Appendix A, Diseases for Immunizations

(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 are the requirements for immunization records at an approved child day camp?

(1)A child who is not enrolled in a public or nonpublic school is to have a record of immunizations on file within thirty days of the child's first day of attendance.

(2)The immunization record is to contain the following information:

(a)The child's name and birth date.

(b)Each immunization the child has had, specifying the month, day and year for the prevention of the diseases listed on appendix A to this rule.

(3)If a child has not received an immunization(s) to prevent a disease on the appendix of this rule, then one or both of the following is to be on file:

(a)A statement from 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) that an immunization against the disease is medically contraindicated for the child or is not medically appropriate for the child's age.

(b)A statement from the child's parent that they have declined to have the child immunized against the disease for reasons of conscience, including religious convictions.

(C)(D) 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)(E) 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: 10/29/2021

Five Year Review (FYR) Dates: 4/16/2023

Certification: CERTIFIED ELECTRONICALLY

Date: 10/05/2021

Promulgated Under: 119.03

Statutory Authority: 5104.21, 5104.22

Rule Amplifies: 5104.21, 5104.22

Prior Effective Dates: 04/16/2018