Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 62 - Licensing Rules for Group Child Care Homes and Child Care Centers › Section 19 CSR 30-62.122 - 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) Staff and Volunteers.
(A) All persons working in a day care
				facility in any capacity during child care hours, including volunteers counted
				in staff/child ratios, shall be in good physical and emotional health with no
				physical or mental conditions which would interfere with child care
				responsibilities. These persons shall have a medical examination report, signed
				by a licensed physician or registered nurse who is under the supervision of a
				licensed physician, on file at the facility at the time of initial licensure or
				within thirty (30) days following employment.
(B) 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.
(C) Medical examination reports shall be
				completed not more than twelve (12) months prior to beginning work in the
				facility and may be transferable to another day care facility for subsequent
				employment.
(D) The medical
				examination report form shall be supplied by the department or the facility may
				use its own form if it contains all the information on the department's
				form.
(E) 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.
(F) If at any time the department has reason
				to question the physical or emotional health of any person working or
				volunteering in the facility, the department shall require a physical or mental
				examination of these persons.
(G)
				Staff or volunteers shall not work when ill if the health or well-being of
				children is endangered.