Alabama Administrative Code › Title 660 - ALABAMA DEPARTMENT OF HUMAN RESOURCES › Chapter 660-5-27 - DAY CARE LICENSURE - CHILD CARE LICENSING AND PERFORMANCE STANDARDS FOR FAMILY DAY CARE HOMES, FAMILY NIGHTTIME HOMES, GROUP DAY CARE HOMES, AND GROUP NIGHTTIME HOMES › Section 660-5-27-.05 - Licensee Members Of The Household, Caregivers And Substitutes

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Health. The
			 health of the applicant/licensee and of the members of the household shall not
			 be detrimental to the physical and mental well-being of the children in care.
(a) Initially, the applicant/licensee shall
			 provide a medical report, on the required form, from a licensed practicing
			 medical doctor, physician's assistant (as defined in Section 34-4-290(4),
Code of Ala. 1975
), or a certified nurse practitioner.
			 The initial report shall be dated within six (6) months prior to the date of
			 the initial application and shall document the date (shall also be within six
			 (6) months) and result of a tuberculin skin test or chest x-ray. The medical
			 report shall attest to the physical ability of the applicant/ licensee to care
			 for children and the person's freedom from infectious or contagious diseases.
			 The statement shall be signed by a licensed practicing medical doctor, a
			 physician's assistant, or a certified nurse practitioner and shall be on file
			 with the Department. A copy of the medical statement shall be kept on file by
			 the applicant/licensee.
(b) At
			 least every two (2) years after the date of the initial medical report the
			 licensee shall obtain a report from a licensed practicing medical doctor,
			 physician's assistant, or certified nurse practitioner, which attests to the
			 licensee's freedom from infectious or contagious diseases and to his/her
			 physical ability to care for children. The report shall be submitted to the
			 Department. A copy shall be kept on file in the home.
(c) A medical report from a licensed
			 practicing medical doctor, physician's assistant, or certified nurse
			 practitioner, dated within six (6) months prior to the date of the initial
			 application, shall be submitted initially for each household member. The
			 medical report shall document the date (shall also be within six (6) months)
			 and result of a tuberculin skin test or chest x-ray. At least every four (4)
			 years after the date of the initial medical report, each member of the
			 household shall submit another medical report, signed by a licensed practicing
			 medical doctor, physician's assistant, or certified nurse practitioner. Each
			 report shall indicate the person's physical condition and freedom from
			 infectious or contagious diseases.
(d) In addition to the medical report, for
			 each child from two (2) months to five (5) years of age, living in the home, a
			 valid State of Alabama Certificate of Immunization, a valid Alabama Certificate
			 of Medical Exemption, or a valid Alabama Certificate of Religious Exemption
			 shall be submitted to the Department. A copy shall be kept on file in the
			 home.
(e) A medical report from a
			 licensed practicing medical doctor, or physician's assistant, or certified
			 nurse practitioner, shall be submitted initially (dated within six (6) months
			 prior to the date of the initial application) and at least every two (2) years
			 after the date of the initial report, on all substitutes, assistant caregivers,
			 and household domestic workers who have contact with the children in care or
			 with food served to the children in care. The medical report shall document the
			 date (shall also be within six (6) months) and result of a tuberculin skin test
			 or chest x-ray. Each report shall indicate the person's physical condition and
			 freedom from infectious or contagious diseases.
(f) An additional medical or psychological
			 evaluation or drug screening may be required at the discretion of the
			 Department's representative, based on information that raises reasonable
			 suspicion. A release to allow the department representative to confer directly
			 with the doctor or professional performing the evaluation shall be provided by
			 the applicant/licensee upon request. "Reasonable suspicion" is defined as
			 follows: Belief based upon evidence of past or present behavior that reasonable
			 grounds exits to review the employee, staff, or licensee, including board
			 members, suitability and fitness to provide care for children.
(g) A licensee/caregiver who shows
			 indications of a physical, emotional, or mental condition which could be
			 detrimental to the children in care or which would prevent satisfactory
			 performance of duties shall not continue giving care to the children until a
			 written statement from the examining medical doctor, indicating that the
			 licensee/caregiver is able to care for the children, is submitted to the
			 Department. In such situations, the substitute may care for the children until
			 the condition is cleared.