Section 465 IAC 2-9-75 - Health requirements for childrenAuthority: IC 12-13-5-3
Affected: IC 12-17.4
Sec. 75.
(a) The child caring institution shall obtain from the placing agency or placing parent a statement indicating whether or not the child has, to the best of the applicant's knowledge, been exposed to a communicable disease within three (3) weeks prior to the date of admission.(b) Each child shall receive a health examination by a licensed physician within three (3) months prior to admission, or not later than two (2) weeks after admission. The examination shall include the following:(2) Physical examination.(3) Vision and hearing screening.(4) A Mantoux intradermal skin test for tuberculosis if the last such test is known to be negative or if there is no record of a test. If the Mantoux test is positive the child shall have a diagnostic chest x-ray and other indicated laboratory test to determine whether or not the disease is in an infectious state.(5) A written statement from the licensed physician that in the physician's opinion there is no health condition that would be hazardous either to the child or to other children in the child caring institution.(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 Mantoux tuberculin test annually and 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 shall receive a dental examination from a licensed dentist as follows: (1) Within thirty (30) days of admission unless the child caring institution has documentation of a dental examination within the six (6) months prior to admission.(3) Whenever an interim condition indicates the need for examination or treatment.(d) Any treatment or corrective measures required by the licensed physician or dentist shall be arranged by the child caring institution, as approved by a parent, legal guardian, or placing agency.(e) The child caring institution, after attempting to determine the child's immunization history, shall ensure that each child has received all immunizations and booster shots which are required by the SBH.(f) All children shall be immunized against routine childhood diseases unless exempted by a licensed physician'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 shall be those recommended by the American Academy of Pediatrics or by the United States Public Health Service Immunization Practices Advisory Committee. (i) Adequate documentation of an immunization history shall consist of one (1) of the following: (1) A licensed physician'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 physician 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) The child caring institution shall maintain a health record for each child. The record shall include the following:(1) Admission and periodic health and dental examination information.(2) A licensed physician'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.Department of Child Services; 465 IAC 2-9-75; filed Jun 27, 1991, 12:00 p.m.: 14 IR 1974; readopted filed Jul 12, 2001, 1:40 p.m.: 24 IR 4235; readopted filed Nov 27, 2007, 6:52 a.m.: 20071226-IR-465070551RFA; readopted filed November 26, 2013, 4:02 p.m.: 20131225-IR-465130459RFAReadopted filed 10/10/2019, 10:42 a.m.: 20191106-IR-465190320RFA Transferred from the Division of Family Resources ( 470 IAC 3-11-75) to the Department of Child Services ( 465 IAC 2-9-75) by P.L. 234-2005, SECTION 195, effective July 1, 2005.