Pennsylvania Code › Title 55 - HUMAN SERVICES › Part V - Children, Youth and Families Manual › Subpart E - Residential Agencies, Facilities and Services › Article I - Licensing/Approval › Chapter 3800 - CHILD RESIDENTIAL AND DAY TREATMENT FACILITIES › CHILD HEALTH › Section 3800.143 - Child health examination

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
						child shall have a health examination within 15 days after admission and
						annually thereafter, or more frequently as specified at specific ages in the
						periodicity schedule recommended by the American Academy of Pediatrics,
						"Guidelines for Health Supervision," available from 141 Northwest Point
						Boulevard, Post Office Box 927, Elk Grove Village, Illinois,
						60009-0927.
(b) If the child had a
						health examination prior to admission that meets the requirements of subsection
						(e) within the periodicity schedule specified in subsection (a), and there is
						written documentation of the examination, an initial examination within 15 days
						after admission is not required. The next examination shall be required within
						the periodicity schedule specified in subsection (a).
(c) If the child will participate in a
						program that requires significant physical exertion, a health examination shall
						be completed before the child participates in the physical exertion portion of
						the program.
(d) The health
						examination shall be completed, signed and dated by a licensed physician,
						certified registered nurse practitioner or licensed physician's assistant.
						Written verification of completion of each health examination, date and results
						of the examination, the name and address of the examining practitioner and
						follow-up recommendations made, including each component, shall be kept in the
						child's record.
(e) The health
						examination shall include:
(1) A comprehensive
						health and developmental history, including both physical and behavioral health
						development.
(2) A comprehensive,
						unclothed physical examination.
(3)
						Immunizations, screening tests and laboratory tests as recommended by the
						American Academy of Pediatrics, "Guidelines for Health Supervision."
(4) Blood lead level assessments for children
						5 years of age or younger, unless the examining practitioner determines that
						the testing is unnecessary, after reviewing the results of previously conducted
						blood lead testing, which review and conclusion is documented in the child's
						medical record.
(5) Sickle cell
						screening for children who are African-American unless the examining
						practitioner determines that the testing is unnecessary, after reviewing the
						results of previously conducted sickle cell testing, which review and
						conclusion is documented in the child's medical record.
(6) A gynecological examination including a
						breast examination and a Pap test if recommended by medical
						personnel.
(7) Communicable disease
						detection if recommended by medical personnel based on the child's health
						status and with required written consent in accordance with applicable
						laws.
(8) Specific precautions to
						be taken if the child has a communicable disease, to prevent spread of the
						disease to other children.
(9) An
						assessment of the child's health maintenance needs, medication regimen and the
						need for blood work at recommended intervals.
(10) Special health or dietary needs of the
						child.
(11) Allergies or
						contraindicated medications.
(12)
						Medical information pertinent to diagnosis and treatment in case of an
						emergency.
(13) Physical or mental
						disabilities of the child, if any.
(14) Health education, including anticipatory
						guidance.
(15) Recommendations for
						follow-up physical and behavioral health services, examinations and
						treatment.