(A) What are the requirements for administration
of prescription medications and non-prescription medications by an approved
child day camp?
(1) The approved child day camp shall
ensure that prescription medication is stored in the original container with
the prescription label that includes the child's full name, a current
dispensing date within the previous twelve months, and exact dosage and
directions for use.
(2) The approved child day camp shall not
administer any medication or topical product for any period of time beyond the
date indicated by the physician, physician's assistant, advanced practice nurse
certified to prescribe medication, or licensed dentist, on the prescription
label, for twelve months from the date on the form, or after the expiration
date on the medication, whichever comes first.
(3) The approved day camp shall ensure that
non-prescription medications are stored in the original container with a
manufacturer's label containing directions based on the age and/or weight of
the child.
(4) Nonprescription medication dosages administered
shall not exceed prescribed dosages or the manufacturer's recommended dosages.
(5) Prior to administering any
non-prescription or prescription medication, the approved child day camp shall
have written permission from the parent for each medication to be administered.
(6) The approved child day camp shall
document each administration of medication or application of topical product on
a form that includes:
(a) The child's name.
(b) The child's date of birth.
(c) The medication name.
(d) The medication dosage.
(e) The date the medication was
administered.
(f) The time the medication was
administered.
(g) The signature of the person
administering the medication.
(7) Non-prescription topical products,
including bug sprays, sunscreens, hand sanitizer and lip balm, are exempt from
the requirement in paragraphs (A)(3) and (A)(4) of this rule.
(8) School-age children are permitted to
carry their own emergency medication as long as written permission from the
parent is completed and on file at the approved day camp.
(9) School-age children are permitted to
carry and use their own topical products including bug sprays, lip balm and
sunscreen.
(B) What are the requirements for storing
medication at an approved child day camp?
The approved child day camp shall:
(1) Safely store all medication upon
arrival at the approved child day camp. Ensure the medication is in the
original container with the child's name affixed.
(2) Keep medication out of reach of
children, unless a school-age child is permitted to carry their own emergency
medication and written permission from the parent is on file at the approved
child day camp.
(3) Refrigerate, in a separate container,
medications or products immediately upon arrival at the approved child day
camp, if needed.
(4) Ensure that medications are accessible
to employees at all times, including on field trips and when children are
off-site.
(5) Ensure that medications and products
are removed from the approved child day camp when no longer needed or expired.
(C) What if a child has a special need or
health condition?
(1) A written medical care plan shall be
used for children with a condition or diagnosis that requires specific care
and/or intervention by child day camp staff. The written plan shall include the
following:
(a) The symptoms the staff should monitor
which may require staff to take action.
(b) Administering procedures which require
staff to be trained on those procedures.
(c) Avoiding specific food(s),
environmental conditions or activities.
(d) Permission for the child to carry and
administer their own emergency medication, if applicable.
(2) The approved child day camp shall:
(a) Ensure the parent completes and signs a
written medical care plan for each condition per child.
(b) Review the written medical care plan for
completeness and ensure the medical care plan is signed by an administrator or
designee.
(c) Implement and follow all requirements
of each child's medical care plan.
(d) Ensure the medical care plan is signed
by any trained child day camp staff member who is providing care to the child.
(e) Maintain a current medical care plan
for any child who requires one, in a location that can be easily and quickly
accessed at all times, including on field trips and when the child is off-site.
(3) The written medical care plan shall be
on file with the approved child day camp by the first day of attendance or upon
confirmation of a health condition.
(4) If the approved child day camp suspects
that a child has a health condition, the camp may require a physician's statement
within a designated timeframe.
(5) Only staff members trained by the
parent or a certified professional shall be permitted to perform medical
procedures.
(6) There shall be a trained staff member
on-site at all times whenever a child who has a health condition is present.
(D) What information regarding children's
medical records can be shared?
Children's medical records shall be kept
confidential, but shall be available to the Ohio department of job and family
services for the purpose of administering Chapter 5104. of the Revised Code and
Chapter 5101:2-18 of the Administrative Code.
Effective: 4/16/2018
Five Year Review (FYR) Dates: 04/16/2023
Certification: CERTIFIED ELECTRONICALLY
Date: 03/29/2018
Promulgated Under: 119.03
Statutory Authority: 5104.21, 5104.22
Rule Amplifies: 5104.22, 5104.21