Medical Evaluation. 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: Staff member; and Except for a health care professional serving as a consultant pursuant to Regulation .06C of this chapter, support staff who will be present at the facility while children are in care. 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: Is free of communicable tuberculosis, if indicated; and Has the capability to perform the duties of the staff member’s position. The medical evaluation may transfer directly from one nursery school or child care program to another when the evaluation was completed within the previous 24 months of the transfer. The medical evaluation shall be updated every 5 years, measured from the individual’s previous medical evaluation date. 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 a nursery school or child care program during the period of exclusion from child care shown by the Summary.