5101:2-13-02 Application and amendments for a family child care provider license.

Rule Summary and Fiscal Analysis (Part A)

Department of Job and Family Services

Agency Name

Division of Social Services                                  Michael Lynch

Division                                                                  Contact

OFC- 4200 E. 5th Ave., 2nd fl. J6-02 P.O. Box 183204 Columbus OH 43218-3204

614-466-4605        614-752-8298

Agency Mailing Address (Plus Zip)                                       Phone                     Fax

[e-mail]

Email

5101:2-13-02

Rule Number

NEW

TYPE of rule filing

Rule Title/Tag Line              Application and amendments for a family child care provider

license.

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 in accordance with the agency is required to adopt the rule: 119.03

4.  Statute(s) authorizing agency to adopt the rule: 5104.017, 5104.018

5.  Statute(s) the rule, as filed, amplifies or implements: 5104.022, 5104.03, 5104.017, 5104.018

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 the clarity of the regulations and the organization of the chapter. It replaces rescinded rules 5101:2-13-04 and 5101:2-14-02.

7.  If the rule is an AMENDMENT, then summarize the changes and the content

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of the proposed rule; If the rule type is RESCISSION, NEW or NO CHANGE, then summarize the content of the rule:

This rule describes the process and requirements for applying for a family child care license.

8.  If the rule incorporates a text or other material by reference and the agency claims the incorporation by reference is exempt from compliance with sections

121.71 to 121.74 of the Revised Code because the text or other material is generally available to persons who reasonably can be expected to be affected by the rule, provide an explanation of how the text or other material is generally available to those persons:

This rule incorporates one or more references to the Ohio Revised Code. This question is not applicable to any incorporation by reference to the Ohio Revised Code because such reference is exempt from compliance with RC 121.71 to 121.74 pursuant to RC 121.76(A)(1).

This rule incorporates one or more references to another rule or rules of the Ohio Administrative Code. This question is not applicable to any incorporation by reference to another OAC rule because such reference is exempt from compliance with 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 by this rule via the inner-web at http://innerapp.odjfs.state.oh.us/forms/inner.asp or on the inter-net at http://www.odjfs.state.oh.us/forms/inter.asp in accordance with RC 121.75(E).

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

This rule incorporates one or more references to another rule or rules of the Ohio Administrative Code. This question is not applicable to any incorporation by reference to another OAC rule because such reference is exempt from compliance with 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 by this rule via the inner-web at http://innerapp.odjfs.state.oh.us/forms/inner.asp or on the inter-net at http://www.odjfs.state.oh.us/forms/inter.asp in accordance with RC 121.75(E).

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10.  If the rule is being rescinded and incorporates a text or other material by reference, 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 previously filed version of this rule; if none, please state so. If applicable, indicate each specific paragraph of the rule that has been modified:

Revise 9/20/2016

In Appendix A, removed the JFS 1303 "Fire Inspection Report for Child Care Centers and Type A Homes" and replaced it with a requirement for a "Fire inspection approval by the state fire marshal or local fire safety inspector." Also added "Articles of incorporation, if applicable, for type A home providers."

Refile 10/14/2016

In Appendix A, added language requiring two additional documents that must be provided during the application process: written zoning approval for type A home providers and written information for parents and employees as required by rule 5101:2-13-07.

12.  Five Year Review (FYR) Date:

(If the rule is not exempt and you answered NO to question No. 1, provide the scheduled review date. If you answered YES to No. 1, the review date for this rule 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 date for Amended rules or a date not to exceed 5 years from the review date for No Change rules.

FISCAL ANALYSIS

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

This will have no impact on revenues or expenditures. 0

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

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

Not Applicable.

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

New licensed type B home providers will now have a licensing fee of $250 and all type B home providers will have a change of location fee of $125. Centers and type A home providers already have fees.

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

17.  Does this rule deal with environmental protection or contain a component dealing 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 to

R.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 to engage in or operate a line of business? Yes

Type A home providers must be licensed because they serve seven or more children. Type B home providers must be licensed if they want to serve children who are publicly funded or they can voluntarily be regulated.

