Immunization and TB Requirements
In addition to the rules in Section 1200-08-02-.10, these
rules are also required of prescribed child care centers.
(1) Immunization Rules
(a) Age-appropriate immunization against the
following diseases is required for every child nine (9) weeks of age and above:
diphtheria, tetanus, pertussis, polio, measles, mumps, rubella, haemophilus
influenza type B, and hepatitis B (and such vaccines and medications as deemed
appropriate by the Department of Health in the event of a disease
outbreak).
(b) Records of children
shall state whether immunizations required for care are complete, and if not
complete, when future immunizations will be given. If immunizations are not
continued on time by the parent, the child shall not remain in care. If a child
has any known allergies, they shall be indicated in the child's health record.
Foreign-born children shall also present evidence of tuberculosis
screening.
(2)
Requirements For Tuberculosis Screening Of Child Care Populations
PCCCs that provide care for periods of less than
twenty-four (24) hours per day shall comply with the following health
regulations relating to tuberculosis control:
(a) Staff
1. It is preferable that staff be screened
for tuberculosis within 90 days prior to employment. However, if the situation
dictates immediate hire, the staff person shall be screened for signs and
symptoms of TB and obtain a mantoux tuberculin skin test no later than two (2)
weeks after employment.
2. In
immediate hire situations, a TB Screening Inventory shall be completed on the
staff person (see attached form entitled "Child Care Staff: Tuberculosis
Screening Inventory). If the results of the screening inventory are negative,
the staff person may begin work while awaiting the outcome of the mantoux
tuberculin skin test. If the results of the screening inventory indicate the
likelihood of a positive TB infection, the applicant shall be evaluated by a
physician prior to beginning employment. This evaluation may include a chest
x-ray and if necessary, other specific tests. If the results of the mantoux
tuberculin skin test are positive, the employee shall be evaluated by a
physician prior to continuing employment. Persons requiring an evaluation by a
physician shall provide documentation indicating that they are free of
infectious tuberculosis.
3.
Prospective or current staff who are known to have positive tuberculosis
reaction shall receive a chest x-ray to rule out infectious tuberculosis. No
x-ray is required for persons with documentation of completed preventive
therapy. Screening for signs and symptoms of TB shall occur
periodically.
(b)
Children
1. Foreign-born
All foreign-born children shall present evidence of
tuberculin skin test performed in the United States at any time after twelve
(12) months of age. Any child with a positive tuberculin skin test shall be
referred to a physician for evaluation. After the initial evaluation, future
periodic screening is not required unless the child develops persistent
pulmonary symptoms or there is contact with tuberculosis.
2. Native-born
Special screening of children born in the United States is
not required unless there is a history of contact to tuberculosis or there are
symptoms and/or physical findings suggestive of tuberculosis. If symptoms are
present, the child shall be evaluated by a physician. Such children shall
provide documentation indicating that they are free of infectious
tuberculosis.
Child Care Staff Tuberculosis Screening Inventory
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