(1) You must take precautions to guard against infections and communicable diseases.
(2) You, your staff and volunteers with a reportable communicable disease in an infectious stage, as defined by the department of health, must not be on duty until you, your staff and volunteers have approval from the local health department for returning to work.
(3) Applicants for a license, staff, volunteers and persons sixteen years and older authorized to have access to children in a family home child care must have a tuberculin (TB) skin test by the Mantoux method of testing. They must have this skin test upon being employed or licensed unless the person has evidence:
(a) Of negative testing within the previous twelve months;
(b) That they have a negative chest X ray since previously having a positive skin test; or
(c) Of having completed adequate preventive therapy or adequate therapy for active tuberculosis.
(4) The department does not require a tuberculin skin test if a physician indicates that the test is medically unadvisable.
(5) Persons whose tuberculosis skin test is positive must have a chest X ray within thirty days following the skin test.
(6) The department does not require retesting at the time of license renewal, unless the licensee or staff person believes they have been exposed to someone with tuberculosis or if their health care provider recommends testing.
[06-15-075, recodified as § 170-296-0860, filed 7/13/06, effective 7/13/06. Statutory Authority: RCW 74.08.090, 74.15.030, chapters 74.12 and 74.15 RCW. 04-18-082, § 388-296-0860, filed 8/31/04, effective 10/1/04.]