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 may result in revocation of a license.

C.) Does this rule require specific expenditures or the report of information as a

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condition of compliance? Yes

Fees are required for the application and change of location. Providers are required to report information into the Ohio Child Licensing and Quality System (OCLQS).

Ohio Department of Job and Family Services

REQUEST FOR CHILD ABUSE AND NEGLECT REPORT INFORMATION FOR CHILD CARE

This request for child abuse and neglect information is being made by the county agency in accordance with Ohio Revised Code (ORC) section 5104.03 which requires a check of public children services agency (PCSA) records for any person who applies for licensure as a type B home provider, type B home provider child care staff member, substitute or other adults residing in the home.

This request for information of child abuse and neglect is required by state law. Any information received will be evaluated by the county agency. (please print)
Full Name of Child Care Provider (last name, first name, middle name or initial)	Maiden Name, Previous Name or Alias (if applicable)	Date of Birth
Home Address of Provider		Social Security Number
Signature of Provider		Date of Signature
Full Name of Substitute (last name, first name, middle name or initial)	Maiden Name, Previous Name or Alias (if applicable)	Date of Birth
Home Address of Substitute		Social Security Number
Signature of Substitute		Date of Signature
Full Name of Child Care Staff Member (last name, first name, middle name or initial)	Maiden Name, Previous Name or Alias (if applicable)	Date of Birth
Home Address of Child Care Staff Member		Social Security Number
Signature of Child Care Staff Member		Date of Signature

JFS 01302 (Rev. 12/2016)                                                                                                                                                                       Page 1 of 2

OTHER ADULTS AND CHILDREN RESIDING IN THE HOME (please print)
Full Name	Date of Birth	Social Security Number	Signature (if applicable)		Date of Signature
IDENTIFICATION FROM THE COUNTY AGENCY REQUESTING INFORMATION (please print)
Name of County Agency Staff	County Agency Name			Date Sent to PCSA
Signature of County Agency Staff				Telephone Number
Address of County Agency Staff (form will be returned to this address)				Email Address
INFORMATION FROM PCSA REVIEWER (please print)
Name of PCSA Staff	County Agency Name			Date Received
Signature of PCSA Staff	Telephone Number			Date Sent to County Agency Staff
List of Documents Attached*

*Documents attached are to include a summary of the chronology of substantiated and indicated child abuse and neglect reports contained in the registry and the PCSA that conducted the assessment/investigation of each report. If the applicant is not listed in the registry please provide a statement to that effect.

JFS 01302 (Rev. 12/2016)                                                                                                                                                                            Page 2 of 2

Child Care Center Type A Home

ACTION: Refiled
	Building Code Reference
	Building Code

 

 

DATE: 10/14/2016 11:03 AM
	County
	License Number
	Specialist ID

 

 

Ohio Department of Job and Family Services

FIRE INSPECTION REPORT

FOR CHILD CARE CENTERS AND TYPE A HOMES

Annual Special

Name of Program or Licensee(s)
Street Address
City			State	Zip Code
Person with whom report was discussed
Age Group(s) Served:        Infant           Toddler           Preschool           School-age           Other
Days and Hours of Operation
Approval	I have found this program/home to be in compliance with rules promulgated by the State Fire Marshal's Office pursuant to Revised Code section 3737.83 regarding fire prevention and fire safety in a Child Care Center or Type A Home.
Disapproval	List violations:       All violations must be corrected. Re-inspection and written approval are required if any violation(s) listed are not corrected during the fire inspection.
Evening Care	OAC rule 5101:2-12-21 requires evening and overnight care centers to have fire inspection approval for sleeping on other than a ground floor of a building. Has this building been approved? Yes           No           If yes, what areas have been approved?
Nonambulatory Children	OAC rule 5101:2-12-04 requires fire inspection and approval prior to caring for infants or nonambulatory children of any age on any floor other than the first floor of the building. Has any area not on the first floor been approved for care of these children?                                                                                                                 Yes No If yes, what areas have been approved?
Check all that apply: Fire evacuation plan posted                       Yes                                                                No Severe weather plan posted                                                     Yes       No Documentation of fire drills reviewed                                                   Yes       No		Approved smoking areas                Yes  No   N/A Approved sleep/nap areas              Yes  No   N/A Approved use of space heaters      Yes         No         N/A

Comments:

                                                                                  

Distribution: Original to Ohio Department of Job and Family Services One copy each to Fire Department and Owner/Administrator.

