibility for the child's care.
(4) An unusual or
unexpected incident which jeopardizes the safety of a child or employee of a
center.
(5) An incident
defined as a serious risk noncompliance in appendix A to rule 5101:2-12-03 of
the Administrative Code.
(G) What does the
center do if there is a serious incident?
(1) The center
shall log in to http://oclqs.force.com by the next business day to report the
incident, as defined in paragraph (F) of this rule, and complete the JFS 01156
"Serious Incident Reporting for Child Care" (rev.
12/2016)(rev. 10/2017).
(2) This
notification does not replace reporting to the public children services agency
(PCSA) if there are concerns of child abuse and neglect as required by rule
5101:2-12-19 of the Administrative Code.
(3) The center may
print the completed JFS 01156 and give to the parent to meet the parent
notification requirements of paragraph (E) of this rule.
(H) What are the
disaster plan requirements for a center?
The center shall develop a written disaster plan and make it
available to all child care staff members and employees.
(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) Emergency
outdoor or indoor lockdown or evacuation due to threats of violence which
includes active shooter, bioterrorism or terrorism.
(c) Emergency or
disaster evacuations due to hazardous materials and spills, gas leaks or bomb
threats.
(d) Outbreaks,
epidemics or other infectious disease emergencies.
(e) Loss of power,
water or heat.
(f) Other threatening
situations that may pose a health or safety hazard to the children in the
center.
(2) The disaster
plan shall include details for:
(a) Shelter in
place or evacuation, how the center 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 center.
(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 staff and
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.
Effective: 10/29/2017
Five Year Review (FYR) Dates: 12/31/2021
Certification: CERTIFIED ELECTRONICALLY
Date: 10/12/2017
Promulgated Under: 119.03
Statutory Authority: 5104.015
Rule Amplifies: 5104.015
Prior Effective Dates: 3/1/81, 9/1/86, 1/2/92 (Emer.), 4/1/92,
4/1/03, 1/1/07, 6/1/07, 12/1/11, 12/31/16