Form LIC9221 Parent Consent for Administration of Medications and Medication Chart - California

What Is Form LIC9221?

This is a legal form that was released by the California Department of Social Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form LIC9221?
A: Form LIC9221 is the Parent Consent for Administration of Medications and Medication Chart used in California.

Q: What is the purpose of Form LIC9221?
A: The purpose of Form LIC9221 is to obtain consent from parents or legal guardians for the administration of medications to a child while under the care of a licensed child care facility in California.

Q: Who needs to fill out Form LIC9221?
A: Parents or legal guardians of a child attending a licensed child care facility in California need to fill out Form LIC9221.

Q: What information is required on Form LIC9221?
A: Form LIC9221 requires information such as the child's name, date of birth, medication details, dosage instructions, parent/guardian contact information, and emergency contact information.

Q: How long is Form LIC9221 valid?
A: Form LIC9221 is valid for one year from the date it is signed, unless otherwise specified by the parent or legal guardian.

Q: Can Form LIC9221 be used for all types of medications?
A: Yes, Form LIC9221 can be used for all medications, including prescription and over-the-counter medications.

Q: How should Form LIC9221 be submitted?
A: Form LIC9221 should be submitted to the licensed child care facility where the child is enrolled. It may be submitted in person, by mail, or electronically, depending on the facility's policies.

Q: What should parents do if there are changes to the child's medication needs?
A: If there are changes to the child's medication needs, parents should update Form LIC9221 and notify the licensed child care facility immediately.

Q: Are there any additional requirements or guidelines for medication administration in California child care facilities?
A: Yes, in addition to Form LIC9221, child care facilities in California must follow specific regulations and guidelines set forth by the state regarding medication administration to ensure the safety and well-being of the children in their care.