       JFS 01303 (Rev. 12/2016)       

Ohio Department of Job and Family Services

PLAN OF OPERATION FOR CHILD CARE

SECTION 1:  GENERAL INFORMATION/SPACE

Name of Center/Provider

County

Address

State

Zip Code

Mailing Address (if different)

State

Zip Code

Name of Contact Person

Telephone Number

Contact Person's Telephone Number

Proposed Date of Opening

Owner/Corporation if applicable

Proposed Hours of Operation

Proposed Days of Operation

Proposed Months of Operation

PLANNED ENROLLMENT

Age Categories

Number of Children Planned at Opening

Number of Groups Planned at Opening

Number of Children Planned at Capacity

Number of Staff Needed at Opening

Infants (0-18 mo)

Toddlers (18 mo-3 yrs)

Preschoolers (3 yrs - school-age)

School-age Children (5 yrs - 14 yrs) Note:  School-age children present more than 4 hours per day are considered fulltime during school breaks, holidays, snow days, etc.

Before School

After School

Before School

After School

Before School

After School

Fulltime

Fulltime

Fulltime

Total Number of Child Care Staff Members Planned at Opening

INDOOR SPACE (Rules 5101:2-12-11 and 5101:2-13-11)

Centers: Attach the diagram that was submitted to the building department showing the indoor space used by the child care operation. Indicate the following: ·          Exits/entrance/office spaces ·          Walls, partitions or half walls ·          Walls, partitions, or half walls that are moveable ·          Sinks and water fountains ·          Emergency exits and exits to the outdoor play space ·          Floor plan with room names/number ·          Restrooms ·          Diaper changing area with sink ·         Food preparation areas

JFS 01250 (Rev. 12/2016)                                                                                                                                                                                                                             Page 1 of 3

 

Will the center care for children under the age of 2 ½ years? If yes, describe how the center will keep these children separated from other groups older than 2 ½ years.

 

Family Child Care Homes:

Attach the diagram that was submitted to the building department showing the indoor space used for child care. Indicate the following:

·          Entrance and exits

·          Rooms that will be used for child care, including sleeping areas used by children

·          Restrooms

·          Diaper changing area with sink

·          Kitchen

OUTDOOR SPACE

(Rule 5101:2-12-11 and 5101:2-13-11)

 

Diagram the space used for outdoor play. Indicate the following:

·          Include location of fence or barriers

·          Note gate locations, street locations, and parking lots

·          Sketch outdoor permanent play equipment which stays in space (i.e., slides, swings, sandboxes, etc.)

·          Include sidewalks, concrete, or blacktop areas

If the play space is away from the center/home, diagram the outdoor space used.

 

If the center has no onsite outdoor play space, then an indoor recreation area must be provided. Give dimensions of your indoor recreation area.

 

What type of protective fall surface will be used on the playground? (Fall surface needed under slides, swings, climbers, bouncers, etc.)

 

How is the play area enclosed or otherwise protected from traffic or other hazards?

SECTION 2:  PROGRAMMING AND POLICIES

TRANSPORTATION/FIELD TRIP SAFETY (Rules 5101:2-12-14 and 5101:2-13-14)

Does the program provide transportation?         Yes          No Does the program plan to offer: (check all that apply)

Field trips             Yes          No

Transportation to and from school              Yes          No Transportation to and from home         Yes       No

 

Describe the program's vehicle(s) or vehicle(s) that will be used (by a contracted agency, if applicable. i.e., mini-van, bus, car).

