(a)A licensee shall obtain from the placing
agency or placing parent a statement indicating whether or not the child
has, to the best of the agency's or parent's knowledge, been exposed to
a communicable disease within twenty-one (21) days before the date
of admission.
(b)Each child must receive a health examination by a licensed
professional within ninety-three (93) days before admission, or not later
than twenty-one (21) days after admission. The examination must
include the following:
(3)Vision and hearing screening.
(4)A test for tuberculosis if the last such test is known to be
negative or if there is no record of a test. If the test is positive the
child shall have a diagnostic chest x-ray and other indicated
laboratory tests to deter
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(a) A licensee shall obtain from the placing
agency or placing parent a statement indicating whether or not the child
has, to the best of the agency's or parent's knowledge, been exposed to
a communicable disease within twenty-one (21) days before the date
of admission.
(b) Each child must receive a health examination by a licensed
professional within ninety-three (93) days before admission, or not later
than twenty-one (21) days after admission. The examination must
include the following:
(1) Health history.
(2) Physical examination.
(3) Vision and hearing screening.
(4) A test for tuberculosis if the last such test is known to be
negative or if there is no record of a test. If the test is positive the
child shall have a diagnostic chest x-ray and other indicated
laboratory tests to determine whether or not the disease is in an
infectious state.
(5) A written statement from the licensed professional that in the
professional's opinion there is no health condition that would be
hazardous either to the child or to other children in the licensee's
care.
(6) A statement of the medical findings, including physical
defects and need for dental care, state of development, and ability
of the child to take part in group activities, or a schedule of
permitted activities if activities need to be limited.
(7) A health examination, including a tuberculosis screen
annually and a tuberculosis test whenever there is reason to
suspect that the child may have a condition hazardous or
potentially hazardous to others or whenever the child's general
condition indicates the need for an examination.
(c) Each child must receive a dental examination from a licensed
dentist as follows:
(1) Within forty-five (45) days of admission unless the child
caring institution has documentation of a dental examination
within the one hundred eighty-five (185) days before admission.
(2) Annually.
(3) Whenever an interim condition indicates the need for
examination or treatment.
(d) Any treatment or corrective measures required by the licensed
professional or dentist must be arranged by the licensee, as approved
by a parent, legal guardian, or placing agency.
(e) This subsection does not apply to an emergency shelter or an
emergency shelter group home. A licensee, after attempting to
determine the child's immunization history, shall ensure that each child
has received all immunizations and booster shots which are required
under IC 20-34-4-2(c)(1).
(f) All children must be immunized against routine childhood
diseases unless exempted by a licensed professional's statement.
(g) A child may be exempted from immunizations against routine
childhood diseases upon the good faith religious belief statement of the
parent or guardian.
(h) The adequate immunizing doses and the child's age for
administering each vaccine under subsection (e) must be those
recommended by the Indiana department of health.
(i) Adequate documentation of an immunization history must
consist of one (1) of the following:
(1) A licensed professional's certificate, including the number and
dates of doses administered.
(2) Immunization records forwarded from a school corporation,
including the number and dates of doses administered.
(3) A record maintained by the parent or guardian showing the
month, day, and year during which each dose of vaccine was
administered.
(j) If a licensed professional certifies in writing that a particular
immunization required under this section is detrimental, or may be
detrimental, to the child's health, the requirements for that particular
immunization are not applicable for that child until the immunization
is found no longer to be detrimental to the child's health.
(k) A licensee shall maintain a health record for each child. The
record must include the following:
(1) Admission and periodic health and dental examination
information.
(2) A licensed professional's written instructions with regard to
special dietary or health care required.
(3) Record of all medications and treatments.
(4) Record of observations and incidents, including accidents,
injuries, or any other condition which may be associated with a
health condition or possible abuse or neglect.