1. A. Medical Evaluation.

   1. (1) A provider shall obtain a medical evaluation on a form supplied or approved by the office, that has been completed within 6 months before the individual begins work in the child care home, from each prospective:

      1. (a) Staff member; and
      2. (b) Except for a health care professional serving as a consultant pursuant to Regulation .09C of this chapter, support staff who will be present at the child care home while children are in care.

   2. (2) The medical evaluation shall include verification that the individual:

      1. (a) Is free of communicable tuberculosis, if indicated; and
      2. (b) If the applicant or a staff member, is capable of performing the duties of their position.
   3. (3) The medical evaluation may transfer directly from one child care home to another, or from a licensed child care center to the child care home, if the evaluation was completed within the previous 24 months of the transfer.
   4. (4) The medical evaluation shall be updated every 2 years.
2. B. Exclusion from Work. Except with the approval of the office and the health officer, a provider may not permit an individual with a serious transmissible infection or communicable disease listed on a chart supplied by the office to work at the child care home during the period of exclusion from child care recommended on the chart for that infection or disease.

Authority: Education Article, §§9.5-301—9.5-308, 9.5-310—9.5-312, 9.5-320, 9.5-321 and 9.5-414; Family Law Article, §§5-550—5-558; General Provisions Article, §4-333; Human Services Article, §1-202; Annotated Code of Maryland
Agency Note: Federal Statutory Reference — Americans with Disabilities Act of 1990 (42 U.S.C. §12101 et seq.);
Pro-Children Act of 1994 (20 U.S.C. §6081 et; seq.);
Child Care Development Block Grant (45 CFR Parts 98 and 99 and 42 U.S.C. 9858 et seq.);
Social Security Act §418 (42 U.S.C. 618)

Effective date: February 6, 2012 (39:2 Md. R. 142)

Regulation .02 amended effective July 20, 2015 (42:14 Md. R. 884)

Regulation .03A amended effective January 13, 2020 (47:1 Md. R. 17); April 18, 2022 (49:8 Md. R. 500)

Regulation .03B amended effective April 14, 2014 (41:7 Md. R. 423); April 18, 2022 (49:8 Md. R. 500)

Regulation .04A amended effective January 13, 2020 (47:1 Md. R. 17)

Regulation .05E amended effective July 20, 2015 (42:14 Md. R. 884)

Regulation .05E—G amended effective January 13, 2020 (47:1 Md. R. 17)

Regulation .06 amended effective January 13, 2020 (47:1 Md. R. 17)

Regulation .06B amended effective June 24, 2013 (40:12 Md. R. 1043); July 20, 2015 (42:14 Md. R. 884)

Regulation .06F repealed effective June 24, 2013 (40:12 Md. R. 1043)

Regulation .06-1 adopted effective November 13, 2023 (50:22 Md. R. 977)

Regulation .07A amended effective January 13, 2020 (47:1 Md. R. 17)

Regulation .07B amended effective July 20, 2015 (42:14 Md. R. 884)

Regulation .08 amended effective January 13, 2020 (47:1 Md. R. 17)

Regulation .10B amended effective January 13, 2020 (47:1 Md. R. 17)