N.J. Admin. Code § 8:43B-6.10

Current through Register Vol. 56, No. 23, December 2, 2024

Section 8:43B-6.10 - AFC caregiver and employee health status

(a) All AFC caregivers and all employees of an AFC sponsor agency providing direct care to clients shall receive an initial health evaluation by a health care professional that includes a documented medical history.

(b) An AFC sponsor agency shall establish a policy and procedure addressing the content and frequency of health evaluations subsequent to the initial health evaluation required at (a) above, and policies and procedures addressing precautionary measures to prevent the transmission of communicable diseases (as that term is defined at N.J.A.C. 8:57-1.3) to clients.

(c) Subject to (d) below, an AFC sponsor agency shall ensure that, prior to the placement of a client in an AFC home, and annually thereafter, all AFC caregivers, residents of the AFC home, and employees of an AFC sponsor agency providing direct care to clients shall receive either an Interferon-Gamma Release Assay (IGRA) or a two-step Mantoux tuberculin skin test with five tuberculin units of purified protein derivative.

(d) The following are exempt from the requirement at (c) above:

1. Individuals with documented negative IGRA or negative Mantoux skin test results (zero to nine millimeters of induration) within the last year;

2. Individuals with documented positive IGRA or positive Mantoux skin test results (10 or more millimeters of induration) who have received appropriate medical treatment for tuberculosis; or

3. Individuals for whom IGRA and Mantoux skin tests are medically contraindicated.

(e) For those tested through the Mantoux skin test in accordance with (c) above, if the result is:

1. Between zero and nine millimeters of induration, the test shall be repeated one to three weeks later; and

2. 10 millimeters or more of induration, a chest x-ray shall be performed and, if necessary, followed by chemoprophylaxis or therapy.

(f) An AFC sponsor agency shall have policies addressing health evaluations and medical screening tests for individuals residing in the AFC home.

N.J. Admin. Code § 8:43B-6.10

Adopted by 55 N.J.R. 377(a), effective 3/6/2023