Ariz. Admin. Code § 9-5-516

Current through Register Vol. 30, No. 45, November 8, 2024

Section R9-5-516 - Medications

A. A licensee shall ensure that a written statement is prepared and maintained on facility premises that specifies:

1. Whether prescription or nonprescription medications are administered to enrolled children; and

2. If prescription or nonprescription medications are administered, the requirements in subsection (B) for administering the prescription or nonprescription medications.

B. If prescription or nonprescription medications are administered, a licensee shall ensure that:

1. A facility director, or a staff member designated in writing by the facility director, is responsible for the administration of all medications in the facility, including storing, supervising an enrolled child's ingestion of a medication, and documenting all medications administered to an enrolled child;

2. A facility director ensures that only one staff member in the facility at any given time is responsible for the administration of medications;

3. A facility director, or a staff member designated in writing by the facility director, does not administer a medication to an enrolled child unless the facility receives written authorization signed by the enrolled child's parent or health care provider that includes the:

a. Name of the enrolled child;

b. Type of the medication;

c. Prescription number, if any;

d. Instructions for administration specifying the:

i. Dosage and route of administration;

ii. If indicated, starting and ending dates of the dosage period; and

iii. Times and frequency of administration;

e. Reason for the medication; and

f. Date of authorization; and

4. A staff member:

a. Administers a prescription medication provided by a parent only from a container dispensed by a pharmacy;

b. Administers a nonprescription medication provided by a parent for an enrolled child only from a container prepackaged and labeled for use by the manufacturer and labeled with the enrolled child's name;

c. Does not administer any medication that has been transferred from one container to another; and

d. Does not administer a nonprescription medication to an enrolled child inconsistent with the instructions on the nonprescription medication's label, unless the facility receives written authorization from the enrolled child's health care provider

C. A licensee shall allow an enrolled child to receive an injection only after obtaining a written authorization from a health care provider

D. A licensee shall maintain the health care provider's written authorization required in subsection (C) on facility premises for 12 months after the date of the written authorization.

E. An individual authorized by state law to give injections may give an injection to an enrolled child. In an emergency, an individual may give an injection to an enrolled child according to A.R.S §§ 32-1421(A)(1) and 32-1631(2).

F. A licensee shall maintain documentation of all medications administered to an enrolled child.

1. Documentation shall contain:

a. The name of the enrolled child;

b. The name and amount of medication administered and the prescription number, if any;

c. The date and time the medication was administered; and

d. The signature of the staff member who administered the medication to the enrolled child; and

2. A licensee shall maintain the documentation on facility premises for 12 months after the date the medication is administered.

G. A licensee shall return all unused prescription and nonprescription medications to a parent when the medication prescription date has expired or the medication is no longer being administered to the enrolled child or dispose of the medication if unable to locate the enrolled child's parent after the child's disenrollment.

H. Except as provided in subsection (J), a licensee shall ensure that prescription and nonprescription medications are stored as follows:

1. An enrolled child's medication is kept in a locked, leak-proof storage cabinet or container that is used only for storing enrolled children's medications and is located out of reach of children;

2. Medication for a staff member is kept in a locked, leak-proof storage cabinet or container that is separate from the storage container for enrolled children's medications and is located out of reach of children; and

3. Medications requiring refrigeration are kept in a locked, leak-proof container in a refrigerator

I. Except as specified in A.R S. § 36-2229(B) through (D), a licensee shall ensure that a facility does not stock a supply of medications for administration to enrolled children, including:

1. Any prescription medication; or

2. A nonprescription medication such as aspirin, acetaminophen, ibuprofen, or cough syrup.

J. A staff member's or enrolled child's prescription medication necessary to treat life-threatening symptoms:

1. May be kept in the activity area where the staff member or enrolled child is present; and

2. Except when the prescription medication is administered to treat life-threatening symptoms, is inaccessible to an enrolled child.

K. A licensee of a licensed child care facility owned and located on a public school premises shall ensure that enrolled school-aged children are allowed to possess emergency medications and self-administer auto-injectable epinephrine and handheld inhaler devices according to A.R.S. § 15-341, if an enrolled school-aged child:

1. Has a written prescription from a physician,

2. Is named on the prescription label and

3. Has written documentation from the enrolled school-aged child's parent approving the enrolled school-aged child to possess and self-administer emergency medication.

Ariz. Admin. Code § R9-5-516

Adopted effective December 12, 1986 (Supp. 86-6). Section repealed; new Section adopted effective October 17, 1997 (Supp. 97-4). Amended by final rulemaking at 6 A.A.R. 3476, effective August 17, 2000 (Supp. 00-3). Amended by exempt rulemaking at 16 A.A.R. 1564, effective September 30, 2010 (Supp. 10-3). Amended by final rulemaking at 26 A.A.R. 1256, effective 6/3/2020.