(A) What are the
requirements for prescription medications, nonprescription medicines containing
codeine or aspirin, or nonprescription medication to be given longer than three
consecutive days in a fourteen day period?
(1) The family
child care provider shall ensure that the parent complete and sign box one of
the JFS 01217 "Request for Administration of Medication for Child Care" (rev. 12/2016).
(2) The family
child care provider shall ensure that the instructions in box two of the JFS
01217 are completed and signed by a licensed physician, licensed dentist,
advanced practice nurse or certified physician's assistant.
(3) If the
medication is stored in the original container with prescription label that
includes the child's full name, a current dispensing date within the previous
twelve months, exact dosage and directions for use, box two of the JFS 01217
does not need to be completed.
(B) What are the
requirements for non-prescription medications, food supplements or medical
foods?
The family child care provider shall do
one of the following:
(1) Ensure that the parent completes and
signs box one of the JFS 01217.
(2) Ensure that one of the following is met:
(1)(a) Ensure that theThe medication or product is stored in the original
container with a manufacturer's label containing directions based on the age
and/or weight of the child.
(2)(b) Ensure that theThe instructions in box two of the JFS 01217 are
completed and signed by a licensed physician, licensed dentist, advanced
practice nurse or certified physician's assistant. This excludes topical
preventative products and lotions unless the instructions exceed the
manufacturer's instructions or use.
(3) Ensure that the parent completes and
signs box one of the JFS 01217.
(C) What are the
requirements for topical products and lotions?
The family child care provider shall:
(1) Ensure that the
product is stored in the original container with manufacturer's label that
includes directions based on the age and/or weight of the child.
(2) Ensure that the
parent completes and signs box one of the JFS 01217.
(3) Apply the
nonprescription topical products and lotions according to the manufacturer's
instruction. Documentation is not required by the staff.
(4) A JFS 01217 is not required for hand
sanitizer or lip balm.
(D) What are the
requirements for a licensed family child care home who chooses to administer
medications, food supplements, medical foods or topical products in a licensed
family child care home?
The family child care provider shall:
(1) Not administer
any medication, food supplement, medical food, or topical product until the
child has received the first dose or application at least once prior to the
provider administering a dose or applying the product, to avoid unexpected
reactions. Emergency medications that are listed on a completed JFS 01236
"Child Medical/Physical Care Plan for Child Care" (rev. 12/2016) for
the child are exempt from this requirement.
(2) Not administer
any medication, food supplement, medical food or topical product for any period
of time beyond the date indicated by the physician, physician's assistant,
advanced practice nurse certified to prescribe medication, or licensed dentist,
on the prescription label, for twelve months from the date of the form, or
after the expiration date on the medication, whichever comes first.
(3) Document each
administration or application on the JFS 01217 immediately after administering.
This excludes items in paragraph (C)(3) of this rule.
(4) Nonprescription
medication dosages administered shall not exceed prescribed dosages or the
manufacturer's recommended dosages.
(5) A separate JFS
01217 shall be used for each medication, food supplement, medical food or
topical product to be administered for each child.
(6) Each JFS 01217
is valid for the time period listed on the form, not to exceed twelve months
from the date of signature.
(7) Retain each JFS
01217 on file at the home for at least one year following the last
administration of the medication or product.
(E) What are the
requirements for storing medication, food supplements and medical foods in a
licensed family child care home?
The family child care provider shall:
(1) Safely store
all medication, food supplements, and medical foods immediately upon arrival at
the home. Ensure the medication or product is in the original container with
the child's name affixed.
(2) Keep medication
and products out of the reach of children, unless a school-age child is
permitted to carry their own emergency medication and a JFS 01236 is completed
and on file at the home.
(3) School-age
children are permitted to carry and use their own topical products.
(4) Refrigerate in
a separate container, medications or products immediately upon arrival at the
home if needed.
(5) Ensure that
medications and products are accessible to child care staff members at all
times.
(6) Ensure that
medications and products are removed from the home when no longer needed or
expired.
Effective: 10/29/2017
Five Year Review (FYR) Dates: 12/31/2021
Certification: CERTIFIED ELECTRONICALLY
Date: 10/12/2017
Promulgated Under: 119.03
Statutory Authority: 5104.017, 5104.018
Rule Amplifies: 5104.017, 5104.018
Prior Effective Dates: 4/1/82, 5/20/83, 9/1/86, 9/5/86, 2/15/88,
5/1/89, 10/1/97 (Emer.), 12/30/97, 4/1/03, 7/1/03, 9/1/05, 8/14/08, 1/1/14,
11/22/15, 12/31/16