Pennsylvania Code
Title 55 - HUMAN SERVICES
Part V - Children, Youth and Families Manual
Subpart D - Nonresidential Agencies, Facilities and Services
Article I - Licensing/Approval
Chapter 3290 - FAMILY CHILD CARE HOMES
ADULT HEALTH
Section 3290.151 - Health assessment
Universal Citation: 55 PA Code ยง 3290.151
Current through Register Vol. 54, No. 44, November 2, 2024
(a) A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment on file at the facility.
(1) The operator shall submit a
health assessment to the Department prior to issuance of an initial or renewal
certificate of compliance.
(2) A
health assessment is valid for 24 months following the date of signature, if
the person does not contract a communicable disease or develop a medical
problem.
(b) A health assessment shall be conducted and a report written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.
(c) The health assessment must include the following:
(1) A
physical examination.
(2)
Tuberculosis screening by the Mantoux method at initial employment. Subsequent
tuberculosis screening is not required unless directed by a physician, CRNP,
the Department of Health or a local health department.
(i) If a person's medical record demonstrates
a positive tuberculin skin test, that record shall be placed on file at the
facility.
(ii) A record of a person
with a positive tuberculin skin test must include the results of a chest x-ray
and evaluation for chemoprophylaxis.
(iii) A person with a positive tuberculin
skin test and a negative x-ray is not required to have further tuberculosis
testing unless one of the following occurs:
(A) The person is exposed to an active case
of tuberculosis.
(B) The person
develops a productive cough which does not respond to medical treatment within
14 days.
(3)
Examination for communicable diseases and the results of that
examination.
(4) Information on
medical problems which might threaten the health of the children or prohibit a
staff person from providing adequate care to children.
(5) The physician's or CRNP's assessment of
the person's suitability to provide child care.
The provisions of this §3290.151 amended under Articles IX and X of the Human Services Code (62 P.S. §§ 901-922 and 1001-1088).
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