Section 17-897-4 - Evidence of child's health(a) Each child care facility shall require and obtain from the parent or guardian of each child entering a child care facility a health record that complies with the provisions of sections 302A-1154.through 302A-1163, HRS, whichrelate to school entry examination requirements for irnrnunization and physical examinationj except that for TB, if the child has not obtained aTB clearance prior to April 11, 2013, the child shall complete a consultation visit with a health care practitioner:(1) The health care practitioner conducting the consultation must assess whether the child is in a highest risk category; (A) If the child is assessed by the health care practitioner to be in a highest risk category, the child must show written evidence of a negative TB skin test or a satisfactory ehest x-ray prior to attending the child care facility;(B) If the child is assessed by the health care practitioner to not be in a highest risk category, the child care facility must have written evidence on file that the child has been assessed prior to the child's attendance at the child care facility and is not in any of the highest risk categories arid that the health care practitioner does not recommend that the child complete the ehest x-ray evaluation;(C) For those children who have been assessed by a health care practitioner to not be in a highest risk category and the health care practitioner does not recommend the child complete the ehest x-ray evaluation, the TB clearance requirement shall be deferred until the DOH has reinstated conducting TB skin tests for all persons; and(2) Once DOH has reinstated conducting TB skin tests for all persons, all children who were deferred from TB skin test requirements shall provide written evidence of a negative TB skin test within ninety (90) days of the reinstatement of DOH's TB clearance requirements.(b) Subsection (a) shall not apply to children in a before and after school child care facility covered under chapter 17-896. The child's enxollment in school shall be evidence of the child's good health.(c) Each child care facility shall require and obtain from the parent or guardian of each child enrolled at the child care facility a signed acknowledgement from the parent or guardian that the parent or guardian is aware of the temporary Suspension of the TB skin testing requirements, and that there may be children, employees, Substitutes, volunteers, and adults in the child care facility who may not have TB clearances. [Eff. MAY 20 2013] (Auth: HRS § 346-162, § 346-172)