1. (1)    Before a provider gives a child any prescription or non-prescription medication, including, but not limited to, pain relievers, cough syrup, and nose drops, the provider must:
   (a)    Have a signed, dated, written authorization by the parent(s) on file (also see OAR 414-210-0230, Parental Permissions);
   (A)    For chronic medical conditions, a registered family child care may obtain permission for 12 months or less with specific instructions including when administration is needed, such as inhalers.
   (B)    Parental authorization over the phone is permitted for single dose administration of non-prescription medication. The date and time of the consent must be documented and signed by the parent upon picking up their child.
   (b)    Ensure that the original container is labeled with the name of the medication, dosage, and directions for administration and storage.
   (A)    For prescription medication, the label must include the child’s name, the date the prescription was filled, the prescribing physician's name, and length of time to give the medication.
   (B)    If parent instructions differ from the container instructions, a registered family child care must have a licensed physician's written instructions for that medication.
   (C)    Medication must not be administered after the expiration date.
   (D)    Any medication provided by the parents must be labeled with the child’s name.
   (c)    Ensure that cleaned and sanitized medication measuring devices are used when providing medication to a child care child, if applicable.
   (2)    A provider must immediately document any medication administered, listing the name of the child, type of medication, date, time, and dosage given, any side effects exhibited by the child, and the signature of the person administering the medication.
   (3)    A provider must inform parent(s) daily of all medications administered to their child.
   (4)    If medication is provided by the parent, a provider must administer medication only to the child for whom it is intended, and follow the directions on the label.
   (5)    A provider must ensure that medication is stored through one of the following methods:
   (a)    Under a child safety device or child safety lock; or
   (b)    In a locked room.
   (6)    Emergency medication may either be inaccessible to children as defined in OAR 414-210-0100(19) or kept with a caregiver.
   (7)   A provider must keep medications requiring refrigeration in a separate tightly-covered, leakproof container clearly marked "medication" and inaccessible to children.
   (8) The application of sunscreen and diaper cream does not need to be documented, but a provider must:
   (a)    Have annual written parental authorization;
   (b)    Use only as needed and according to manufacturer’s instructions;
   (c)    Inform parents of the type of sunscreen used if provided by the registered family child care;
   (d)    Label the item with the child’s name if provided by the parent, and use only for that child; and
   (e)    Allow children to apply sunscreen to themselves with direct caregiver supervision and written parental approval.

Statutory/Other Authority

ORS 329A.260

Statutes/Other Implemented

ORS 329A.330

History

DELC 9-2026, amend filed 06/29/2026, effective 09/01/2026
DELC 140-2024, adopt filed 12/11/2024, effective 07/01/2025