Missouri Code of State Regulations
Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES
Division 30 - Division of Regulation and Licensure
Chapter 61 - Licensing Rules for Family Child Care Homes
Section 19 CSR 30-61.125 - Medical Examination Reports
Universal Citation: 19 MO Code of State Regs 30-61.125
Current through Register Vol. 49, No. 18, September 16, 2024
PURPOSE: This rule sets forth the requirements for medical examinations for care-givers and children in care.
(1) Day Care Provider and Assistants.
(A) The child care provider shall be in good
physical and emotional health with no physical or mental conditions which would
interfere with child care responsibilities.
(B) The provider shall have a medical
examination report on file at the time of initial licensure.
(C) All assistants shall be in good physical
and emotional health with no physical or mental conditions which would
interfere with child care responsibilities.
(D) Assistants who are employed or volunteer
more than five (5) hours per week shall have a medical examination report on
file within thirty (30) days of beginning work in the home.
(E) Medical examination reports shall include
a "Risk Assessment for Tuberculosis" form, included herein, completed and
signed by a health care professional, as provided by the Missouri Department of
Health and Senior Services (MDHSS). If the person has signs or symptoms of
tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis
shall occur.
1. If the person has no
documented history of ever receiving a tuberculin skin test (TST), and elects
to receive a TST, then a two (2)-step TST is required. A history of bacilli
Calmette-Guerin vaccination (BCG) shall not exempt a person from receiving a
tuberculin test.
2. Persons that
have a newly positive tuberculin test(s) shall not be allowed to work until a
medical evaluation is performed to determine if the person has active
contagious tuberculosis.
3. Persons
with active contagious tuberculosis shall be excluded from employment until
deemed non-infectious by MDHSS or the local public health agency. The person
may return to work once the above criteria have been met, as long as the person
adheres to his/her prescribed treatment regimen.
4. All positive tuberculin tests shall be
reported to the Missouri Department of Health and Senior Services or local
public health agency as required by 19 CSR 20-20.020.
(F) Medical examination reports shall be
signed by a licensed physician or registered nurse who is under the supervision
of a licensed physician and completed not more than twelve (12) months prior to
beginning work in the home. These reports may be transferable to another day
care facility for subsequent employment.
(G) The medical examination report form shall
be supplied by the department or the provider may use his/her own form if it
contains all the information on the department's form.
(H) A child care employee, who is identified
as a contact to an active tuberculosis case, shall be evaluated for
tuberculosis to determine if the person has active contagious tuberculosis, or
be excluded from work.
(I) If at
any time the department has reason to question the physical or mental health of
a provider or assistant, the department shall require a physical or mental
examination of that person.
(J) No
individual shall work when ill if the health or well-being of children is
endangered.
(2) Children.
(A) The provider shall require,
within thirty (30) days following the admission of each infant, toddler or
preschool child, a medical examination report signed by a licensed physician or
registered nurse who is under the supervision of licensed physician and
completed not more than twelve (12) months prior to admission.
(B) Examination reports shall determine if a
child's medical history and current state of health is satisfactory for
participation in a day care program.
(C) Medical examination reports shall not
apply to any child if the parent(s) files a signed statement of objection based
on religious beliefs.
(D) The
parent(s) of a school-age child shall provide a report at the time of
enrollment indicating the child's health history, any current health problems,
and any restrictions necessary for the child's care.
(E) The medical examination report form and
the health history report for school-age children shall be supplied by the
department or the provider may use his/her own form if it contains all the
information on the department's form.
*Original authority: 210.221, RSMo 1949, amended 1955, 1987, 1993, 1995, 1999.
Disclaimer: These regulations may not be the most recent version. Missouri may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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