N.J. Admin. Code § 8:43B-6.10 - AFC caregiver and employee health status
(a) All
AFC caregivers and all employees of an AFC sponsor agency providing direct care to
clients shall receive an initial health evaluation by a health care professional
that includes a documented medical history.
(b) An AFC sponsor agency shall establish a policy
and procedure addressing the content and frequency of health evaluations subsequent
to the initial health evaluation required at (a) above, and policies and procedures
addressing precautionary measures to prevent the transmission of communicable
diseases (as that term is defined at
N.J.A.C.
8:57-1.3) to clients.
(c) Subject to (d) below, an AFC sponsor agency
shall ensure that, prior to the placement of a client in an AFC home, and annually
thereafter, all AFC caregivers, residents of the AFC home, and employees of an AFC
sponsor agency providing direct care to clients shall receive either an
Interferon-Gamma Release Assay (IGRA) or a two-step Mantoux tuberculin skin test
with five tuberculin units of purified protein derivative.
(d) The following are exempt from the requirement
at (c) above:
1. Individuals with documented
negative IGRA or negative Mantoux skin test results (zero to nine millimeters of
induration) within the last year;
2.
Individuals with documented positive IGRA or positive Mantoux skin test results (10
or more millimeters of induration) who have received appropriate medical treatment
for tuberculosis; or
3. Individuals for
whom IGRA and Mantoux skin tests are medically contraindicated.
(e) For those tested through the Mantoux skin test
in accordance with (c) above, if the result is:
1.
Between zero and nine millimeters of induration, the test shall be repeated one to
three weeks later; and
2. 10 millimeters
or more of induration, a chest x-ray shall be performed and, if necessary, followed
by chemoprophylaxis or therapy.
(f) An AFC sponsor agency shall have policies
addressing health evaluations and medical screening tests for individuals residing
in the AFC home.
Notes
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