Section 101226
HEALTH-RELATED SERVICES
(a) The licensee shall immediately notify the child's authorized representative
if the child becomes ill or sustains an injury more serious than a minor cut
or scratch. The licensee shall obtain specific instructions from the authorized
representative regarding action to be taken.
- (1) In the case of an illness severe enough to require isolation of the
child, the center shall follow the procedures specified in Section 101226.2.
- (2) In the case less serious injuries including, but not limited to, minor
cuts, scratches and bites from other children requiring assessment and/or
administration of first aid by staff, the licensee shall document the injury
in the child's record and notify the child's authorized representative of
the nature of the when the child is picked from the center.
(b) The licensee shall make prompt arrangements for obtaining medical treatment
for any child if necessary.
(c) The licensee shall obtain emergency medical treatment without specific
instructions from the child's authorized representative if the authorized representative
cannot be reached immediately, or if the nature of the child's illness or injury
is such that there should be no delay in getting medical treatment for the child.
- (1) The teacher supervising activities away from the center premises shall
carry one of the following for each child engaged in such activities:
- (A) A signed consent form for emergency medical treatment; or
- (B) For a child not required to have a consent form for emergency medical
treatment pursuant to Section 101220(f), the phone numbers of the authorized
representative, relatives or others who can -assume responsibility for
the child in an emergency.
(d) The licensee shall maintain the following first-aid -supplies in a location
accessible to staff but inaccessible to children:
- (1) A current edition of a first-aid manual.
- (2) Sterile first-aid dressings.
- (3) Bandages or roller bandages.
- (4) Adhesive tape.
- (5) Scissors.
- (6) Tweezers.
- (7) Thermometer.
- (8) Antiseptic solution.
(e) In centers where the licensee chooses to handle medications:
- (1) All prescription and nonprescription medications shall be centrally
stored in accordance with the requirements specified below:
- (A) Medications shall be kept in a safe place inaccessible to children.
- (B) Each container shall have an unaltered label.
- (C) A refrigerator shall be used to store any medication that requires
refrigeration.
- (2) All prescription and nonprescription medications shall be maintained
with the child's name and shall be dated.
- (3) Prescription medications may be administered if all of the following
conditions are met:
- (A) Prescription medications shall be administered in accordance with
the label directions as prescribed by the child's physician.
- (B) For each prescription medication, the licensee shall obtain, in
writing, approval and instructions from the child's authorized representative
for the administration of the medication to the child.
- This documentation shall be kept in the child's record.
- The instructions from the child's authorized representative
shall not conflict with the label directions as prescribed by the
child's physician.
- (4) Nonprescription medications may be administered without approval or
instructions from the child's physician if all of the following conditions
are met:
- (A) Nonprescription medications shall be administered in accordance
with the product label directions on the nonprescription medication container(s).
- (B) For each nonprescription medication, the licensee shall obtain,
in writing, approval and instructions from the child's authorized representative
for the administration of the medication to the child.
- This documentation shall be kept in the child's record.
- The instructions from the child's authorized representative
shall not conflict with the product label directions on the nonprescription
medication container(s).
- (5) The licensee shall develop and implement a written plan to record the
administration of prescription and nonprescription medications and to inform
the child's authorized representative daily when such medications have been
given.
- (6) When no longer needed by the child, or when the child withdraws from
the center, all medications shall be returned to the child's authorized representative
or disposed of after an attempt to reach the authorized representative
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