JFS 01250 (Rev. 12/2016)                                                                                                                                                                                                                              Page 2 of 3

EVENING AND OVERNIGHT CARE (Rules 5101:2-12-21 and 5101:2-13-21)
Will the program be providing evening and/or overnight care? (Between 7:00 PM and 6:00 AM)        Yes        No
ADMINISTRATION OF MEDICATION (Rules 5101:2-12-25 and 5101:2-13-25)
Will the program administer medication, topical products or lotions?                Yes        No   If yes, describe the program's procedures for administering medication, and topical products or lotions. (Be sure to describe the plan for each type of product).
SECTION 3: FOOD REQUIREMENTS
MEALS AND SNACKS (Rule 5101:2-12-22 and5101:2-13-22 )
Will meals and snacks be prepared on site or brought in from another source?
Signature of Administrator/Provider	Date

JFS 01250 (Rev. 12/2016)                                                                                                                                                                                                                              Page 3 of 3

                   

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

Chickenpox

(Varicella)

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

SYMPTOMS: Skin rash that progresses to blisters, then scabs. Eruptions usually appear first 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 fluid 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.

COMMUNICABLE PERIOD: 1-2 days before the rash appears, until the lesions have crusted, usually 6 days after the appearance of fluid-filled 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'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.htm

Vaccine available

Common Cold

 

INCUBATION: 2 to 14 days.

SYMPTOMS: Sore throat, watery eyes, runny or stuffy nose, sneezing, fever, chills,

cough, generalized discomfort.

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 "barking" or "brassy" harsh quality. May notice a high pitched sound on inhalation.

Diarrheal Diseases

 

INCUBATION: Variable, depending on the causative agent.

SYMPTOMS: Diarrhea defined 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.

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.

Fecal-oral transmission - The virus leaves the infected person's body in the stool and enters the body of another person through the mouth. This can occur when objects, such as toys or fingers, 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).

COMMUNICABLE PERIOD: 24 hours before symptoms develop through 5 days after the first 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.

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

EXCLUSION: Exclude until severe symptoms are gone.

CONTROL: Avoid touching the eyes, nose and mouth.

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 specifi  disease. 'Sensitive occupation' 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 signifi   opportunity for an infected individual to transmit infectious disease agents."

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'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.

CONTROL: Avoid touching or rubbing eyes. Increase ventilation.

REPORTING: None

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

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.

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' hygiene and health. Avoid swimming in public pools or lakes, and preparing food for others if diarrhea is present. Refer to the ODH website for additional disease-specific 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.

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 "slapped cheek" 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).

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 the child 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 first half of pregnancy.

Flu

(Influenza)

Hand, Foot and Mouth Disease

(Coxsackie Virus)

INCUBATION: 1-4 days.

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

INCUBATION: 3-6 days.

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

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.

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.

COMMUNICABLE PERIOD: 1 day before symptoms develop and up to 7 days after the first 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.

COMMUNICABLE PERIOD: Most contagious during the first 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.

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

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

Vaccine available

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

 

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's body in the stool and enters the body of another person through the mouth. This can occur when objects, such as toys or fingers, 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.

COMMUNICABLE PERIOD: 2 weeks before symptoms develop through 10 days after the first 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' 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.

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: 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

persist without symptoms after the primary infection and can recur.

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

Impetigo

 

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

SYMPTOMS: Blister like, pus-filled 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.

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 fingernails short.

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

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.

Lice

(Head Lice, Pediculosis)

Measles

(Rubeola)

Meningitis, Bacterial

INCUBATION: 4-6 weeks the first 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 firmly to the hair, most commonly at the nape of the neck, crown of the head and above the ears.

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 finally to the extremities. The rash and other symptoms usually subside in 7-9 days.

INCUBATION: 1-10 days; usually less than 4 days.

SYMPTOMS:

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

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.

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

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 first 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 floor and furniture. Do not use fumigant sprays. Encourage parents to inspect children's heads regularly.

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.

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.

