Obtaining a TB test or screening prior to working with children adds another obstacle to get individuals working quickly. Because we must maintain our ratios, we need to be able to hire staff with an immediate start date.  I understand the need for the precaution. Can a medium be reached? Perhaps a sworn statement affirming no known TB exposure as an interim for the first 30 days of employment? 

Why is the standard for staff and independent contractors only? Volunteers and parents, because parental involvement is required (see VAC40-185-420 Parental Involvement D), are not addressed in this standard.