Florida Administrative Code
65 - DEPARTMENT OF CHILDREN AND FAMILIES
65C - Family Safety and Preservation Program
Chapter 65C-46 - CHILD-CARING AGENCY LICENSING
Section 65C-46.006 - Health and Medical Services

Universal Citation: FL Admin Code R 65C-46.006

Current through Reg. 50, No. 187; September 24, 2024

(1) General.

(a) The child-caring agency shall have a staff member on duty trained to administer first aid, including cardiopulmonary resuscitation (CPR), at all times.

(b) The child-caring agency shall ensure that a first aid kit is available to staff members in each living unit with contents consistent with the American Red Cross recommendations and the needs of children in care. The first aid kit shall be stored in a location accessible to adults, however, out of reach of young children. Contents shall be restocked as needed, and any expired products shall be discarded and replaced.

(c) All medical care beyond the provision of first aid shall be under the direction of a licensed medical professional operating within the scope of his or her license.

(d) The child-caring agency shall immediately notify the child's parent or guardian, child's attorney, guardian ad litem, and the child-placing agency or the Department if the child is in the custody of the Department, of any serious illness, any incident involving serious bodily injury, pregnancy or childbirth, or any psychiatric episode requiring the hospitalization of a child.

(e) Provision shall be made for the temporary isolation of children with communicable disease. When such isolation is necessary, close supervision by staff shall be provided.

(f) All child-caring agencies shall establish and maintain cooperative agreements with community agencies, out-of-area programs, or individuals for services not directly provided by the agency, including a plan for handling emergency medical and dental needs of clients.

(g) All child-caring agencies shall have written procedures, in case of emergencies or life threatening situations, including arrangements for emergency transport services for clients. Plans for provision of supervision must be made in cases of emergency when on duty staff are required to accompany a child to a hospital emergency room.

(2) Medication.

(a) All medicines and drugs, including prescription and over-the-counter, shall be kept securely locked.

(b) The following shall be documented in the child's file upon admission:
1. The prescribing doctor's name,

2. Reason for prescription,

3. Quantity of medication in container at admission; and,

4. Method of administration of medication either orally, topically, or injected.

(c) All medicines and drugs shall be administered only by agency staff, except for children of parenting teens who are not in the custody of the Department. A log shall be kept of the administration of all medication which shall include the following:
1. Name of the child for whom medication is prescribed or to whom over the counter medication is administered;

2. Reason for medication administration;

3. Amount of medication administered;

4. Time of day the medication was administered;

5. Written acknowledgment by the child (by signature or initials) of receipt of medication, when age appropriate;

6. Signature of staff member who administered the medication; and

7. Notation and reason for lack of medication administration, if applicable.

(d) The child-caring agency shall not permit medication prescribed for one child to be given to another child.

(e) All child-caring agencies shall have written procedures for the administration of medications.

(3) Medical Information and Health Screenings.

(a) The child-placing agency shall obtain available medical information and consents prior to admission of a child.

(b) Medical information and consents shall include the following:
1. Completion of a well-child check-up by a licensed physician or report of such an examination performed within twelve (12) months prior to admission.

2. The child's medical history, including immunizations, and, in the case of parenting teens, the medical history of the infant or toddler.

3. Written consent from the child's parent or guardian or a court order authorizing routine medical and dental procedures for the child, and to authorize emergency procedures when written parental consent cannot be obtained.

(c) The child-caring agency shall obtain the child's medical information that was not available prior to child's admission into the facility within 30 days of admission. Efforts to obtain the information shall be documented in the child's record.

(d) The child-caring agency shall have a written detailed policy for preventive, routine, emergency, and follow-up medical and dental care for all children.

(e) The child-caring agency is responsible for meeting the physical health needs of each child in its care.
1. The child-caring agency shall ensure that each child has an annual physical examination and follow-up care as recommended. For children under three (3) years, a well-child checkup shall be obtained in accordance with the American Academy of Pediatrics periodicity schedule.

2. The child-caring agency shall ensure that each child has a dental examination every six (6) months and follow-up care as recommended.

3. The child-caring agency shall ensure pregnant youth have prenatal and postnatal care, if not served in a maternity home. The child-caring agency shall assess pregnant youth to determine if postpartum testing and referrals are required.

(f) The child-caring agency, in conjunction with the case manager, shall provide or arrange for medically recommended glasses, hearing aids, prosthetic devices, corrective physical or dental devices, or equipment recommended by a physician for children in care.

(g) The child-caring agency shall maintain confidential medical and dental records for each child in care. The records shall include the dates of immunizations, medications, examinations, and any treatments for specific illness or medical emergencies.

Rulemaking Authority 409.175(5) FS. Law Implemented 409.175(5)(b)2., 3., 9. FS.

New 7-1-87, Formerly 10M-9.023, Amended 10-20-16, 5-26-21, Formerly 64C-14.014.

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