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

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, fly 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

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

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

Sudden onset. Fever, intense headache, nausea, vomiting, stiff neck,

photophobia (painful, oversensitivity to light), behavioral changes, irritability, sluggishness. With meningococcal meningitis, rash.

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.

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 flesh-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.

or daycare center.

Varies with the causative agent. Fecal-oral transmission - The virus leaves the infected person's body in the stool and enters the body of another person through the mouth. This can occur when objects, such as toys or fingers, 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.

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.

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 inluenzae 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.

COMMUNICABLE PERIOD: Up to 10 days before symptoms develop through 10 days following the first 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.

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 fingernails 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.

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

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: 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.

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

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.

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.

COMMUNICABLE PERIOD: Unknown. After first 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.

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

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

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.

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's instructions on the label; use a dryer to

dry them completely.

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

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

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.

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.

COMMUNICABLE PERIOD: Usually most infectious 1-2 days before parotitis (inflammation 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 five 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).

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: Occurs most often in late winter/spring.

Vaccine available

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's eye(s).

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.

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.

Direct transfer of eggs from the anus to the mouth by contaminated fingers. Indirect transmission

occurs from articles freshly contaminated with pinworm eggs, such as toys, clothing or bedding,

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

EXCLUSION: Exclude until adequately treated.

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

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

SYMPTOMS: Anal itching with disturbed sleep, irritability, anal irritation due to scratching. toilet seats, other bathroom fixtures 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 fingers 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.

CONTROL: Wash hands using soap and water instead of hand sanitizer; give special attention to fingernails. Emphasize handwashing after each toilet use and before meals. Keep fingernails 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.

Ringworm

(Tinea)

RSV

INCUBATION: 4-14 days.

SYMPTOMS: Scalp-scaly, itchy, red, circular bald spot. Skin-red, itchy, ring-like rash.

Feet (athlete's foot)-red, swollen, peeling, itchy skin between the toes; sole and heal may also be affected. Blisters may be present, filled with watery fluid.

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

SYMPTOMS: Runny nose, congestion, cough, bronchiolitis (inflammation of the small

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.

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

.

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 fingernails. Keep fingernails 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.

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

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

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

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

OTHER: Almost 100% of children in child care get RSV in the first year of life. In most children, symptoms are mild but they can be serious in those with risk factors; chil-

(Respiratory Syncytial Virus)

airways of the lungs), pneumonia, wheezing. Very young infants may have irritability, lethargy,   can be rubbed into the eyes, nose and/or mouth after touching contaminated objects or surfaces.

poor feeding, cyanosis (blueness of skin) with cough or brief episodes of apnea (temporary suspension of breathing) instead of the typical respiratory signs.

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.

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 (inflammation of the small airways of the lungs) and pneumonia in children under 1 year of age.

Scabies

 

INCUBATION: 2-6 weeks the first 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 fingers, 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.

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 "crusted scabies" 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 floor and furniture. Do not use fumigant sprays.

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

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.

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, "strawberry tongue." 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.

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:

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

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.

Thrush/ Yeast Infection

(Candidiasis)

Whooping Cough

(Pertussis)

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.

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

SYMPTOMS: Begins with mild upper respiratory symptoms and can progress to fits

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 fits of violent coughing).

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's nipples.

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.

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.

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 five 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.

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

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

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.

Vaccine available

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)

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:

•   Confine 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

•   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 find your local health department, go to www.odh.ohio.gov, hover over "Local Health Departments" at the top of the page and click on "Find My Local Health Department."

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

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)

•   After handling items soiled with nose, throat or fecal discharge or after touching blood or any body fluids

•   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

•   Before and after giving or applying medication or ointment, administering first 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

•   Follow the manufacturer'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:

•   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.

