(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 center shall ensure that the parent completes and signs box one of the JFS 01217 "Request for Administration of Medication" (rev. 12/2016).

(2)       The center 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 nonprescription medications, food supplements or medical foods?

The center shall:

(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 center shall:

(1)       Ensure that the product is stored in the original container with a 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 sanitzer or lip balm.

(D)       What are the requirements for a licensed child care center who chooses to administer medications, food supplements, medical foods or topical products in a licensed child care center?

The center shall:

(1)       Not administer any medication, food supplement, medical food, or topical product until after the child has received the first dose or application at least once prior to the center 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. 10/2016) 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 center 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 child care center?

The center shall:

(1)       Safely store all medication, food supplements, and medical foods immediately upon arrival at the center. 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 center.

(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 center if needed.

(5)       Ensure that medications and products are accessible to employees at all times.

(6)       Ensure that medications and products are removed from the center 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: 5104.015

Rule Amplifies: 5104.015

Prior Effective Dates: 3/1/81, 9/1/86, 1/2/92 (Emer.), 4/1/92, 4/1/03, 9/1/05, 12/15/15, 12/31/16