5101$2-12-16 ph of n rs 20160831 13112-12... · 2016. 8. 31. · ofc-4200 e. 5th ave., 2nd fl....

Rule Summary and Fiscal Analysis (Part A)

Department of Job and Family ServicesAgency Name

Division of Social Services Michael LynchDivision Contact

OFC- 4200 E. 5th Ave., 2nd fl. J6-02 P.O. Box183204 Columbus OH 43218-3204

614-466-4605 614-752-8298

Agency Mailing Address (Plus Zip) Phone Fax

[email protected]

5101:2-12-16Rule Number

NEWTYPE of rule filing

Rule Title/Tag Line Emergency and health-related plans for a licensed child carecenter.

RULE SUMMARY

1. Is the rule being filed for five year review (FYR)? No

2. Are you proposing this rule as a result of recent legislation? No

3. Statute prescribing the procedure inaccordance with the agency is requiredto adopt the rule: 119.03

4. Statute(s) authorizing agency toadopt the rule: 5104.015

5. Statute(s) the rule, as filed, amplifiesor implements: 5104.015

6. State the reason(s) for proposing (i.e., why are you filing,) this rule:

This rule is being adopted as a result of the five year review and to improve theclarity of the regulations and the organization of the chapter. It replaces rescindedrules 5101:2-12-34, 5101:2-12-35 and 5101:2-12-36.

7. If the rule is an AMENDMENT, then summarize the changes and the contentof the proposed rule; If the rule type is RESCISSION, NEW or NO CHANGE,

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ACTION: Original DATE: 08/31/2016 1:11 PM

then summarize the content of the rule:

This rule outlines medical, dental, first aid and communicable disease procedures,incidents and injuries and disaster planning for a licensed child care center.

8. If the rule incorporates a text or other material by reference and the agencyclaims the incorporation by reference is exempt from compliance with sections121.71 to 121.74 of the Revised Code because the text or other material isgenerally available to persons who reasonably can be expected to be affectedby the rule, provide an explanation of how the text or other material is generallyavailable to those persons:

This rule incorporates one or more references to another rule or rules of the OhioAdministrative Code. This question is not applicable to any incorporation byreference to another OAC rule because such reference is exempt from compliancewith RC 121.71 to 121.74 pursuant to RC 121.76(A)(3).

This rule incorporates one or more dated references to an ODJFS form or forms.Each cited ODJFS form is dated and is generally available to persons affected bythis rule via the inner-web at http://innerapp.odjfs.state.oh.us/forms/inner.asp or onthe inter-net at http://www.odjfs.state.oh.us/forms/inter.asp in accordance with RC121.75(E).

9. If the rule incorporates a text or other material by reference, and it wasinfeasible for the agency to file the text or other material electronically, providean explanation of why filing the text or other material electronically wasinfeasible:

Not Applicable.

10. If the rule is being rescinded and incorporates a text or other material byreference, and it was infeasible for the agency to file the text or other material,provide an explanation of why filing the text or other material was infeasible:

Not Applicable.

11. If revising or refiling this rule, identify changes made from the previouslyfiled version of this rule; if none, please state so. If applicable, indicate eachspecific paragraph of the rule that has been modified:

Not Applicable.

12. Five Year Review (FYR) Date:

Rule Number: 5101:2-12-16

(If the rule is not exempt and you answered NO to question No. 1, provide thescheduled review date. If you answered YES to No. 1, the review date for thisrule is the filing date.)

NOTE: If the rule is not exempt at the time of final filing, two dates are required:the current review date plus a date not to exceed 5 years from the effective datefor Amended rules or a date not to exceed 5 years from the review date for NoChange rules.

FISCAL ANALYSIS

13. Estimate the total amount by which this proposed rule would increase /decrease either revenues / expenditures for the agency during the currentbiennium (in dollars): Explain the net impact of the proposed changes to thebudget of your agency/department.

This will have no impact on revenues or expenditures.

0

The proposed rule will not have an impact on the agency's projected budget duringthe current biennium.

14. Identify the appropriation (by line item etc.) that authorizes each expenditurenecessitated by the proposed rule:

Not Applicable.

15. Provide a summary of the estimated cost of compliance with the rule to alldirectly affected persons. When appropriate, please include the source for yourinformation/estimated costs, e.g. industry, CFR, internal/agency:

There are no anticipated new costs of compliance as a result of this new rule.

16. Does this rule have a fiscal effect on school districts, counties, townships, ormunicipal corporations? No

17. Does this rule deal with environmental protection or contain a componentdealing with environmental protection as defined in R. C. 121.39? No

S.B. 2 (129th General Assembly) Questions


18. Has this rule been filed with the Common Sense Initiative Office pursuant toR.C. 121.82? Yes

19. Specific to this rule, answer the following:

A.) Does this rule require a license, permit, or any other prior authorization toengage in or operate a line of business? Yes

Centers must be licensed because they serve seven or more children.

B.) Does this rule impose a criminal penalty, a civil penalty, or another sanction,or create a cause of action, for failure to comply with its terms? Yes

Failure to comply can result in revocation of a license.

C.) Does this rule require specific expenditures or the report of information as acondition of compliance? Yes

There may be costs associated with purchasing supplies for first aid kits,completing and developing health and disaster plans and completing incident andinjury forms.


JFS 01242 (Rev. 12/2016) Page 1 of 2

Ohio Department of Job and Family Services

MEDICAL AND GENERAL EMERGENCY PLAN FOR CHILD CARE Provider/Program Name

Telephone Number

Street Address

EMERGENCY TELEPHONE NUMBERS (Include area code)

Emergency Squad

Hospital

Police Department

Fire Department

Poison Control

Public Children Services Agency (PCSA)

Local Health Department

Local Emergency Management Agency (EMA)

LOCATION OF

First Aid Kit(s) Children's Records Fire Extinguishers Fire Alarm System/Main Panel Electrical Circuit Box Fire Alarm Pull Stations

EMERGENCY INSTRUCTIONS

In an emergency, do any children in this room require additional assistance (more than other children of the same age or in the same group) to evacuate? No Yes (If yes, the written plan should be available to the teacher in the classroom with the child(ren). This question is not required to be answered in rooms that multiple groups use (such as gyms, lunchrooms, etc. that are not classrooms). It must be completed in all classroom/home base areas.

In the event that the child care program must be evacuated, are there medications or supplies that must be taken with any child(ren) in this room? No Yes (If yes, the written plan should be available to the teacher in the classroom with the child(ren). This question is not required to be answered in rooms that multiple groups use (such as gyms, lunchrooms, etc. that are not classrooms). It must be completed in all classroom/home base areas.

Loss of Power, Water, Heat

Contact utility company to notify of outage and assess expected time of outage.

Evaluate factors, including safety, temperature, daylight, refrigeration requirements, ability to follow sanitary hygiene practices.

Administrator or designee will make the determination whether the center/home needs to be closed or not. If in doubt, contact your licensing specialist or your local health department for assistance in determining whether you can continue to provide child care services and meet rule requirements.


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JFS 01242 (Rev. 12/2016) Page 2 of 2

In the event of a Serious Injury or Illness

Stay with injured/ill child at all times, summon additional help if needed to supervise rest of children. Quickly complete an assessment: Appearance, Breathing, and Circulation.

Summon a staff member trained in First Aid/Communicable Disease if you are not trained, determine whether EMS needs to be contacted.

Check child’s health information to determine if a Medical/Physical Health Care Plan has been completed for the child.

Contact parents.

Provide basic first aid until EMS or parent arrives.

Complete a JFS 01299 Incident/Injury Report for Child Care for parents.

If child is ill:

Isolate away from other children, reference the ODH Communicable Disease Chart and follow instructions.

