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special medical procedures are to be administered only in the dosage, at the intervals, or in the manner prescribed by a physician or other person legally authorized to prescribe medication or medical procedures. The date and time each dose is given must be documented in a medication log and initialed by the caregiver.

In-home caregivers may administer commonly used nonprescription medication or medication contained in the first aid kit with written permission from the parent of a child. If written permission is not obtained, the provider must document telephone permission to administer that medication. The date and time each dose is given must be documented in a medication log and initialed by the provider.

b. Storage of Medication Prescription medication must be kept in the original container showing the date filled, expiration date, instructions, and the physicians name affixed to or stored with each medicine set.

Medications are stored in a manner that prevents access by unauthorized persons and medication requiring refrigeration is grouped together, stored in a manner to prevent contamination of food, and labeled. Medications including controlled substances are stored according to the manufacturer’s recommendations.

All unused medication is returned to the parent of the child when the medication is no longer needed.

3. Nutrition In-home caregivers or the child’s parent provide the applicable meal(s) and/or snacks for children while in care.

a. Meals andSnacks The caregiver must ensure: • Snacks and meals are nutritious and meet the child’s daily dietary needs; • Food served is not altered to contain harmful substances; and • Fruits and vegetables are thoroughly washed with potable water before use.

b. Bottle Feedings