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A new health assessment shall be obtained by the director and staff at least every four years after the initial assessment or as necessary; and (c) Written evidence from a physician or health resource attesting that each staff person is free from communicable tuberculosis at the time of employment and subsequently according to state statute. (2) No person who is known to be afflicted with any disease in a communicable form, or who is a known carrier of such a disease, or who is afflicted with boils, infected wounds, or sores or acute respiratory infection, shall work in any capacity in a child care center in which there is likelihood of such person transmitting disease or infection to other individuals. (3) Any staff member, including the director, emergency person(s) and volunteer(s) who, upon examination or as a result of tests, shows a condition that could be detrimental to the children or staff, or which would prevent satisfactory performance of duties, shall not continue work at the child care center until the healthcare provider indicates that the condition no longer presents a threat to children or staff. (4) Staff persons shall wash their hands with soap and warm running water upon arrival at the center, before preparing or serving food, before assisting a child with eating, after assisting a child with toileting or diapering, before and after toileting, after administering medication, after cleaning, after assisting with wiping noses, after contact with body fluids, after contact with animals and after using cleaning materials. Hands shall be washed even if gloves are worn to perform these tasks. (5) Staff shall be excluded when they exhibit the conditions listed in the DHEC Exclusion Policy. H. Fire safety and emergency preparedness (1) Private and public child care centers shall comply with the regulations and codes of the State Fire Marshal. (2) In the event of a natural disaster or unscheduled closing of a child care center, the capacity may be exceeded temporarily to accommodate the displaced children. The director shall notify the Department of the situation and maintain appropriate staff:child ratios at all times. Required records shall be kept on file for the new enrollees. (3) The facility shall have an up to date written plan for evacuating in case of a fire, natural disaster or other threatening situation that may pose a health or safety hazard. The facility shall also include procedures for staff training in this emergency plan. I. Transportation (1) If the center provides or arranges for transportation through contract, the following transpor- tation requirements apply: (a) The staffing ratios specified in 114-524B(1-3) apply. The driver of the vehicle shall not be counted in the ratios for infants or toddlers; (b) Each child shall be secured in an individual, age-appropriate safety restraint at all times the vehicle is in motion; (c) Safety restraints shall be used in accordance with the manufacturer’s instructions; (d) A child shall not be left unattended in a vehicle; (e) Placement of children in the vehicle shall be in accordance with all applicable state and federal laws; (f) The driver shall have a valid regular or commercial driver’s license and shall be in compliance with Section 20-7-2725A(4) of the Code of Laws of 1976; (g) There shall be a first aid kit and emergency information on each child in the vehicle; (h) Use of tobacco products is prohibited in the vehicle; (i) Written consent from the parent is required prior to transportation; (j) When the facility provides transportation to and from the child’s home, the facility staff shall be responsible for picking the child up and returning the child to a designated location; and (k) The director and/or staff of the center shall provide the driver of the vehicle with a record that lists the name, address, and telephone number of the center, as well as names of children being transported.