Ohio Administrative Code
Title 5101:2 - Division of Social Services
Chapter 5101:2-18 - Child Day Camps
Section 5101:2-18-11 - Administering medication and caring for children with special health needs at an approved child day camp
Universal Citation: OH Admin Code 5101:2-18-11
Current through all regulations passed and filed through September 16, 2024
(A) What are the requirements for administration of prescription medications and nonprescription medications by an approved child day camp?
The approved child day camp is to:
(1)
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)
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)
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)
Ensure medication dosages administered
do not
exceed prescribed dosages or the manufacturer's recommended dosages.
(5)
Have written
permission from the parent for each medication to be administered
prior to administering any non-prescription or
prescription medication.
(6)
Document each administration, including a child's self-administration, of
medication or application of topical product, unless
the topical product is a non-prescription item including bug spray, sunscreen,
hand sanitizer and lip balm.
Ensure the
documentation 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)
Allow
school-age children to
carry their own emergency medication as long as written permission from the
parent is completed and on file at the approved day camp.
(8)
Allow
school-age children to
carry and use their own topical products including bug sprays, lip balm and
sunscreen.
(B) What are the requirements for storing medication, medical foods and topical products at an approved child day camp?
The approved child day camp shall:
(1) Safely store all medication, medical foods, and topical products immediately upon
arrival at the approved child day camp. Ensure the medication, medical food, or topical product is
stored per the requirements on the label in the
original container with the child's name affixed.
(2) Keep medication,
medical foods, and topical products 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, medical foods or
topical products immediately upon arrival at the
approved child day camp, if needed.
(4) Ensure that medications, medical foods, or topical products are accessible to
employees at all times, including on field trips and when children are
off-site.
(5) Ensure that
medications, medical foods and
topical 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
of each
immunization.
(c)
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 the child
has been immunized or is in the process of being immunized against the diseases
outlined in division 5104.014 of the Revised Code and
found in appendix A to this rule.
(3) If a child has not received an
immunization(s)
against the diseases outlined in
division 5104.014 of the Revised Code and
found in appendix A to this rule, then one or both of the following is to
be on file:
(a) A statement from the
physician,
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.
(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.
(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
is to:
(a) Ensure
that there is a
completed written medical care plan for each condition per child.
(b) Implement and
follow all requirements of each child's medical care plan.
(c)
Ensure that all
child day camp staff members who are trained to perform the medical procedure
have signed the medical care plan.
(d)
Ensure that there
is at least one child care staff member caring for the child at all times who
has signed the medical care plan on the child's condition. This includes
on-site at field trips.
(e)
Keep the medical care
plan in a location that can be easily and quickly accessed at all times,
including
being removed from the approved child
day camp if there is an emergency where the children need to be moved to
another location.
(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
on the child's needs and required procedures
shall be permitted to perform medical procedures or
other action needed for a health condition or a special need.
(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 (ODJFS) for the purpose of administering Chapter 5104. of the Revised Code and Chapter 5101:2-18 of the Administrative Code. The immunization records are to be subject to review by the Ohio department of health (ODH) for disease outbreak control and for immunization level assessment purposes.
(F) How long are child records to be kept on file by the approved child day camp?
All child medical statements, 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 approved child day camp or the form is no longer needed for the child.
Disclaimer: These regulations may not be the most recent version. Ohio may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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