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Employee Health Requirements


A NOCAC Child Development employee will have a completed medical statement on file on or before the first day of employment. NOCAC will ensure staff do not, because of communicable diseases, pose a significant risk to the health or safety of others in the program.



Physical Examination

  1. All NOCAC Child Devlopment employees must have an initial physical exam completed on or before their first day of employment and as their physician recommends thereafter.
  2. The completed original form, signed by a physician, is sent to the Director of Child Development.
    1. The Data Entry Specialist scans and enters the physical into ChildPlus.
    2. A copy of the physical is sent to the Center Manager for the employees Day Care Licensing file on site.



  1. As of January 1, 2018, ODJFS Day Care Licensing requires all employees to have on file written verification of being immunized against measles, mumps and rubella (MMR), pertussis (Tdap), tetanus, and diphtheria.
  2. Immunization records are maintained in ChildPlus and the employee’s Day Care Licensing File.
  3. Employees must complete the Employee Immunization Exemption Form in lieu of providing immunization records.


Tuberculosis (TB)

  1. NOCAC Child Development Employees need to be free of TB upon hire and as recommended by their physician, which is assumed by a complete medical exam that has been marked “physically fit”.
  2. The Annual TB Questionnaire will be used to screen all NOCAC Child Development Employees.
  3. TB guidelines are based on the Community Health Assessment and recommendation of the Health Services Advisory Committee.
    1. Initial clearance is documented on the new hire physical form.
    2. The Health and Safety Manager initiates the annual TB clearance at Fall Orientation and reviews each question to determine necessary medical follow-up on a case by case basis.
    3. Screening are tracking in ChildPlus.
    4. For the purpose of tuberculosis (TB) screening, potential staff will notify the child care center if the person has both resided in a country identified by the world health organization (WHO) as having a high burden of TB and arrived in the United States within the five years immediately preceding the date of application for employment as specified in ODJFS rules.


Forms and Additional Guidance:

This policy complies with the following

Head Start Program Performance Standard:    1302.93
ODJFS Child Care Manual:    5101:2-12-08
CACFP Regulation:    
Caring for Our Children:    
Other Sources:    


Effective Date:   8/7/17 Reviewed Date:   6/8/22
Approved By Policy Council:   8/7/17 Revision Approved By Policy Council:    
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