503R - Health Requirements

  1. Physical Examinations 

    As a condition of employment and continued employment, school bus drivers must have an annual examination. These examinations are provided by the school division. 

    In addition to the tuberculin assessment required of every employee new to the system, a physical examination satisfactory to the school administration shall be required of any employee at such other times as the superintendent or Frederick County Health Department shall consider it necessary for the welfare of employees and pupils. The physical examination will be at no cost to the employee if performed by a provider designated by the school board. 

  2. Tuberculin Assessment 

    As a condition of employment and continued employment, all school board employees must submit evidence to the coordinator of health services that they are free from communicable tuberculosis. This information must be provided upon hire for new and current employees, within 30 days from the date requested. This may be provided in the following manner: 

    1. The school board shall provide tuberculin assessments to all employees who have not had a previous positive skin test. Tuberculin assessments will only be provided at no cost to employees if testing is performed by the Frederick County/Winchester Health Department or other provider designated by the school board.

    2. For employees whose tuberculin assessment did not require a skin test, no further testing is necessary unless required by the coordinator of health services.

    3. For employees whose tuberculin assessment required a tuberculin skin test, the skin test will be provided at no cost if it is performed by the Frederick County/Winchester Health Department or other provider designated by the school board. The employee must submit the results of the skin test to the school system’s coordinator of health services.

    4. The employee may submit the results of a tuberculin skin test done privately. The skin test results must have been read within a year of the date of employment.

    5. Employees whose assessment required a skin test and if the skin test is positive, then the employee must submit the results of a chest x-ray to the coordinator of health services unless otherwise advised by the Frederick County/Winchester Health Department. The chest x-ray will be provided at no cost if it is performed by the provider designated by the school board.

    6. Employees who are pregnant may submit a statement certified by a licensed physician that they are free of communicable tuberculosis or may have a skin test with the written approval of the physician. If an employee's physician delays the required testing/x-ray due to pregnancy, the required results must be provided within thirty (30) days following the physician's authorization.

    7. Employees who resign or otherwise terminate their employment with Frederick County Public Schools and are subsequently rehired after one year will be required to provide current certification that they are free of communicable tuberculosis.

    Employees with positive tuberculin skin tests who provided the chest x-ray results and have been found free of communicable tuberculosis will be required to have a tuberculin assessment every three years. The assessment or chest x-ray, if required, will be at no charge to the employee if performed by the Winchester/Frederick County Health Department or other facility designated by the school board. If during the three-year interval tuberculin-like symptoms develop, the employee will be required to return for evaluation. The medical evaluation and/or treatment will be at the employee’s expense.

  3. Contagious, Infectious, and Transmittable Diseases 

    In fulfilling the commitment to providing a healthful environment for all students and employees, the school board recognizes its responsibility to protect the health of its students and employees as well as to uphold their individual rights. The school board, in compliance with Virginia Code Section 22.1-272, shall exclude from school any person with a contagious or infectious disease. 

    The attendance at work of employees who suffer from blood-borne diseases that are infectious or contagious, such as AIDS and hepatitis B, and that may be transmitted by the exchange of body secretions, shall be determined by the superintendent on a case-by-case basis. The superintendent shall seek a recommendation from a review committee to assist him in making his determination. The committee shall be composed of a physician, a Public Health Department representative, two school administrators, and other individuals as deemed appropriate by the superintendent. The employee may be excluded from work pending the superintendent's decision. The privacy rights of the employee involved shall be respected. The number of personnel who are made aware of the employee's condition shall be minimized but shall not serve to jeopardize the safety of the employee and other persons within the school environment. 

    The following procedure will be utilized in determining the attendance at work of any employee who suffers from a disease or condition transmitted by blood or body fluids, such as AIDS or hepatitis B. Each such determination will be made on a case-by-case basis. This procedure will not apply to persons suffering from common childhood diseases such as measles, chicken pox, impetigo, strep throat, scarlet fever, pediculosis, or scabies. 

    1. The superintendent shall establish a communicable-disease review committee (a physician, a Public Health Department representative, two school administrators, and others as needed) to review all pertinent information and make recommendations to the superintendent. Persons contributing information to the committee may include the employee, attending physician, and immediate supervisor.

    2. Any employee who is confirmed by competent medical evidence as having a disease or condition transmitted by blood or body fluids as designated in paragraph one shall be initially excluded from attendance at work by his immediate supervisor in consultation with the superintendent's office.

    3. This information, including a written medical evaluation of the employee, shall be immediately reported to the assistant superintendent for administration who will be responsible for convening the communicable-disease review committee.

    4. The committee will meet and review all pertinent information and make a recommendation to the superintendent regarding the employee's attendance at work. The recommendation shall be made within ten (10) administrative working days following the exclusion of the affected employee and shall include a plan for periodic review and, if appropriate, health practices to be implemented. 

    5. Within five (5) working days following his/her receipt of the report of the committee, the superintendent shall notify the employee and his/her immediate supervisor of his/her decision to reinstate or to continue to exclude such employee from work. The employee may appeal the decision of the superintendent to the school board. A written request for such appeal must be submitted to the superintendent within ten (10) working days of the decision, or the right to appeal will be deemed to be waived.

    6. All parties involved shall respect the individual's right to privacy. The number of personnel who are informed of the employee's condition shall be kept at a minimum needed to assure proper care of the employee and to detect situations where the potential for transmission may occur.

    7. All information regarding employees suspected of or diagnosed as having infectious, communicable, or transmittable diseases shall be disseminated through the office of the superintendent.

Legal Reference(s): 
Code of Virginia, Section(s) 22.1-178, 272, 300


Adopted: February 15, 1988 
Amended: October 25, 2001 
Amended: January 9, 2004 
Amended: September 30, 2010