A residential infant care center shall do the following:

1. (A) If using medication to treat infants, hold a terminal distributor of dangerous drugs license issued by the state board of pharmacy under section 4729.54 of the Revised Code.
2. (B) Comply, except as otherwise provided in this section and section 5103.6011 of the Revised Code, with all requirements under rule 5101:2-9-02 of the Administrative Code;

3. (C) Develop a plan of safe care in accordance with the "Comprehensive Addiction and Recovery Act of 2016," Pub. L. No. 114-198, for an infant born substance exposed as follows:

   1. (1) Assist with the health and substance use disorder treatment needs of the infant and affected family or caregiver;
   2. (2) Develop and implement a program to monitor, support, and connect affected families or caregivers through the provision of and referral to appropriate services for the infant and affected family or caregiver.
4. (D) Develop and implement a program for parents and caregivers that, either individually or in a group setting, teaches parenting skills, bonding, and caring for the infant's special needs.

5. (E) Require both of the following:

   1. (1) Child-care staff, volunteers, and interns in positions responsible for the daily direct care or supervision of children to be at least eighteen years old and have a high school diploma or certificate of high school equivalence;
   2. (2) Volunteers and interns who are under twenty-one years of age to be supervised.
6. (F) Request a criminal records check with respect to volunteers and interns in accordance with section 2151.86 of the Revised Code;
7. (G) Employ registered nurses, patient care assistants, or licensed professional nurses to meet required child-to-staff ratios;

8. (H) Require the center's peer supporter, family advocate, licensed social worker, licensed independent social worker, licensed professional counselor, or licensed professional clinical counselor to do the following:

   1. (1) Provide wraparound services to affected family and caregivers;
   2. (2) Coordinate and cooperate with any transferring hospital, public children services agency, and private child placing agency;
   3. (3) Refer affected families or caregivers to appropriate community agencies and services for support and aftercare;
   4. (4) Follow up with affected families and caregivers following the infant's discharge.

9. (I)

   1. (1) Encourage employee-supervised dyad care and permit one of the infant's parents or caregivers to room-in with the infant for bonding and education;

   2. (2) Provide the following for dyad care and rooming-in:

      1. (a) A single bed and all necessary bed sheets, pillow cases, pillows, and blankets;
      2. (b) All meals and snacks, which shall be provided in a designated family kitchen area if the center has such an area;
      3. (c) A minimum of one private shower and toilet for the use of the parents or caregivers who are rooming-in.
   3. (3) Notify the parent or caregiver that the center's rules and policies shall be followed or rooming-in may be restricted or canceled.
10. (J) Have one bathing room for every six infants that includes a minimum of one hip level bathtub with hot and cold water, one changing station, and a door with a full-length glass window for safety and observation;
11. (K) Meet the child-to-staff ratio of at least one awake child-care staff on duty at all times for every five infants;
12. (L) Use cribs and other infant sleep products that meet the United States consumer product safety commission's safety standards for safe sleep;
13. (M) Follow the department of children and youth's safe sleep education program recommendations established under section 5180.16 of the Revised Code.

Last updated January 1, 2025 at 5:45 AM