NAC432A.310. Staff: Personal health.

     1. Every member of the staff of a facility, including a volunteer, shall present to the director of the facility, to be placed in the employee’s file, written evidence that the employee is free from communicable tuberculosis. The evidence must be in the form of a report which states that the employee is free from active tuberculosis as required pursuant to subsection 2 or 3.

     2. Before a person, including a person who has received a bacillus Calmette-Guerin (BCG) vaccination, begins employment at a facility, he or she must have submitted to a:

     (a) Mantoux tuberculin skin test; or

     (b) Chest radiograph and examination by a provider of health care who is authorized to diagnose active tuberculosis,

Ê within the 12 months immediately preceding the first day of employment at the facility.

     3. Every member of the staff of a facility, including a volunteer, shall submit to:

     (a) A Mantoux tuberculin skin test; or

     (b) An examination by a provider of health care who is authorized to diagnose active tuberculosis,

Ê at least once every 24 months after the date the skin test or chest radiograph and examination were conducted pursuant to subsection 2.

     4. Each caregiver or member of the staff of a facility who has an identified health problem that may affect his or her ability to provide adequate care to children in a facility shall:

     (a) Report the problem to the director of the facility or, if self-employed, to his or her licensing agency; and

     (b) Submit to the director or, if self-employed, to his or her licensing agency, a written statement from a licensed physician attesting to the fact that the health of the caregiver does not endanger the children who are under his or her care in the facility.

     5. Each director shall report to his or her licensing agency any health problem reported to him or her pursuant to subsection 4.

     6. Each director or caregiver, if self-employed, shall immediately report to his or her licensing agency any person residing at his or her facility who contracts a serious communicable disease.

     7. Each caregiver or member of the staff of a facility who has herpetic gingivostomatitis, a cold sore or herpes labialis shall:

     (a) Refrain from engaging in close contact with children cared for in the facility;

     (b) Refrain from sharing food or drink with children cared for in the facility or with other caregivers or members of the staff of the facility;

     (c) Avoid touching the lesions;

     (d) Wash his or her hands frequently; and

     (e) Cover any skin lesion with a bandage, clothing or other appropriate dressing.

     [Bd. for Child Care, Child Care Facilities Reg. § 13.1, eff. 2-28-80; A 2-5-82; § 13.2, eff. 2-28-80; A 3-17-82; § 13.3, eff. 3-17-82]—(NAC A 12-17-87; 3-11-92; R072-98, 8-3-98; R112-06, 4-23-2009)