Current through November, 2024
(a) Each child care
facility shall maintain on file at the child care facility evidence that
employees, substitutes, volunteers, and adults in the facility are fi:ee firom
health problems which would have a harmful effect on the children or which
would interfere with effective functioning, as follows:
(1) The results of a physical examination by
a health care practitioner of each employee, substitute, volunteer, and adult
in the child care facility;
(2)
Written evidence that each employee, substitute, volunteer, and adult in the
facility is fi:ee fi:om communicable TB as a result of a negative TB skin test
or a satisfactory chest x-ray taken one year before beginning child care.
(A) If the employee, substitute, volunteer,
or adult in the child care facility has not completed a TB clearance prior to
April 11, 2013, the employee, substitute, volunteer, or adult in the child care
facility must complete a consultation visit with a health care
practitioner;
(B) The health care
practitioner conducting the consultation shall assess whether the individual is
in a highest risk category.
(i) If the
individual is assessed by the health care practitioner to be in a highest risk
category, the individual shall show written evidence of a negative TB skin test
or a satisfactory chest x-ray prior to begiiming child care;
(ii) If the individual is assessed by the
health care practitioner to not be in a highest risk category, the individual
shall have written evidence on file that the individual has been assessed prior
to beginning child care and is not in any of the highest risk categories and
that the health care practitioner does not recommend the individual complete
the chest x-ray evaluation;
(iii)
For those individuals who have been assessed by a health care practitioner to
not be in a highest risk category, and the health care practitioner does not
recommend the individual complete the chest x-ray evaluation, the TB clearance
requirement shall be deferred until the DOH has reinstated conducting TB skin
tests for all persons.
(C)
Once DOH has reinstated TB skin testing requirements, all employees,
substitutes, volxmteers, and adults in the child care facility who were
deferred from TB skin test requirements shall provide written evidence of a
negative TB skin test within ninety (90) days of the reinstatement of TB skin
test requirements.
(b) Each child care facility shall require
and obtain jQrom each employee, substitute, volimteer, or adult in the child
care facility a signed acknowledgement that the employee, substitute,
volunteer, or adult in the child care facihty is aware of the temporary
suspension of the TB skin testing requirements, and that there may be children,
employees, substitutes, volunteers, and adults in the facility who may not have
TB clearances.
(c) Each child care
facility shall post by all entrances used by the public a notice that indicates
the temporary suspension of the TB skin testing requirements which may result
in the child care facility having children, employees, substitutes, volunteers,
or adults who may not have TB clearances.
