Sec. 13a.16.06.04. Staff Health

A. Medical Evaluation.

(1) An operator shall obtain a medical evaluation, conducted by a practicing physician, certified nurse practitioner, or registered physician’s assistant, on a form supplied or approved by the office, that has been completed within 6 months before the individual begins work in the center, from each prospective:

(a) Staff member; and

(b) Except for a health care professional serving as a consultant pursuant to Regulation .14C of this chapter, support staff who will be present at the center while children are in care.

(2) The medical evaluation shall be signed by the individual who conducted the evaluation or the individual’s designee and include verification that the staff member:

(a) Is free of communicable tuberculosis, if indicated; and

(b) Has the capability to perform the duties of the staff member’s position.

(3) The medical evaluation may transfer directly from one center to another if the evaluation was completed within 24 months before the transfer.

(4) The medical evaluation shall be updated every 5 years, measured from the individual’s previous medical evaluation date.

B. Exclusion from Work. Except with the approval of the office and the health officer, an operator may not permit an individual with a serious transmissible infection or communicable disease listed in the Communicable Diseases Summary, as published by the Maryland Department of Health, to work at the child care center during the period of exclusion from child care recommended by the Summary.