•  

Local Health Department

 

Local Child Care Licensing Specialist

 

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

                                                                                                                                             

Ohio Department of Job and Family Services

STATEMENT OF NONCONVICTION FOR CHILD CARE

SECTION I:

Name (please print or type)
	I hereby attest that I have never been convicted of or pleaded guilty to crimes set forth in divisions (A)(4) or (A)(5) of section 109.572 of the Revised Code and that no child has been removed from his or her home due to abuse or neglect caused by myself pursuant to section 2151.353 of the Revised Code
	I have been convicted of a crime included in divisions (A)(4) or (A)(5) of section 109.572 of the Revised Code.
	I have had a child removed from my home as described in section 2151.353 of the Revised Code due to abuse or neglect that I caused.
Signature of Person Completing Form					Date
Street Address
City		State	Zip Code	Telephone Number

The licensee of a family child care home shall sign the following statement on his or her own form only: I hereby attest that no one who resides in my home and who is under eighteen years of age has been adjudicated a delinquent child for committing a violation of any offense listed in divisions (A)(8) or (A)(9) of section 109.572 of the Revised Code.
Signature	Date

Note: Anyone who withholds information from, or falsifies information on this statement is guilty of falsification, a misdemeanor of the first degree. If the offender is an owner of a center, a licensee of a family child care home, or an in-home aide, the conviction constitutes grounds for denial, revocation or refusal to renew a child care license application or child care license.  If the offender is a child care staff member of a center or family child care home, or is a person eighteen years of age or older who resides in a family child care home or is a substitute, and if the owner or licensee had knowledge of, and acquiesced in the commission of the offense, the conviction constitutes grounds for denial, revocation or refusal to renew a child care license.

SECTION II: (required for new hires and new residents only) Date BCI/FBI Requested

First Day of Employment/Residence

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Homicide

Prohibitive Offenses found in division (A)(5) of section 109.572 of the Revised Code

R.C. 2913.21 - Misuse of credit cards

R.C. 2903.01 - Aggravated murder

R.C. 2903.02 - Murder

R.C. 2903.03 - Voluntary manslaughter

R.C. 2903.04 - Involuntary manslaughter

Assault

R.C. 2903.11 - Felonious assault

R.C. 2903.12 - Aggravated assault

R.C. 2903.13 - Assault

R.C. 2903.16 - Failing to provide for a functionally impaired person

Menacing

R.C. 2903.15 - Permitting child abuse

R.C. 2903.21 - Aggravated menacing

R.C. 2903.211- Menacing by stalking

R.C. 2903.22 - Menacing

Patient abuse and neglect

R.C. 2903.34 - Patient abuse, neglect

Kidnapping and related issues

R.C. 2905.01 - Kidnapping

R.C. 2905.02 - Abduction

R.C. 2905.04 - Child stealing (as this law existed prior to July 1, 1996)

R.C. 2905.05 - Criminal child enticement

R.C. 2905.32 - Trafficking in persons

Sex offenses

R.C. 2907.02 - Rape

R.C. 2907.03 - Sexual battery

R.C. 2907.04 - Corruption of a minor

R.C. 2907.05 - Gross sexual imposition

R.C. 2907.06 - Sexual imposition

R.C. 2907.07 - Importuning

R.C. 2907.08 - Voyeurism

R.C. 2907.09 - Public indecency

R.C. 2907.12 - Felonious sexual penetration (as this former section of law existed)

R.C. 2907.19 - Commercial sexual exploitation of a minor

R.C. 2907.21 - Compelling prostitution

R.C. 2907.22 - Promoting prostitution

R.C. 2907.23 - Procuring

R.C. 2907.24 - Soliciting - after positive HIV test driver's license suspension

R.C. 2907.25 - Prostitution

R.C. 2907.31 - Disseminating matter harmful to juveniles

R.C. 2907.32 - Pandering obscenity

R.C. 2907.321 - Pandering obscenity involving a minor

R.C. 2907.322 - Pandering sexually oriented matter involving a minor

R.C. 2907.323 - Illegal use of a minor in nudity-oriented material or performance

