Would like to see both Sections A2 and B1 reflect that a nurse (such as a school nurse) can also sign off on the screening forms. We are housed in our elementary schools and utilize our school nurses for the screening forms to ensure staff are up-to-date. Our health department is not always available and it is silly and expensive for staff to pay a co-pay to their doctor for this.

Staff should also be given the ability to accept screenings that were conducted a little longer that the 30 days prior to employment. What is we have a staff member coming directly from another child care program that is also licensed? There has to be a happy medium between the previous "12 months prior" and the proposed 30 days.

We struggle to get staff in the door in a timely manner as it is. These two changes cited are just going to make it even more difficult. Please consider these changes to reflect the comments provided.