Missouri Code of State Regulations
Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES
Division 30 - Division of Regulation and Licensure
Chapter 62 - Licensing Rules for Group Child Care Homes and Child Care Centers
Section 19 CSR 30-62.122 - Medical Examination Reports
Universal Citation: 19 MO Code of State Regs 30-62.122
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) Staff and Volunteers.
(A) All persons working in a day care
facility in any capacity during child care hours, including volunteers counted
in staff/child ratios, shall be in good physical and emotional health with no
physical or mental conditions which would interfere with child care
responsibilities. These persons shall have a medical examination report, signed
by a licensed physician or registered nurse who is under the supervision of a
licensed physician, on file at the facility at the time of initial licensure or
within thirty (30) days following employment.
(B) 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.
(C) Medical examination reports shall be
completed not more than twelve (12) months prior to beginning work in the
facility and may be transferable to another day care facility for subsequent
employment.
(D) The medical
examination report form shall be supplied by the department or the facility may
use its own form if it contains all the information on the department's
form.
(E) 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.
(F) If at any time the department has reason
to question the physical or emotional health of any person working or
volunteering in the facility, the department shall require a physical or mental
examination of these persons.
(G)
Staff or volunteers shall not work when ill if the health or well-being of
children is endangered.
(2) Children.
(A) The provider, within thirty (30) days
following the admission of each infant, toddler or preschool child, shall
require a medical examination report 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 admission.
(B) The examination report shall determine if
a child's medical history and current state of health is satisfactory
participation in a day care program.
(C) Medical examination requirements 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 facility may use its 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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