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.
Q: What is a Gastrostomy - Tube Care Consent/Verification form?
A: The Gastrostomy - Tube Care Consent/Verification form is a document used in child care facilities in California to obtain consent and verify the care of children with gastrostomy tubes.
Q: What is the purpose of the Gastrostomy - Tube Care Consent/Verification form?
A: The purpose of this form is to ensure that child care staff have the necessary information and permission to properly care for children with gastrostomy tubes.
Q: What is a gastrostomy tube?
A: A gastrostomy tube is a medical device that is inserted into the stomach through a small incision in the abdomen. It is used to provide nutrition and medication to individuals who are unable to eat or swallow normally.
Q: Why is consent needed for gastrostomy tube care in child care facilities?
A: Consent is needed to ensure that parents or legal guardians are aware of and agree to the care their child will receive for their gastrostomy tube while in a child care facility.
Q: What information is typically included in the Gastrostomy - Tube Care Consent/Verification form?
A: The form usually includes information about the child's medical condition, the care needed for the gastrostomy tube, emergency contact information, and any specific instructions or restrictions.
Q: Who should complete the Gastrostomy - Tube Care Consent/Verification form?
A: The form should be completed by the child's parent or legal guardian, in consultation with their healthcare provider, and submitted to the child care facility.
Q: Are child care facilities required to have this form on file?
A: Yes, child care facilities in California are required to have a completed Gastrostomy - Tube Care Consent/Verification form on file for any child with a gastrostomy tube in their care.
Q: Can child care staff perform all types of care for a child with a gastrostomy tube?
A: Child care staff can provide basic care for the gastrostomy tube, such as cleaning and securing it, but they should not administer medication or feed the child through the tube without proper training and authorization.
Q: What should child care staff do in case of an emergency involving the gastrostomy tube?
A: In case of an emergency, child care staff should follow the specific instructions provided by the child's parent or legal guardian, and seek immediate medical assistance if necessary.
Form Details:
Download a fillable version of Form LIC701B by clicking the link below or browse more documents and templates provided by the California Department of Social Services.