Chapter 3301-37 Child Day-Care Programs

3301-37-01 Definitions.

(A) "Adult" means a person who is at least eighteen years of age.

(B) "Alignment" means the coherence and correlation of the curriculum and assessments to standards.

(C) "Adult education program" means the adult education program receives funds under the department of education's state plan for implementing the "Workforce Investment Act of 1998" (August 1998).

(D) "Class" means a group of children enrolled in the preschool program.

(E) "County board of DD" means a county board of developmental disabilities.

(F) "Crib" means a full sized crib or porta crib that meets federal standards (June 2011, cpsc.gov) and is appropriate to the size of the child.

(G) "Curriculum" means an organized framework that describes those components of developmentally appropriate practice necessary to support optimum development and learning including the following:

(1) Classroom environment;

(2) Concepts and skills in all content areas and developmental domains;

(3) Learning experiences;

(4) Instructional strategies to help children achieve their goals; and

(5) Assessment processes to inform instruction to monitor progress.

(H) "Department" means the Ohio department of education.

(I) "Developmentally appropriate" means curriculum, instruction, environments, and age-appropriate activities that reflect the cognitive, social, and emotional level of the learner and also includes the unique abilities or characteristics of a learner or group of learners including learners with disabilities, unique ethnic and/or cultural characteristics, and unique life experiences.

(J) "Director" means the head teacher, elementary principal or site administrator who is the individual on-site and is responsible for supervision of a preschool program, and may be used to meet child-to-staff ratio.

(K) "Early learning program standards" means the department's framework for preschool programs to address outcomes and goals considered essential for children's learning and health development, which are available at education.ohio.gov.

(L) "Eligible nonpublic school" means a nonpublic school chartered as described in division (B)(8) of section 5104.02 of the Revised Code or chartered by the state board of education for any combination of grades one through twelve regardless of whether kindergarten is offered.

(M) "Facility" means a building that is owned or leased and operated by the school district, educational service center, joint vocational school, county board of DD, or eligible nonpublic school and has been approved by a municipal, township, or county or state building department for the purpose of operating a program for preschool children.

(N) "First aid training" means a course provided by an approved health organization as determined by the department.

(O) "Governing body" means a board of education for a school district, an education service center or county board of DD; or the group of persons who have similar authority over a nonpublic school program.

(P) "Group size" means the number of children assigned to a head teacher in a classroom.

(Q) "Hand washing facility" means a permanent-type fixture with running water (i.e. sink service) which conforms to the requirements of the "Ohio plumbing code" as established in division 4101:3 of the Administrative Code.

(R) "Head teacher" means a person hired to guide and instruct a class of preschool children enrolled in the program and who may supervise the preschool program.

(S) "Infant" means a child who is less than eighteen months of age.

(T) "IEP" means an individualized educational program.

(U) "Nonambulatory child" means any child who is unable to leave a building unassisted under emergency conditions; unable to walk forward or backward unassisted; unable to go up or down steps without help; and/or dependent upon mechanical aids such as crutches, walkers, and wheelchairs.

(V) "Non-teaching employee" means a preschool employee whose primary responsibilities are duties other than care, teaching, and supervision of preschool children.

(W) "Parent, guardian, or custodian" means a person or government agency that is or will be responsible for a child's school attendance under section 3321.01 of the Revised Code.

(X) "Policies" mean principles governing the operation of the preschool program. policies shall be established and adopted by the program's governing body.

(Y) "Preschool child" means a child who has not entered kindergarten and is not of compulsory school age as defined in section 3321.01 of the Revised Code.

(Z) "Preschool child with a disability" means a child who is at least three years of age but not of compulsory school-age as prescribed by Chapter 3301-51 of the Administrative Code and who qualifies for preschool special education and has an active IEP.

(AA) "Preschool program" means either of the following:

(1) A program for preschool children that is operated by a school district board of education, educational service center, joint vocational school,an eligible nonpublic school; or

(2) A program for preschool children age three or older that is operated by a county board of DD.

(BB) "Preschool staff member" means a preschool employee whose primary responsibility is care, teaching, or supervision of preschool children and who is used to meet child-to-staff ratio requirements.

(CC) "Procedures" means an administrative course of action specified in writing.

(DD) "Public school" means a school operated by a board of education of a city, county, exempted village, local, joint vocational school district, a county board of DD, or an educational service center governing body.

(EE) "School-age child" means a child who is kindergarten or age six and of compulsory school age according to the entry date determined by the school district in section 3321.01 of the Revised Code.

(FF) "Teacher" means a person hired to instruct a class of preschool children enrolled in the program.

(GG) "Toddler" means a child who is at least eighteen months of age but less than three years of age.

(HH) "Volunteer" means an adult not counted in the child-staff ratio except those designated in paragraph (U) of rule 3301-37-04 of the Administrative Code.

Effective: 07/03/2014
R.C. 119.032 review dates: 04/10/2014 and 07/03/2019
Promulgated Under: 119.03
Statutory Authority: 3301.07 , 3301.53
Rule Amplifies: 3301.52 to 3301.59
Prior Effective Dates: 8/5/88, 5/28/04, 6/25/2009, 9/25/2010

3301-37-02 Compliance and investigation.

(A) No school district board of education, county board of DD, educational service center, or eligible nonpublic school shall operate, establish, manage, conduct or maintain a preschool program, including head start, without a license issued under sections 3301.52 to 3301.59 of the Revised Code and this chapter of the Administrative Code.

(B) Programs exclusively for children whose parent is enrolled in an adult education program are exempt from these rules provided all of the following apply:

(1) At least one parent is on the premises and readily available at all times.

(2) The program is provided on a part time basis during hours of operation.

(C) Programs operated by a county board of DD for children under the age of three are not required to be licensed through the department of education. Programs operated by a county board of DD for preschool children age three and older are required to be licensed.

(D) Programs in a building with a preschool program licensed by the department of job and family services or the department of education will be considered to meet the requirements of building standards provided:

(1) The approval is relevant to an existing preschool program licensed in that building.

(2) The existing license issued is submitted with the program's application for licensing.

(3) A building plan is submitted with the application.

(E) The governing body responsible for the preschool program's operation shall be responsible for securing a license for the facility in which the preschool program operates.

(1) If the program is relocated to a new facility, the governing body shall be responsible for notifying the department .

(a) If the new facility is not currently licensed by the department an application must be completed in accordance with sections 3301.52 to 3301.59 of the Revised Code and this chapter of the Administrative Code.

(b) If the new facility is currently licensed by the department for preschool , the existing license will be amended .

