Licensing Standards
for DayCare Centers
Section 10:122-7.4
Health Requirements for Staff Members
GEN (a) Prior to or upon beginning work at the center, each staffx "staff
members:tuberculin skin tests" member whose job duties require contact
with the children for at least 20 percent of the center's weekly operating hours
shall take a Mantoux tuberculin skin testx "tuberculin skin test"
with five TU (tuberculin units) of PPD tuberculin, except that the staff member
shall have a chest x-ray taken if he or she has had a previous positive Mantoux
tuberculin test. The staff member shall submit to the center written documentation
of the results of the test and/or x-ray.
- If the Mantoux tuberculin test result is insignificant (zero to
nine millimeters (mm) of induration), no further testing shall be required.
The Bureau or center may at any time require a staff member to retake the
Mantoux tuberculin test if there is reason to believe or suspect that the
staff member may have contracted tuberculosis or if the State Department of
Health and Senior Servicesx "Department of Health and Senior Services:tuberculin
skin test" recommends retesting.
- If the Mantoux tuberculin skin testx "tuberculin skin test"
result is significant (10 or more mm of induration), the individual shall
have a chest x-ray taken. If the chest x-ray shows significant results, the
staff member shall not come in contact with the children unless he or she
submits to the center a written statement from a licensed physicianx "physician:tuberculin
skin test" certifying that he or she poses no threat of tuberculosis
contagion.
(b) Prior to beginning work, each staffx "staff members:medical examination"
member whose job duties require contact with the children for at least 20 percent
of the center's weekly operating hours shall submit a written statement from a
licensed physician, indicating that he or she is in good health and poses no health
risk to persons at the center. Such statement shall be based on a medical examinationx
"examination, medical:staff" within the six months immediately preceding
such person's working at the center.
(c) The center shall maintain on file either at the center or at a central
administrative office the results of each staffx "health records:staff"
member's:
- Mantoux tuberculin test and/or chest x-ray when indicated; and
- Physical examination.
(d) The sponsor or director shall exclude a staff memberx "staff members:illness"
who:
- Exhibits the illnesses or symptoms of illness or diseases specified
in N.J.A.C. 10:122-7.1(c)1 and (d); or
- Appears to be physically, emotionally or mentally impaired or who
appears to have a drug-induced or alcohol-induced condition that would endanger
the health, safety, and well-being of a child while the child is in the staff
member's care. The director shall document the action taken to exclude the
staff memberx "staff members:impairment" and maintain such documentation
on file. The center shall not permit the staff member to return to the center
until the condition is no longer present.
(e) When the affected staff member specified in (d) above serves as the directorx
"director:impairment", then the sponsor shall take the necessary action
specified above.
(f) When the affected staff member specified in (d) above is the sponsorx
"sponsor:impairment", then the Bureau shall take the necessary action
specified above.
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