(1) A department provided ONB program orientation must be completed by:

(a) Applicants, coapplicants, licensees, directors, program directors, assistant directors, site directors, and program supervisors;

(b) Lead teachers who work without any of the individuals listed in (a) of this subsection on-site; and

(c) Prior to being in charge of the ONB program 50 percent of the time or more, ONB providers who are newly promoted or assuming one of the roles listed in (a) of this subsection.

(2) ONB providers must complete a department background check, pursuant to chapter 110-06 WAC.

(3) ONB providers, including volunteers, must provide documentation signed within the last 12 months by a licensed health care professional of tuberculosis (TB) testing or treatment consisting of:

(a) A negative TB symptom screen and negative TB risk assessment;

(b) A previous positive FDA-approved TB test and a current negative chest radiograph and documentation of clearance to safely work in an ONB program; or

(c) A positive symptom screening or a positive risk assessment with documentation of:

(i) A current negative FDA-approved TB test;

(ii) A previous or current positive FDA-approved TB test; and

(iii) A current negative chest radiograph and documentation of clearance to safely work in an ONB program.

(4) Upon notification of TB exposure, ONB providers may be required to be retested for TB as directed by the local health jurisdiction.