5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment.
Medical examination reports, including TB testing, were not on file for Jennifer Cantrell (medical only) and Aide New (medical only) as evidenced by the medical examination was not signed by the required medical source.