55 Pa. Code § 3270.151 - Health assessment
(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 conducted
within 12 months prior to providing initial service in a child care setting and
every 24 months thereafter. 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 shall be 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, physician's
assistant, 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 that 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.
(d) An adult individual who is employed by a
facility and who provides children with social, medical, psychological or
psychiatric services in addition to this chapter is required to have a current
health assessment on file at the facility. An adult individual or an employe of
an agency who provides those services by contract with the child's parent or
the facility is not required to have a current health assessment on file at the
facility.
Notes
The provisions of this § 3270.151 amended under Articles IX and X of the Human Services Code (62 P.S. §§ 901-922 and 1001-1088).
This section cited in 55 Pa. Code § 3270.241 (relating to requirements specific to school-age programs).
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