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 Child Care" in a home with a certified
in-home aide (IHA)?
The IHA is to:
(1)
Have a completed
JFS 01234 on file for each child in care by the first day of care, including
the IHA's own children in care.
(2)
Ensure the JFS
01234 is reviewed at least annually by the parent and updated as needed when
information changes. The parent and the IHA are to initial and date the form
when 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 where the children are moved to
another location, and for transporting children on all trips, except routine
walks.
(5)
Set a policy regarding whether to provide care to
children whose parents refuse to grant consent for transportation to the source
of emergency treatment.
(B)
What are the
child medical statement requirements in a home with a certified IHA?
(1)
The IHA is to
have verification of a medical exam on file for each child in care, including
the IHA's own children in care. Children who attend a grade of kindergarten or
above in an elementary school are exempt from this requirement.
(2)
The medical
statement is to be on file at the home within thirty days of the child's first
day of care and is to be updated every thirteen months thereafter from the date
of the examination.
(3)
The medical statement is to 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)
The signature, business address and telephone number of
the licensed physician as defined in Chapter 4731. of the Revised Code,
physician assistant (PA), advanced practice registered nurse (APRN), or
certified nurse practitioner (CNP) who examined the child.
(d)
A record of
immunizations on file within thirty days of the child's first day of care, if a
child is not enrolled in a public or nonpublic school. This record may be
attached to the medical statement and is to contain the following
information:
(i)
The child's name and birth date.
(ii)
Each
immunization the child has had, specifying the month, day and year of the
immunization, or that the child is in the process of being immunized against
the diseases listed in appendix A to this rule.
(e)
If a child has
not received an immunization(s) to prevent a disease listed in appendix A to
this rule, then one or both of the following is to be on file:
(i)
A statement from
a licensed physician as defined in Chapter 4731. of the Revised Code, PA, APRN,
or CNP that an immunization against the disease is medically contraindicated
for the child or is not medically appropriate for the child's
age.
(ii)
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)
What are the health care plan requirements for caring
for children with a specific health condition in a home with a certified
IHA?
(1)
The JFS
01236 "Medical/Physical Care Plan for Child Care" is to be used for children
with a condition or diagnosis that includes the following:
(a)
Monitoring the
child for symptoms in order to take action, if necessary.
(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 that the IHA is trained to
provide.
(d)
Avoiding specific food(s), environmental conditions or
activities.
(e)
A school-age child to carry and administer their own
emergency medication.
(2)
The IHA is
to:
(a)
Ensure
that there is a completed JFS 01236 for each condition per child, including the
IHA's own children in care.
(b)
Implement and
follow all requirements of each child's JFS 01236.
(c)
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 where the children are moved to
another location, and for transporting children on all trips except routine
walks.
(3)
The JFS 01236 is to be reviewed by the parent at least
annually and updated as needed. The parent and the IHA are to initial and date
the form when information is reviewed or updated.
(4)
The JFS 01236 is
to be on file in the home by the first day the IHA provides child care
services, or upon confirmation of a health condition.
(5)
If the IHA
suspects that a child has a health condition, the IHA may collect a physician's
statement from the parent within a designated time frame.
(6)
The IHA is to be
trained on the child's needs and all 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 are to be
confidential but are to 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 5101:2-14 of the Administrative Code. The
immunization records are 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
IHA?
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 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 is no longer being cared for in the home or the form is no
longer needed for the child.
Replaces: 5101:2-14-04, 5101:2-14-06
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