5101:2-14-04 In-home aide responsibilities and assurances.

(A) What policies and procedures shall be followed by the in-home aide (IHA)?

The IHA shall:

(1) Not smoke in the home where child care is being provided.

(2) Not be under the influence of any substance that impairs the IHA's ability to perform duties.

(3) Have immediate access at all times to a working telephone on the premises that is capable of receiving incoming calls and making outgoing calls.

(4) Have children nap/sleep in their own beds or cribs.

(5) Have infants placed on their backs to sleep.

(6) Provide daily outdoor play, weather permitting.

(7) Not prop bottles.

(8) Store formula/breast milk in accordance with the JFS 01642 "In-Home Aide Assurances" (rev. 12/2016).

(9) Base toilet training on the child's readiness, and in consultation with the parent.

(10) Not leave children unattended when transporting children in a vehicle and shall have signed permission forms to transport children on a routine basis or for field trips. The permission form will include.

(a) Child's name.

(b) Destination.

(c) Date of trip(s).

(d) Time and duration of the field trip.

(e) Parent's signature and date.

(11) Provide nutritious, varied and appropriately timed meals and snacks for all children in accordance with the parent's wishes.

(12) Immediately notify the public children services agency (PCSA) if the IHA suspects that a child has been abused or neglected.

(13) Contact the county agency by the next business day if the IHA discontinues caring for children.

(14) Conduct an annual fire drill. Written documentation of this drill shall be kept on-site.

(B) What child guidance techniques shall be used by the IHA?

The IHA shall follow appendix A to this rule regarding guidance techniques to be used with children.

(C) What records shall be kept by the IHA?

(1) The IHA shall have the JFS 01234 "Child Enrollment and Health Information for Child Care" (rev. 12/2016) on file for all of the children in care by the first day of care, including any child of the IHA. This record shall be reviewed and updated annually by the parent. Each IHA will set a policy regarding whether to provide child care services to children whose parents refuse to grant consent for transportation to the source of emergency treatment.

(2) The IHA shall have verification of a medical exam on file for each child in care, including any child of the IHA. Children who attend a grade of kindergarten and above in an elementary school are exempt from this requirement.

(a) The medical statement shall be on file at the home within thirty days of the child's first day of care and shall be updated every thirteen months thereafter from the date of the examination.

(b) The medical statement shall contain the following information:

(i) The child's name and birth date.

(ii) The date of the medical examination.

(iii) The signature, business address and telephone number of the physician, physician's assistant (PA), advanced practice registered nurse (APRN) or certified nurse practitioner (CNP) who examined the child.

(iv) 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.

(v) 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 divison 5104.014 of the Revised Code and found in appendix B to this rule. A child is not required to be immunized against a disease specified in appendix B to this rule if the medical statement includes any of the following:

(a) A statement from a physician, PA, APRN, or CNP that an immunization against the disease is medically contraindicated for the child.

(b) A statement from a physician, PA, APRN, or CNP that an immunization against the disease is not medically appropriate for the child's age.

(c) A statement from the child's parent or guardian that he or she has declined to have the child immunized against the disease for reasons of conscience, including religious convictions.

(3) If a special need or health condition is known or suspected, the IHA shall require the parent to complete the JFS 01236 "Medical/Physical Care Plan for Child Care" (rev. 12/2016). The IHA shall review the information, assure that he or she understands the plan, receive training if required, have the form signed as needed and maintain a copy in the child's file.

(a) The JFS 01236 shall be used for children with a condition or diagnosis that require the following:

(i) Monitoring the child for symptoms which require the IHA to take action.

(ii) Administering procedures which require the IHA to be trained on those procedures.

(iii) Avoiding specific food(s), environmental conditions or activities.

(iv) A school-age child to carry and administer their own emergency medication.

(b) The IHA shall:

(i) Complete with the parent a JFS 01236 for each condition per child.

(ii) Keep the completed JFS 01236 on file for at least one year.

(iii) Maintain a current JFS 01236 for any child who requires one, 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.

(c) The plan shall be reviewed by the parent at least annually and updated as needed.

(4) The IHA shall maintain daily written attendance records, indicating the hours of care provided for each child.

(5) Prior to administering any nonprescription or prescription medication, the IHA shall have written permission of the parent and physician as required, using the JFS 01217 "Request for Administration of Medication for Child Care" (rev. 12/2016).

(a) When giving prescription medicine, the IHA shall ensure the bottle has the child's name on it, the dosage and the name of the doctor who prescribed the medicine.

(b) The IHA shall ensure that when dispensing prescription medications to a child that the instructions of the physician who prescribed the medication are followed.

(D) What are the disaster plan requirements for a licensed family child care provider?

The IHA shall develop a written disaster plan.

(1) The plan shall include procedures that will be used to prepare for and respond to the following types of emergency or disaster situations:

(a) Weather emergencies and natural disasters which include severe thunderstorms, tornadoes, flash flooding, major snowfall, blizzards, ice storms or earthquakes.

(b) Emergency outdoor or indoor lockdown or evacuation due to threats of violence which includes active shooter, bioterrorism or terrorism.

(c) Emergency or disaster evacuations due to hazardous materials and spills, gas leaks or bomb threats.

(d) Outbreaks, epidemics or other infectious disease emergencies.

(e) Loss of power, water or heat.

(f) Other threatening situations that may pose a health or safety hazard to the children in the home.

(2) The disaster plan shall include details for:

(a) Shelter in place or evacuation, how the IHA will care for and account for the children until they can be reunited with the parent.

(b) Assisting infants and children with special needs and/or health conditions.

(c) Reunification with parents.

(i) Emergency contact information for the parents and the IHA.

(ii) Procedures for notifying and communicating with parents regarding the location of the children if evacuated.

(iii) Procedures for communicating with parents during loss of communications, no phone or internet service available.

(d) The location of supplies and procedures for gathering necessary supplies for children if required to shelter in place.

(e) What to do if a disaster occurs during the transport of children or when on a field trip or routine trip.

(f) Training of staff or reassignment of staff duties as appropriate.

(g) Updating the plan on a yearly basis.

(h) Contact with local emergency management officials.

(E) The IHA may submit a written request for a county appeal review to the county agency, pursuant to rule 5101:2-14-07 of the Administrative Code, no later than fifteen calendar days after the mailing date of a county agency notification of a proposed adverse action for any of the following adverse actions proposed by the county agency:

(1) Denial of an application for certification.

(2) A decision made on an inspection or complaint investigation.

(3) Proposal to revoke a certificate.

(4) Notice that a certificate will not be renewed.

(5) Notification of action to recover an overpayment.

Replaces: 5101:2-14-32

Click to view Appendix

Click to view Appendix

Effective: 12/31/2016
Five Year Review (FYR) Dates: 12/31/2021
Promulgated Under: 119.03
Statutory Authority: 5104.019
Rule Amplifies: 5104.019
Prior Effective Dates: 4/1/82, 5/20/83, 9/1/86, 2/15/88, 5/1/89, 10/15/96, 10/1/97 (Emer.), 12/30/97, 4/1/03, 8/14/08, 12/1/09, 7/1/11, 1/1/14