physical, intellectual and social behavior, as well as possible behavioral signs and symptoms of adverse side effects, omission, or overdose. Parent/Guardian Responsibilities Before a designated employee administers or assists in the administration of any prescribed medication to any child, or any child is allowed to carry and self-administer prescription auto- injectable epinephrine or prescription inhaled asthma medication during school hours, the LEA shall have a written statement from the child’s physician and a written statement from the child’s parent/guardian ( California Education Code §§ 49414.5, 49423, 49423.1; Title 5 of the California Code of Regulations § 600 ): The physician’s written statement shall clearly ( California Education Code §§ 49423, 49423.1; Title 5 of the California Code of Regulations § 602 ): 1. Identify the child; 2. Identify the medication; 3. Specify the method, amount, and time schedules by which the medication is to be taken; 4. Contain the name, address, telephone number, and signature of the physician; and 5. If a parent/guardian has requested that his/her child be allowed to self-administer prescription auto-injectable epinephrine or prescription inhaled asthma medication, confirm that the child is able to self-administer the medication. The parent/guardian’s written statement shall: 1. Identify the child; 2. Grant permission for the authorized LEA representative to communicate directly with the child’s physician, as may be necessary, regarding the physician’s written statement or any other questions that may arise with regard to the medication; 3. Contain an acknowledgement that the parent/guardian understands how LEA employees will administer or otherwise assist the child in the administration of medication; 4. Contain an acknowledgement that the parent/guardian understands his/her responsibilities to enable LEA employees to administer or otherwise assist the child in the administration of medication including, but not limited to, the parent/guardian’s responsibility to provide a written statement from the physician and to ensure that the medication is delivered to the school in a proper container by an individual legally authorized to be in possession of the medication; and 5. Contain an acknowledgement that the parent/guardian may terminate consent for such administration at any time.
Chapter 20 – Provision of Healthcare Services, Desert/Mountain SELPA As of 11/1/2016 CAHELP Governance Council Approved
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