In order for public libraries in Ohio to meet the needs of their communities and also be in compliance with the Americans with Disabilities Act, they must be able to accommodate children with disabilities in their summer reading programs. Efforts of small or medium public libraries (circulation less than 1,100,000 in 1992) to meet the needs of disabled elementary school students were surveyed in a sample of 115 libraries. Sixty-six questionnaires (57%) were returned. Most libraries that responded are taking steps to accommodate physically disabled children in their summer reading programs. Some are making available specialized books (such as Braille) and tapes of the more common children's books. While 17% offer Braille books, only 8% actually order them, and only 28% offer signed books for children. Budget constraints may be preventing such purchases, but if more libraries surveyed their communities, they might find a greater need. Libraries are trying to reach out to this audience, but the need for proactive, rather than reactive, services remains. Needs assessment through surveys and promotion of the services offered are required to ensure access to physically disabled children. Attachments include the survey instrument and cover letters. (Contains 42 references.) (SLD)