<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 13A.18.06.04" title_num="13A" subtitle_num="18" chapter_num="06" heading="Staff Health.">
  <paragraph num="A.">
    <text>Medical Evaluation.</text>
    <paragraph num="(1)">
      <text>A provider shall obtain a medical evaluation on a form supplied or approved by the office, that has been completed within 6 months before the individual begins work in the child care home, from each prospective:</text>
      <paragraph num="(a)">
        <text>Staff member; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Except for a health care professional serving as a consultant pursuant to Regulation .09C of this chapter, support staff who will be present at the child care home while children are in care.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The medical evaluation shall include verification that the individual:</text>
      <paragraph num="(a)">
        <text>Is free of communicable tuberculosis, if indicated; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>If the applicant or a staff member, is capable of performing the duties of their position.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>The medical evaluation may transfer directly from one child care home to another, or from a licensed child care center to the child care home, if the evaluation was completed within the previous 24 months of the transfer.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The medical evaluation shall be updated every 2 years.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Exclusion from Work. Except with the approval of the office and the health officer, a provider may not permit an individual with a serious transmissible infection or communicable disease listed on a chart supplied by the office to work at the child care home during the period of exclusion from child care recommended on the chart for that infection or disease.</text>
  </paragraph>
</regulation>