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Compliance Inspector (CI) Caylin Mertz investigated the allegation that Parent A provided prescription ointment for Child A; however there was no medication authorization form or documentation that the ointment was applied. The allegation is substantiated based on the following information:
5 CSR 25-500.192(3)(B), which states "All medication shall be given to a child only with the dated, written permission of the parent(s) stating the length of time medication may be given."
AND
5 CSR 25-500.192(3)(I), which states "The date and time(s) of administration, the name of the individual giving the medication and the quantity of any medication given shall be recorded promptly after administration. This information shall be filed in the child's record after the medication is no longer necessary."
On June 16, 2023, director Tasha Rodden stated that Parent A brought in prescription diaper cream for Child A, but she did not have Parent A provide written permission for the cream and staff did not document when it was administered.
On June 16, 2023, Parent A (parent of Child A) stated that she took prescription cream to the facility on June 6, 2023, with a doctor's note, however, she never provided a written medication authorization form for the prescription. She does not believe they were applying the cream as requested.
On June 16, 2023, CI Mertz reviewed Child A's file and observed a doctor's note, on the medical office letterhead, identifying in typed font, "[Child A] needs prescription diaper rash cream used with every diaper change." However the typed writing did not identify the specific prescription medication to administer. On the same paper, in hand written note was, "apply aquaphor/barrier cream on top of prescription cream every diaper change".
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