Section 216-RICR-30-05-3.8 - Minimum Standards for Immunization and Communicable Disease Testing for Child Care Workers in PreschoolsA. Beginning August 1, 2015, in accordance with the National Health and Safety Performance Standards for Early Care and Education Programs incorporated above at § 3.2(D) of this Part, evidence of immunity is required for all child care workers (with the exception of child care workers who receive a medical exemption) against: 1. Tetanus, Diphtheria and Pertussis: one (1) dose of Tdap vaccine2. Measles, Mumps and Rubella: two (2) doses of MMR vaccine3. Chickenpox: two (2) doses of Varicella vaccine4. Influenza: annual influenza vaccination, administered between July 1 and December 31 of each year, is required for all child care workers5. Acceptable evidence of completion of immunization consists of: a. An official immunization record card, school immunization record, Medical Passport, World Health Organization immunization record, or other official immunization records acceptable to the Department; orb. An electronically stored and/or transmitted documentary record (facsimile transmission, computerized record, including, but not limited to, a record on magnetic media or similar record) as may be utilized by a school; orc. Presentation of laboratory evidence of immunity is made in the case of measles, mumps, rubella, hepatitis B, and varicella (chickenpox); ord. A physician, physician assistant, certified registered nurse practitioner, or other licensed practitioner acting within his/her scope of practice signs a statement that the student has a history of chickenpox disease (varicella).216 R.I. Code R. 216-RICR-30-05-3.8