Section R9-3-309. Medications

A.      A certificate holder shall ensure that a document is prepared and maintained on the premises that specifies:

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

2.        If prescription or nonprescription medications are admin- istered, the requirements in subsection (B) for administer- ing the prescription or nonprescription medications.

B.       If prescription or nonprescription medications are adminis- tered at a child care group home, a certificate holder shall ensure that:

1.        The provider or another staff member designated in writ- ing by the provider is responsible for:

a.        Administering medications at the child care group home,

b.        Storing medications at the child care group home,

c.        Supervising the ingestion of medications, and

d.        Documenting the administration of medications;

2.        At any given time, only one designated staff member at the child care group home is responsible for the duties described in subsection (B)(1);

3.        The designated staff member does not administer a medi- cation to an enrolled child unless the child care group home receives written authorization on a completed Department-provided authorization form that includes:

a.        The child’s first and last names;

b.        The name of the medication;

c.        The prescription number, if any;

d.        Instructions for administration specifying:

i.         The dosage,

ii.        The route of administration,

iii.      The first and last dates that the medication is to be administered, and

iv.      The times and frequency of administration;

e.        The reason for the medication;

f.         The signature of the child’s parent; and

g.        The date of signature; and

4.        The designated staff member:

a.        Measures liquid medications for oral administration using a measuring cup, spoon, or dropper specifi- cally made for measuring liquid medication;

b.        Administers prescription medications provided by an enrolled child’s parent to the enrolled child only from a container dispensed by a pharmacy and accompanied by a pharmacy-generated prescription label that includes the child’s first and last names and administration instructions;

c.        Administers nonprescription medications provided by an enrolled child’s parent to the enrolled child only from an original manufacturer’s container labeled with the enrolled child’s first and last names;

d.        Does not administer a medication that has been transferred from one container to another;

e.        Does not administer a nonprescription medication to an enrolled child inconsistent with the instructions on the nonprescription medication’s label, unless the child care group home receives written administra- tion instructions from the enrolled child’s physician, physician assistant, or registered nurse practitioner;

f.         Documents each administration of medication to an enrolled child on the Department-provided form required in subsection (B)(3) including:

i.         The name of the enrolled child;

ii.        The name and amount of medication adminis- tered and the prescription number, if any;

iii.      The date and time the medication was adminis- tered; and

iv.      The signature of the staff member who admin- istered the medication to the enrolled child; and

g.        Maintains the record on the premises for 12 months after the date the medication is administered.

C.      A certificate holder shall allow an enrolled child to receive an injection at the child care group home only after obtaining written authorization from a physician, physician assistant, or registered nurse practitioner. The certificate holder shall main- tain the written authorization on the premises for 12 months after the date of the last injection.

D.      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).

E.       A certificate holder shall return unused prescription or nonpre- scription medication to a parent when the medication is no lon- ger being administered to the enrolled child or has expired, whichever comes first, or dispose of the medication according to state and federal laws, if the child is no longer enrolled at the child care group home and the certificate holder is unable to locate the child’s parent.

F.       Except as provided in subsection (G), a certificate holder shall ensure that:

1.        Medication belonging to an enrolled child is stored in a locked, leak-proof storage cabinet or container that is used only for storing medications belonging to enrolled children; and

2.        Medication belonging to a staff member or resident is stored in a locked, leak-proof storage cabinet or container that is separate from the storage container for enrolled children’s medications.

G.      A certificate holder shall ensure that a staff member’s or enrolled child’s prescription medication necessary to treat life- threatening symptoms is kept in a location inaccessible to enrolled children except when the prescription medication is administered to treat the life-threatening symptoms.

H.      A certificate holder shall ensure that a child care group home does not stock a supply of prescription or nonprescription medications for administration to enrolled children.

Historical Note

New Section made by final rulemaking at 10 A.A.R. 1214, effective September 1, 2004 (Supp. 04-1). Section repealed; new R9-3-309 renumbered from R9-3-313 and amended by exempt rulemaking at 17 A.A.R. 1530, effective September 30, 2011 (Supp. 11-3).