Determine whether illness needs to be reported to ODH.

Post exposure sign or written notice for parents.

Sanitize cot/blanket if used.

If blood or bodily fluids are involved remember to wear non-latex gloves and follow standard precautions for cleanup.

If situation requires medical attention, ODJFS must be notified within 24 hours of the incident and report submitted within 3 days.

Supervision: Children must be supervised at all times. Children in the group must be kept within sight and hearing until additional staff are available to take control of children. Staff shall stay with children until the parent arrives.

Additional instructions for this program

JFS 01201 (Rev. 12/2016)

DENTAL FIRST AID

Following a Head or Mouth Injury: Calm the injured person Check to determine the type of injury and refer to the Action Plan. If minor bleeding:

Apply direct pressure with sterile gauze or clean cloth. If bleeding doesn’t stop within ten minutes, contact parent and arrange to take child to the emergency room.

If bleeding profusely: Contact parent. Arrange for emergency services by an emergency squad or emergency room.

ACTION PLAN 1. Knocked Out Permanent (ADULT) Tooth (avulsed tooth)

Find tooth, but do NOT handle it by the root (hold the tooth by the crown). If tooth is dirty, rinse gently with tap water; don’t scrub or use antiseptic. Attempt to gently replant tooth into the socket. Have the child hold in place with a tissue or gauze. If replanting tooth is not possible, place tooth in a tooth preservation system* or, if unavailable, a glass of cool

milk. If a tooth preservation system or milk is unavailable, place tooth in saliva by having the child spit into a cup. Place tooth in saline solution or water only as a last resort. Tooth must not dry out! Contact parent. Arrange to take child and tooth to dentist IMMEDIATELY. Replantation within 15 minutes is

best.

2. Knocked Out Primary (BABY) Tooth Primary (baby) tooth should not be replanted. Contact parent. Arrange to take child to dentist as soon as possible.

3. Tooth Loosened/Chipped/Pushed Into Gums

Gently clean the area with warm water. Do not attempt to move tooth into correct position. Contact parent. Arrange to take child to dentist immediately.

4. Toothache

Do not place aspirin on gums of aching tooth (aspirin will burn gums). Contact parent. Arrange to take child to dentist as soon as possible.

5. Injury to Lips, Tongue, Cheek

Rinse affected area with warm water. Place cold compress over area to minimize swelling. If injury is due to a fall or if tooth is chipped, contact parent. Arrange to take child to dentist immediately.

(Foreign matter lodged in lip may cause infection.) Also, see #3 above.

6. Broken or Dislocated Jaw Immobilize jaw by placing a triangular bandage from first aid kit, scarf, necktie, or towel under the chin tying the

ends on top of the head. Contact parent. Arrange to take child to emergency room immediately.

Find more information at www.odh.state.oh.us

*See ODJFS Rule 5101: 2-12-16 or 5101:2-13-16

EMERGENCY TELEPHONE NUMBERS Arrange to have a dentist on call for weekend or evening emergencies.

Dentist: Emergency Squad:



COMMUNICABLE PERIOD: Varies with causative agent.

EXCLUSION: A person with diarrhea, of infectious or unknown cause, who attends a child care center or works in a sensitive occupation, shall be excluded from the child care center or work in the sensitive occupation and may return only after diarrhea has ceased. A person with infectious diarrhea of known cause shall be isolated in accordance with the provisions of the rule set forth for the speciジed disease. ｦSensitive occupationｧ means direct food handling, direct patient care, the handling of food or provision of direct care to children in a child care center, or any other occupation which provides signiジcant opportunity for an infected individual to transmit infectious disease agents.ｪA person with any of the following diseases who attends a child care center or works in a sensitive occupation shall be excluded from the child care center or work in the sensitive occupation and may return when the following conditions are met:

Campylobacteriosis: (1) A child may return to a child care center after his or her diarrhea has ceased.(2) A person may return to work in a sensitive occupation after diarrhea has ceased, provided the personｧs duties do not include food handling.(3) A food handler may return to work only after diarrhea has ceased and one of the following conditions are met: (a) Forty-eight hours of effective antimicrobial therapy; or (b) Two consecutive follow-up stool specimens are negative for Campylobacter.

Cryptosporidiosis: (1) The child may return to the child care center after diarrhea has ceased.(2) A person may return to work in a sensitive occupation after diarrhea has ceased, provided that his or her duties do not include food handling.(3) A food handler may return to work after diarrhea has ceased and after three consecutive follow-up stool specimens are negative for Cryptosporidium.

Escherichia coli (E. coli) O157:H7, other enterohemorrhagic (Shiga toxin-producing) E. coli or hemolytic uremic syndrome (HUS): His or her diarrhea has ceased and after two consecutive follow-up stool specimens are negative for E. coli O157:H7 or other enterohemorrhagic (Shiga toxin-producing) E. coli.

Giardiasis: His or her diarrhea has ceased and one of the following conditions have been met:(1) Seventy-two hours of effective antimicrobial therapy; or(2) Three consecutive follow-up stool specimens are negative for Giardia.

Salmonellosis: (1) The child may return to the child care center after diarrhea has ceased.(2) A person may return to work in a sensitive occupation after diarrhea has ceased, provided that his or her duties do not include food handling.(3) A person who is a food handler may return to work after diarrhea has ceased and after two consecutive follow-up stool specimens are negative for Salmonella.Shigellosis: Diarrhea has ceased and after two consecutive follow-up stool specimens are negative for Shigella.Yersiniosis: (1) A child may return to the child care center after diarrhea has ceased.(2) A person may return to work in a sensitive occupation after diarrhea has ceased, provided that his or her duties do not include food handling.(3) A food handler may return to work after diarrhea has ceased and two consecutive follow-up stool specimens are negative for Yersinia.

CONTROL: Wash hands using soap and water instead of hand sanitizer, and dry with disposable towels. Emphasize handwashing after toileting and before meals. Monitor food handlersｧ hygiene and health. Avoid swimming in public pools or lakes, and preparing food for others if diarrhea ispresent. Refer to the ODH website for additional disease-speciジc infection control guidelines (http://www.odh.ohio.gov/pdf/IDCM/sect3TOC.pdf).

REPORTING: Campylobacteriosis, cryptosporidiosis, E. coli O157:H7, other Shiga toxin-producing E. coli, HUS, giardiasis, salmonellosis, shigellosis, and yersiniosis - Report to the local health department by the end of the next business day after the existence of a case, a suspected case, or a positive laboratory result is known. Report an outbreak, unusual incident or epidemic to the local health department by the end of the next business day.

OTHER: If 2 or more children or staff members in one classroom of a child care center experience diarrhea within a 48 hour period, an infectious agent should be suspected. Because disease spreads more easily among children in diapers and staff caring for them, stool testing may be necessary. Breastfed infants often have loose frequent stools; this normal condition should not be confused with diarrhea. Determine if there has been a change in frequency for the breastfed infant whose stools may normally be watery and frequent.

COMMUNICABLE PERIOD: Up to 5 days before the appearance of the rash; no longer contagious once the rash appears.

EXCLUSION: Exclusion is not recommended unless the child is too ill to participate in daily activities, staff members cannot care for thechild without compromising their ability to appropriately care for the other children, or the child meets other exclusion criteria.

CONTROL: Avoid touching the eyes, nose and mouth.

REPORTING: Report an outbreak, unusual incident or epidemic to the local health department by the end of the next business day.

OTHER: Pregnant women should notify their healthcare provider if exposed; most women will be immune, but those who are not have a very small chance of the disease affecting the fetus, particularly if exposure occurs in the ジrst half of pregnancy.

