LIC 9221 - Parent Consent For Administration Of Medications And Medication Chart

Form LIC 9221 is used in child care facilities in California to obtain parental consent for the administration of medications to children while in their care. The form collects information about the child, the medication to be administered, dosages, frequency, and any specific instructions. Additionally, it includes a medication chart that allows caregivers to record each instance of medication administration, including the date, time, medication name, dosage, and initials of the administering staff. By utilizing this form, child care facilities ensure proper documentation, adherence to medication protocols, and parental authorization for administering medications to children under their supervision.