Illness ReportingQuestion 314 of 319

Under California Retail Food Code §113949.4, a food employee who EXPERIENCED A VOMITING EPISODE at work must be excluded for at least what minimum time after the last episode?

a.Until the end of the current shift only
b.8 hours after the last episode
c.12 hours after the last episode
d.At least 24 hours symptom-free after the LAST vomiting episode (and longer if a Big 6 pathogen is suspected or diagnosed); the area must also be cleaned and disinfected per a written vomit/diarrhea cleanup procedure, food in the splash zone must be discarded, and exposed coworkers may need to be evaluated

Explanation

California Retail Food Code HSC §113949.4 (adopting FDA Food Code 2-201.13) requires exclusion of a food employee who vomits at work for a MINIMUM of 24 hours symptom-free after the last vomiting episode, before return. Vomiting is treated as a high-suspicion event for Norovirus, which can be aerosolized in vomit droplets and spread over a wide radius (documented dispersal up to 25 feet). The 24-hour minimum is consistent with the exclusion requirement for diarrhea; many California enforcement agencies and corporate operators apply 48 hours as a safer interval because Norovirus shedding continues well after symptoms stop. In addition to exclusion, California Retail Food Code §114049 (vomit and fecal accident cleanup) requires the facility to have a WRITTEN procedure for: (a) safely cleaning the contamination using an EPA-registered Norovirus-effective product (typically chlorine at ≥1000 ppm, or an EPA List G product), (b) discarding food in the splash radius, (c) isolating and re-sanitizing the area, and (d) evaluating exposed staff. Options A, B, and C are all shorter than the 24-hour code minimum and are non-compliant.

Law Reference: HSC §113949.4

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