COMMUNICABLE PERIOD: 1､2 days before the rash appears, until the lesions have crusted, usually 6 days after the appearance of ﾎuid-ジlled sores.EXCLUSION: A person with chickenpox shall be isolated, including exclusion from school, child care center, and public places until the sixth day after onset of rash, or until all lesions are dry. Contagiousness may be prolonged in patients with altered immunity. Persons with chickenpox shall avoid contact with susceptible persons.

CONTROL: Emphasize handwashing before and after touching lesions (sores or blisters). Encourage vaccination of all persons 12 months of age and older, unless contraindicated. Keep sores of persons with shingles (herpes zoster) covered by clothing or a bandage until sores have crusted.

REPORTING: Report to the local health department by the end of the next business day after the existence of a case, a suspected case, or a positive laboratory result is known.

OTHER: Highly contagious. Children with weakened immune systems or some chronic diseases are at the highest risk for complications if they get chickenpox. Do not give a child aspirin products because aspirin has been strongly linked with Reyeｧs syndrome. The Ohio High School Athletic Association (OHSAA) may have different guidelines/rules for exclusion from sports activities. See: http://ohsaa.org/medicine/sportssafety.htmVaccine available

COMMUNICABLE PERIOD: 24 hours before symptoms develop through 5 days after the ジrst symptom (may vary).EXCLUSION: Exclusion is not recommended unless the child is too ill to participate in daily activities, staff members cannot care for the child without compromising their ability to appropriately care for the other children, or the child meets other exclusion criteria.

CONTROL: Avoid touching or rubbing eyes. Increase ventilation.

REPORTING: None

OTHER: Colds are caused by viruses – antibiotics are NOT indicated.

COMMUNICABLE PERIOD: Bacterial—until 24 hours after effective antibiotic treatment is started or symptoms no longer present. Viral – until symptoms are no longer present.

EXCLUSION: Exclude those with purulent (pus) eye discharge until after 24 hours of treatment with an effective antibiotic.

CONTROL: Emphasize handwashing before and after touching the eyes, nose and mouth. Avoid touching or rubbing eyes.

REPORTING: Report an outbreak, unusual incident or epidemic, to the local health department by the end of the next business day.

OTHER: Conjunctivitis can also occur when a person has contact with something that causes an allergic reaction. This type of conjunctivitis is not contagious and may be confused with bacterial and viral conjunctivitis.

COMMUNICABLE PERIOD: For the duration of the cough (disease).

EXCLUSION: Exclude until severe symptoms are gone.

CONTROL: Avoid touching the eyes, nose and mouth.

REPORTING: Report an outbreak, unusual incident or epidemic to the local health department the end of the next business day.

OTHER: Medical attention may be necessary. Major complications can occur. Upper respiratory infection often is seen before croup. Croup may be caused by a virus or bacteria.

COMMUNICABLE PERIOD: 1 day before symptoms develop and up to 7 days after the ジrst symptom; children and people with compromised immune systems may be contagious for longer than 7 days.

EXCLUSION: Exclude if the child is too ill to participate in daily activities, staff members cannot care for the child without compromising their ability to appropriately care for the other children or the child meets other exclusion criteria.

CONTROL: Encourage yearly vaccination of all persons 6 months of age and older, unless contraindicated. Reduce crowding.


OTHER: Do not give a child aspirin products because aspirin has been strongly linked with Reyeｧs syndrome.Vaccine available

COMMUNICABLE PERIOD: Most contagious during the ジrst week of illness; some people may be contagious for days or weeks after symptoms go away. EXCLUSION: Exclusion is not recommended unless the child is too ill to participate in daily activities, staff members cannot care for the child without compromising their ability to appropriately care for the other children, the child meets other exclusion criteria or the child has an underlying blood disorder or a weakened immune system.

CONTROL: Reduce crowding. Increase ventilation.


COMMUNICABLE PERIOD: As long as live lice are present.

EXCLUSION: A person with head lice shall be excluded from school or child care center until after the ジrst treatment with an effective pediculicide. CONTROL: Treat the infested person with a medication (pediculicide) that kills lice and nits; for children under 2 years of age, contact a physician for directions before treatment. Check the entire household and all close contacts for lice; treat all contacts to whom lice have spread. Machine wash in the hot water cycle all washable clothing, towels, bed linens and other items that the infested person touched during the 2 days before treatment, and dry on the hot cycle for at least 20 minutes. Dry clean clothing that is not washable OR store items that cannot be washed in a closed container/bag for 14 days. Soak combs and brushes for 1 hour in rubbing alcohol or wash with soap and soak in hot (130°F) water for 1 hour. Small items can also be placed in a freezer overnight. Vacuum the ﾎoor and furniture. Do not use fumigant sprays. Encourage parents to inspect childrenｧs heads regularly.


OTHER: The life cycle of lice is composed of 3 stages: eggs, nymphs and adults. Under ideal conditions, the eggs hatch in 7–10 days. The nymph stage lasts about 7–13 days. The egg-to-egg cycle averages about 3 weeks. The hands of those who examine people for head lice have never been found to transmit them between people. Lice do not jump, ﾎy or swim; they cannot survive off a person for longer than 24､48 hours. Eggs can survive 7､10 days off a person but will not hatch below 72° Fahrenheit. The Ohio High School Athletic Association (OHSAA) may have different guidelines/rules for exclusion from sports activities. See: http://ohsaa.org/medicine/sportssafety.htm

COMMUNICABLE PERIOD: 2 weeks before symptoms develop through 10 days after the ジrst symptom.EXCLUSION: A person with hepatitis A who attends a child care center or works in a sensitive occupation shall be excluded from the child care center or work in the sensitive occupation until ten days after initial onset of symptoms.

CONTROL: Wash hands using soap and water instead of hand sanitizer, and dry with disposable towels. Emphasize handwashing after toileting and before meals. Monitor food handlersｧ hygiene and health. Contact the local health department to help with outbreaks and for guidance/recommendations for the use of immune globulin (IG) or vaccine. Encourage vaccination in all persons 12 months of age and older, unless contraindicated.


OTHER: Outbreaks occasionally occur, usually related to an ill food handler. Children play an important role in hepatitis A transmission because they often do not have symptoms when infected. Vaccine available

COMMUNICABLE PERIOD: Not well deジned. First infection ､ at least 1 week and occasionally for several weeks after symptoms develop. Reactivation ､ most contagious for the ジrst 3-4 days after symptoms develop. During periods where there are no signs or symptoms the virus may be shed intermittently.EXCLUSION: Exclusion is not recommended unless the child is too ill to participate in daily activities, staff members cannot care for the child without compromising their ability to appropriately care for the other children, the child meets other exclusion criteria or the child has blisters in the mouth and drools.

CONTROL: Emphasize handwashing before and after contact with lesions (sores). Wear gloves when applying ointment to sores; avoid touching sores. Avoid contact with mouthed toys or objects. Avoid shared eating utensils, water or drinks. Do not nuzzle or kiss children. Cover any lesions (sores) if practical.


OTHER: HSV can be transmitted when sores are or are not present. The Ohio High School Athletic Association (OHSAA) may have different guidelines/rules for exclusion from sports activities. See: http://ohsaa.org/medicine/sportssafety.htm

COMMUNICABLE PERIOD: Until 24-48 hours after starting an effective antibiotic or until the crusting lesions are no longer present.

EXCLUSION: Exclude until 24 hours after starting an effective antibiotic and all lesions (sores) are dry, or can be covered by clean, dry bandages at all times.

CONTROL: Avoid contact with newborns if lesions (sores) are present. Wear gloves when applying ointment to sores. Cover draining sores with a clean, dry bandage. Keep ジngernails short.