Arson

R.C. 2909.02 - Aggravated arson

R.C. 2909.22 - Soliciting or providing support for act of terrorism

R.C. 2909.23 - Making terroristic threat

R.C. 2909.24 - Terrorism

R.C. 2909.03 - Arson

Robbery and Burglary

R.C. 2911.01 - Aggravated robbery

R.C. 2911.02 - Robbery

R.C. 2911.11 - Aggravated burglary

R.C. 2911.12 - Burglary

Theft and Fraud

R.C. 2913.02 - Theft; aggravated theft

R.C. 2913.03 - Unauthorized use of a vehicle

R.C. 2913.04 - Unauthorized use of property, computer, cable, or telecommunication property or service

R.C. 2923.02 - Attempt

R.C. 2913.041 - Possession or sale of unauthorized cable television device

R.C. 2913.33 - Making or using slugs

R.C. 2913.05 - Telecommunications fraud

R.C. 2913.06 - Unlawful use of telecommunications

R.C. 2913.11 - Passing bad checks

R.C. 2913.31 - Forgery; identification card

R.C. 2913.32 - Criminal simulation

R.C. 2913.40 - Medicaid fraud

R.C. 2913.41 - Prima facie evidence of purpose to defraud

R.C. 2913.42 - Tampering with records

R.C. 2913.43 - Securing writings by deception

R.C. 2913.44 - Personating an officer

R.C. 2913.441- Law Enforcement emblem display

R.C. 2913.45 - Defrauding creditors

R.C. 2913.46 - Illegal use of food stamps or WIC program benefits

R.C. 2913.47 - Insurance fraud

R.C. 2913.48 - Worker's compensation fraud

R.C. 2913.49 - Identity fraud

Offenses against the family

R.C. 2919.12 - Unlawful abortion

R.C. 2919.22 - Endangering children

R.C. 2919.23 - Interference with custody

R.C. 2919.24 - Contributing to unruliness or delinquency of a child

R.C. 2919.25 - Domestic violence

R.C. 2919.224 - Misrepresentation relating to provision of child care

R.C. 2919.225- Disclosure and notice regarding death or injury of child in facility

Offenses against justice and public administration

R.C. 2921.11 - Perjury

R.C. 2921.13 - Falsification

R.C. 2921.14 - Making or causing false report of child abuse or Neglect

Weapons control

R.C. 2923.12 - Carrying a concealed weapon

R.C. 2923.13 - Having a weapon while under disability

R.C. 2923.161 - Improperly discharging a firearm at or into a habitation or school

R.C. 2923.01 - Conspiracy

R.C. 2923.02 - Attempt, that relates to a crime specified in division

109.572 (A)(5)

R.C. 2923.03 - Complicity, that relates to a crime specified in division

109.572 (A)(5)

Drug offenses

R.C. 2925.02 - Corrupting another with drugs

R.C. 2925.03 - Trafficking in drugs

R.C. 2925.04 - Illegal manufacture of drugs or cultivation of marijuana

R.C. 2925.05 - Funding of drug or marijuana trafficking

R.C. 2925.06 - Illegal administration or distribution of anabolic steroids

R.C. 2925.11- Possession of drugs or marijuana that is not a minor drug possession offense in section R.C. 2925.01

Other

R.C. 959.13 - Cruelty to animals

R.C. 2151.421- Reporting child abuse or neglect

R.C. 2905.11 - Extortion

R.C. 3716.11 - Placing harmful objects in food or confection

R.C. 2909.04 - Disrupting public services

R.C. 2909.05 - Vandalism

R.C. 2917.01 - Inciting to violence

R.C. 2917.02 - Aggravated riot

R.C. 2917.03 - Riot

R.C. 2917.31 - Inducing panic

R.C. 2921.03 - Intimidation

R.C. 2921.34 - Escape

R.C. 2921.35 - Aiding escape or resistance to authority

R.C. 2927.12 - Ethnic intimidation

R.C. 4511.19 - Operating vehicle under the influence of alcohol or drugs- OVI. (A second violation within five years of the date of application for licensure or employment).

*Or an existing or former offense of any municipal corporation, this state, or any other state, or the United States that is substantially equivalent to any of these offenses.

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