(2) If the program is transferred to another governing body to operate the program but remains in the same facility, both governing bodies are responsible for notifying the department. The new governing body shall apply for a license.

(F) Programs will receive at least one on-site inspection in a twelve month period. Visits may be unannounced at the discretion of the department.

(G) Data collected during a licensing inspection may be used in other inspections conducted by the department with regard to specific program performance standards.

(H) Records and reports related to the program shall be submitted as requested by the department.

(I) The most recent written compliance reports and the program's corrective action plan shall remain posted in a conspicuous place near the posted program license until the next compliance report is received from the department.

(J) All complaints and reports concerning the operation of programs regulated by this chapter of the Administrative Code and sections 3301.52 to 3301.59 of the Revised Code, shall be reported to the office of early learning and school readiness. The name and phone numbers of both parties shall be posted in a conspicuous place near the posted program license.

(K) All actions of the department with respect to licensing a preschool program, refusal to license or revocation of a license, shall be in conformity with sections 3301.57 and 3301.58 and Chapter 119. of the Revised Code.

(1) Those licensing actions which shall afford the right to an administrative hearing include:

(a) The proposal to deny a license;

(b) The proposal to revoke a license

(2) Those licensing actions that are of an administrative nature shall not afford the right to an administrative hearing. These actions include:

(a) Refusal to submit a corrective action plan in accordance with section 3301.58 of the Revised Code.

(b) Rejection of any application for licensure for procedural reasons such as, but not limited to, incomplete submission, use of invalid form, or failure to make information available to the department or failure to make information available during an inspection.

(L) A request for any administrative hearing afforded pursuant to Chapter 119. of the Revised Code and this chapter of the administrative code shall be made in writing to the department of education, office of early learning and school readiness, and shall be considered to have been made as of the date the said request is postmarked. Requests received by means other than the postal service shall be considered received when time-date stamped upon receipt by the office of early childhood education, department of education.

(M) The department may deny or revoke a license if the applicant knowingly makes a false statement on the application, does not comply with the requirements of this chapter of the Administrative Code, or has pleaded guilty or been convicted of an offense described in section 3301.541 of the Revised Code.

(N) If the department revokes a license or refuses to renew a license, the program or fiscal agent shall not be issued a license within two years from the date of revocation of a license or refusal to renew a license.

(O) The following are identified as "serious risk" violations of a license due to the great risk of harm to children:

(1) Child is left unattended outside of facility/building or during a swimming activity;

(2) Child left unattended on a field trip or in a vehicle or, otherwise, transportation policies are not followed;

(3) Falsified information is submitted that puts a child at risk;

(4) Program fails to report suspected abuse, neglect, or endangering;

(5) Medication is dispensed to the wrong child or the wrong dosage is administered;

(6) Involvement of staff in inappropriate discipline, or physical abuse, neglect, or endangerment is substantiated by a public service finding;

(7) Employee refuses to be fingerprinted and remains employed, or a person remains employed with a known prohibited conviction;

(8) Swimming activity takes place without a lifeguard or a lifegaurd is used to count in ratio, swimming site is accessible to children without staff supervision, or swimming activity takes place in a lake, pond, or river;

(9) Firearms are on the premises without prior approval;

(10) The department or its representatives are denied access to conduct a rule compliance review pursuant to Chapter 3301-37 of the Administrative Code.

(P) Any serious risk violation described in, but not necessarily limited to, paragraph (O) of this rule, as reviewed by the department at its discretion and in conjunction with other violations of the rules in this chapter, may result in any of the following:

(1) Prohibition of the issuance of a license pursuant to this chapter;

(2) Initiation of the process for license revocation;

(3) Non-renewal of a license issued pursuant to this chapter ; or

(4) Loss of funding.

(Q) Any entity with serious risk violations shall immediately report the violation to the department and provide documentation of correction .

Effective: 07/03/2014
R.C. 119.032 review dates: 04/10/2014 and 07/03/2019
Promulgated Under: 119.03
Statutory Authority: 3301.07 , 3301.53
Rule Amplifies: 3301.52 to 3301.59
Prior Effective Dates: 5/28/2004, 6/25/2009

3301-37-03 Program.

(A) A written philosophy and goals shall give direction to the program and shall provide a basis for daily operation that shall address the needs, interests, and abilities of each child through quiet and active play.

(B) A written curriculum shall be adopted which describes developmentally appropriate activities, learning environment, and approaches which meet the individual needs of the children and is aligned to the early learning content standards adopted by the state board of education.

(C) ) The program's daily schedule for each age group shall include a balance of both quiet and active play, throughout the day which shall meet intellectual, physical, social, and emotional needs of each child through indoor and outdoor activities. The written daily schedule shall be reflected in actual observation of the program.

(D) A full-day program serving preschool children shall have a nap/rest period reflected in the daily written program. Nap/rest periods shall not exceed one and one-half hours in the daily schedule for any child in a full day program. A quiet space for children who want to rest or nap shall be provided.

(E) A child who attends the center for five hours or more on a given day shall be provided with a mat or cot to rest. The nap/rest period shall be flexible to meet individual needs with provisions for early risers and non-nappers.

(F) Children's developmental progress shall be reviewed and reported to parent(s) at established intervals. All reporting shall be according to established procedures of the program's governing board. A conference involving the teacher and parent shall be held at least twice a year.

(G) The program shall have on file and provide to each parent a parent handbook that will encourage parental participation and keep parents informed about the program's operations, services and policies. The handbook shall include information to advise parents how to obtain copies of inspection reports of the program and how to file a complaint.

Effective: 07/03/2014
R.C. 119.032 review dates: 04/10/2014 and 07/03/2019
Promulgated Under: 119.03
Statutory Authority: 3301.07 , 3301.53
Rule Amplifies: 3301.52 to 3301.59
Prior Effective Dates: 8/5/88, 5/28/04, 6/25/2009

3301-37-04 Staff.

(A) The director and staff shall be recruited, employed, assigned, evaluated, and provided in-service education in accordance with adopted board policies and without discrimination on the basis of age, color, national origin, race, sex, or handicap.

(B) The preschool staff member assigned in each preschool class shall be of good character, possess adequate physical and emotional health, be equipped by education, training, and/or experience for the work they are to perform, and meet the requirements as prescribed in division (B) of section 3301.54 of the Revised Code.

(C) Staff members, non-teaching employees, and volunteers shall annually sign a non-guilty/non-conviction statement on a prescribed form.

