Ohio Admin. Code 5101:2-12-25

Current through all regulations passed and filed through November 4, 2024
Section 5101:2-12-25 - Medication administration for a licensed child care center
(A) When is a JFS 01217 "Request for Administration of Medication for Child Care" required?
(1) The JFS 01217 is required for all prescription and non-prescription medication, including sample medication.
(2) The JFS 01217 is not required for a medication or medical food required by a JFS 01236 "Child Medical/Physical Care Plan for Child Care" pursuant to rule 5101:2-12-15 of the Administrative Code.
(3) The JFS 01217 is not required for non-prescription topical lotions or products.
(B) What are the requirements for prescription medications, non-prescription medicines containing codeine or aspirin, or non-prescription medication to be given longer than three consecutive days in a fourteen day period?
(1) The center shall ensure that the parent completes and signs box one of the JFS 01217 .
(2) The center shall ensure that the instructions in box two of the JFS 01217 are completed and signed by a licensed physician, as defined in Chapter 4731. of the Revised Code, licensed dentist, advanced practice registered nurse or certified physician's assistant.
(3) Box two of the JFS 01217 does not need to be completed if the medication is stored in the original container with prescription label that includes the child's full name, a current dispensing date within the previous twelve months, exact dosage and directions for use.
(C) What are the requirements for non-prescription medications?

The center shall:

(1) Ensure that the parent completes and signs box one of the JFS 01217.
(2) Ensure that one of the following is met:
(a) The medication is stored in the original container with a manufacturer's label containing directions based on the age and/or weight of the child.
(b) The instructions in box two of the JFS 01217 are completed and signed by a licensed physician as defined in Chapter 4731. of the Revised Code, licensed dentist, advanced practice registered nurse, or certified physician's assistant, this excludes topical preventative products and lotions unless the instructions exceed or do not match the manufacturer's instructions or the non-prescription medication is not stored in original container.
(D) What are the requirements for topical products and lotions?

Written parental permission is not required for lip balm use or for using hand sanitizer with children older than twenty-four months.

For all other topical products and lotions, the center shall:

(1) Ensure that the product is stored in the original container with a manufacturer's label that includes directions based on the age and/or weight of the child.
(2) Ensure that the parent provides signed written permission to administer that topical product or lotion.
(3) Apply the non-prescription topical products and lotions according to the manufacturer's instructions. Documentation is not required by the staff.

(E) What are the requirements for a licensed child care center to administer medications, medical foods or topical products in a licensed child care center?

The center shall:

(1) Not administer any medication, medical food, or topical product until after the child has received the first dose or application at least once prior to the center administering a dose or applying the product, to avoid unexpected reactions. Emergency medications for the child are exempt from this requirement.
(2) Not administer any medication, medical food or topical product for any period of time beyond the date indicated by the physician, physician's assistant, advanced practice registered nurse certified to prescribe medication, or licensed dentist, on the prescription label, for twelve months from the date of the form, or after the expiration date on the medication, whichever comes first.
(3) Document each administration or application on the JFS 01217 immediately after administering, including when school-age children administer their own medication. This excludes items in paragraph (D) of this rule.
(4) Follow prescribed dosages or the manufacturer's recommended dosages for administering non-prescription medication.
(5) Complete a separate JFS 01217 for each medication to be administered for each child, excluding items in paragraph (D) of this rule. Each JFS 01217 is valid for the time period listed on the form, not to exceed twelve months from the date of signature.

(F) What are the requirements for storing medication, topical products and medical foods in a licensed child care center?

The center shall:

(1) Safely store all medication, medical foods, and topical products immediately upon arrival at the center. Ensure the medication, medical food, or topical product is stored per the requirements on the label in the original container with the child's name affixed.
(2) Keep medication, medical foods, and topical products out of the reach of children, unless a school-age child is permitted to carry their own emergency medication and a JFS 01236 is completed and on file at the center.
(3) Permit school-age children to carry and use their own topical products.
(4) Refrigerate, in a separate container, medications, medical foods, or topical products immediately upon arrival at the center if needed.
(5) Ensure that medications, medical foods, and topical products are accessible to employees at all times.
(6) Ensure that medications, medical foods, and topical products are removed from the center when no longer needed or expired.

Ohio Admin. Code 5101:2-12-25

Effective: 10/29/2021
Five Year Review (FYR) Dates: 7/28/2021 and 10/29/2026
Promulgated Under: 119.03
Statutory Authority: 5104.015
Rule Amplifies: 5104.015
Prior Effective Dates: 03/01/1981, 09/01/1986, 01/02/1992 (Emer.), 04/01/1992, 04/01/2003, 09/01/2005, 11/22/2015, 12/31/2016, 10/29/2017