# Child's Medical Assessments

(a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child. 

   (1) Such assessment shall be performed by, or under the supervision of, a licensed physician, and shall not be more than one year old when obtained. 

(b) The medical assessment shall provide the following: 

   (1) A record of any infectious or contagious diseases that would preclude care of the child by the licensee. 

   (2) Results of a test for tuberculosis.

   (3) Identification of the child's special problems and needs. 

   (4) Identification of any prescribed medications being taken by the child. 

   (5) Ambulatory status. 

(c) The Department has the authority to require the licensee to obtain a current written medical assessment if such an assessment is necessary to verify the appropriateness of a child's placement. 

(d) If a medical assessment is not available for a child and cannot be obtained within 30 days of admission: 

   (1) A medical appointment date shall be obtained from the authorized representative upon the child's admission. 

   (2) A TB test shall be obtained on the child within 30 days of admission. 

(e) The licensee is not required to document medical assessments on children who are also enrolled in a public or private elementary school. 

(f) A child whose authorized representatives adhere to a religious faith that practices healing by prayer or other spiritual means shall not be required to meet the requirements of this section provided the authorized representatives: 

   (1) Provide information on the child's health history. 

   (2) Sign a statement that indicates their: 

      (A) Acceptance of full responsibility for the child's health. 

      (B) Refusal to obtain a medical examination of the child. 

      (C) Request that no medical care be given to the child.

> NOTE: Authority cited: Section 1596.81, Health and Safety Code. Reference: Sections 1596.72, 1596.73, 1596.81 and 1597.05, Health and Safety Code.