U.S. Department of Labor 

Wage and Hour Division 

 (Revised July 2008) 

Fact Sheet #52 -- The Health Care Industry and Youth Employment

The Fair Labor Standards Act (FLSA) requires covered employers to pay employees at least the applicable 

federal minimum wage for all hours worked and overtime pay for hours worked over 40 in a work week. The 

FLSA also set standards under which youth under the age of 18 may be employed. The FLSA is administered 

by the Wage and Hour Division of the U.S. Department of Labor. 

Hospitals and other institutions “primarily engaged in the care of the sick, the aged, or the mentally ill” are 

covered employers under Section 3(s)(1)(B) of the FLSA. Thus, hospitals, residential care establishments, 

skilled nursing facilities, nursing facilities, assisted living facilities, residential care facilities and intermediate 

care facilities for mental retardation and developmentally disabled must comply with the minimum wage, 

overtime and youth employment requirements of the FLSA. 

Summary 

This fact sheet provides guidance regarding common youth employment violations found by the Wage and 

Hour Division during investigations in the health care industry. Most violations of the FLSA’s youth 

employment provisions in the long-term care industry occur in the dietary departments. Minors must be at least 

14 years old to be employed in non-agricultural workplaces. There are limitations on the number of hours and 

times of day that 14- and 15-year-olds may work as well as the types of jobs they may perform. The FLSA does 

not restrict the hours that minors 16 years of age or older may work. However, minors aged 16 and 17 may not 

perform tasks that are deemed too hazardous for them to perform. 

Hours of Work for 14- and 15-Year-Olds 

The federal youth employment provisions require that when 14-and 15-year-olds work, they must be employed: 

• Outside school hours 

• Not more than 40 hours during non-school weeks 

• Not more than 18 hours per week when school is in session 

• Not more than eight hours in any one day when school is not in session 

• Not more than three hours in any one day when school is in session 

• Between 7 a.m. and 7 p.m. except during the summer (June 1 through Labor Day) when the 

evening hours are extended to 9 p.m. 

Example #1: 

At an assisted living facility, the chef’s 15-year-old son works in the dietary department from 4 

a.m. to 7 p.m. Occasionally he helps clean up with his father’s shift and works until 8 p.m. Is this 

allowed under Federal regulations? No. Fourteen- and 15-year-olds may not work outside the hours 

standards even if working with a parent or guardian. A young worker would be exempt from the hours 

standards only if he or she were employed in a business solely owned by the parents. 

Example #2: 

May a 15-year-old begin working at 6 a.m. during the summer or on a weekend? No, 14- and 15-yearolds may not work before 7 a.m. or after 7 p.m. except from June 1 through Labor Day when the 

evening hours are extended to 9 p.m. 
Job Restrictions for 14- and 15-Year-Olds 

Youth 14- and 15-years of age may perform a variety of jobs such as office work; sales work; run errands and 

make deliveries by foot, bicycle and public transportation. They may also perform a variety of food service 

jobs, including waiting on tables, busing tables, dispensing food from a steam table or chafing dish, washing 

dishes, and preparing salads and other food. Cooking is prohibited for 14- and 15-year-olds except cooking with 

gas or electric grills (where the cooking does not involve cooking over an open flame) and except cooking with 

deep fat fryers that are equipped with and utilize automatic devices which lower and raise baskets into and out 

of the oil or grease. Fourteen- and 15-year-olds may not perform any baking activities or operate “Neico” 

broilers, pressurized fryers or rotisseries. Fourteen- and 15-year-olds may clean cooking equipment, including 

the filtering, transporting, and disposal of oil or grease, but only when the temperature of the equipment 

surfaces and the oil or grease do not exceed 100oF. Fourteen- and 15-year-olds also may not operate or tend 

most power-driven machinery or work in any occupation declared hazardous by the Secretary of Labor. 

Example #3: 

A 14-year-old works as a dishwasher in the kitchen at a residential care facility. Sometimes she is called 

upon to do take pies out of the oven when the cook is doing inventory. Is this in accordance with the 

youth employment laws? No. Removing items from an oven is a “baking” activity and no one under 16 

years of age may perform such tasks. 

Example #4: 

A 15-year-old helps out at a residential care facility on weekends. She mows the lawn and trims the 

bushes using a gas-powered lawn mower and electric clippers. Is this permissible? No. Fourteen- and 

15-year-olds cannot operate power driven machinery other than office machines and certain food 

preparation machines. 

Example #5: 

A 15- year-old works in the dietary department at a skilled nursing facility. When there are snowstorms, 

he helps out with snow blowing and snow shoveling. Is this allowed? No, the youth is too young to 

legally operate a power-driven snow blower on the job. Snow shoveling, however, would be allowed. 

Hazardous Occupation Orders 

Seventeen (17) hazardous non-farm jobs are out of bounds for youth under the age of 18. In the health care 

industry, the most common hazardous occupations violations occur in food service jobs. Hazardous Order No. 

10 prohibits minor under age 18 from operating, cleaning, disassembling and reassembling power-driven meat 

processing machines. Hazardous Order No. 11 prohibits minors under 18 may form setting up, operating, 

assisting other to operate, cleaning, oiling, adjusting or repairing power driven bakery machines. This includes 

horizontal and vertical dough mixers; batter mixers; bread dividing, rounding or molding machines; dough 

breaks; dough sheeters; cookie and cracker machines; and cake cutting band saws. 

Example #6: 

A food service director at an assisted living facility has 17-year-olds working in the kitchen. The 

director prohibits them from operating the power driven meat slicing machine. They are, however, 

allowed to dismantle, clean the parts and reassemble the parts. Does this comply with the FLSA? No, 

youth under age 18 may only hand wash individual parts. 

Example # 7: 

A facility for mental retardation and the developmentally disabled employs workers to bake breads and 

rolls. This requires the operation of power driven dough mixers. The 16- and 17-year-olds operate these 

machines. Does this violate the FLSA? Yes. 
Where to Obtain Additional Information 

For additional general information, visit our Wage and Hour Division Website: 

http://www.wagehour.dol.gov and/or call our toll-free information and helpline, available 8 a.m. to 5 p.m. 

in your time zone, 1-866-4USWAGE (1-866-487-9243).

For more information regarding the FLSA youth employment provisions, including a complete list of all 

hazardous order occupations, visit the YouthRules! web site at www.youthrules.dol.gov. 

The FLSA statute appears at 29 U.S.C. § 201 et seq. The federal regulations regarding hours worked appear in 

29 C.F.R. Part 785. 

When the state laws differ from the federal FLSA an employer must comply with the higher standard. Links to 

your state labor department can be found at www.dol.gov/esa/contacts/state_of.htm. 

This publication is for general information and is not to be considered in the same light as official statements of 

position contained in the regulations. 

U.S. Department of Labor

Frances Perkins Building 

200 Constitution Avenue, NW 

Washington, DC 20210 

1-866-4-USWAGE

 TTY: 1-866-487-9243

Contact Us