CFR > Title 45 - Public Welfare > SUBTITLE B—Regulations Relating to Public Welfare > CHAPTER XIII—OFFICE OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (parts 1301 to 1388) > SUBCHAPTER B—THE ADMINISTRATION FOR CHILDREN, YOUTH AND FAMILIES, HEAD START PROGRAM (parts 1301 to 1311) > PART 1308—HEAD START PROGRAM PERFORMANCE STANDARDS ON SERVICES FOR CHILDREN WITH DISABILITIES > SUBPART D—Health Services Performance Standards (§1308.6 to §1308.18) > 1308.18—Disabilities/health services coordination.

1308.18—Disabilities/health services coordination.

(a) The grantee must ensure that the disabilities coordinator and the health coordinator work closely together in the assessment process and follow up to assure that the special needs of each child with disabilities are met.
(b) The grantee must ensure coordination between the disabilities coordinator and the staff person responsible for the mental health component to help teachers identify children who show signs of problems such as possible serious depression, withdrawal, anxiety or abuse.
(c) Each Head Start director or designee must supervise the administration of all medications, including prescription and over-the-counter drugs, to children with disabilities in accordance with State requirements.
(d) The health coordinator under the supervision of the Head Start director or designee must:
(1) Obtain the doctor's instructions and parental consent before any medication is administered.
(2) Maintain an individual record of all medications dispensed and review the record regularly with the child's parents.
(3) Record changes in a child's behavior which have implications for drug dosage or type and share this information with the staff, parents and the physician.
(4) Assure that all medications, including those required by staff and volunteers, are adequately labeled, stored under lock and key and out of reach of children, and refrigerated, if necessary.