Document Citation: 22 CCR 86575

Header:
CALIFORNIA CODE OF REGULATIONS
TITLE 22. SOCIAL SECURITY
DIVISION 6. LICENSING OF COMMUNITY CARE FACILITIES
CHAPTER 7.3. CRISIS NURSERIES
ARTICLE 6. CONTINUING REQUIREMENTS

Date:
08/31/2009

Document:
22 CCR 86575 (2011)

§ 86575. Health Related Services

(a) The licensee shall ensure that each child receives necessary first aid and other needed medical or dental services, including arrangement for or provision of transportation to the nearest available services.

(b) When a child has a health condition that requires medication, the licensee shall ensure that the caregiver shall:

(1) Assist children with the taking of medication as needed.

(2) Ensure that instructions are followed as outlined by the appropriate medical professional.

(3) Medication shall be stored as instructed in the original container with the original unaltered label in a locked and safe area that is not accessible to children.

(4) Prescription medication must be administered as directed on the label or as advised by the physician in writing.

(5) Non-prescription medication must be administered as directed by the appropriate medical professional and documented by the caregiver.

(6) The administration of PRN medication shall also require documentation by the caregiver of the date, time and dose of medication administered.

(7) If the child can not determine his or her own need, the caregiver shall determine need in accordance with medical instructions.

(c) Prescription medications that are not taken with the child upon termination of services, or which are not to be retained shall be destroyed by the crisis nursery administrator, or a designee, and one other adult.

(1) Both shall sign a record, to be retained for at least one year, which lists the following:

(A) Name of the child.

(B) The prescription number and the name of the pharmacy.

(C) The medication name, strength and quantity destroyed.

(D) The date of destruction.

(d) Staff responsible for providing direct care and supervision shall receive training in pediatric first aid and pediatric CPR from persons qualified by agencies including but not limited to the American Red Cross.

(1) The licensee shall ensure that copies of unexpired pediatric first aid and pediatric CPR certificates documenting the required training are maintained.

(e) First aid supplies shall be maintained and be readily available in an easily identifiable location in the crisis nursery.

(1) These supplies shall include at least the following:

(A) A current edition of a first aid manual approved by the American Red Cross, the American Medical Association, or a state or federal health agency.

(B) Sterile first aid dressings.

(C) Bandages or roller bandages.

(D) Adhesive tape.

(E) Scissors.

(F) Tweezers.

(G) Thermometers.

(H) Antiseptic solution.

(f) There shall be at least one person capable of and responsible for communicating with emergency personnel in the crisis nursery at all times. The following information shall be readily available:

(1) The name, address, and telephone number of each child's physician and dentist, and other medical and mental health providers, if any.

(2) The name, address and telephone number of each emergency agency, including but not limited to the fire department, crisis center or paramedic unit. There shall be at least one medical resource available to be called at all times.

(3) The name and telephone number of an ambulance service.