5101:2-14-32 In-home aide responsibilities and assurances.

 

 

 

5101:2-14-32               Meal  preparation/nutritional  requirements  for  professional certification as a type B home provider or in-home aide.

 

 

 

(A)    The provider is responsible for serving varied, nutritious, and appropriately timed meals and snacks . When preparing meals the provider shall store and serve foods in a safe and clean manner. For meals and snacks, the portion sizes and nutritional requirements of appendix A shall be followed.

 

(1)A child present entirely from 5:30 a.m. to 7:30 a.m. shall be served breakfast.

 

(a) Breakfast shall include a serving of fluid milk, a fruit or vegetable and a grain.

 

(b) Breakfast may be served at any time in the morning, but shall be served to any child present during the time frame referenced above.

 

(2) A child present entirely from 11:00 a.m. to 1:00 p.m. shall be served lunch.

 

(a) Lunch shall include a serving of fluid milk, meat or meat alternate, two fruit or vegetables and a grain.

 

(b) Lunch shall provide one-third of the recommended daily dietary allowances as specified by the United States department of agriculture (USDA) child and adult care food program, child care component, as outlined in 7 CFR 226.20 (January 1, 2006).

 

(c) Lunch may be served at any time midday, but must be served to any child present during the time frame referenced above.

 

(3) A child present entirely from 4:30 p.m. to 6:30 p.m. shall be served dinner.

 

(a) Dinner shall include a serving of fluid milk, meat or meat alternate, two fruit or vegetables and a grain.

 

(b) Dinner shall provide one-third of the recommended daily dietary allowances as specified by the United States department of agriculture (USDA) child and adult care food program, child care component, as outlined in 7 CFR 226.20.

 

(c) Dinner may be served at any time in the early evening, but must be served to any child present during the time frame referenced above.

 

(4)Snacks shall be provided mid-morning, mid-afternoon or after school for school age children and when the interval between regular meals is four hours or longer.

 

(a) Snacks shall include two foods from any two of the following groups: dairy, meat or meat alternate, fruit or vegetable or grain.

 

 

(b) Snacks may be served at anytime. Except when sleeping, a child shall not go longer than four hours without being served a snack or meal.

(B) A current weekly menu shall be posted in a conspicuous place readily accessible to caretakers and shall include all meals and snacks served by the provider. Any substitutions shall be noted at the time of the change.

(B)(C) The provider shall provide the food for the preparation or serving of meals and snacks to the child, unless the caretaker chooses to send meals. . The in-home aide and the caretaker shall have a written agreement, using the JFS 01634 "Caretaker/Provider Agreement" (rev. 3/2008), regarding who will provide the food served to the in-home aide, the in-home aide's children who may accompany the in-home aide and the child receiving in-home aide services.

(1) Children under twelve months of age shall be provided with formula or breast milk unless otherwise directed in writing by a physician, physician's assistant or certified nurse practitioner (CNP).

(2) Children older than twelve months but under twenty-four months of age, shall be served whole, pasteurized, homogenized vitamin D fortified cow's milk.

(3) Children twenty-four months of age or older shall be served fluid milk that is pasteurized and vitamin D fortified. Low fat and skim milk shall be vitamin A and vitamin D fortified. Reconstituted dry powdered milk shall be used only for cooking and shall not be used as a beverage.

(4) Only one hundred per cent, undiluted, fruit or vegetable juice shall meet the fruit or vegetable requirement for meals or snacks.

(C)(D)  The  provider  shall  have  physician's  written  instructions  for  administering  a modified diet or food supplement to any child.

(D) When a provider is caring for infants the provider shall:

(1) Comply with written instructions from the caretaker or physician for feeding infants which shall include the following information:

(a) Type of food and/or formula;

(b) Amount of food and/or formula; and

(c) Feeding times.

(2) Store, prepare and serve breast milk, food and formula in a safe and clean manner.  Breast  milk  and  formula  shall  be  stored  for  no  longer  than

twenty-four hours. Formula, breast milk or other liquids in a bottle shall not be heated in a microwave oven.

(3) Inform the caretaker that infant food and formula shall be provided by the parent unless otherwise mutually agreed upon by the caretaker and provider as designated in the JFS 01634 "Caretaker/Provider Agreement".

(4) Keep a quantity of the specified type of formula each infant in care is fed available in the home in case the caretaker does not provide the daily amount of formula.

(5) Remove the infant from his crib for all feedings. Infants shall be held or fed sitting up for bottle feedings. Bottles shall not be propped during feeding.

(6) Introduce new foods only after consultation with the caretaker.

(E) The provider and the children shall thoroughly wash their hands with soap and running water after using the toilet and before handling food or utensils.

(F)(E) Milk and milk products used or served shall be "Grade-A" pasteurized.

(G)(F) Potentially hazardous foods such as, but not limited to, milk, milk products, eggs, meat, poultry, fish, cooked rice, baked or boiled potatoes shall be refrigerated at a temperature at or below forty-five degrees Fahrenheit.

(H)(G) Eating and drinking utensils and meal preparation and serving areas shall be clean and safe.

(I)(H) The home shall have both hot and cold running water. The temperature of the hot water shall not exceed one hundred twenty-five degrees Fahrenheit unless the provider demonstrates to the satisfaction of the CDJFS that the hot water faucet can be made inaccessible or inoperable when children are in care.

(J)(I) The water supply shall be of safe and sanitary quality. Water that is not publicly supplied must be sampled by the local health department and determined to be safe by an approved laboratory. The water must be sampled prior to initial certification of the type B provider's home or receipt of in-home aide services and annually thereafter. A copy of the test results shall be kept on file at the type B home with the provider or at the home of a child receiving in-home aide services.

(K)(J) The premises shall be kept in such condition as to prevent the an infestation by insects or rodents.

(L)(K) On-site sewage disposal systems shall not present a public health hazard.

(M)(L) The in-home aide shall wash dishes used while providing child care services.

Effective:
R.C. 119.032 review dates:     WITHDRAWN ELECTRONICALLY	11/30/2007
Certification

03/27/2008
Date
Promulgated Under:	119.03
Statutory Authority:	5104.011
Rule Amplifies:	5104.011
Prior Effective Dates:	4/1/82, 5/20/83, 9/1/86, 9/25/86, 2/15/88, 5/1/89, 10/15/96, 10/1/97 (Emer.), 12/30/97, 4/1/03