California Tuberculosis Screening Guidelines for Child ...

1 California Tuberculosis Screening Guidelines for Child Care Centers and Schools Who Needs TB Facility Licensing Statute, Regulation and/or Initial Exam Repeat Examination Exam to Consist Of Screening Exam? Authority Policy Directives Children in Health & Safety Code California Code of All children must be May be necessary if Risk Assessment (HSC) Section Regulations (CCR), Title 22; evaluated for risk factors subsequent Child Care Division 12 Child CARE for Tuberculosis (TB) as enrollment in a 2. A Mantoux TB skin Centers authorizes the FACILITY LICENSING part of the medical different facility and test or test for TB. California REGULATIONS; Chapter 1; assessment required for the medical infection recommended Department of Social Article 6, Section 101220 admission. (Form 701). assessment is more by the Centers for Excludes services without Services, A Mantoux TB skin test is than one year old. Disease Control &. a contract or agreement Community Care DSS/CCL Policy Letter sent to only required when the Prevention (CDC) and between the parent and Licensing Division Child Care District Office physician determines the Whenever the Child 's approved by the Food center for regular care of (DSS/CCL) to Regional Managers in August Child has risk factors for physician determines and Drug Child .

2 Regulate public & 1997 TB. TB testing should be Administration (FDA) is private Child care performed due to risk required only if deemed settings DSS/CCL Evaluators Manual Prior to, within 30 calendar factors for TB. necessary by the Procedures in Section days following Child 's physician performing a 101220(b)(2) enrollment. Medical TB risk factor assessment should not be assessment. more than one year old when obtained. Staff/Volunteers DSS/CCL as above CCR, Title 22, Article 6, TB testing result required No stated requirement Mantoux TB skin test, or Section 101216 as part of facility personnel test for TB infection in Child Care health Screening (Form recommended by CDC. Centers DSS/CCL Evaluators Manual 503). and approved by the Procedures in Section Not more than 1 year prior FDA. Excludes public school 101216(g) or 7 days after employees employment or licensure. Students in Health and Safety HSC Sections 121475-121520 HSC 121490 No stated requirement Mantoux TB skin test, Code (HSC) School districts are required If so ordered by the LHO, or test for TB infection kindergarten to authorizes the Local under the law to work with the the exam must consist of a recommended by CDC.

3 12th Grade Health Officer (LHO) Local Health Officer on TB Mantoux TB skin test, or and approved by the to regulate TB examinations and may use test for TB infection FDA. (K 12) examinations of the school district funds, recommended by CDC. persons applying for property & personnel. and approved by the FDA. Public, Charter first admission to any If positive, is followed by or Private Schools school or institution in an X-ray of the lungs. the jurisdiction. November 2011. California Tuberculosis Screening Guidelines for Child Care Centers and Schools Facility Licensing Statute, Regulation and/or Who Needs TB Initial Exam Repeat Examination Exam to Consist Of Authority Policy Directives Screening Exam? K - 12 Health and Safety K-12: TB exam is a condition of Employees who Mantoux TB skin test, Code (HSC) EC Section 49406 initial employment and initially test negative or test for TB infection Teachers, authorizes the Local HSC Sections 121525-121555 expense is the for TB infection are recommended by CDC.

4 Employees, Health Officer (LHO) responsibility of the required to repeat a and approved by the to regulate TB applicant. TB exam at least once FDA. If positive, is Volunteers, examinations of every 4 years. followed by an X-ray of Transportation employees of public Within 60 days prior to the lungs. Contractors*, and private schools. employment. The governing board of schools and Employees who initially Once the employee districts must have a positive TB test has the physician cooperate with the must have follow up as certification that they LHO. required by the Local are free of active TB, Community The Education Code Community Colleges: Health Officer including an there is no further College (EC) authorizes the EC Section 87408 X-ray of the lungs, requirement for repeat Department of medical evaluation and X-ray of the lungs Employees Education to direct treatment. every 4 years. schools to require TB Employee is required to exams.

5 Submit a certificate from Employees with California the examining physician frequent or prolonged Department of Public showing that the contact with pupils Health (CDPH) will employee is free of active enforce as TB disease. necessary. Students Department of EC Section 59150 Students are tested for Mantoux TB skin test, Education exposure to TB at least or test for TB infection Attending the once every 2 years. The recommended by CDC. California results shall be provided to and approved by the the school director. The FDA. Schools for the parent or guardian of the Deaf and Blind student is responsible for the cost, if any. * Contract drivers for public schools who transport pupils on an infrequent basis, not to exceed once a month, are be excluded from this requirement November 2011.