Current through August 26, 2024
The PERSON IN CHARGE shall adhere to the following
conditions when removing, adjusting, or retaining the EXCLUSION or RESTRICTION
of a FOOD EMPLOYEE:
(A) Except when a
FOOD EMPLOYEE is diagnosed with Typhoid fever or an infection from hepatitis A
virus or Salmonella Typhi:
(1) Reinstate a FOOD EMPLOYEE who was
EXCLUDED as specified under Subparagraph 2-201.12 (A) (1) if the FOOD EMPLOYEE:
(a) Is ASYMPTOMATIC for at least 24 hours;
P or
(b) Provides to the PERSON IN CHARGE written
medical documentation from a HEALTH PRACTITIONER that states the symptom is
from a noninfectious condition.
P
(2) If a FOOD EMPLOYEE was diagnosed with an
infection from Norovirus and EXCLUDED as specified under Subparagraph 2-201.12
(A) (2):
(a) RESTRICT the FOOD EMPLOYEE, who
is ASYMPTOMATIC for at least 24 hours and works in a FOOD ESTABLISHMENT not
serving a HIGHLY SUSCEPTIBLE POPULATION, until the conditions for reinstatement
as specified under Subparagraphs (D) (1) or (2) of this section are met;
P or
(b) Retain the EXCLUSION for the FOOD
EMPLOYEE, who is ASYMPTOMATIC for at least 24 hours and works in a FOOD
ESTABLISHMENT that serves a HIGHLY SUSCEPTIBLE POPULATION, until the conditions
for reinstatement as specified under Subparagraphs (D) (1) or (2) of this
section are met.
P
(3) If a FOOD EMPLOYEE was diagnosed with an
infection from
Shigella spp. and EXCLUDED as specified under
Subparagraph 2-201.12 (A) (2):
(a) RESTRICT
the FOOD EMPLOYEE, who is ASYMPTOMATIC for at least 24 hours and works in a
FOOD ESTABLISHMENT not serving a HIGHLY SUSCEPTIBLE POPULATION, until the
conditions for reinstatement as specified under Subparagraphs (E) (1) or (2) of
this section are met;
P or
(b) Retain the EXCLUSION for the FOOD
EMPLOYEE, who is ASYMPTOMATIC for at least 24 hours and works in a FOOD
ESTABLISHMENT that serves a HIGHLY SUSCEPTIBLE POPULATION, until the conditions
for reinstatement as specified under Subparagraphs (E) (1) or (2), or (E) (1)
and (3) (a) of this section are met.
P
(4) If a FOOD EMPLOYEE was diagnosed with an
infection from SHIGA TOXIN-PRODUCING
ESCHERICHIA COLI and
EXCLUDED as specified under Subparagraph 2-201.12 (A) (2):
(a) RESTRICT the FOOD EMPLOYEE, who is
ASYMPTOMATIC for at least 24 hours and works in a FOOD ESTABLISHMENT not
serving a HIGHLY SUSCEPTIBLE POPULATION, until the conditions for reinstatement
as specified under Subparagraphs (F) (1) or (2) of this section are met;
P or
(b) Retain the EXCLUSION for the FOOD
EMPLOYEE, who is ASYMPTOMATIC for at least 24 hours and works in a FOOD
ESTABLISHMENT that serves a HIGHLY SUSCEPTIBLE POPULATION, until the conditions
for reinstatement as specified under Subparagraphs (F) (1) or (2) are met.
P
(5) If a FOOD EMPLOYEE was diagnosed with an
infection from
Salmonella (nontyphoidal) and EXCLUDED as
specified under Subparagraph 2-201.12(A)(2):
(a) RESTRICT the FOOD EMPLOYEE, who is
ASYMPTOMATIC for at least 30 days until conditions for reinstatement as
specified under Subparagraphs (G)(1) or (2) of this section are met;
P or
(b) Retain the EXCLUSION for the FOOD
EMPLOYEE who is SYMPTOMATIC, until conditions for reinstatement as specified
under Paragraphs (G)(1) or (G)(2) of this section are met.
P
(B) Reinstate a FOOD EMPLOYEE who
was EXCLUDED as specified under ¶ 2-201.12 (B) if the PERSON IN CHARGE
obtains APPROVAL from the REGULATORY AUTHORITY and one of the following
conditions is met:
(1) The FOOD EMPLOYEE has
been jaundiced for more than 7 calendar days;
P
(2) The anicteric FOOD EMPLOYEE has been
symptomatic with symptoms other than jaundice for more than 14 calendar days;
P or
(3) The FOOD EMPLOYEE provides to the PERSON
IN CHARGE written medical documentation from a HEALTH PRACTITIONER stating that
the FOOD EMPLOYEE is free of a hepatitis A virus infection.
