101216(g)(1) · Personnel Requirements (1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure.

Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in 1 out of 4 staff files, Staff #2 was missing Health Screening LIC503 form which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/04/2021

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101216(g)(2) · Personnel Requirements (2) Each person specified in (g) above shall have a health-screening report signed by the person performing the screening. This report shall indicate the following

Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above Staff #2 was missing Health Screening LIC503 form during inspection which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/04/2021