OTHER: Impetigo is usually caused by one of two types of bacteria, group A Streptococcus or Staphylococcus aureus (staph). Methicillin-resistant Staphylococcus aureus (MRSA) is a potentially dangerous type of staph bacteria resistant to treatment with certain antibiotics. A healthcare provider should be consulted if MRSA is suspected.

COMMUNICABLE PERIOD: 4 days before symptoms develop through 4 days after the appearance of the rash.

EXCLUSION: A person with measles shall be isolated, including exclusion from school or child care, for four days following the onset of rash. Contagiousness may be prolonged in patients with altered immunity.

CONTROL: Encourage vaccination of all persons 12 months of age and older, unless contraindicated. Contact parents of children who have not been immunized; exposed children who have not been immunized, or who are not fully immunized, should be excluded until they become immunized (if it is within 72 hours of exposure), or until the health department says they may return to school or child care. Exclusion may be more than 2 weeks.

REPORTING: Report to the local health department immediately via telephone upon recognition that a case, a suspected case, or a positive laboratory result exists.

OTHER: Highly contagious.Vaccine available

COMMUNICABLE PERIOD: Unknown; thought to be as long as the organism is present. Most, but not all, forms of bacterial meningitis are communicable until 24 hours after starting an effective antibiotic; consult a healthcare provider.

EXCLUSION: Exclude until 24 hours after starting an effective antibiotic.

CONTROL: Encourage vaccination against the bacteria that can cause bacterial meningitis for which vaccines are available (Haemophilus inﾐuenzae type b, Neisseria meningitidis and Streptococcus pneumonia), unless contraindicated. Follow healthcare provider instructions if antibiotics are prescribed; antibiotics to prevent meningococcal disease are usually given to child care, and household contacts of persons with meningococcal disease, but not to school contacts. Antibiotics to the prevent of bacterial meningitis caused by other germs are not usually indicated.

REPORTING: Report meningococcal meningitis to the local health department immediately via telephone upon recognition that a case, a suspected case, or a pos-itive laboratory result exists. Report other bacterial meningitis to the local health department by the end of the next business day after the existence of a case, a suspected case, or a positive laboratory result is known.

OTHER: Must be under the care of a healthcare provider. Bacterial meningitis is usually much more serious than viral meningitis, but initial symptoms are similar. Diagnosis by a healthcare provider is necessary to determine the cause of any meningitis, and to ensure the child receives proper care.Vaccine available

COMMUNICABLE PERIOD: Up to 10 days before symptoms develop through 10 days following the ジrst symptom (may excrete virus in the stool for 1-2 months).EXCLUSION: A person with aseptic meningitis or viral meningoencephalitis shall be excluded from school or child care center until he or she is afebrile.

CONTROL: Avoid shared eating utensils, water or drinks.


OTHER: Must be under the care of a healthcare provider. Onset may be rapid or gradual. Infants less than one year of age are less likely to have signs of infection. Viral meningitis is usually less serious than bacterial meningitis, but initial symptoms are similar. Diagnosis by a healthcare provider is necessary to determine the cause of any meningitis and to ensure the child receives proper care.

COMMUNICABLE PERIOD: As long as lesions (sores) drain or the person remains a carrier.

EXCLUSION: Exclusion is not recommended unless the child is too ill to participate in daily activities, staff members cannot care for the child without compromising their ability to appropriately care for the other children, the child meets other exclusion criteria or the lesions (sores) cannot be covered by clean, dry bandages at all times.

CONTROL: Emphasize handwashing before and after changing the bandage or touching the infected wound. Keep wounds covered with clean, dry bandages until healed. Follow healthcare provider instructions about proper care of the wound. Do not share personal items such as towels, washcloths, razors, clothing and uniforms. Wash used sheets, towels and clothes with water and laundry detergent according to manufacturerｧs instructions on the label; use a dryer to dry them completely.


OTHER: Bandages and tape used on people with MRSA infections can be thrown away with the regular trash. Do not attempt to drain the sores ､ doing so could make the infection worse or spread it to others. Antibiotics should be taken if prescribed and until gone (even if the infection is getting better), unless a healthcare provider says differently. The Ohio High School Athletic Association (OHSAA) may have different guidelines/rules for exclusion from sports activities. See: http://ohsaa.org/medicine/sportssafety.htm

COMMUNICABLE PERIOD: Unknown, but probably as long as lesions (bumps) are present.

EXCLUSION: None.

CONTROL: If not covered by clothing, cover with a watertight bandage that is changed daily or more often, if bandage becomes dirty. Bumps in the underwear/diaper area should be covered with a bandage if assistance is needed for toileting or for diaper changes. Keep ジngernails short. Discourage scratching of the bumps (this may cause further spread to other sites of the body). Avoid skin-to-skin contact or sharing bathtubs, bath towels or sponges with affected people. Exclude children with visible bumps from close contact sports, unless the bumps can be fully covered.


OTHER: Covering the bumps will protect other people from getting molluscum contagiosum and keep the infected child from touching and scratching the affected area. Touching and scratching can spread the lesions (bumps) to other parts of his/her body or cause secondary (bacterial) infections. Without treatment, molluscum contagiosum may persist for 6 months – 4 years.

COMMUNICABLE PERIOD: Unknown. After ジrst being infected - many months. May shed virus intermittently throughout life without symptoms.

EXCLUSION: Exclusion is not recommended unless the child is too ill to participate in daily activities, staff members cannot care for the child without compromising their ability to appropriately care for the other children or the child meets other exclusion criteria.

CONTROL: Avoid kissing that involves contact with saliva. Avoid shared eating utensils, water or drinks.


OTHER: Most people get better in 2-4 weeks; others may feel tired for months.

COMMUNICABLE PERIOD: Usually most infectious 1-2 days before parotitis (inﾎammation in one or both of the parotid glands ､ salivary glands inside each cheek) develops through 5 days after.

EXCLUSION: A person with mumps shall be isolated, including exclusion from school or child care center, for ジve days after the onset of parotid swelling. CONTROL: Encourage vaccination of all persons 12 months of age and older, unless contraindicated. Contact parents of children who have not been immunized; for outbreaks, exposed children who have not been immunized, or who are not fully immunized, should be excluded until they become immunized or until the health department says they may return to school or child care (may be more than a month).


OTHER: Occurs most often in late winter/spring.Vaccine available

COMMUNICABLE PERIOD: As long as there is a female pinworm depositing eggs on the perianal skin.

EXCLUSION: Exclude until adequately treated.

CONTROL: Wash hands using soap and water instead of hand sanitizer; give special attention to ジngernails. Emphasize handwashing after each toilet use and before meals. Keep ジngernails short. Avoid biting nails and scratching around the anus. Wash hands after using a sand table or playing in the sand. Refer the child for medical attention. Ensure the child is treated with an effective medication; treatment must be repeated after 2 weeks. Consult the local health department for help in controlling outbreaks. Do not allow sharing of bed clothing.


OTHER: Pinworm eggs remain infective for 2-3 weeks in indoor environments.

COMMUNICABLE PERIOD: 3-8 days. Some infants and people with weakened immune systems can be contagious for weeks.EXCLUSION: Exclusion is not recommended unless the child is too ill to participate in daily activities, staff members cannot care for the child without compromising their ability to appropriately care for the other children or the child meets other exclusion criteria.

CONTROL: Avoid shared eating utensils, water or drinks.


OTHER: Almost 100% of children in child care get RSV in the ジrst year of life. In most children, symptoms are mild but they can be serious in those with risk factors; chil-dren with heart and lung conditions or weakened immune systems are at increased risk of developing severe infection and complications. RSV is the most common cause of bronchiolitis (inﾎammation of the small airways of the lungs) and pneumonia in children under 1 year of age.

