(a) OCFS shall develop and implement an admission health appraisal process for each resident which includes, but is not limited to:

1. (1) a health screening which consists of a visual assessment and interview which shall be performed as soon as possible after each resident’s admission into a secure facility, but in no event later than 24 hours after admission;
2. (2) a complete written medical history which shall be obtained from each resident within seven days following initial admission to a secure facility and shall include assessments of chemical dependency and risk behaviors for HIV infection and blood-borne viruses such as hepatitis B and C. If a resident has a documented complete written medical history within the previous 12 months, an update of the medical history is required, except as determined by a licensed health care professional; and
3. (3) a complete physical examination which shall be provided to each resident within seven days of initial admission to a secure facility and at yearly intervals thereafter. If a resident has documented evidence of a physical examination within the previous 12 months, a new physical examination is not required, except as determined by a licensed health care professional.

(b) Each resident’s physical examination shall be conducted by a physician, registered physician’s assistant, nurse practitioner or dentist, as appropriate, and shall include, but is not limited to:

1. (1) an examination of major body systems;
2. (2) Mantoux tuberculin skin test;
3. (3) sexually-transmitted infections screening;
4. (4) a dental examination provided by a licensed dentist within 14 days of initial admission;

5. (5) where clinically indicated, screening tests including, but not limited to:

   1. (i) a urinalysis;
   2. (ii) blood chemistry analysis to include lipid screen;
   3. (iii) a chest radiograph;
   4. (iv) a complete blood count with white blood cell differential count;
   5. (v) a pregnancy test for female residents; and
6. (6) a cervical cytology (PAP test) for female residents when, in the medical judgment of the examining physician, registered physician’s assistant or nurse practitioner, such a screening is medically necessary and appropriate.