Iowa requires child care center personnel and child development home providers to have a physical examination covering immunizations, tuberculosis screening and overall health, and form 470-5152 records it. The examiner reviews immunizations against the ACIP schedule, completes a baseline TB symptom and risk factor screen, and decides whether the person may be involved with child care.
An MD, DO, PA, ARNP or DC completes the whole report, circles the provider type and signs; a stamp may be used.
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Child Care Provider Physical Examination Report
Child Care Provider Physical Examination Report (Spanish, 470-5152(S))
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Not always. All child care staff and providers need a baseline TB screening made up of a symptom assessment and a risk factor screen. The form says to perform a TST or IGRA only if there is an identified risk factor or current symptoms, and not to test people with previous positive results.
Three: the individual may be involved with child care; may be involved with child care with accommodations and restrictions, which are described on the form; or may not be involved with child care.