P
(C) Reinstate a FOOD EMPLOYEE who was
EXCLUDED as specified under ¶ 2-201.12 (C) if:
(1) The PERSON IN CHARGE obtains APPROVAL
from the REGULATORY AUTHORITY;
P and
(2) The FOOD EMPLOYEE provides to the PERSON
IN CHARGE written medical documentation from a HEALTH PRACTITIONER that states
the FOOD EMPLOYEE is free from Typhoid fever.
P
(D) Reinstate a FOOD EMPLOYEE who was
EXCLUDED as specified under Sub-paragraphs 2-201.12 (A) (2) or (D) (1) who was
RESTRICTED under Subparagraph 2-201.12 (D) (2) if the PERSON IN CHARGE obtains
APPROVAL from the REGULATORY AUTHORITY and one of the following conditions is
met:
(1) The EXCLUDED or RESTRICTED FOOD
EMPLOYEE provides to the PERSON IN CHARGE written medical documentation from a
HEALTH PRACTITIONER stating that the FOOD EMPLOYEE is free of a Norovirus
infection;
P
(2) The FOOD EMPLOYEE was EXCLUDED or
RESTRICTED after symptoms of vomiting or diarrhea resolved, and more than 48
hours have passed since the FOOD EMPLOYEE became ASYMPTOMATIC;
P or
(3) The FOOD EMPLOYEE was EXCLUDED or
RESTRICTED and did not develop symptoms and more than 48 hours have passed
since the FOOD EMPLOYEE was diagnosed.
P
(E) Reinstate a FOOD EMPLOYEE who was
EXCLUDED as specified under Sub-paragraphs 2-201.12 (A) (2) or (E) (1) or who
was RESTRICTED under Subparagraph 2-201.12 (E) (2) if the PERSON IN CHARGE
obtains APPROVAL from the REGULATORY AUTHORITY and one of the following
conditions is met:
(1) The EXCLUDED or
RESTRICTED FOOD EMPLOYEE provides to the PERSON IN CHARGE written medical
documentation from a HEALTH PRACTITIONER stating that the FOOD EMPLOYEE is free
of a
Shigella spp. infection based on test results showing 2
consecutive negative stool specimen cultures that are taken:
(a) Not earlier than 48 hours after
discontinuance of antibiotics,
P and
(b) At least 24 hours apart;
P
(2) The FOOD EMPLOYEE was EXCLUDED or
RESTRICTED after symptoms of vomiting or diarrhea resolved, and more than 7
calendar days have passed since the FOOD EMPLOYEE became ASYMPTOMATIC;
P or
(3) The FOOD EMPLOYEE was EXCLUDED or
RESTRICTED and did not develop symptoms and more than 7 calendar days have
passed since the FOOD EMPLOYEE was diagnosed.
P
(F) Reinstate a FOOD EMPLOYEE who was
EXCLUDED or RESTRICTED as specified under Subparagraphs 2-201.12 (A) (2) or (F)
(1) or who was RESTRICTED under Subparagraph 2-201.12 (F) (2) if the PERSON IN
CHARGE obtains APPROVAL from the REGULATORY AUTHORITY and one of the following
conditions is met:
(1) The EXCLUDED or
RESTRICTED FOOD EMPLOYEE provides to the PERSON IN CHARGE written medical
documentation from a HEALTH PRACTITIONER stating that the FOOD EMPLOYEE is free
of an infection from SHIGA TOXIN-PRODUCING
ESCHERICHIA COLI
based on test results that show 2 consecutive negative stool specimen cultures
that are taken:
(a) Not earlier than 48 hours
after discontinuance of antibiotics;
P and
(b) At least 24 hours apart;
P
(2) The FOOD EMPLOYEE was EXCLUDED or
RESTRICTED after symptoms of vomiting or diarrhea resolved and more than 7
calendar days have passed since the FOOD EMPLOYEE became ASYMPTOMATIC;
P or
(3) The FOOD EMPLOYEE was EXCLUDED or
RESTRICTED and did not develop symptoms and more than 7 days have passed since
the FOOD EMPLOYEE was diagnosed.