(D) Each director and preschool staff member shall be examined by a licensed physician, physician's assistant, advanced practice nurse, or certified nurse practitioner within twelve months prior to the first day of employment. An employee medical statement shall be on file and be available for review by the department.

(E) Each preschool staff member shall be at least eighteen years of age and have a high school diploma or a certification of high school equivalency issued by the state board of education or a comparable agency. A staff member may be less than eighteen years of age if:

(1) The staff member is a graduate of a two-year career-technical center child care training program approved by the state board of education.

(2) The staff member is a student enrolled in the second year of such a program that leads to high school graduation, provided that the student performs duties in the preschool program under the continuous supervision of an experienced preschool staff member and receives periodic supervision from the career technical center child care training program teacher/coordinator in the student's high school.

(F) The director and staff shall be assigned responsibilities in accordance with written position descriptions commensurate with their certification and/or licensure pursuant to Chapter 3301-24 of the Administrative Code, and qualifications, respectively. The director and/or head teacher acting as the director shall be onsite at the preschool program at least half of the program's operating hours.

(G) The director of each preschool program shall be responsible for the following:

(1) Ensuring that the health and safety of the children are safeguarded by an organized program of school health services designed to identify child health problems and to coordinate school community health resources for children as evidenced by, but not limited to, the following:

(a) Requiring immunizations and compliance with emergency medical authorization requirements under section 3313.712 of the Revised Code;

(b) Providing procedures for emergency situations, including fire drills, rapid dismissals, tornado drills, and school safety drills in accordance with section 3737.73 of the Revised Code, and keeping records of such drills or dismissals;

(c) Posting emergency procedures in preschool rooms and making them available to school personnel, children, and parents;

(d) Posting emergency numbers by each telephone;

(e) Supervising grounds, play areas, and other facilities when scheduled for use by children; and

(f) Providing first-aid facilities and materials.

(2) Maintaining cumulative records for each child;

(3) Supervising each child's admission, placement, and withdrawal according to established procedures;

(4) Preparing a roster of children enrolled annually;

(5) Ensuring that clerical and custodial services are provided for the program;

(6) Supervising the instructional program and daily operation of the program; and

(7) Supervising and evaluating preschool staff members according to a planned sequence of observations and evaluation conferences, and supervising nonteaching employees.

(H) The director of the preschool program shall meet one of the following:

(1) A director in a preschool program operated by a public school shall hold either:

(a) A valid pre-kindergarten teaching certificate, pre-kindergarten endorsement or pre-kindergarten associate license issued under section 3301.50 of the Revised Code.

(b) A valid educator license (teacher, administrator, or pupil services) issued under sections 3319.22 to 3319.31 of the Revised Code and have completed at least four courses in child development or early childhood education from an accredited college, university, or technical college.

(c) A valid principal license for grades pre-kindergarten through grade six pursuant to rule 3301-24-05 of the Administrative Code; or

(d) An early childhood license pursuant to rule 3301-24-05 of the Administrative Code.

(e) If employed prior to July 1, 1988, a valid kindergarten-primary certificate issued under sections 3319.22 to 3319.31 of the Revised Code.

(2) A director of a preschool special education program operated by a public school or a county board of DD shall hold one of the following:

(a) A valid intervention specialist license or education of the handicapped certificate with an endorsement in pre-kindergarten special needs or early education of the handicapped;

(b) A valid pre-kindergarten certificate or endorsement or an early childhood license with an endorsement in pre-kindergarten special needs or early education of the handicapped;

(c) A valid early childhood intervention specialist license; or

(d) Meet the requirements of paragraph (I)(1)(b) or (I)(1)(c) of this rule.

(3) A director employed to direct a program operated by an eligible, nontax-supported, nonpublic school shall be considered to meet the requirements of this rule if they hold a valid teaching certificate issued in accordance with section 3301.071 of the Revised Code.

(4) A head teacher who meets educator licensure requirements as a director may be designated the director for purposes of this chapter.

(I) Each class/group in a preschool program shall have assigned a head teacher in accordance with the following:

(1) Publicly funded programs shall meet the staff criteria established in section 3301.311 of the Revised Code or be highly rated in Ohio's tiered quality rating and improvement system developed under section 5140.30 of the Revised Code;

(2) Preschool programs operated by public schools shall have a head teacher for each class/group of children enrolled that meets one of the following:

(a) Valid prekindergarten teaching certificate issued under section 3301.50 of the Revised Code; or

(b) Valid prekindergarten associate license issued under section 3301.51 of the Revised Code; or

(c) Valid kindergarten-primary certificate issued under sections 3319.22 to 3319.31 of the Revised Code and have completed at least four courses in child development in early childhood education from an accredited college, university, or technical college; or

(d) A bachelor's degree in child development or early childhood education earned from an accredited college or university with a minimum of thirty quarter or twenty semester hours in child development/preschool program planning and methods including a supervised practicum with preschool children; or

(e) An early childhood license pursuant to rule 3301-24-05 of the Administrative Code.

(3) Preschool special education programs operated by a public school or a county board of DD shall have a head teacher who holds one of the following educator credentials issued in accordance with Chapter 3301-24 of the Administrative Code or former rules of the state board of education and laws of Ohio:

(a) A valid intervention specialist license or education of the handicapped certificate with an endorsement in pre-kindergarten special needs or early education of the handicapped;

(b) A valid pre-kindergarten certificate or endorsement or an early childhood license with an endorsement in pre-kindergarten special needs or early education of the handicapped; or

(c) A valid early childhood intervention specialist license.

(d) A valid intervention specialist license that is valid for teaching visually impaired or hearing impaired, if the children are visually or hearing impaired ;

(e) A valid supplemental teaching license in the area of pre-kindergarten special needs, early childhood intervention specialist, or intervention specialist in the areas of visually impaired or hearing impaired, if the children are visually impaired or hearing impaired.

(4) A preschool program operated by an eligible nontax-supported, nonpublic school, shall have a head teacher who is at least eighteen years of age who has a high school diploma or certification of high school equivalency issued by the state board of education or comparable agency or holds a valid teaching certificate issued in accordance with section 3301.071 of the Revised Code.

(J) Extended day child care provided to preschool children before or after the preschool program shall have staff members assigned that at a minimum, are at least eighteen years of age and have at least a high school diploma or certification of high school equivalency issued by the state board of education or comparable agency. The extended child care staff member must also meet requirements related to a medical examination, in-service and background investigation as cited in this rule. Child care staff/child ratios in accordance with rule 3301-37-04 of the Administrative Code must be maintained at all times.

