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Employees are required to provide documentation of a current physical examination and tuberculin skin (TB) test upon employment. Physical examinations should be renewed annually, while TB tests need only be renewed every two years. Expenses of the physical and TB test are the responsibility of the employee. The initial record of a physical examination and tuberculin skin test must be submitted prior to beginning work. All employees are encouraged to have successfully completed first aid and CPR courses. If they do not have current certification, training will be arranged soon after employment begins. Records of all health requirements must be kept updated in the Center office. Failure to submit in a timely manner the required forms and evidence of requirement completion may result in dismissal.