P
(G) Reinstate a FOOD EMPLOYEE who was
EXCLUDED as specified under Sub-paragraph 2-201.12(A) (2) or who was RESTRICTED
as specified under ¶ 2201.12(G) if the PERSON IN CHARGE obtains APPROVAL
from the REGULATORY AUTHORITY
P and one of the following
conditions is met:
(1) The EXCLUDED or
RESTRICTED FOOD EMPLOYEE provides to the PERSON IN CHARGE written medical
documentation from a HEALTH PRACTITIONER stating that the FOOD EMPLOYEE is free
of a
Salmonella (nonty-phoidal) infection based on test
results showing 2 consecutive negative stool specimen cultures that are taken;
(a) Not earlier than 48 hours after
discontinuance of antibiotics,
P and
(b) At least 24 hours apart;
P
(2) The FOOD EMPLOYEE was RESTRICTED after
symptoms of vomiting or diarrhea resolved, and more than 30 days have passed
since the FOOD EMPLOYEE became ASYMPTOMATIC;
P or
(3) The FOOD EMPLOYEE was EXCLUDED or
RESTRICTED and did not develop symptoms and more than 30 days have passed since
the FOOD EMPLOYEE was diagnosed.
P
(H) Reinstate a FOOD EMPLOYEE who was
EXCLUDED or RESTRICTED as specified under Subparagraphs 2-201.12 (H) (1) or (2)
if the FOOD EMPLOYEE provides to the PERSON IN CHARGE written medical
documentation from a HEALTH PRACTITIONER stating that the FOOD EMPLOYEE meets
one of the following conditions:
(1) Has
received antibiotic therapy for Streptococcus pyogenes
infection for more than 24 hours;
P
(2) as at least one negative throat specimen
culture for Streptococcus pyogenes infection;
P or
(3) Is otherwise determined by a HEALTH
PRACTITIONER to be free of a Streptococcus pyogenes infection.
P
(I) Reinstate a FOOD EMPLOYEE who was
RESTRICTED as specified under ¶ 2-201.12(I) if the skin, infected wound,
cut, or pustular boil is properly covered with one of the following:
(1) An impermeable cover such as a finger cot
or stall and a SINGLE-USE glove over the impermeable cover if the infected
wound or pustular boil is on the hand, finger, or wrist;
P
(2) An impermeable cover on the arm if the
infected wound or pustular boil is on the arm;
P or
(3) A dry, durable, tight-fitting bandage if
the infected wound or pustular boil is on another part of the body.
P
(J) Reinstate a FOOD EMPLOYEE who was
RESTRICTED as specified under ¶ 2201.12(J) and was exposed to one of the
following pathogens as specified under Subparagraph 2-201.11(A)(4)(a-d) or
2-201.11(A)(5)(a-d):
(1) Norovirus and one of
the following conditions is met:
(a) More than
48 hours have passed since the last day the FOOD EMPLOYEE was potentially
exposed;
P or
(b) More than 48 hours have passed since the
FOOD EMPLOYEE'S household contact became ASYMPTOMATIC.
P
(2) Shigella spp. or SHIGA TOXIN PRODUCING
ESCHERICHIA COLI and one of the following conditions is met:
(a) More than 3 calendar days have passed
since the last day the FOOD EMPLOYEE was potentially exposed;
P or
(b) More than 3 calendar days have passed
since the FOOD EMPLOYEE'S household contact became ASYMPTOMATIC.
P
(3) Typhoid fever (caused by
Salmonella.
Typhi) and one of the following
conditions is met:
(a) More than 14 calendar
days have passed since the last day the FOOD EMPLOYEE was potentially exposed;
P or
(b) More than 14 calendar days have passed
since the FOOD EMPLOYEE'S household contact became ASYMPTOMATIC.
P
(4) Hepatitis A virus and one of the
following conditions is met:
(a) The FOOD
EMPLOYEE is immune to hepatitis A virus infection because of a prior illness
from hepatitis A;
P
(b) The FOOD EMPLOYEE is immune to hepatitis
A virus infection because of vaccination against hepatitis A;
P
(c) The FOOD EMPLOYEE is immune to hepatitis
A virus infection because of IgG administration;
P
(d) More than 30 calendar days have passed
since the last day the FOOD EMPLOYEE was potentially exposed;
P
(e) More than 30 calendar days have passed
since the FOOD EMPLOYEE'S household contact became jaundiced;
P or
(f) The FOOD EMPLOYEE does not use an
alternative procedure that allows bare hand contact with READY-TO-EAT FOOD
until at least 30 days after the potential exposure, as specified in
Subparagraphs (J) (4) (d) and (e) of this section, and the FOOD EMPLOYEE
receives additional training about:
(i)
Hepatitis A symptoms and preventing the transmission of infection,
P
(ii) Proper handwashing procedures,
P and
(iii) Protecting READY-TO-EAT FOOD from
contamination introduced by bare hand contact.
P
The Health Officer may also require negative stool
cultures or laboratory testing if deemed
necessary.
