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(6) Within six months prior to or within seventy-two hours after admission to a facility, the parent, legal guardian, or placing agency shall ensure a child has a recorded medical examination conducted by a licensed physician or a licensed nurse practitioner. (7) At a minimum, annual health examinations by a licensed physician or a licensed nurse practitioner shall be provided for each child except those less than two (2) years of age, who shall have an examination at least every six months. Children in the Agency’s custody must complete health examinations in compliance with Agency policy. (8) Children shall have had a dental examination by a licensed dentist within the six months prior to admission. Dental treatment shall be provided every six months for children over the age of two. (9) A facility shall maintain on file a record as to each child’s health, including a continuous medical record reflecting each child’s growth and development, illnesses, treatments, inoculations, dental care, annual health examination and requests for medical records from the placing authority. (10) The person or entity with legal custody shall be responsible for payment of any medical services received. P. Hospitalization. (1) The facility shall make provision and establish procedures for hospitalization when needed for a child under its care. (2) Medical consent for planned hospitalization or a medical treatment shall be obtained from the child’s legal guardian, parent or an appropriate Agency representative. (3) If a child needs hospitalization or medical treatment, the child’s parent, legal guardian, or placing agency shall be notified as soon as possible. (4) In the case of an emergency event requiring an evaluation or treatment, a group home staff person shall remain with the child at the hospital or emergency location at all times and the child’s parent, legal guardian, or placing agency shall be notified immediately but no later than two hours. A group home staff person shall remain with the child until a plan can be agreed upon between the group home and the child’s parent, legal guardian or placing agency. Q. Illness and First Aid. (1) Each caregiver shall be able to recognize the common symptoms of illness of children and to note any obvious physical disability. (2) Each building and vehicle used to transport children shall have a first aid kit or first aid supplies that will provide care to the maximum number of children allowed under the facility license. The first aid kit or first aid supplies shall be inventoried and re-supplied as needed. (3) A first aid kit shall be readily available to caregivers on site and away from the facility. R. Medications. (1) Medication Storage and Disposal. (a) Medication including over-the-counter medication, shall be kept in the container in which it was purchased or prescribed. No person may transfer medication that has been prescribed or purchased over-the-counter to another container or change the label on any medication, unless the person is a pharmacist. (b) Medication shall be locked and stored in a location that is inaccessible to children. Only staff members who are designated in writing by the director shall have access to keys to the medication. Prescription and over-the-counter medication shall not be stored next to chemicals or other contaminants. (c) Medication shall be kept under acceptable conditions of sanitation, temperature, light, moisture, and ventilation according to the requirements of each medication. Medication that requires refrigeration shall be stored in a separate locked compartment or container that is properly labeled, stored separately from food items, and kept inaccessible to children. (d) If children are away from the facility with staff during the time they need to take their medication or over 24 hours, facility staff shall keep medicines locked, in the original container and kept with the staff person who is responsible and trained to administer medication. The medication administration record shall accompany the medication and be completed as detailed under Regulation 114–593(R)(2).