(K) Infant and toddler care provided by a public school, chartered nonpublic school, an eligible chartered, nontax-supported school, or a county board of DD shall have staff members assigned that at a minimum, are at least eighteen years of age and have at least a high school diploma or certification of high school equivalency issued by the state board of education or comparable agency. The extended child care staff member must also meet requirements related to a medical examination, in-service and background investigation as cited in this rule. Child care staff/child ratios in accordance with this rule shall be maintained at all times.

(L) Substitutes for preschool staff members shall meet the following requirements:

(1) Substitute teachers shall meet the following minimum requirements for programs operated by entities other than public schools, education service centers, or county boards of DD:

(a) Being at least eighteen years of age.

(b) Have at least a high school diploma or certification of high school equivalency issued by the state board of education or comparable agency.

(c) Meet the requirements related to a medical examination, in-service and criminal background investigation as cited in section 3301.541 of the Revised Code after fifteen school days.

(2) Substitute teachers shall meet the following minimum requirements for programs operated by public schools, education service centers, or county boards of DD:

(a) Requirements related to a medical examination, in-service and criminal background investigation pursuant to section 3301.541 of the Revised Code after fifteen school days; and

(b) Minimum requirements for the position for which they are substituting after sixty consecutive school days.

(M) Preschool staff members who do not have an associate or higher degree in child development or early childhood education from an accredited college, university, or technical college, a pre-kindergarten associate certificate or license issued by the state board of education, or a pre-kindergarten teaching certificate or endorsement, the preschool staff member and director shall annually complete in-service training of fifteen hours until a total of forty-five hours has been completed. Preschool staff members who have met the forty-five hour inservice requirement shall thereafter complete ten annual clock hours of inservice.

(1) In-service training will be in one or more of the following areas:

(a) Child development or early childhood education;

(b) Child abuse recognition and prevention;

(c) First aid; and/or

(d) Prevention, recognition, and management of communicable diseases.

(2) Annual completion refers to the school year, from July first to June thirtieth, or every twelve months from the date of hire for staff employed after the school year begins.

(N) Preschool staff employed part-time shall complete the inservice requirement based upon the percentage of time or full-time equivalency of their preschool assignment.

(O) Preschool staff members licensed by the department shall complete ten annual clock hours, which may be part of the professional development plan in accordance with Chapter 3301-24 of the Administrative Code. Annual completion refers to the school year, from July first to June thirtieth.

(P) Staff who have an associate or higher degree shall complete ten hours of inservice training.

(Q) The training specified in paragraph (M) of this rule shall be provided by an approved trainer who shall have at least two years of experience specific to the subject area and possess one of the following:

(1) An associate or higher degree in child development or early childhood education, education, special education, speech language pathologist,home economics, nursing, nutrition, psychology, dental hygiene, or social work. Evidence of an associate or higher degree shall be a copy of a diploma, a transcript, or other written evidence accepted by the director as evidence of completion of at least ninety quarter credit hours or sixty semester credit hours from an accredited college, university, or technical college. The coursework shall include at least thirty-six quarter credit hours or twenty-four semester credit hours in courses in any of the subject areas listed in paragraph (J) of this rule; or

(2) A prekindergarten certificate or endorsement or early childhood license issued by the state board of education; or

(3) A license as a physician or registered nurse.

(R) A director and preschool staff member shall provide evidence of a BCII investigation and FBI criminal background check as required by section 3319.391 of the Revised Code. Documentation that reports and five-year updates are sent to the district or the department's office of educator licensure as required by section 3319.391 of the Revised Code shall be kept on file.

(S) Each staff member and volunteer shall annually complete a non-guilty/non-conviction statement.

(T) The preschool staff member/child ratio must be maintained at all times.

(1) Sufficient preschool staff members must be physically present with the children at all times to meet staff member/child ratio requirements.

(2) Each class/group shall have at least one head teacher as defined in paragraph (K) of this rule.

(3) No child shall ever be left alone or unsupervised.

(4) In each program the maximum number of children per preschool staff member and the maximum group size by age category of children shall be as follows:

Age Group

Staff Member/Child Ratio

Maximum Group Size

Birth to less than 12 months

1:5 or 2:12 if two preschool staff members are in the room

12

12 months to less than 18 months

1:6

12

18 months to less than 30 months

1:7

14

30 months to less than 3 years

1:8

14

3 years

1:12

24

4 year olds and 5 year olds not in kindergarten or school

1:14

28

(5) Preschool special education programs shall meet the child/staff ratio requirements of one teacher for six children with IEP's and an additional staff member when seven or more children are enrolled; maximum group size shall not exceed sixteen children including eight children with IEP's. Waivers are required when a group of more than eight preschool children with IEP's are served in accordance with rule 3301-51-11 of the Administrative Code.

(U) Volunteers may be counted in the staff/child ratio if a BCII investigation is kept on file; however, a program shall ensure that such practice does not become routine.

(V) At least two responsible adults shall be readily available at all times when seven or more children are present in the program. One adult shall be a preschool staff member. The second adult shall:

(1) Be available within the building used for the preschool program or in an adjacent outdoor area;

(2) Be able to be summoned by the preschool staff member without leaving the group alone or unsupervised; and

(3) Be able to react in response to such summons so as to reduce risk to children during an emergency circumstance.

(W) When age groups are combined for programming purposes the following requirements must be met:

(1) When age groups are combined, the maximum number of children per preschool staff member shall be determined by the age of the youngest child in the group, except that when no more than one child, thirty months of age or older, receives care in a group in which all the other children are in the next older age group, the maximum number of children per preschool staff member and maximum group size requirements of the older age group established in paragraph (T) of this rule shall apply.

(2) Any accredited program that uses the Montessori method endorsed by the American Montessori society (www.amshq.org) or the association Montessori internationale (www.montessori-ami.org) as its primary method of instruction may combine preschool children of ages three to five years of age with children enrolled in kindergarten. Notwithstanding anything to the contrary in division (B)(2) of section 3301.56 of the Revised Code, when such age groups are combined, the maximum number of children per preschool staff member shall be twelve and the maximum group size shall be twenty-four children.

(X) In a room where children are napping or resting, if all children are at least eighteen months of age, the maximum number of children per preschool staff member shall, for a period not to exceed one and one-half hours in any twenty-four-hour day, be twice the maximum number of children per preschool staff member established in paragraph (N) of this rule if all the following criteria are met:

(1) At least one preschool staff member shall be physically present in the room at all times during nap/rest time;

(2) The preschool staff member(s) assigned to a room where children are napping shall be responsible for the care and supervision of the children in the room and shall be able to summon other child-care staff members without leaving the room;

(3) There shall be enough preschool staff members readily accessible within the building in which the program is located to ensure that the maximum number of children per preschool staff member as required by paragraph (N) of this rule is met at all times; and

(4) Nap/rest-time preparation shall have been completed and all napping children shall be resting or sleeping on cots or mats.

