Current through Register Vol. 63, No. 12, December 1, 2024
(1) Before a
certified child care center gives a child any prescription or non-prescription
medication, including, but not limited to, pain relievers, cough syrup, and
nose drops, the center must:
(a) Have a
signed, dated, written authorization by the parent(s) on file (also see OAR
414-305-0230, Parental Permissions);
(A) For
chronic medical conditions, a certified child care center may obtain permission
for 12 months or less with specific instructions including when administration
is needed, such as inhalers.
(B)
Parental authorization over the phone is permitted for single dose
administration of non-prescription medication. The date and time of the consent
must be documented and signed by the parent upon picking up their
child.
(b) Ensure that
the original container is labeled with the name of the medication, dosage, and
directions for administration and storage.
(A)
For prescription medication, the label must include the child's name, the date
the prescription was filled, the prescribing physician's name, and length of
time to give the medication.
(B) If
parent instructions differ from the container instructions, a certified child
care center must have a licensed physician's written instructions for that
medication.
(C) Medication must not
be administered after the expiration date.
(D) Any medication provided by the parents
must be labeled with the child's name.
(c) Ensure that cleaned and sanitized
medication measuring devices are used when providing medication to a child care
child, if applicable.
(2) A certified child care center must
immediately document any medication administered, listing the name of the
child, type of medication, date, time, and dosage given, any side effects
exhibited by the child, and the signature of the person administering the
medication.
(3) A certified child
care center must inform parent(s) daily of all medications administered to
their child.
(4) If medication is
provided by the parent, a certified child care center must administer
medication only to the child for whom it is intended, and follow the directions
on the label.
(5) A certified child
care center must ensure that all medications are inaccessible to children, with
child-resistant caps when available, and stored away from food.
(a) If only stored out-of-reach of children,
the medication bottle or package must be stored in a container with a
tight-fitting lid.
(b) Emergency
medicine may be placed in an unlocked container that is kept out of reach of
children while inside the facility.
(6) A certified child care center must keep
medications requiring refrigeration in a separate tightly-covered, leakproof
container clearly marked "medication" and inaccessible to children.
(7) If using nonmedical items including, but
not limited to sunscreen, a certified child care center does not need to
document application but must:
(a) Have annual
written parental authorization;
(b)
Use only as needed and according to manufacturer's instructions;
(c) Inform parents of the type of sunscreen
used if provided by the center;
(d)
Label the item with the child's name if provided by the parent, and use only
for that child; and
(e) Allow
children to apply sunscreen to themselves with direct staff supervision and
written parental approval.
Statutory/Other Authority: ORS
329A.260
Statutes/Other Implemented: ORS
329A.260
