Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 61 - Licensing Rules for Family Child Care Homes › Section 19 CSR 30-61.125 - Medical Examination Reports

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule sets forth the requirements for
				  medical examinations for care-givers and children in care.
(1) Day Care Provider and Assistants.
(A) The child care provider shall be in good
				physical and emotional health with no physical or mental conditions which would
				interfere with child care responsibilities.
(B) The provider shall have a medical
				examination report on file at the time of initial licensure.
(C) All assistants shall be in good physical
				and emotional health with no physical or mental conditions which would
				interfere with child care responsibilities.
(D) Assistants who are employed or volunteer
				more than five (5) hours per week shall have a medical examination report on
				file within thirty (30) days of beginning work in the home.
(E) Medical examination reports shall include
				a "Risk Assessment for Tuberculosis" form, included herein, completed and
				signed by a health care professional, as provided by the Missouri Department of
				Health and Senior Services (MDHSS). If the person has signs or symptoms of
				tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis
				shall occur.
1. If the person has no
				documented history of ever receiving a tuberculin skin test (TST), and elects
				to receive a TST, then a two (2)-step TST is required. A history of bacilli
				Calmette-Guerin vaccination (BCG) shall not exempt a person from receiving a
				tuberculin test.
2. Persons that
				have a newly positive tuberculin test(s) shall not be allowed to work until a
				medical evaluation is performed to determine if the person has active
				contagious tuberculosis.
3. Persons
				with active contagious tuberculosis shall be excluded from employment until
				deemed non-infectious by MDHSS or the local public health agency. The person
				may return to work once the above criteria have been met, as long as the person
				adheres to his/her prescribed treatment regimen.
4. All positive tuberculin tests shall be
				reported to the Missouri Department of Health and Senior Services or local
				public health agency as required by 19 CSR 20-20.020.
(F) Medical examination reports shall be
				signed by a licensed physician or registered nurse who is under the supervision
				of a licensed physician and completed not more than twelve (12) months prior to
				beginning work in the home. These reports may be transferable to another day
				care facility for subsequent employment.
(G) The medical examination report form shall
				be supplied by the department or the provider may use his/her own form if it
				contains all the information on the department's form.
(H) A child care employee, who is identified
				as a contact to an active tuberculosis case, shall be evaluated for
				tuberculosis to determine if the person has active contagious tuberculosis, or
				be excluded from work.
(I) If at
				any time the department has reason to question the physical or mental health of
				a provider or assistant, the department shall require a physical or mental
				examination of that person.
(J) No
				individual shall work when ill if the health or well-being of children is
				endangered.