(5) Staff are not required to be present in a nap room for the purpose of supervising children if fifty per cent of the wall space is open, staff can see all children at all times, and staff are routinely checking children every five-minutes.

Effective: 07/03/2014
R.C. 119.032 review dates: 04/10/2014 and 07/03/2019
Promulgated Under: 119.03
Statutory Authority: 3301.07 , 3301.53
Rule Amplifies: 3301.52 to 3301.59
Prior Effective Dates: 8/5/88, 5/28/04, 6/25/09

3301-37-05 Facility.

(A) The program shall be located in a safe and convenient facility and space that accommodates the enrollment, supports child growth and development according to program objectives, and meets the requirements of section 3301.55 of the Revised Code. The space shall be for the exclusive use of the children enrolled in the preschool program when that program is in session.

(B) The program shall provide written documentation of an annual fire inspection and approval of the facility. Annually means within twelve months of the previous fire inspection.

(C) A phone shall be available while the program is in session.

(D) The indoor space shall include not less than thirty-five square feet of usable, wall-to-wall, floor space for each child.

(1) Such floor space shall not include hallways, kitchens, storage areas, or any other areas not available for the care of children.

(2) Bathrooms shall be included only if they are used exclusively by children enrolled in the program when the program is in session.

(3) Square footage shall determine the maximum capacity or number of children that may be served in the space. Maximum group size shall not exceed the maximum capacity in any given space but maximum group size may be less than the capacity depending upon the ages of children served in the space.

(4) Spaces meeting the required square footage per child may be defined by barriers to serve more than one class/group of children. Barriers shall be at least thirty-six inches in height, may be permanent or nonpermanent walls, bookcases, partitions or some similar device used to define the area.

(E) Safe play space, including both indoor and outdoor play space, totaling not less than sixty square feet for each child using the space at any one time, shall be regularly available and scheduled for use.

(1) The surface of the outdoor play space shall offer proection from falls and shall be well drained.

(2) The play space shall be free of hazards such as, but not limited to, broken glass, potholes, garbage, flammable materials and other debris.

(3) The play area shall be well defined to protect children from traffic, animals, or other hazards.

(4) Child staff ratios are maintained at all times.

(5) Groups of children are supervised during the use of and traveling to and from the play area.

(F) Infants and toddlers shall be provided space apart from their sleeping quarters so that each child is allowed to sit, crawl, toddle or walk, and play safely and comfortably according to his/her stage of development. :

(G) Infants and non-ambulatory children eighteen months of age or older shall receive care in rooms on the first story with grade level exits to the outside unless approved by a certified fire safety inspector or state fire marshal. Care on a story other than the first story shall be annually approved by a certified fire safety inspector or state fire marshal. if other than the first story, the annual fire approval form prescribed by the department shall indicate the story approved for care of infants and non-ambulatory children eighteen months of age or older.

(H) Swimming pools, wading pools, and other bodies of water two or more feet in depth shall be fenced or otherwise make the swimming pool, wading pool, or other body of water two or more feet in deep inaccessible to the children when adult supervision is not available and the pool is not in use.

Effective: 07/03/2014
R.C. 119.032 review dates: 04/10/2014 and 07/03/2019
Promulgated Under: 119.03
Statutory Authority: 3301.07 , 3301.53
Rule Amplifies: 3301.52 to 3301.59
Prior Effective Dates: 8/5/88, 5/28/04, 6/25/2009

3301-37-06 Equipment and supplies.

(A) Indoor and outdoor play space shall contain furniture, materials and equipment of appropriate size and type to meet the intellectual, physical, social and emotional needs of the preschool children enrolled in the program. Material and equipment shall be:

(1) Maintained in a safe and sanitary condition; and

(2) Provided in quantities proportionate to the enrollment.

(B) Furniture, materials and equipment shall meet safety and sanitation guidelines developed by the department. the following requirements shall be met:

(1) Protective mats shall be placed under climbers;

(2) Electrical outlets shall be covered when not in use;

(3) Space heaters shall not be used in any preschool program unless approved in writing by the building and/or fire official having jurisdiction in the area; and

(4) If electrical fans are used, they shall have protective coverings; shall not be easily tipped over; and shall be placed so that they are not hazardous to children.

(5) Cleaning and sanitizing supplies shall be stored out of reach of children.

(C) Play materials to be used in the program shall be arranged so that children may select, remove, and replace play materials with a minimum of assistance.

(D) Adequate and sufficient first-aid supplies shall be readily available at all times the program is in operation.

(E) One cot or mat shall be available for each child who remains more than five consecutive hours in the program.

(1) Each cot or mat, with individual bedding, shall be labeled in some manner as to who is assigned to use the cot and shall be for the exclusive use of each child between sanitation procedures.

(2) Cots, mats, and individual bedding shall be thoroughly cleaned with an appropriate germicidal detergent and regularly sanitized before assignment for use by another child.

(F) Cribs shall be provided in accordance with all of the following:

(1) Cribs shall meet the United States consumer product safety commission (CPSC) safety standards (June 2011, cpsc.gov);

(2) Infants shall be placed in their cribs for sleeping, and shall not be allowed to sleep in car seats, swings, mesh cribs, playpens, bassinets of any type, or other equipment. If a medical condition exists where a child needs to sleep in equipment other than a crib, written permission shall be obtained and updated every six months from a physician and be kept on file for review;

(3) A crib shall be assigned only to children less than thirty-five inches tall.Children over thirty-five inches tall shall be assigned to use a cot;

(4) Each infant shall be provided with a separate crib.

(a) There shall be one crib available which meets the requirements of this rule for each infant.

(b) Each crib shall be labeled with each infant's name who is assigned to use the crib and shall be for the exclusive use of said child between sanitation procedures. Cribs shall be thoroughly cleaned with an appropriate germicidal detergent and regularly sanitized before assignment for use by another child.

(5) Cribs shall be spaced apart from each other by a minimum of two feet on all sides.

(6) The space between the mattress and the side of the crib or the end panels of the crib shall not exceed one and one-half inches.

(7) Each mattress shall:

(a) Be securely covered with a waterproof material which is not dangerous to children.

(b) Have a clean bottom crib sheet and top sheet and/or blanket which is changed at least weekly or more often as necessary. The sheets and blankets shall be changed whenever another child uses the crib.

