Fillable PLAN OF OPERATION FOR CHILD CARE

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PLAN OF OPERATION FOR CHILD CARE

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Ohio Department of Job and Family Services
PLAN OF OPERATION FOR CHILD CARE
JFS 01250 (Rev. 12/2016) Page 1 of 3
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
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
Contact Person’s Telephone Number
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
Reset Form
JFS 01250 (Rev. 12/2016) Page 2 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 3 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
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PLAN OF OPERATION FOR CHILD CARE

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Completed 22 June 2021

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