(a) You must maintain a cumulative medication record of all:
  (1) Prescription medication dispensed to each child; and
  (2) Nonprescription medications and supplements that are dispensed to a child under five years old.
(b) The cumulative medication record must be updated:
  (1) Within 2 hours of administering medication, unless you operate a cottage home model; or
  (2) Within 24 hours of administering medication if you operate a cottage home model.
(c) You must maintain the medication record, which must include:
  (1) Child's full name;
  (2) Prescribing health-care professional's name, if applicable;
  (3) Reason medication was prescribed, for prescription medication;
  (4) Medication name, strength, and dosage;
  (5) Date (day, month, and year) and time the medication was administered;
  (6) Name and signature of the person who administered the medication;
  (7) Child's refusal to accept medication, if applicable; and
  (8) Reasons for administering the medication, including the specific symptoms, condition, and/or injuries of the child that you are treating, only for:
    (A) PRN psychotropic medications; and
    (B) Nonprescription medications and supplements for children under five years old.
(d) Unless you operate on a cottage home model, you must count each medication prescribed to a child at least daily and document the count. The medication count must match the medication documentation.
(e) You must document in the medication record any non-prescription medication or supplement that is given to the child and how often the child receives the medication or supplement.
(f) You must document any prohibited prescription medications (for example, medication allergies or contraindications) or prohibited non-prescription medications and supplements in the medication record.
(g) You must incorporate the medication record into the child's record.

Source Note: The provisions of this §748.2151 adopted to be effective January 1, 2007, 31 TexReg 7377; amended to be effective September 1, 2010, 35 TexReg 7497; amended to be effective January 1, 2017, 41 TexReg 10393; transferred effective March 9, 2018, as published in the Texas Register February 16, 2018, 43 TexReg 909