Ohio Administrative Code|Rule 5101:2-18-11 | Administering medication and caring for children with special health needs at an approved child day camp.

                                                
(A) What are the requirements for
		  administration of prescription medications and non-prescription medications by
		  an approved child day camp?
(1) The approved child
			 day camp shall ensure that prescription medication is stored in the original
			 container with the prescription label that includes the child's full name,
			 a current dispensing date within the previous twelve months, and exact dosage
			 and directions for use.
(2) The approved child
			 day camp shall not administer any medication or topical product for any period
			 of time beyond the date indicated by the physician, physician's assistant,
			 advanced practice nurse certified to prescribe medication, or licensed dentist,
			 on the prescription label, for twelve months from the date on the form, or
			 after the expiration date on the medication, whichever comes
			 first.
(3) The approved day camp shall ensure
			 that non-prescription medications are stored in the original container with a
			 manufacturer's label containing directions based on the age and/or weight
			 of the child.
(4) Nonprescription
			 medication dosages administered shall not exceed prescribed dosages or the
			 manufacturer's recommended dosages.
(5) Prior to administering any
			 non-prescription or prescription medication, the approved child day camp shall
			 have written permission from the parent for each medication to be
			 administered.
(6) The approved child day camp shall
			 document each administration of medication or application of topical product on
			 a form that includes:
(a) The child's name.
(b) The child's date of birth.
(c) The medication name.
(d) The medication dosage.
(e) The date the medication was administered.
(f) The time the medication was administered.
(g) The signature of the person administering the
				medication.
(7) Non-prescription topical products,
			 including bug sprays, sunscreens, hand sanitizer and lip balm, are exempt from
			 the requirement in paragraphs (A)(3) and (A)(4) of this rule.
(8) School-age children are permitted to
			 carry their own emergency medication as long as written permission from the
			 parent is completed and on file at the approved day camp.
(9) School-age children are permitted to
			 carry and use their own topical products including bug sprays, lip balm and
			 sunscreen.
(B) What are the requirements for storing
		  medication at an approved child day camp?
The approved child day camp shall:
(1) Safely store all
			 medication upon arrival at the approved child day camp. Ensure the medication
			 is in the original container with the child's name affixed.
(2) Keep medication out
			 of reach of children, unless a school-age child is permitted to carry their own
			 emergency medication and written permission from the parent is on file at the
			 approved child day camp.
(3) Refrigerate, in a
			 separate container, medications or products immediately upon arrival at the
			 approved child day camp, if needed.
(4) Ensure that
			 medications are accessible to employees at all times, including on field trips
			 and when children are off-site.
(5) Ensure that
			 medications and products are removed from the approved child day camp when no
			 longer needed or expired.
(C) What are the requirements for
		  immunization records at an approved child day camp?
(1) A child who is not
			 enrolled in a public or nonpublic school is to have a record of immunizations
			 on file within thirty days of the child's first day of
			 attendance.
(2) The immunization record is to contain
			 the following information: 
(a) The child's name and birth date.
(b) Each immunization the child has had, specifying the
				month, day and year for the prevention of the diseases listed on appendix A to
				this rule. 
(3) If a child has not
			 received an immunization(s) to prevent a disease on the appendix of this rule,
			 then one or both of the following is to be on file:
(a) A statement from the physician, as defined in Chapter
				4731. of the Revised Code, physician's assistant (PA), advanced practice
				registered nurse (APRN), or certified nurse practitioner (CNP) that an
				immunization against the disease is medically contraindicated for the child or
				is not medically appropriate for the child's age. 
(b) A statement from the child's parent that they have
				declined to have the child immunized against the disease for reasons of
				conscience, including religious convictions. 
(D) What if a child has a special need or health
		  condition?
(1) A written medical
			 care plan shall be used for children with a condition or diagnosis that
			 requires specific care and/or intervention by child day camp staff. The written
			 plan shall include the following:
(a) The symptoms the staff should monitor which may require staff
				to take action.
(b) Administering procedures which require staff to be trained on
				those procedures.
(c) Avoiding specific food(s), environmental conditions or
				activities.
(d) Permission for the child to carry and administer their own
				emergency medication, if applicable.
(2) The approved child
			 day camp shall:
(a) Ensure the parent completes and signs a written medical care
				plan for each condition per child. 
(b) Review the written medical care plan for completeness and
				ensure the medical care plan is signed by an administrator or
				designee.
(c) Implement and follow all requirements of each child's
				medical care plan.
(d) Ensure the medical care plan is signed by any trained child
				day camp staff member who is providing care to the child.
(e) Maintain a current medical care plan for any child who
				requires one, in a location that can be easily and quickly accessed at all
				times, including on field trips and when the child is off-site.
(3) The written medical care plan shall
			 be on file with the approved child day camp by the first day of attendance or
			 upon confirmation of a health condition.
(4) If the approved child day camp
			 suspects that a child has a health condition, the camp may require a
			 physician's statement within a designated timeframe.
(5) Only staff members trained by the
			 parent or a certified professional shall be permitted to perform medical
			 procedures.
(6) There shall be a trained staff member
			 on-site at all times whenever a child who has a health condition is
			 present.
(E) What information regarding children's medical
		  records can be shared?
Children's medical records shall be kept
		  confidential, but shall be available to the Ohio department of job and family
		  services for the purpose of administering Chapter 5104. of the Revised Code and
		  Chapter 5101:2-18 of the Administrative Code.

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Last updated October 29, 2021 at 8:52 AM