Medical, Dental And General Emergency Plan
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Ohio Department of Job and Family Services
MEDICAL, DENTAL AND GENERAL EMERGENCY PLAN
For Type B Homes and In-Home Aides
Provider Name
Provider Address
Provider's Telephone Number
EMERGENCY TELEPHONE NUMBERS
Including 7-digit back up number as well as area code if area code must be dialed to complete the call.
Emergency Squad
Hospital
Police Department
Fire Department
Poison Control
Public Children Services Agency
LOCATION OF:
First Aid Kit(s)
Fire Extinguishers
Electrical Circuit Box
Location of Children's Records
In case of a Dental Emergency, stay with the child and summon help. If an additional adult is present to
assist with other children, consult the Dental First Aid Chart. If alone, settle other children in safe activity
within sight or hearing. Follow instructions on dental chart, notify the caretaker/parent and write an
incident report. Remember if blood is involved, wear non latex gloves and sanitize afterwards following
standard precautions.
In case of an environmental emergency such as fire or tornado/weather alert, be aware of or consult the
posted evacuation plan/diagram or route to your “safe place.”
Fire: Take attendance roster, exit the home with the children to the designated meeting place-which is
________________________________________________, account for all children, call emergency/
rescue personnel (911), notify emergency personnel whether all children are present or if any are missing.
Do not return to the home until the all clear is given.
Weather Alert: Take attendance roster, lead children to the designated “safe place”-which is
__________________________________________________, account for all children, have children
assume the safe position-covering head and neck, if blankets or protective covering is available, cover
children. Stay in designated “safe place” until the all clear is sounded.
Emergency Evacuation (bomb threat, gas leak, etc.): Take attendance roster, first aid kit, emergency
contact information for children, account for all children, exit the home to the primary evacuation spot
which is _____________________________________________________. Account for all children with
a name to face check off. Follow instructions from emergency personnel as to whether to stay in that spot
or to proceed to your secondary evacuation location (which should be further away from your home in
case the area around your home and property also must be evacuated). The secondary location is ______
_____________________________________________. Always follow instructions of the emergency
personnel on site. Parents should be notified as soon as possible. Continue to complete name to face
attendance check offs on a regular basis to assure children are not lost. Complete an incident report and
provide to the caretakers as soon as possible. CDJFS must be notified within 24 hours.
Threat of Violence: Secure children in the safest location in the home or outside. Take attendance
roster, contact 9-1-1/Police. Follow instructions from authorities, account for all children with name to
face attendance, notify parents as soon as possible, complete an incident report for caretakers.
Loss of Power, Water, Heat: Contact utilities company to notify of outage and assess expected time of
JFS 01929 (Rev. 8/2008)
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