[Code of Federal Regulations]
[Title 45, Volume 4]
[Revised as of October 1, 2004]
From the U.S. Government Printing Office via GPO Access
[CITE: 45CFR1308.18]

[Page 169]
 
                        TITLE 45--PUBLIC WELFARE
 
CHAPTER XIII--OFFICE OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH 
                           AND HUMAN SERVICES
 
PART 1308_HEAD START PROGRAM PERFORMANCE STANDARDS ON SERVICES FOR 
CHILDREN WITH DISABILITIES--Table of Contents
 
             Subpart D_Health Services Performance Standards
 
Sec. 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.