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August 2018 Page 1 of 1 Foster Care Drug and Alcohol Policy Minnesota Statutes, section 245A.04, subd. 1. C License Date Child and adult foster care license holders must have and follow a drug and alcohol use policy. The policy must be in place at initial licensure and reviewed annually with any changes noted. License holders must discuss the drug and alcohol policy with caregivers and all caregivers must agree to follow the policy. By initialing below, I/we agree to: take prescription medications as prescribed and not abuse them. not be impaired by controlled substances, alcohol, or illegal drugs that will affect my/our ability to provide care. review and discuss, each child/adult’s history related to chemical use, as well as the effect exposure to alcohol or drug use may have on them. (other) (other) Alcohol will be stored Medication will be stored By signing below, I/we agree to follow this drug and alcohol policy. I/we will talk with the licensor and the placing worker as needed and tell them about any changes to this policy. License Holder Signature Date License Holder Signature Date