Illness ReportingQuestion 271 of 319

A food employee reports jaundice (yellowing of skin and eyes) that started 5 days ago. What is the person in charge required to do?

a.Allow the employee to work as long as they take frequent breaks and stay hydrated
b.Restrict the employee to non-food-handling tasks only
c.EXCLUDE the employee from the facility immediately and report to the local health department; the employee may not return until medical clearance confirms no infectious cause (Hepatitis A is the primary concern)
d.Send the employee home for a 24-hour rest period, after which they may return

Explanation

California Retail Food Code HSC §113949.1 requires the person in charge to EXCLUDE — not merely restrict — any food employee with jaundice that has onset in the past 7 days, and to report the case to the local health department. Jaundice is the classic late symptom of Hepatitis A virus (HAV) infection; HAV is one of the Big 6 reportable pathogens, transmitted fecal-orally, and has caused multiple California restaurant outbreaks resulting in mass post-exposure vaccination campaigns. The 7-day onset window matters because HAV is most contagious in the 2 weeks BEFORE jaundice appears and remains contagious for about a week after, so a recently-jaundiced worker is still shedding virus. Option A endangers customers. Option B is non-compliant because exclusion (full removal from premises) is required, not just restriction to back-of-house. Option D underestimates HAV's infectious period — 24 hours of rest does nothing to eliminate viral shedding. Medical clearance is mandatory before return; HAV antibody testing or proof of recovery is the standard documentation.

Law Reference: HSC §113949.1

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