Background: The Ohio Department of Joband Family Services (ODJFS) has recently completed an annual inventory review ofall child care forms. Sample forms are optional forms providers may use tocapture information about their programs. Prescribed forms are referenced inthe Ohio Administrative Code child care rules and are required to be used. ODJFSis proposing to revise or remove forms as a result of the annual formsinventory and will be effective October 29, 2021 with the corresponding rules.
The following forms will be available or removed from ODJFSForms Central on 10/29/2021.
Revised and Obsoleted Forms:
JFS 01162 "Data Manager Request for theEarly Learning Assessment Ready for Kindergarten Online System" is asample form that was made obsolete and removed from Forms Central. The processhas changed.
JFS 01201 "Dental First Aid"is a prescribed form that was revised by the Ohio Department of Health toclarify dental first aid procedures and photos have been added for easyidentification of common dental emergencies.
JFS 01227 "Permission to Participate inWater and Swimming Activities for Child Care" is a sample form thatwas revised to add "water" to the title of the form and clarify situationswhen written parental permission for water and swimming activities needs to besubmitted to the program.
JFS 01232 "Field Trip Checklist for ChildCare" is a sample form that was revised to correct a typo and additems and form names to the checklist of supplies needed on field trips. TheJFS 01236 "Child Medical/Physical Care Plan for Child Care" is neededfor each child who has a health care plan on file with the program. Suppliesand child medications were also added to the checklist of items needed on fieldtrips if they need to be administered while the child is away from the program.
JFS 01242 "Medical, Dental and GeneralEmergency Plan for Child Care" is a prescribed form that wasrevised to correct typos, remove outdated language, add communicable disease reportingrequirements, and to add fields for dental information. Also added new sectionto list the location of the "Main Water and Fuel Shut-off Valves.
JFS 01266 "Contracted DriverQualifications Statement for Child Care" is a prescribed form that wasmade obsolete and removed from Forms Central as well as the child carelicensing rules. The child care licensing rules no longer regulate contracteddrivers for child care programs.
JFS 01278 "Communicable Disease TrainerRegistration for Child Care" is a sample form that was revised to addphysician's assistant, advanced practice registered nurse, certified nursepractitioner, emergency medical services instructor, and current traineremployed by the local health department to the list of eligible communicabledisease trainers. Removed American Red Cross Communicable Disease Instructorand ARC Communicable Disease instructor card to align with rules 5101:2-12-10and 5101:2-13-10.
JFS 01303 "Fire Inspection Report forChild Care Centers and Type A Homes" is a sample form that wasrevised to remove approval sections. Fire inspectors do not approve spaces,they inspect spaces intending to be licensed for child care. Also added newsections to list the program's email address and the inspector's email address.
JFS 01307 "Professional DevelopmentDocumentation for Child Care" is a prescribed form that was revisedto correct typos, correct contact information requirements, clarify the questionregarding Ohio approved trainings, and to add to the list of trainerqualifications.
JFS 01582 "Your Prescription For SafelyCaring for Children With Special Health Conditions" is a sampleform that was revised to indicate that trained staff members are to be on-siteat all times while the child is present. Other revisions were made to remove theJFS 01217 "Request for Administration of Medication for Child Care" fromthe checklist. The JFS 01217 is not required for a medication required by a JFS01236 pursuant to rules 5101:2-12-15 and 5101:2-13-15 of the AdministrativeCode.
JFS 08087 "Communicable DiseaseChart" is a prescribed form that was revised by the Ohio Departmentof Health for ease of understanding and to clarify information for thefollowing diseases: e.coli, hand, foot and mouth disease, influenza, measles,mumps, meningitis, and whooping cough. Corrections were made to incubation andcommunicable periods, as well as transmission methods where necessary. Additionswere made to the chart to add COVID-19 and tuberculosis. Contact informationand website addresses were also verified and updated, if needed.
Newly revised rules no longer display form revision dates in thee-manual. The most recent version of all ODJFS forms referenced in thisprocedure letter can be accessed through Forms Central, with theexception of the obsolete forms listed above. Programs should begin to use the revisedforms as of the date of this procedure letter.
- The JFS 01307 that is completed and on file atthe program does not need to be converted to the new form until it expires orrequires an update, whichever comes first. Previously dated versions of the JFS01307 will not be accepted for training completed on or after May 1, 2022.
- The JFS 08087 will be restocked in Forms Centralin the next few weeks. Programs canorder the new version from Forms Central once it is available. Programs musthave the new version posted in their program by May 1, 2022.
Questions: Please contact the ChildCare Policy Helpdesk at childcarepolicy@jfs.ohio.govor 1-877-302-2347, option 4, if you have any questions.
