1. (a) A written record of physical examination shall be on file for all program employees and household members who will have regular contact with residents.

2. (b) The written record of physical examination required in (a) above shall contain or identify:

   1. (1) The name of the examinee;
   2. (2) The date of the examination;
   3. (3) Any contagious or other illness that would affect the examinee’s ability to care for residents or pose a risk to the health or safety of residents;
   4. (4) A record of a negative Mantoux Tuberculin (TB) test for individuals who are determined by a licensed practitioner to be at high risk for exposure to Tuberculosis or the results of a chest x-ray and medical assessment when the individual has a positive TB test due to prior exposure;
   5. (5) Any known limitations or restriction that would affect the examinee’s performance of their residential child care responsibilities or pose a risk to the health or safety of residents;
   6. (6) The signature of the licensed practitioner and date signed; and
   7. (7) The typed or printed name and telephone number of the licensed practitioner.
3. (c) The initial record of physical examination for newly hired program staff shall have been completed not more than l2 months preceding the date of hire or the date the individual began having regular contact with residents.
4. (d) When a newly hired program staff has not had a physical exam in accordance with (b) above, an appointment for a future physical exam shall be scheduled within 10 business days of the date the individual begins having regular contact with residents.
5. (e) When any program staff, intern, child care assistant, volunteer, resident, or household member has symptoms of a reportable communicable disease, not diagnosed by a licensed practitioner, the program director or their designee shall contact the department’s bureau of communicable disease control for instructions regarding exclusion, controlling the spread of the disease, and reporting requirements.
6. (f) The only exception to (e) above shall be for human immunodeficiency virus (HIV) infection, specifically, the identity of any individual with HIV infection shall be held confidential in accordance with RSA 141-F:8.

Source. #2664, eff 3-30-84, EXPIRED: 3-30-90 New. #8581, eff 4-20-06, EXPIRED: 4-20-14 New. #10576, INTERIM, eff 4-26-14, EXPIRES: 10-23-14; ss by #10705, eff 10-23-14; ss by #14214, eff 4-1-25