New York Daycare Annual Staff Form PDF Details

Ensuring the health and safety of children in daycare settings is a paramount concern, which is why the New York City Department of Health and Mental Hygiene mandates a rigorous health examination protocol for all daycare staff through its Annual Staff Health Form. This critical document, required at the initial employment of teaching and non-teaching staff, volunteers, and students who regularly interact with children, and biennially thereafter, encompasses a comprehensive review of each individual's medical history, current health status, and immunity to various diseases. Important sections include mandatory screenings for conditions like hypertension, diabetes, and tuberculosis, voluntary laboratory tests, and a thorough assessment of the staff member's capacity to provide safe and effective care. The form also necessitates the documentation of vaccination records against common communicable diseases, emphasizing the importance of maintaining a healthy environment for both staff and children. By attaching any additional documentation to the form, and ensuring the confidentiality of health records, the protocol underscores the careful balance between thorough health screening and the respect for individual privacy. This proactive approach, detailed in the form, not only supports the well-being of daycare attendees but also fosters a safer working and caring environment, aligned with the standards set by the New York City Health Code.

QuestionAnswer
Form NameNew York Daycare Annual Staff Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesstaff medical form for daycare, doh medical form nyc, new york city department of health and mental hygiene bureau of child care staff health form, nyc doh staff health form

Form Preview Example

Agency Stamp

NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE

BUREAU OF CHILD CARE

STAFF HEALTH FORM

Initial employment and every 2 years, a health examination is required for all teaching and non-teaching staff members, including volunteers and students who regularly associate with children. Attach any additional documentation to this form.

Date of Employment

 

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Date of Exam

 

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(Last)

 

 

 

(First)

 

(Middle)

SEX

DATE

 

DATE OF BIRTH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

F ☐

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M ☐

 

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/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(No.)

 

 

(Street)

 

(City/Boro)

(State)

 

 

(Zip)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TELEPHONE:

 

 

 

 

 

 

 

 

 

 

JOB TITLE

 

 

AREA EMPLOYED

 

 

 

 

AC (

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PAST MEDICAL HISTORY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please check YES or NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

Please explain any positive findings, list and explain any chronic

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

medications or therapies:

 

 

 

 

 

 

 

 

 

 

 

☐

☐

Hypertension

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

☐

☐

Heart Disease

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

☐

☐

Diabetes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

☐

☐

Seizure Disorder

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

☐

☐

Chronic Lung Disease

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

☐

☐

Mental Illness

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

☐

☐

Alcohol Abuse

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

☐

☐

Substance Abuse

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

☐

☐

Physical Disabilities

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Allergies

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

☐

☐

Hepatitis

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

☐

☐

OTHER (SPECIFY)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MEDICAL PROVIDER SECTION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PHYSICAL EXAM: (Please note any conditions or findings considered abnormal or requiring medical follow-up)

 

 

 

 

 

 

 

 

 

 

Height

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weight

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Blood Pressure

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOBACCO USE

 

 

 

 

 

 

☐ Current

☐ Former

☐ None

 

 

 

 

 

 

 

 

 

 

 

If current, referred for cessation services?

☐ Yes

☐ No

 

 

 

 

 

 

 

 

 

 

 

 

Counselled re: No Smoking

 

 

 

 

 

☐ Yes

☐ No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7K rev1_11_2017.indd

Staff Name _________________________________________ D.O.B._________/_________/_________

TUBERCULIN TESTING (Not required for employment)

DATE TESTED:

TUBERCULIN SKIN TEST: PPD MANTOUX (5 TU)

OR

DATE INTERPRETED:

 

BLOOD TEST: QUANTEFERON GOLD

 

 

 

 

Staff exempt from testing if they

RESULTS:

 

 

 

 

 

 

 

Had a positive reaction to a PPD/Mantoux test or history of TB.

 

DATE:

 

 

 

 

 

History of BCG vaccine does not exempt a staff member from TB screening.

 

DATE:

 

 

 

 

 

All positive tuberculin tests in persons whose previous PPD/Mantoux was negative, require a chest X-ray and evaluation if treatment is indicated. All positive tuberculin tests (PPD Mantoux 10 mm or over) require a report of one chest X-ray, (H.C. 49.06).

