Childcare & Daycare Workers
TB Screening Guide
Content last reviewed 2026-09-13 · Educational information — not medical advice
Who this covers
daycare staff, preschool teachers, early-childhood educators, nanny-share workers
Why this requirement exists
Childcare TB rules are STATE-specific patchwork — several states statutorily require clearance for licensed childcare employees, others leave it to licensing inspection expectations. Family-home providers face lighter requirements than center staff in most codes.
Worth knowing
Check your state's childcare licensing code before paying for tests — requirements range from none to annual, and some states accept risk-assessment questionnaires instead of testing.
Order the required tests
Direct-access laboratory testing — no doctor visit needed. Results arrive as forwardable PDFs that satisfy most compliance offices.
We may earn a commission when you order through partner links. This guide is educational and never replaces advice from your program office, employer, or healthcare provider.
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Frequently asked questions
Is daycare TB testing a national requirement?
No single federal rule covers it — it's state licensing law plus facility policy. That's why requirements shift across state lines.