Current through all regulations passed and filed through September 16, 2024
(A) A person trained to recognize the common
signs of communicable disease or other illness shall observe each child daily
as he enters a group. A "person trained to recognize the common signs of
communicable disease" means any person trained in prevention, recognition, and
management of communicable diseases as required by paragraph (D) of rule
3301-37-07
of the Administrative Code.
(B) The
following precautions shall be taken for children suspected of having a
communicable disease:
(1) The program shall
immediately notify the parent or guardian of the child's condition when a child
has been observed with signs or symptoms of illness.
(2) A child with any of the following signs
or symptoms of illness shall be immediately isolated and discharged to his
parent or guardian:
(a) Diarrhea (three or more abnormally loosestools within a twenty-four-hour period);
(b) Severe coughing, causing the child to
become red or blue in the face or to make a whooping sound;
(c) Difficult or rapid breathing;
(d) Yellowish skin or eyes;
(e)
Redness of
the eye or eyelid, thick and purulent (pus) eye discharge, matted eyelashes,
burning, itching or eye pain;
(f) Temperature of one hundred degrees
Fahrenheit taken by the auxiliary method when in combination with other signs
of illness;
(g) Untreated infected
skin patch(es);
(h) Unusually dark
urine and/or grey or white stool;
(i)
Stiff neck with an elevated temperature;
(j) Evidence of untreated lice, scabies, or other parasitic
infestation;
(k)
Sore throat or difficulty swallowing;
or
(l)
Vomiting more than one time or when accompanied by any
other sign or symptom of illness.
(3) A child with any of the following signs
or symptoms of illness shall be immediately isolated from other children.
Decisions regarding whether the child should be discharged immediately or at
some other time during the day shall be determined by the director and the
parent or guardian. The child, while isolated at the program, shall be
carefully watched for symptoms listed in paragraph (B)(2) of this rule as well
as the following:
(a) Unusual spots or
rashes; or
(b) Elevated
temperature.
(4) Programs shall
follow the Ohio department of health's posted " communicable disease chart"
for appropriate management of suspected illnesses.
(5) A child isolated due to suspected
communicable disease shall be:
(a) Cared for
in a room or portion of a room not being used in the preschool
program;
(b) Within sight and
hearing of an adult at all times. No child shall ever be left alone or
unsupervised;
(c) Made comfortable
and provided with a cot/mat or crib for infants.
All linens
and blankets used by the ill child shall be laundered before being used by
another child. After use, the cots shall be disinfected with an appropriate
germicidal agent, or, if soiled with blood, feces, vomit, or other body fluids,
the cots shall be cleaned with soap and water and then disinfected with an
appropriate germicidal agent;
(d)
Observed carefully for worsening condition; and
(e) Discharged to parent, guardian, or person
designated by the parent or guardian as soon as practical.
(C) Each program shall have a
written policy concerning the management of communicable disease. The policy
shall include, at a minimum:
(1) The program's
means of training all preschool staff in signs and symptoms of illness and in
hand-washing and disinfection procedures;
(2) Procedures for isolating and discharging
an ill child and policy for readmitting such child;
(3) Procedures for notifying the parent or
guardian immediately when a child is exhibiting signs or symptoms of illness or
has been exposed to a communicable disease; and
(4) Procedures regarding the care of a mildly
ill child. "Mildly ill child" means a child who is experiencing minor common
cold symptoms, but who is not exhibiting any of the symptoms specified in
paragraph (B) of this rule or a child who does not feel well enough to
participate in activities, but who is not exhibiting any of the symptoms
specified in paragraph (B) of this rule.
(5) Procedures for notifying all parents of
enrolled children when children are exposed to a diagnosed communicable disease
such as pink eye, ringworm, chicken pox, or lice.