COMMUNICABLE PERIOD: As long as lesions are present and live fungus persists on contaminated materials.

EXCLUSION: Exclude at the end of the day and until 24 hours after effective treatment is started.

CONTROL: Wash hands using soap and water instead of hand sanitizers; give special attention to ジngernails. Keep ジngernails short. Keep skin clean and dry. Avoid swimming and exclude from contact sports until lesions are gone. Do not share personal items such as brushes, combs, ribbon, hats, clothing, towels or bedding. Examine and treat if infected, all household contacts, pets and farm animals.


OTHER: Adults rarely have ringworm of the scalp. The Ohio High School Athletic Association (OHSAA) may have different guidelines/rules for exclusion from sports activities. See: http://ohsaa.org/medicine/sportssafety.htm

COMMUNICABLE PERIOD: From the beginning of the infestation (even before symptoms have occurred) through completion of treatment.Exclusion A person with scabies shall be isolated for twenty-four hours following initial treatment with an effective scabicide. A person with the manifestation of scabies known as ｩcrusted scabiesｪ shall be isolated until the mite can no longer be demonstrated on a scabies preparation. CONTROL: Treat the infested child with a medication that kills scabies mites. Check the entire household and all close contacts for scabies; treat all contacts to whom scabies have spread and treat those who have had skin-to-skin contact with an infested person, even if it is unclear whether or not they have scabies. Machine wash in the hot water cycle all washable clothing, towels, bed linens and other items that the infested person touched during the 3 days before treatment and dry on the hot cycle for at least 20 minutes. Dry clean clothing that is not washable OR store items that cannot be washed in a closed container/bag for 3-4 days. Vacuum the ﾎoor and furniture. Do not use fumigant sprays.


OTHER: Transmission can occur even if there are no signs or symptoms. The scabies mite cannot live off the skin for more than 2-3 days. No over-the-counter products have been tested or approved to treat human scabies; prescription medications are available.

COMMUNICABLE PERIOD: Until 24 hours after starting an effective antibiotic.

EXCLUSION: A person with a streptococcal infection shall be excluded from school or child care center for twenty-four hours after the initiation of effective antimicrobial therapy. *

CONTROL:


OTHER: Must be under the care of a healthcare provider. Early diagnosis and treatment are critical in preventing serious complications such as rheumatic fever, kidney disease and wound infection.

COMMUNICABLE PERIOD: Not applicable – normally lives on the skin and mucous membranes without causing infection, however, overgrowth can cause symptoms to develop.

EXCLUSION: None.

CONTROL: Treatment may shorten the duration of symptoms. Do not allow sharing of mouthed objects between children without washing and sanitizing them.


OTHER: Persons who have been on long-term antibiotics or who have weakened immune systems are at increased risk.

COMMUNICABLE PERIOD: As soon as symptoms develop through 3 weeks after the cough begins, depending on age, immunization status, past infection and antibiotic treatment, or until 5 days after starting an effective antibiotic. An infant who has not been immunized against pertussis may remain contagious for 6 weeks or more after the cough starts.

EXCLUSION: A person with pertussis, who is not treated with effective antimicrobial therapy, shall be isolated, including exclusion from school or child care center, until three weeks after the onset of paroxysms. If effective antimicrobial therapy is given, the person shall be isolated for ジve days after initiation of antimicrobial therapy. *CONTROL: Encourage vaccination of all persons 2 months of age and older, unless contraindicated. Encourage both adolescents and adults <65 years of age to get Tdap (tetanus/diphtheria/a cellular pertussis) vaccine in place of one of the Td (tetanus/diphtheria) boosters that are recommended every 10 years. Contact parents of children who have not been immunized; for outbreaks, exposed children who have not been immunized, or who are not fully immunized, may be excluded. Monitor contacts for coughs for 21 days after the last contact with the infected person. Consult the local health department for guidelines related to the use of antibiotics and immunization for prevention of pertussis in people who have been in contact with an infected person, regardless of whether or not they have been immunized.


Vaccine available

Handwashing: Handwashing remains the single most effective measure to prevent the spread of disease. Many diseases are spread by not washing hands with soap and clean, running water. If soap and water are unavailable, use an alcohol-based hand sanitizer that contains at least 60% alcohol to clean hands. All children and staff should wash hands thoroughly:

• Upon entering or leaving the center

• When moving from one child care group to another

• After toileting or diaper changes

• After wiping noses or covering coughs and sneezes (including contact with soiled tissues)

ｲ After handling items soiled with nose, throat or fecal discharge or after touching blood or any body ﾎuids• After touching sores or lesions

• Before and after preparing, serving, or eating food

• After playing in water (including swimming) that is used by more than one person

• After touching an animal, animal feed, animal waste, or animal cage

• After handling pet food or pet treats

• After playing in sand, on wooden play sets, and outdoors

• After touching garbage

• After removing gloves used for any purpose

ｲ Before and after giving or applying medication or ointment, administering ジrst aid, or completing a medical procedure

• When hands are visibly dirty

• After cleaning a child, the room, bathroom items or toys

Clean/Disinfect/Sanitize: Sanitation of contaminated items and surfaces should be done following a soap and water wash to remove physical soil. The National Resource Center for Health and Safety in Child Care and Early Education recommends:

• Use EPA-registered products for sanitizing and disinfecting

ｲ Follow the manufacturerｧs instructions for diluting the EPA-registered product for sanitizing or disinfecting, as well as for contact time

• When using an EPA-registered bleach product, contact the state and/or local health department for assistance in creating the safe dilutions for the bleach product being used (http://cfoc.nrckids.org/Bleach/Bleach.cfm)

Respiratory Etiquette: When sick, especially when coughing or sneezing:

• Cover the mouth and nose with a tissue when coughing or sneezing

• Use disposable tissues if possible; use only once and discard

• Put used tissues in a waste basket

• If a tissue is not available, cough or sneeze into the upper sleeve, not into the hands

• Remember to wash hands after coughing or sneezing

REFERENCES:ｲ Aronson, S. S., & Shope, T. R. (Eds.). (2013). Managing Infectious Diseases in Child Care and Schools, A Quick

Reference Guide (3rd ed.). Elk Grove Village, IL: American Academy of Pediatrics.

• (2015, May 15). Retrieved August 25, 2015, from http://www.cdc.gov.

• Heymann, D. L. (Ed.). (2015). Control of Communicable Diseases Manual (20th ed.). Washington, DC:

American Public Association.

O H I O D E P A R T M E N T O F H E A L T H

COMMUNICABLE DISEASE CHART

Department of Health

Department of

Job and Family Services

This chart has been developed cooperatively between the Ohio Department of Health and the Ohio Department of Job and Family Services.To reorder charts use this website and the form number below:www.odjfs.state.oh.us/forms/inter.asp

An equal opportunity employer/provider

JFS 08087 (Rev. 10/2016)

Local Health Department

Local Child Care Licensing Specialist

DISEASE INCUBATION AND SYMPTOMS METHOD OF TRANSMISSION REQUIRED ACTIONS AND ADDITIONAL INFORMATION

Chickenpox(Varicella)

INCUBATION: 10–21 days; usually 14–16 days.

SYMPTOMS: Skin rash that progresses to blisters, then scabs. Eruptions usually appear ジrst on the head, chest and back, and then spread to other parts of the body. Because eruptions occur in clusters, all three stages may be present at the same time. Covered body areas are often most affected. Slight fever is are also typical. Reactivation of the virus results in shingles.

Direct contact with blisters or uncovered lesions (sores) of persons with chickenpox or shingles. Airborne — Transmission occurs when the disease-causing germ exits the infected person through coughing or sneezing, or when ﾎuid from the blister becomes aerosolized. The germ can stay suspended in the air for a long time and can be spread over great distances. Scabs are not infective.