(G) Potty chairs in the program shall be provided in accordance with all of the following:

(1) Potty chairs shall not be located in areas used for food preparation or serving or in areas not normally used for diaper changing or toileting.

(2) Potties shall be emptied, cleaned, disinfected, and rinsed with water after each use. the rinsing solution shall be disposed of into a toilet, not a sink.

(3) Disposable cloths used for cleaning potties shall be used once and disposed of in a plastic-lined covered receptacle. Reusable cloths shall be stored in an appropriate germicidal solution and held for laundering for no longer than one day.

Effective: 07/03/2014
R.C. 119.032 review dates: 04/10/2014 and 07/03/2019
Promulgated Under: 119.03
Statutory Authority: 3301.07 , 3301.53
Rule Amplifies: 3301.52 to 3301.59
Prior Effective Dates: 8/55/88, 5/28/04, 6/25/2009

3301-37-07 Policies and procedures.

(A) The program shall be guided by written policies of the board which are consistent with applicable statutory requirements contained in the Revised Code and rules adopted by the state board of education.

(B) Policies shall be in accordance with policies and procedures established by the governing body or board of education and approved by said governing body.

(C) Each school district or eligible nonpublic school that operates a program shall assign responsibilities for implementing policies and procedures.

(D) Policies shall be appropriate for children enrolled in the program shall at a minimum include, but not be limited to preschool policies described in this rule:

(1) Staff which at a minimum meets the requirements of rule 3301-37-04 of the Administrative Code; and

(a) Address staff awareness of each enrolled child's cumulative and health records required in rule 3301-37-08 of the Administrative Code;

(b) Include procedures for checking references of potential employees.

(2) Cumulative records which at a minimum meets the requirements of rule 3301-37-08 of the Administrative Code;

(3) Developmentally appropriate program planning which at a minimum meets the requirements of rule 3301-37-03 of the Administrative Code; and

(a) Addresses developmentally appropriate materials and equipment;

(b) Addresses selection and use of developmentally appropriate materials, equipment, and resources that meet the intellectual, physical, social, and emotional needs of the preschool child.

(4) Health and safety procedures, which at a minimum meets the requirements of rules 3301-37-11 and 3301-37-12 of the Administrative Code; and provides for the following:

(a) Ensuring that the health and safety of the children are safeguarded by an organized program of school health services designed to identify child health problems and to coordinate school and community health resources for children, as evidenced by but not limited to:

(i) Requiring immunization records and compliance with emergency medical authorization requirements in accordance with rules adopted by the state board of education under section 3301.53 of the Revised Code;

Programs funded through the department of education shall include requirements for health and developmental screening as described in the early learning program standards (2009, education.ohio.gov).

(ii) Providing and posting procedures for emergency situations, including fire drills, rapid dismissals, and tornado drills in accordance with section 3737.73 of the Revised Code, and keeping records of such drills or dismissals;

(iii) Posting medical and dental emergency procedures in each preschool room and by each telephone and making such available to school personnel, children, and parents;

(iv) Posting emergency numbers by each telephone;

(v) Supervising grounds, play areas, and other facilities when scheduled for use by children; and

(vi) Procedures for providing written notification to parents when a child is injured and maintaining a log of injury reports.

(b) Providing first-aid facilities and materials.

(c) When administering a medication, food supplement, modified diet, or fluoride supplement, the program shall:

(i) Prior to administration:

(a) Secure the written instructions of a licensed physician or licensed dentist as appropriate for the administration of any medication, food supplement, modified diet, or fluoride supplement; and

(ii) Each time medication is administered, a written record or log including dosage, date, and time shall be made. that record or log shall be kept on file for one year.

(iii) Only employees who are health professionals or who have completed a drug administration training may administer medication pursuant to section 3313.713 of the Revised Code.

(iv) Medication shall be stored in a designated locked storage place, except drugs requiring refrigeration shall be kept in a refrigerator not accessible to children.

(d) All preschool staff members shall wash their hands with soap and running water after each diaper change, or after assisting a child with toileting; after cleaning; after toileting; before preparing or eating food; before feeding any child; and when hands have been in contact with nasal or mucous secretions. Disposable towels or an air hand dryer shall be available at all times.

(e) Preschool program with swimming and water play activities in bodies of water two or more feet in depth, shall:

(i) Have written permission from the parent or guardian of a child before the child shall be permitted to swim or otherwise participate in water play activities. the written permission shall be signed and dated, and shall include the following:

(a) The child's name;

(b) A statement indicating whether or not the child is a swimmer; and

(c) That the parent or guardian grants permission for the child to participate in water activities.

(ii) The program shall provide enough preschool staff members to meet the requirements of rule 3301-37-04 of the Administrative Code at all times during swimming and water play activities.

(f) Swimming activities at sites other than the preschool program location, shall:

(i) Have preschool staff members shall always accompany and supervise children at swimming sites, including, but not limited to, public or private swimming pools, lakes, or rivers.

(ii) Swimming sites removed from the program shall be approved and supervised by local authorities.

(iii) Activities in bodies of water two or more feet in depth shall be supervised by persons who are currently certified as lifeguards or water safety instructors by the "American red cross" or an equivalent water safety program.

(iv) The program shall provide enough preschool staff members to meet the requirements of rule 3301-37-04 of the Administrative Code at all times during swimming and water play activities.

(5) Admission and attendance which at a minimum meets the requirements of:

(a) Supervising each child's admission, placement, and withdrawal according to established procedures.

(b) Preparing at least once annually for each group of children in the program a roster of the name and telephone number of the child and of the child's parent and, on request, furnishing the roster for each parent.

(c) Preparing a similar roster of all children in the program and, on request, make it available to each parent with a child in the program.

(i) Securing from each parent a signed statement indicating whether such individual desires to be included in rosters prepared in accordance with this paragraph.

(ii) Ensuring that a roster is not furnished to any person other than a parent.

(6) Behavior management/discipline which at a minimum meets the requirements of rule 3301-37-10 of the Administrative Code;

(7) Management of communicable diseases which at a minimum meets the requirements of rule 3301-37-11 of the Administrative Code; and

(a) In each building in which a program is operated there shall be readily available at all times at least one preschool staff member who has completed a course approved by the state department of health (www.odh.ohio.gov):

(i) First aid; and

(ii) Prevention, recognition, and management of communicable diseases.

