(A) The licensed type B home provider shall have a written plan for medical or dental emergencies on the JFS 01929 "Medical, Dental and General Emergency Plan for Child Care Homes" (rev. 8/2008). The plan shall be completed, implemented when necessary, and shall be posted readily in view on each level of the home in use for child care.
(B) The provider shall prepare a report using the JFS 01299 "Incident/Injury Report" (rev. 6/2007) and provide a copy to the child's caretaker on the day of the incident or injury if any of the following occur:
(1) A child becomes ill and requires first aid or receives an injury which requires first aid treatment.
(2) A child is transported in accordance with this rule to a source of emergency assistance.
(3) A child receives a bump or blow to the head.
(4) An unusual or unexpected incident, which jeopardizes the safety of a child or provider, such as a child leaving the home unattended.
(C) The provider shall call and speak directly with staff at the county department of job and family services (CDJFS) the next business day of any of the following events:
(1) Death of a child at the home.
(2) Serious incident, injury, or illness to a child. A serious incident, injury, or illness includes any situation that requires a child to be removed by the caretaker, caregiver or emergency services from the home for medical treatment, professional consultation or transportation for emergency treatment.
(3) An unusual or unexpected incident as described in paragraph (B)(4) of this rule.
(D) The provider shall also provide written notification via the JFS 01299 to the CDJFS if an event listed in paragraph (C) of this rule occurs. The JFS 01299 shall be faxed, mailed or emailed to the CDJFS to arrive no later than three business days from the occurrence. This notification does not replace reporting to the county children's protective services agency if there are concerns of child abuse or neglect as required by rule 5101:2-14-20 of the Administrative Code.
(E) An unlocked, closed first-aid container shall be on the premises and readily available to the provider but shall be kept out of reach of children. The first-aid container shall contain all of the items listed in "Appendix A" to this rule.
(F) First aid supplies shall be replaced as they are used, expired, damaged or if sterile packages are opened.
(G) The provider shall have supplies to practice these basic procedures:
(1) Blood spills shall be treated cautiously and decontaminated promptly. Disposable gloves shall be worn during contact with blood or bodily fluids which contain blood, such as vomit or feces in which blood can be seen.
(2) Surfaces contaminated with blood or bodily fluids containing blood shall first be cleaned with hot, soapy water and then sanitized with an appropriate bleach solution that is prepared on a daily basis according to product guidelines or another acceptable sanitizing solution.
(3) Disposal of materials that contain blood requires a sealable, leakproof plastic bag or double bagging in plastic bags that are securely tied.
(4) Non-disposable items, such as clothing, that contain blood, shall be placed in a sealable, leakproof plastic bag or double bagged in plastic bags that are securely tied and sent home with the child.
(5) Sharp items used for procedures on children with special needs, such as lancets for finger sticks or syringes, require a disposable container called a "sharps container." This is a container made of durable, rigid material which safely stores the lancets or needles until the caretaker can take them home for disposal. Sharps containers shall be stored out of the reach of children.
(6) Hand washing with soap and water shall occur after the cleaning of any spill containing bodily fluids in accordance with rule 5101:2-14-12 of the Administrative Code.
(H) Upon the child's arrival each day, the provider shall observe each child for signs of communicable illness. The provider shall post the JFS 08087 "Communicable Disease Chart" (rev. 4/2009 or 9/2009) in an area easily accessible to caretakers. The provider shall:
(1) Notify caretakers when their child has been exposed to a communicable disease within twenty-four hours.
(2) Cooperate with the local health department in the management of any reported outbreaks of communicable disease.
(I) The provider shall decide if he or she will care for sick children as defined in "Appendix B" to this rule, and shall inform caretakers of his or her decision. If the provider cares for sick children, the provider shall follow the guidelines detailed in "Appendix B" to this rule.
(J) All the requirements of this rule shall apply if the provider's own child is sick.
Replaces: 5101:2-14-28, 5101:2-14-29, 5101:2-14-30
R.C. 119.032 review dates: 01/01/2019
Promulgated Under: 119.03
Statutory Authority: 5104.018
Rule Amplifies: 5104.018
Prior Effective Dates: 4/1/82, 5/20/83, 9/1/86, 2/15/88, 5/1/89, 10/1/97 (Emer.), 12/30/97, 4/1/03, 8/14/08.