Common Cold INCUBATION: 2 to 14 days.

SYMPTOMS: Sore throat, watery eyes, runny or stuffy nose, sneezing, fever, chills, cough, generalized discomfort.

Direct contact with droplets from an infected person that are spread through sneezing, coughing or talking; the direct spray is less than three feet. The droplets can be inhaled by a susceptible person or can be rubbed into the eyes, nose and/or mouth after touching contaminated objects or surfaces.

Croup INCUBATION: 2–7 days, depending on the causative agent.

SYMPTOMS: Acute respiratory infection involving the epiglottis, larynx, trachea, and bronchi. May cause respiratory distress ranging from mild to severe. Cough has a ｩbarkingｪ or ｩbrassyｪ harsh quality. May notice a high pitched sound on inhalation.

Airborne - Transmission occurs when the disease-causing germ exits the infected person through coughing or sneezing. The germ can stay suspended in the air for a long time and can be spread over great distances.

Diarrheal Diseases INCUBATION: Variable, depending on the causative agent.

SYMPTOMS: Diarrhea deジned as 3 or more loose stools (stools with increased water content and/or decreased form) in a 24 hour period. Persons with diarrhea may have additional symptoms including nausea, vomiting, stomachache, headache and/or fever.

Fecal-oral transmission ､ The virus leaves the infected personｧs body in the stool and enters the body of another person through the mouth. This can occur when objects, such as toys or ジngers, become soiled with invisible amounts of stool and are then placed in the mouth. Fecal-oral transmission can also occur if a person eats or drinks food or water that is contaminated with invisible amounts of infected stool. Contact with raw or undercooked poultry. Contact with animals at home (e.g., puppies, reptiles, poultry) or when visiting places where there are animals (e.g., farms, pet stores, petting zoos, fairs).

Fifth Disease(Erythema Infectiosum)

INCUBATION: 4–14 days, but as long as 20 days.

SYMPTOMS: Bright red rash, usually beginning on the face, with a ｩslapped cheekｪ appearance. May spread to the trunk and extremities. As the rash clears (usually in 7-10 days), it may look lacy. Recurs for up to several weeks if a person gets warm, upset, etc.

Direct contact with droplets from an infected person that are spread through sneezing, coughing or talking; the direct spray is less than three feet. The droplets can be inhaled by a susceptible person or can be rubbed into the eyes, nose and/or mouth after touching contaminated objects or surfaces. Can also spread through blood or blood products (very rare). A pregnant woman who is infected can pass the virus to her baby (rare).

Flu(Influenza)

INCUBATION: 1–4 days.

SYMPTOMS: Abrupt onset of fever, chills, headache, sore muscles. Runny nose, sore throat and cough are also common.


Hand, Foot and Mouth Disease(Coxsackie Virus)


SYMPTOMS: Raised rash, particularly on the palms of the hands, soles of the feet and on the area around the mouth. Progresses to blisters, then scabs. Also causes sores inside the mouth, making swallowing painful.

Direct contact with droplets from an infected person that are spread through sneezing, coughing or talking; the direct spray is less than three feet. The droplets can be inhaled by a susceptible person or can be rubbed into the eyes, nose and/or mouth after touching contaminated objects or surfaces. Fecal-oral transmission ､ The virus leaves the infected personｧs body in the stool and enters the body of another person through the mouth. This can occur when objects, such as toys or ジngers, become soiled with invisible amounts of stool and are then placed in the mouth. Fecal-oral transmission can also occur if a person eats or drinks food or water that is contaminated with invisible amounts of infected stool. Contact with objects or surfaces contaminated by an infected person.

Hepatitis A INCUBATION: 2–7 weeks; usually 28–30 days.

SYMPTOMS: Abrupt onset. Loss of appetite, fever, abdominal pain, nausea, fatigue, vomiting, dark urine, clay-colored stools. Jaundice (yellowish discoloration of skin and white part of eye) may follow in a few days. Young children usually have no symptoms

Fecal-oral transmission ､ The virus leaves the infected personｧs body in the stool and enters the body of another person through the mouth. This can occur when objects, such as toys or ジngers, become soiled with invisible amounts of stool and are then placed in the mouth. Fecal-oral transmission can also occur if a person eats or drinks food or water that is contaminated with invisible amounts of infected stool.

Herpes Simplex Virus(HSV)

INCUBATION: 2､12 days; neonatal HSV infection may be manifest at birth or as late as 4–6 weeks of age.

SYMPTOMS: Blister like sores on the mucous membranes, fever, irritability. HSV can persist without symptoms after the primary infection and can recur.

Direct contact with the sores or saliva of an infected person. Contact with items soiled with the saliva of an infected person (e.g., mouthed toys).

Impetigo INCUBATION: Variable; skin colonization is common and infection may result after minor trauma to the skin.

SYMPTOMS: Blister like, pus-ジlled bumps that progress to yellowish, crusted, painless sores with irregular outlines. Itching is common. Usually found on exposed skin areas and around the nose/mouth.

Direct contact with the draining sores of an infected person. Contact with objects or surfaces contaminated by an infected person.

Lice(Head Lice, Pediculosis)

INCUBATION: 4-6 weeks the ジrst time a person is infested; 7-12 days for subsequent infestations.

SYMPTOMS: Itching and irritation of the scalp. Can feel something moving in the hair. Sores on the head caused by scratching. White to yellow-brown nits (eggs) attached very ジrmly to the hair, most commonly at the nape of the neck, crown of the head and above the ears.

Direct, head-to-head contact with an infested person. Indirect contact with combs, brushes, hats, other headgear, clothing or bedding of an infested person.

Measles

(Rubeola)

INCUBATION: 12–17 days; usually 14 days before the rash appears.

SYMPTOMS: Fever of 103–104º F, runny nose, reddened eyes, cough and severe intolerance to light for 2–4 days. A red-brown blotchy rash that appears on the face, spreads to the trunk and ジnally to the extremities. The rash and other symptoms usually subside in 7–9 days.

Direct contact with droplets from an infected person that are spread through sneezing, coughing or talking; the direct spray is less than three feet. The droplets can be inhaled by a susceptible person or can be rubbed into the eyes, nose and/or mouth after touching contaminated objects or surfaces. Airborne - Transmission occurs when the disease-causing germ exits the infected person through coughing or sneezing. The germ can stay suspended in the air for a long time and can be spread over great distances.

Meningitis, Bacterial INCUBATION: 1–10 days; usually less than 4 days.

SYMPTOMS: Sudden onset. Fever, intense headache, nausea, vomiting, stiff neck, photophobia (painful, oversensitivity to light), behavioral changes, irritability, sluggishness. With meningococcal meningitis, rash.

Direct contact with respiratory and throat secretions (e.g., saliva or mucus) of an infected person through kissing or when there is close or prolonged contact with a sick person in the same household or daycare center.

Meningitis, Viral/Aseptic INCUBATION: 2–21 days, depending on the causative agent.

SYMPTOMS: Sudden onset. Fever, intense headache, nausea, vomiting, stiff neck, behavioral changes, irritability, sluggishness.

Varies with the causative agent. Fecal-oral transmission ･ The virus leaves the infected personｧs body in the stool and enters the body of another person through the mouth. This can occur when objects, such as toys or ジngers, become soiled with invisible amounts of stool and are then placed in the mouth. Fecal-oral transmission can also occur if a person eats or drinks food or water that is contaminated with invisible amounts of infected stool. Some forms are transmitted through contact with respiratory secretions or contact with objects or surfaces contaminated by an infected person, such as sharing soft drink cans and eating utensils.