(b) In each building in which a program is operated, there shall be readily available at all times at least one preschool staff member who has completed a child abuse recognition and prevention course based on an approved curriculum. The curriculum used in the course may be consistent with requirements as established by section 3319.073 of the Revised Code or appear on the approved curriculum list posted on the department's website. Consistent with requirements as established by section 3319.073 of the Revised Code, such staff shall complete at least four hours of in-service training in child abuse recognition and prevention within two years of employment and every five years thereafter.

(8) Transportation and field trips.

(E) Any parent of a child enrolled in the program shall be permitted unlimited access to the school during its hours of operation to contact his child, evaluate the care provided by the program, the premises, or for other purposes approved by the director. Upon entering the premises, the parent shall report to the school office.

(F) A preschool program serving a preschool child with a disability in a public school shall do so in accordance with Chapter 3301-51 of the Administrative Code and a preschool program serving a child in an eligible nonpublic school shall do so in accordance with the child's service plan concerning care of children with disabilities or health conditions.

Effective: 07/03/2014
R.C. 119.032 review dates: 04/10/2014 and 07/03/2019
Promulgated Under: 119.03
Statutory Authority: 3301.07 , 3301.53
Rule Amplifies: 3301.52 to 3301.59
Prior Effective Dates: 8/5/88, 5/28/04, 6/25/2009

3301-37-08 Child information.

(A) The parent shall provide, prior to the date of admission or not later than thirty days after date of admission, and every thirteen months from the date of examination thereafter, a medical statement affirming that the child is in suitable condition for enrollment in the program. "Prior to the date of admission" means:

(1) For children younger than three years old at the time of admission, the examination shall occur within six months prior to the date of admission;

(2) For children three years old or older at the time of admission, the examination shall occur within twelve months prior to the date of admission.

(3) A preschool child with a disability shall not be excluded from the program for lack of a medical statement until the team responsible for the individualized education plan (IEP) established pursuant to Chapter 3301-51 of the Administrative Code reconvenes; exclusion from the program until the IEP is revised may be a denial of a free, appropriate public education.

(4) The medical statement shall be provided by a physician, physician's assistant, clinical nurse specialist, or certified nurse.

(B) The program shall secure and have on file all required information no later than the first day of attendance unless otherwise required.

(1) The cumulative record of each child shall include but not be limited to:

(a) Name and date of birth;

(b) Name, address (home and/or business), and telephone number of parent(s);

(c) Names, addresses, and telephone numbers of two persons to contact in an emergency if the parent cannot be located;

(d) Name of persons(s) to whom the child can be released; and

(e) Parent authorization for transportation related to the program.

(2) The health record of each child shall include but not be limited to:

(a) A statement signed by a licensed physician as required by paragraph (A) of this rule;

(b) Physician's and dentist's authorization and written instructions to administer prescription medication to a child enrolled in the program;

(c) Immunization record as required by section 3313.67 of the Revised Code, which record shall include immunizations required by section 3313.671 of the Revised Code;

(d) A list of any allergies and treatment for said allergies;

(e) A list of any medications, food supplements, modified diets, or fluoride supplements currently being administered to the child;

(f) A list of any chronic physical problems and any history of hospitalization;

(g) A list of any diseases the child has had;

(h) Names, addresses, and telephone numbers of physician and dentist in case of emergency;

(i) Permission of parent for emergency medical and dental care as required by section 3313.712 of the Revised Code; and

(j) Permission of parent for emergency transportation.

(C) The program shall maintain daily attendance records including admission and withdrawal.

(D) The program shall notify parents when a child is injured and maintain a log of injury reports.

Effective: 07/03/2014
R.C. 119.032 review dates: 04/10/2014 and 07/03/2019
Promulgated Under: 119.03
Statutory Authority: 3301.07 , 3301.53
Rule Amplifies: 3301.52 to 3301.59
Prior Effective Dates: 8/5/88, 5/28/04, 6/25/2009

3301-37-09 School food services.

(A) The program shall be in compliance with section 3717.01 of the Revised Code.

(B) The program shall provide snacks in accordance with all of the following:

(1) Snacks shall be of quantity and quality to supplement food served at home so that the daily nutritional needs of the child are met in accordance with required daily allowance as prescribed by the U.S. department of agriculture meal patterns (August 2013, www.fns.usda.gov/cacfp/meals-and-snacks ).

(2) Reconstituted dry powdered milk shall be used only for cooking and shall not be used as a beverage.

(3) A choice from two of the groups listed below must be served for snack:

(a) Meat/meat-equivalent group;

(b) Bread/bread-alternatives group;

(c) Milk group; or

(d) Fruit/vegetable group.

(4) Parents providing snacks shall be provided information on nutritious snack choices.

(C) The program shall provide meals for children attending four hours or longer in accordance with all of the following:

(1) Meals shall be of a quantity and quality to supplement food served at home so that the daily nutritional needs of the child are met in accordance with required daily allowances as prescribed by the U.S. department of agriculture meal patterns (August 2013, www.fns.usda.gov/cacfp/meals-and-snacks).

(2) Dry powdered milk shall be used only for cooking and shall not be used as a beverage.

(3) Lunch shall be served to a preschool child who is in attendance entirely through the hours of eleven a.m. and one-thirty p.m., inclusively.

(4) The snack shall be served during the longest period between meals.

(D) Current menus for the entire week shall be posted in a conspicuous place and shall reflect all meals and snacks to be served by the program. Any substitute foods served shall be from the same basic food group and shall be recorded on the posted menu on the day the substitute food is served.

(E) Programs shall provide infant food and/or formula in accordance with all of the following:

(1) Infant food and/or formula provided by the parent shall be labeled with the child's name, date of preparation, and immediately refrigerated, except for unopened commercially prepared canned food or formula.

(2) If breast milk is provided by the parent or guardian, it shall be labeled with the child's name, date expressed, date of receipt, and shall be immediately refrigerated. Formula provided by the parent shall be labeled with the child's name, the date of receipt, and immediately refrigerated. Breast milk or formula shall not be stored for more than twenty-four hours. The unused portion of formula, breast milk, or food remaining in the container from which the infant has been directly fed shall not be reheated or served a second time and shall be discarded.

(3) Infant food and formula shall be prepared, stored, and served in a manner appropriate to the equipment use and the needs of each individual child according to his stage of development and in conformity with written instruction from the parent or physician in charge of the child.

(4) Breast milk or formula shall not be heated in a microwave oven.

(5) Food heated in a microwave oven shall be stirred or shaken during heating to avoid uneven heating.

(6) Infants shall be held or fed sitting up, and at no time should a bottle be propped.

