ADULT HEALTH

1. (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 on file at the facility.

   1. (1) The operator shall submit a health assessment to the Department prior to issuance of an initial or renewal certificate of compliance.
   2. (2) 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.
2. (b) A health assessment shall be conducted and a report written and signed by a physician, physician’s assistant or CRNP. The signature must include the individual’s professional title.

3. (c) The health assessment must include the following:

   1. (1) A physical examination.

   2. (2) Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, CRNP, the Department of Health or a local health department.

      1. (i) If a person’s medical record demonstrates a positive tuberculin skin test, that record shall be placed on file at the facility.
      2. (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.

      3. (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:

         1. (A) The person is exposed to an active case of tuberculosis.
         2. (B) The person develops a productive cough which does not respond to medical treatment within 14 days.
   3. (3) Examination for communicable diseases and the results of that examination.
   4. (4) Information on medical problems which might threaten the health of the children or prohibit a staff person from providing adequate care to children.
   5. (5) The physician’s or CRNP’s assessment of the person’s suitability to provide child care.

Authority

The provisions of this § 3290.151 amended under Articles IX and X of the Human Services Code (62 P.S. § § 901—922 and 1001—1088).

Source

The provisions of this § 3290.151 amended December 18, 2020, effective December 19, 2020, 50 Pa.B. 7133. Immediately preceding text appears at serial pages (335150) and (360221).