 

 

 

 

 

 

 

 

 

CHEST X-RAY:

DONE AT:

 

 

 

 

TREATMENT:

 

DATE:

 

RESULTS:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IMMUNIZATION RECORD

Staff are required to have evidence of immunity to the diseases below through either documented vaccines, blood test documenting immunity,

or provider-documented history of illness (except where shaded in grey). Records should be kept in the staff person’s file.

Documentation of

Vaccine Name

Vaccine Date 1

Vaccine Date 2

Blood Test Documenting

Provider-Documented History

Immunity

Immunity (Yes / No)

of Illness (Yes / No)

 

 

 

 

 

 

 

Tdap (Tetanus-

 

 

 

 

 

 

diphtheria-acellular

 

 

 

 

 

 

pertussis)

 

 

 

 

 

 

 

 

 

 

 

 

 

Rubella

 

 

 

 

 

 

 

 

 

 

 

 

 

Measles*

 

 

 

 

 

 

 

 

 

 

 

 

 

Mumps*

 

 

 

 

 

 

 

 

 

 

 

 

 

Varicella*

 

 

 

 

 

 

 

 

 

 

 

 

 

*Two doses of vaccine are required at least 28 days apart

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LABORATORY TESTS (Optional) (Specify tests ordered)

 

 

DATE

RESULTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DIAGNOSIS/PROBLEM

 

PLAN/FOLLOW-UP (For each diagnosis)

 

 

 

 

 

 

 

1.

 

 

 

1.

 

 

 

 

 

 

 

 

 

2.

 

 

 

2.

 

 

 

 

 

 

 

 

 

3.

 

 

 

3.

 

 

 

 

 

 

 

 

 

4.

 

 

 

4.

 

 

 

 

 

 

 

 

 

5.

 

 

 

5.

 

 

 

 

 

 

 

 

 

On the basis of my findings as indicated above and my knowledge of the staff member, I find that the above person is fit to give adequate child care to children in a day care setting at this time.

Provider’s Name (Print)

 

License No.

 

 

 

Telephone No.

 

 

 

 

 

 

 

 

(Of Supervisor if NP or PA)

 

Address:

 

 

 

Date of Exam

 

 

 

 

 

 

 

 

 

Provider’s Signature

 

 

Staff Signature

 

 

 

 

 

 

NOTE TO THE DAY CARE CENTER: Staff Health Records are confidential and must be kept separate from all other records. Records of required medical examinations must be kept on file at the day care center as long as staff members are employed. They must be returned to them upon their request when their employment is terminated. In cases where chest x-rays are required, x-ray reports must be kept on file at the day care center as long as the person is employed and two years thereafter.

(New York City Health Code Section 45.09)

7K rev1_11_2017.indd

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Part # 1 for filling in new york doh health form

2. Once your current task is complete, take the next step – fill out all of these fields - YES NO M M Hypertension M M Heart, MEDICAL PROVIDER SECTION, PHYSICAL EXAM Please note any, Height, Weight, Blood Pressure, TOBACCO USE If current referred, Counselled re No Smoking, M No M No, M Current M Former M None, and K revindd with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

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3. The next part is generally easy - fill out all the form fields in Staff Name DOB, TUBERCULIN TESTING Not required, TUBERCULIN SKIN TEST PPD MANTOUX, Staff exempt from testing if they, DATE TESTED, DATE INTERPRETED, RESULTS, DATE, History of BCG vaccine does not, DATE, CHEST XRAY, DONE AT, TREATMENT, DATE, and RESULTS to complete this part.

RESULTS, History of BCG vaccine does not, and TREATMENT inside new york doh health form

4. This next section requires some additional information. Ensure you complete all the necessary fields - IMMUNIZATION RECORD Staff are, ProviderDocumented History of, Blood Test Documenting Immunity, Vaccine Name Vaccine Date Vaccine, Tdap Tetanus diphtheriaacellular, Rubella, Measles, Mumps, Varicella, Two doses of vaccine are required, LABORATORY TESTS Optional Specify, DATE, RESULTS, DIAGNOSISPROBLEM, and PLANFOLLOWUP For each diagnosis - to proceed further in your process!

Blood Test Documenting Immunity, Measles, and IMMUNIZATION RECORD Staff are of new york doh health form

5. Lastly, this final subsection is precisely what you should wrap up before using the PDF. The blank fields in question include the following: Providers Name Print, Address, License No, Telephone No, Of Supervisor if NP or PA, Date of Exam, Providers Signature NOTE TO THE, Staff Signature, and K revindd.

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