Molluscum Contagiosum INCUBATION: 2 weeks – 6 months.

SYMPTOMS: Small, smooth, dome-shaped, hard bumps on the skin, often with a tiny, indented center. The bumps may be ﾎesh-colored, white, translucent or yellow and often appear waxy. Bumps range from the size of a pinhead to as large as a pencil eraser. On children, bumps are most often on the face, trunk, and upper arms and legs. The bumps can be itchy.

Direct skin-to-skin contact with an infected person, including sexual contact. Contact with objects or surfaces contaminated by an infected person, including towels, clothing, toys or swimming pool items, such as kick boards. A person with the virus can transmit it to other parts of his or her body by touching or scratching the bumps and then touching an unaffected area.

Mononucleosis INCUBATION: 4-7 weeks.

SYMPTOMS: Fever, sore throat, swollen lymph nodes (glands) in the neck, fatigue, enlarged liver and spleen, rash.

Direct contact with the saliva of an infected person (e.g., kissing). Contact through sharing items contaminated with saliva from an infected person such as toothbrushes, cups, bottles, toys that are mouthed, etc.

MRSA(Methicillin-resistant Staphylococcus aureus)

INCUBATION: Variable.

SYMPTOMS: Most staph skin infections, including MRSA, appear as a bump or infected area on the skin (may look like a spider bite) that might be red, swollen, painful, warm to the touch, full of pus or other drainage, accompanied by a fever.

Direct contact with an infected wound or skin-to-skin contact with an infected person. Contact with objects or surfaces contaminated by an infected person, including towels or razors that have touched infected skin; a carrier who picks his or her nose can contaminate an object or surface.

Mumps INCUBATION: 12–25 days; usually 16–18 days.

SYMPTOMS: Fever, painful parotid gland (salivary gland located at the base of each ear), swelling under jaw and in front of ear, headache, chills, lack of appetite, abdominal pain.


Pink-eye(Conjunctivitis, Bacterial or Viral)

INCUBATION: Bacterial, 1-3 days; viral, 12 hours – 12 days.

SYMPTOMS: Redness or swelling of the white(s) of the eye(s) or inside the eyelid(s), discharge from the eye(s), itchy or scratchy eye(s), crusting of eyelid(s) or lashes.

Direct contact with discharge from an infected eye or upper respiratory tract of an infected person. Contact with objects or surfaces contaminated by an infected person and then touching oneｧs eye(s).

Pinworms INCUBATION: 1-2 months or longer; from ingestion of the pinworm egg until an adult pinworm migrates to the perianal (around the rectum) area.

SYMPTOMS: Anal itching with disturbed sleep, irritability, anal irritation due to scratching.

Direct transfer of eggs from the anus to the mouth by contaminated ジngers. Indirect transmission occurs from articles freshly contaminated with pinworm eggs, such as toys, clothing or bedding, toilet seats, other bathroom ジxtures and sandboxes. Pinworm eggs sometimes become airborne (for example, when shaking bedsheets) and can be ingested while breathing. Fecal-oral transmission – Contact with stool of an infected person. This can occur when objects such as toys or ジngers which have become soiled with invisible amounts of stool are placed in the mouth. Fecal-oral transmission can also occur if a person eats or drinks food or water that is contaminated with invisible amounts of infected stool.

Ringworm(Tinea)


SYMPTOMS: Scalp､scaly, itchy, red, circular bald spot. Skin､red, itchy, ring-like rash. Feet (athleteｧs foot)､red, swollen, peeling, itchy skin between the toes; sole and heal may also be affected. Blisters may be present, ジlled with watery ﾎuid.

Direct contact with lesions of an infected person or animal. Contact with objects or surfaces contaminated by an infected person such as clothing, towels, bedding, combs or other personal items.

.

RSV(Respiratory Syncytial Virus)

INCUBATION: 2–8 days; usually 4-6 days.

SYMPTOMS: Runny nose, congestion, cough, bronchiolitis (inﾎammation of the small airways of the lungs), pneumonia, wheezing. Very young infants may have irritability, lethargy, poor feeding, cyanosis (blueness of skin) with cough or brief episodes of apnea (temporary suspension of breathing) instead of the typical respiratory signs.


Scabies INCUBATION: 2､6 weeks the ジrst time a person is infested; 1､4 days for subsequent infestations.

SYMPTOMS: Papules (bumps), vesicles, or tiny linear burrows resulting from a mite that has penetrated into the skin. Lesions are often found in the spaces between ジngers, on or inside the wrist, elbows or armpits, around the belt-line and in the genital area. A patchy red rash is often present. Intense itching, especially at night. Manifestations may mimic other dermatological (skin) diseases. Itching can persist for several weeks, even after proper treatment.

Direct skin-to-skin contact with an infested person. Indirectly by sharing clothing, towels or bedding used by an infested person. Pets do not transmit the mite.

Scarlet Fever/ Strep Throat(Streptococcal Infections)

INCUBATION: 1–3 days; may be longer.

SYMPTOMS: Strep throat､fever, red throat with pus spots, tender and swollen lymph nodes (glands). Symptoms are variable. Scarlet fever､all of the above, plus sandpaper-like rash on skin and inside of mouth, ｩstrawberry tongue.ｪ High fever, nausea and vomiting may occur.

Direct contact with droplets from an infected person that are spread through sneezing, coughing or talking; the direct spray is less than three feet. The droplets can be inhaled by a susceptible person or can be rubbed into the eyes, nose and/or mouth after touching contaminated objects or surfaces. Also, contact with sores from a group A Streptococcus skin infection.

Thrush/ Yeast Infection(Candidiasis)

INCUBATION: Variable; 2–5 days in infants.

SYMPTOMS: White spots on the skin, mouth or tongue that cannot be scraped off without bleeding. May also occur in folds of the skin in diapered areas and is a common cause of diaper rash.

Contact with secretions from the mouth, skin, vagina and stool of an infected person. Candida yeasts, which cause thrush, normally live on the skin or mucous membranes and in the intestinal tract in invisible amounts. Warm, moist environments, such as the inside of the mouth, can cause the yeasts to multiply and cause symptoms. A mother can infect her newborn if she has a yeast infection in her vagina during childbirth, and a breastfeeding baby with thrush can transmit it to his or her motherｧs nipples.

Whooping Cough(Pertussis)

INCUBATION: 5–10 days, but as long as 21 days.

SYMPTOMS: Begins with mild upper respiratory symptoms and can progress to ジts of abnormally severe coughing often with a characteristic respiratory whoop, followed by vomiting. Fever is absent or minimal. Infants younger than 6 months, adolescents, adults and partially immunized persons often do not have the typical whoop and have few paroxysms (sudden ジts of violent coughing).


Animal Bites Phone Contacts Standard Precautions in Child Care

Prevention:• Prevent access of stray or wild animals to school and child care premises

• Bat proof buildings to prevent bats from entering

• Choose classroom pets wisely; avoid contact with reptiles and exotic animals

• All visiting pets should be healthy, properly vaccinated, and under adult control

If a bite occurs:ｲ Conジne the animal or obtain an accurate description so it can be located later• Immediately wash wound with soap and rinse with water for at least 10 minutes

• Refer to a physician for appropriate medical care

• Report the bite to the local health department

Topics for health education classes:• Teach appropriate behavior around animals

• Be aware of and avoid wildlife and unfamiliar dogs or cats; they may be dangerous

• Discourage contact with injured or frightened animals; they are more likely to bite

• Encourage proper immunization of pets against rabies

ｲ Stress the importance of telling an adult when a bite occurs

Rabies Hotline: 1-888-Rabies1

For diseases not listed, for more information or to report cases of disease, contact the local health department. To ジnd your local health department, go to www.odh.ohio.gov, hover over “Local Health Departmentsｪ at the top of the page and click on ｩFind My Local Health Department.ｪ

For questions about child care licensing rules, contact the local child care licensing region by calling the ODJFS Help Desk at 1-877-302-2347 followed by option 4.

