Illness ReportingQuestion 274 of 319

A food employee was excluded after a positive stool culture for nontyphoidal Salmonella. What must occur before they are allowed to return to work?

a.Twenty-four hours symptom-free, no documentation required
b.Verbal confirmation from the employee that they feel better
c.Written medical clearance from a healthcare provider or the local regulatory authority confirming the employee is no longer infectious
d.Negative results on two consecutive home-pharmacy tests

Explanation

California Retail Food Code HSC §113949.1, mirroring FDA Food Code 2-201.13(C), requires that any food employee excluded due to diagnosis with a Big 6 pathogen (Norovirus, Hepatitis A, Shigella, Salmonella Typhi, nontyphoidal Salmonella, or Shiga toxin-producing E. coli) may only return to work after WRITTEN medical clearance from a licensed healthcare provider OR from the local regulatory authority (county health department). The clearance must state that the employee is no longer infectious. For nontyphoidal Salmonella specifically, the typical reinstatement criteria are: asymptomatic for the time required by the regulatory authority OR documented negative stool specimens (the local health department determines exactly how many and how spaced). Option A omits the documentation requirement and applies only to UNDIAGNOSED gastroenteritis, not to Big 6 cases. Option B (verbal) does not satisfy the written-clearance rule. Option D is wrong because home-pharmacy tests are not approved diagnostic confirmation in California. The written-clearance rule protects against return-to-work errors and creates a defensible audit trail.

Law Reference: HSC §113949.1

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