Licensing Standards for DayCare Centers
WAC 388-150-230
Medication Management
The center may have a policy of not giving medication to the child in care.
If the center's health care plan includes giving medication to the child in
care, the licensee:
(1) Shall give medications, prescription and nonprescription, only on the
written approval of a parent, person, or agency having authority by court order
to approve medical care;
(2) Shall give prescription medications:
- (a) Only as specified on the prescription label; or
- (b) As authorized, in writing, by a physician or other person legally authorized
to prescribe medication.
(3) Shall give the following classifications of nonprescription medications, with
written parent authorization, only at the dose, duration, and method of administration
specified on the manufacturer's label for the age or weight of the child needing
the medication:
- (a) Antihistamines;
- (b) Nonaspirin fever reducers/pain relievers;
- (c) Nonnarcotic cough suppressants;
- (d) Decongestants;
- (e) Anti-itching ointments or lotions, intended specifically to relieve
itching;
- (f) Diaper ointments and powders, intended specifically for use in the
diaper area of the child; and
- (g) Sun screen.
(4) Shall give other nonprescription medication:
- (a) Not included in the categories listed in subsection (3) of this section;
or
- (b) Taken differently than indicated on the manufacturer's label; or
- (c) Lacking labeled instructions, only when disbursement of the nonprescription
medication is as required under subsection (4)(a), (b), and (c):
- (i) Authorized, in writing, by a physician; or
- (ii) Based on established medical policy approved, in writing, by a
physician or other person legally authorized to prescribe medication.
(5) Shall accept from the child's parent, guardian, or responsible relative only
medicine in the original container, labeled with:
- (a) The child's first and last names;
- (b) The date the prescription was filled; or
- (c) The medication's expiration date; and
- (d) Legible instructions for administration, such as manufacturer's
instructions or prescription label.
(6) Shall keep medication, refrigerated or nonrefrigerated, in an orderly fashion,
inaccessible to the child;
(7) Shall store external medication in a compartment separate from internal
medication;
(8) Shall keep a record of medication disbursed;
(9) Shall return to the parent or other responsible party, or shall dispose
of medications no longer being taken; and
(10) May, at the licensee's option, permit self-administration of medication
by a child in care if the:
- (a) Child is physically and mentally capable of properly taking medication
without assistance;
- (b) Licensee includes in the child's file a parental or physician's written
statement of the child's capacity to take medication without assistance; and
- (c) Licensee ensures the child's medications and other medical supplies
are stored so the medications and medical supplies are inaccessible to another
child in care.
[Statutory Authority: RCW 74.15.030. 90-23-078 (Order 3103), § 388-150-230,
filed 11/20/90, effective 12/21/90.]
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