For questions about disease reporting or control, contact the ODH Bureau of Infectious Diseases at 614-995-5599.

For questions about immunizations, including the required immunization schedule, contact the ODH Immunization Program at 614-466-4643.

For questions about K-12 school institution rules relative to communicable diseases, contact the ODH School Nursing Program at 614-466-1930.

For questions about sexually transmitted diseases (STDs), contact the Ohio HIV/STD Hotline at 1-800-332-2437.

Poison Control: 1-800-222-1222



http://ohsaa.org/medicine/sportssafety.htm#Communicable_Diseases.

Ohio Department of Job and Family Services INCIDENT/INJURY REPORT FOR CHILD CARE

JFS 01299 (Rev. 12/2016) Page 1 of 2

Child Care Center Family Child Care In-Home Aide

SECTION I Name of program

Program Number

Street Address

City

Zip code

County

Is this a child who has a written medical/physical care plan on file as defined in the Ohio Administrative Code? Yes No (If yes, explain in summary section) Full name of child (first name, last name)

Child's date of birth (MM/DD/YY)

Female Male

Date of incident/injury/ill ness

Time of incident/ injury/ill ness

Name of person responsible for child at time of incident

Witness(es)

At the time of the incident/injury/ill ness

How many children were there in this child's group? How many child care staff members were supervising the group? Were parents contacted? Yes No If yes, when?

Who provided first aid?

Date

How many hours is this child in your care per day? (check one) Part-time (< four hours per day) Full-time (> four hours per day)

Age of child-group that child was assigned to at the time of the incident/injury/ill ness Young Infant Infant Toddler Preschool School Age Child

(Less than 12 months) (12 – 18 months) (18 months – 3 years) (3 – 5 years & not in school) (eligible for kindergarten and older)

SECTION II

TYPE OF INJURY (check all that apply) Bit tongue/Cheek/Lip Object Inserted into Body Part Bite-Human Puncture Wound Bite/Sting-Animal or Insect Scrape/Scratch Bump/Bruise Something in Eye Burn Stubbed Finger/Toe Choking Sunburn Cut Swelling/Redness Difficulty Breathing N/A – Incident/Illness Nosebleed

BODY PART AFFECTED (check all that apply) Arm Head Back Knee Chin Leg Ear Lungs/Difficulty Breathing Eye Mouth/Teeth Face Neck Fingers Nose Foot Shoulder/Collarbone Front of Trunk/Stomach Throat Genitals/Buttocks Toe Hand Whole Body

TYPE OF ILLNESS (check all that apply) Diaper Rash Fever Stomachache/Vomiting/Diarrhea Other Illness (specify in summary section) N/A – Injury/Incident

TYPE OF INCIDENT (check all that apply) Baby Fed Wrong Bottle Collision w/Object Fall – Walk/Run/Trip Fighting Blood or Bruise Found on Child Collision w/Person Fall to Surface N/A Injury/Illness

WHERE DID INCIDENT/INJURY HAPPEN? (check all that apply) Bathroom Classroom In Vehicle On Fieldtrip/Routine Trip Pool Changing Table Hall/Doorway Inside Play Area/Large Muscle Area Outdoor Play Area Stairway Crib High Chair Kitchen/Eating Area Parking Area/Driveway

INCIDENT HAPPENED DURING?

Arrival/Departure Diaper Change Naptime/Rest Period Bus/Vehicle/During Transportation Indoor Play/Group Activities/Free Play Outdoor Play Classroom Activity Meals/Snacks Transition Between Activities

ACTION TAKEN (check all that apply) Bandage Ice Returned to Normal Activity Body Part Elevated Pressure Applied Sent Home Early/Picked Up Early Contacted Children's Protective Services Referred for Further Medical Care Washed/Soaped Hug/Pat Rested on Cot

Summary of Incident/Injury/Illness (Explain, attach additional paper if needed)

Date

Print First and Last Name of Person Completing Form

Signature of Person Completing Form

Telephone Number

Person Receiving Form – Parent/Family Member (Optional – for record keeping purposes only)

Date



JFS 01299 (Rev. 12/2016) Page 2 of 2

Incident/Injury Report Instructions

A JFS 01299 "Incident/Injury Report" must be completed when: A child becomes ill or receives an injury which requires any first aid treatment.

FILL IN REQUIRED SECTION I ON THE FRONT SIDE OF THIS FORM. Provide a complete description of the incident/injury/illness in the summary section (if additional space is needed, attach paper to the incident report). The person completing the form signs the report and it is provided on the same day of the incident to the parent/guardian or person picking up the child from the center/home. Request parent/guardian/caregiver to sign report; however, do not delay giving report to parent if parent refuses to sign. The parent's signature is not required. PLEASE BE SURE ALL SECTIONS HAVE BEEN COMPLETED.

DEFINITIONS

Incident: An unusual event that happens that does not necessarily result in an injury to the child. A copy of the report for an incident shall be retained on file at the center or home for at least one year and shall be available for review by the Ohio Department of Job and Family Services/county agency.

Minor Injury: An injury resulting in a child being able to return to normal activity; basic

first aid may be given by staff. A copy of the report for a minor injury shall be retained on file at the center or home for at least one year and shall be available for review by the Ohio Department of Job and Family Services/county agency.

Child care providers may contact the Child Care Policy Help Desk toll-free at (877) 302 2347 Option 4, for technical assistance.

Ohio Department of Job and Family Services

SERIOUS INCIDENT REPORTING FOR CHILD CARE

JFS 01156 (12/2016) Page 1 of 2

Type of Program Child Care Center Type A Home Type B Home

Name of Program

Program Number

Street Address City

Zip Code County

Date of incident/injury (MM/DD/YYYY)

Time of incident/injury AM PM

Who was involved in this incident? One or more individual children Entire Group Entire Program

How many children were involved in this incident? Indicate the age(s) of the child(ren) involved in the incident

Infant Toddler Preschool School-Age Indicate the age of all other children present in the group at the time of the incident

N/A Infant Toddler Preschool School-Age

Type of Child Injury or Illness Type of Child Incident Allergic reaction/asthma attack Abuse of child by any adult Blow or bump to the head Child unattended:

On-site inside program On-site outside program Off-site program

Broken/dislocated bone Outbreak of illness at the program

(county health department reportable) Collapse/faint Prohibitive Discipline Techniques (spanking included) Deep cut/laceration Death of a child No pulse/not breathing Inappropriate touching/sexual play (between children

or by adult and child) Object inserted into body part Intruder enters the program Poisoning Medication error Seizure Natural/manmade disaster Sprain/strain Threat of violence Suspected broken bone/dislocation Vehicle accident Tooth injury Weapon found Other injury requiring medical treatment

Explain

Six-point serious risk non-compliance as listed in appendix A to rules 5101:2-12-03 or 5101:2-13-03. Action Taken

Public Children Services Agency (PCSA) Contacted Poison Control Contacted Local Health Department Contacted Emergency Services (police/fire/ambulance) 911 Called Emergency Services Transported Child or Child Transported to the Hospital Parent followed up with Medical/Dental Care Program recommended Medical/Dental Care Other – please describe



JFS 01156 (12/2016) Page 2 of 2

Detailed description of the incident

5101$2-12-16 ph of n rs 20160831 13112-12... · 2016. 8. 31. · ofc-4200 e. 5th ave., 2nd fl....

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