(7) Programs that care for infants shall provide commercially prepared formula to be used in the event that the parent does not provide a quantity of formula sufficient to meet the infant's daily requirement.

Effective: 07/03/2014
R.C. 119.032 review dates: 04/10/2014 and 07/03/2019
Promulgated Under: 119.03
Statutory Authority: 3301.07 , 3301.53
Rule Amplifies: 3301.52 to 3301.59
Prior Effective Dates: 8/5/88, 5/28/04, 6/25/2009

3301-37-10 Behavior management/discipline.

(A) A preschool staff member in charge of a child or a group of children shall be responsible for their discipline.

(B) The center shall have a written discipline policy describing the center's philosophy of discipline and the specific methods of discipline used at the center. This written policy shall be on file at the center for review. constructive, developmentally appropriate child guidance and management techniques are to be used at all times, and shall include such measures as redirection, separation from problem situations, talking with the child about the situation, and positive reinforcement for appropriate behavior.

(C) Behavior management/discipline policies and procedures shall ensure the safety, physical, and emotional well-being of all individuals on the premises.

(D) The center's actual methods of discipline shall apply to all persons on the premises and shall be restricted as follows:

(1) There shall be no cruel, harsh, corporal punishment or any unusual punishments such as, but not limited to, punching, pinching, shaking, spanking, or biting.

(2) No discipline shall be delegated to any other child.

(3) No physical restraints shall be used to confine a child by any means other than holding a child for a short period of time, such as in a protective hug, so the child may regain control.

(4) No child shall be placed in a locked room or confined in an enclosed area such as a closet, a box, or a similar cubicle.

(5) No child shall be subjected to profane language, threats, derogatory remarks about himself or his family, or other verbal abuse.

(6) Discipline shall not be imposed on a child for failure to eat, failure to sleep, or for toileting accidents.

(7) Techniques of discipline shall not humiliate, shame, or frighten a child.

(8) Discipline shall not include withholding food, rest, or toilet use, and food shall not be used as a reward for behavior.

(9) Separation, when used as discipline shall be brief in duration and appropriate to the child's age and developmental ability, and the child shall be within sight and hearing of a preschool staff member in a safe, lighted, and well-ventilated space.

(10) The center shall not abuse or neglect children and shall protect children from abuse and neglect while in attendance in the preschool program.

(E) The parent of a child enrolled in a center shall receive the center's written discipline policy.

(F) All preschool staff members shall receive a copy of the center's discipline policy for review upon employment.

Effective: 07/03/2014
R.C. 119.032 review dates: 04/10/2014 and 07/03/2019
Promulgated Under: 119.03
Statutory Authority: 3301.07 , 3301.53
Rule Amplifies: 3301.52 to 3301.59
Prior Effective Dates: 5/28/2004, 6/25/2009

3301-37-11 Management of communicable disease.

(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 (more than one abnormally loose stool 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) Conjunctivitis;

(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; or

(i) Stiff neck; or

(j) Evidence of lice, scabies, or other parasitic infestation.

(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;

(b) Sore throat or difficulty in swallowing;

(c) Elevated temperature; or

(d) Vomiting.

(4) Programs shall follow the Ohio department of health " communicable disease chart" ( September 2009, odjfs.state.oh.us/forms) 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. 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.

Effective: 07/03/2014
R.C. 119.032 review dates: 04/10/2014 and 07/03/2019
Promulgated Under: 119.03
Statutory Authority: 3301.07 , 3301.53
Rule Amplifies: 3301.52 to 3301.59
Prior Effective Dates: 8/5/88, 5/28/04, 6/25/2009

3301-37-12 Diapering.

(A) The changing of diapers for all non-toilet-trained children shall be handled in conformity with the following methods:

(1) The changing of diapers for all non-toilet-trained children shall occur in a space that contains a hand-washing facility. Handwashing facilities that are located elsewhere may be used if a program assures that children are safe and conditions are sanitary while toileting or being diapered.

(2) The program shall provide disposable gloves for diapering; however, the use of gloves or hand sanitizer does not preclude requirements for proper hand washing.

(3) If an infant's diapers are to be changed in his crib or at a central changing station, there shall be some separation material between the infant and the changing surface. The material shall be discarded and replaced after each change.

(4) The central diaper-changing station or crib shall be disinfected after each diaper change with an appropriate germicidal agent in a manner consistent with manufacturer guidelines. If the diaper-changing station is soiled after the diaper change, it shall be cleaned with soap and water and then disinfected with an appropriate germicidal agent.

(5) Any product used during diaper changing on more than one child shall be used in such a way that the container does not touch the child. Any product obtained applied to a child shall be applied in such a manner so as not to contaminate the product or its container. Common containers shall be cleaned and disinfected with an appropriate germicidal agent when soiled.

(6) For the purpose of diapering, topical ointments and creams provided by parents shall include written instructions. Such instructions shall include the name of the ointment, cream, or lotion; name of the child; birth date of the child; date; and signature. written instructions shall be valid for no longer than three months. Authorization for administration of the ointment, cream, or lotion may be cancelled by written request of the parent at any time.

(B) Storing of clean diapers shall be handled in accordance with the following methods:

(1) A clean supply of diapers stored in a specifically designated area shall be available at all times.

(2) Diapers or clothing used during diaper changing and brought from the child's home shall be stored in space assigned exclusively for each child's belongings. Soiled clothing and/or diapers shall be sent home daily.

(C) Storage and laundering of soiled diapers shall be handled in accordance with the following methods:

(1) Diapers or clothing soiled with fecal matter and sent home with a child need not be rinsed at the program facility, but may be placed directly into a container that can be sanitized or bag, sealed tightly, stored away from the rest of the child's belongings and out of the reach of children.

(2) Soiled diapers to be disposed of or cleaned by the program shall be placed in a common plastic-lined covered container which shall be emptied, cleaned, and disinfected with an appropriate germicidal agent daily or more frequently as needed. Diapers to be laundered at the program facility should be stored in an appropriate germicidal solution until laundered.

(3) Soiled diapers to be commercially laundered shall be held for pickup for laundering for no longer than seven days.

(4) Diapers to be laundered at home or by the program shall be held for laundering for no longer than one day.

(5) Soiled disposable diapers shall be discarded daily.

Effective: 07/03/2014
R.C. 119.032 review dates: 04/10/2014 and 07/03/2019
Promulgated Under: 119.03
Statutory Authority: 3301.07 , 3301.53
Rule Amplifies: 3301.52 to 3301.59
Prior Effective Dates: 8/5/88, 5/28/04, 6/25/2009