Current through all regulations passed and filed through September 16, 2024
(A) What are the
requirements for the JFS 01234 "Child Enrollment and Health Information"
for a licensed family child
care provider?
The provider shall:
(1) Have a completed JFS 01234 on file for
each child by the first day of
attendance, including the provider's own children under the age of
six.
(2) Ensure the JFS 01234 is
reviewed at least annually by the parent and updated as needed when information
changes. The parent and the provider shall initial and date the form when the
information is reviewed or updated.
(3) Send the child's JFS 01234 with any child
who is being transported for emergency assistance.
(4) Maintain a current copy of the completed
JFS 01234 for each child in care in a location that can be easily and quickly
accessed and removed from the home if there is an emergency that requires the
children to be moved to another location.
(B) What are the child medical statement requirements
for a
licensed family child care provider?
(1) The
provider shall secure and have on file verification of a medical examination
for each child , including the
provider's own children. Children who attend a grade of kindergarten and above
in an elementary school are exempt from this requirement.
(2) The medical statement shall be on file at
the home within thirty days of the child's first day of attendance and shall be
updated every thirteen months thereafter from the date of the
examination.
(3) The medical
statement shall contain the following information:
(a) The child's name and birth
date.
(b) The date of the medical
examination, which is to be no more than thirteen
months prior to the date the form is signed.
(c) A statement that the child has been
examined and is in suitable condition for participation in group
care.
(d) The signature, business
address and telephone number of 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)
who examined the child.
(e) A
record of the immunizations that the child has had, specifying the month, day
and year of each immunization. This record may be an attachment to the medical
statement.
(f) A statement from the
physician, PA, APRN, or CNP that the child has been immunized or is in the
process of being immunized against the diseases required by division
5104.014 of the Revised Code and
found in appendix A to this rule or a statement that the child meets one of the
following:
(i) A statement from a physician,
PA, APRN, or CNP that an immunization against the disease is medically
contraindicated for the child.
(ii)
A statement from a physician, PA, APRN, or CNP that an immunization against the
disease is not medically appropriate for the child's age.
(iii) A statement from the child's parent
that he or she has declined to have the child immunized against the disease for
reasons of conscience, including religious
convictions.
(C) What are the health care plan requirements for caring for children
with specific health condition for a licensed family child care provider?
(1) The JFS 01236 "Medical/Physical Care Plan
for Child Care" is to be used for children
with a condition or diagnosis that require the following:
(a) Monitoring the child for symptoms which
require the staff to take action.
(b)
Ongoing
administration of medication or medical foods. Medical food means food that is
formulated to be consumed under the supervision of a physician, PA, APRN, or
CNP and which is intended for the specific dietary management of a disease or
condition.
(c) Administering
procedures which require staff to be trained on those procedures.
(d)
Avoiding specific food(s), environmental conditions or activities.
(e) A
school-age child to carry and administer their own emergency
medication.
(2) The provider
is to:
(a)
Ensure that there is a completed JFS 01236
for each condition per child.
(b)
Ensure that all child care staff members who are
trained to perform the medical procedure have signed the JFS 01236 and that
only those staff members who have signed the JFS 01236 can care for the
child.
(c) Implement and
follow all requirements of each child's JFS 01236.
(d)
Keep each JFS 01236 in a
location that can be easily and quickly accessed,
including being
removed from the
home if there is an emergency that requires the children to be moved to another
location.
(3) The
JFS 01236
shall be reviewed by the parent at least annually and updated as needed,
including an updated list of trained child care staff members, if applicable.
The parent and the provider shall initial and date the form when the
information is reviewed or updated.
(4) The
JFS 01236
shall be on file with the provider by the first day of attendance or upon
confirmation of a health condition.
(5) If the provider
suspects that a child has a health condition, the provider may require a
physician's statement within a designated timeframe.
(6) The provider
and each child care
staff member,
including substitute child care
staff members, shall be trained on the child's needs and
required procedures before being permitted to perform medical procedures
or other action needed for a health condition or special need.
(D) What information regarding
children's records can be shared?
Children's records shall be confidential but shall be available
to the Ohio department of job and family services (ODJFS) and the county agency
for the purpose of administering Chapter 5104. of the Revised Code and Chapter
5101:2-13 of the Administrative Code. The immunization records shall be subject
to review by the Ohio department of health (ODH) for disease outbreak control
and for immunization level assessment purposes.
(E)
How long are
child records to be kept on file by the provider?
All child medical statements, JFS 01217
"Request for Administration of Medication for Child Care," JFS 01234 and JFS
01236 as well as all written permission from parents or physicians are to be
kept on file for twelve months from the date the form is signed or updated,
whichever is later, even if the child no longer attends the program or the form
is no longer required for the child.
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