Current through Register 2024 Notice Reg. No. 38, September 20, 2024
(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 of 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 injury when the child is picked
up 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.
1. This
documentation shall be kept in the child's record.
2. 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.
1. This
documentation shall be kept in the child's record.
2. 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.
1.
Renumbering and amendment of section heading and section of former section
101326 to new section 101226 filed
9-14-98; operative 11-1-98 (Register 98, No. 38).
2. Editorial
correction of subsection (e)(3) (Register 2002, No.
39).
Note: Authority cited: Section
1596.81,
Health and Safety Code. Reference: Sections
1596.72,
1596.73,
1596.81
and
1597.05,
Health and Safety Code.
