(A) Each child attending the center shall be examined by a licensed physician prior to the date of admission or within thirty days after the date of admission, and each child who is less than six years old shall be examined by a licensed physician prior to the date of admission or within thirty days after the date of admission and annually thereafter from the date of the examination. A "licensed physician" means a person licensed to practice medicine by the state medical board or by a comparable body in another state.

(1) The examining physician shall affirm that the child has had the immunizations required by section 3313.671 of the Revised Code for admission to school, or has had the immunizations required by the state department of health for infants and toddlers. In addition, the examining physician shall affirm one of the following:

(a) That based upon the medical history and physical condition at the time of the physical examination, the child is free from apparent communicable disease and is in suitable condition for enrollment in a child day-care center; or

(b) That based upon an "early and periodic screening, diagnosis, and treatment" (EPSDT) examination, the child is in suitable condition for enrollment in a child day-care center; or

(c) That based upon an examination that meets the requirements of the United States department of health and human services for participation in that department's head start program, the child is in suitable condition for enrollment in a child day-care center.

(2) The "date of admission" shall mean the first day the child is enrolled in and attends the center.

(3) "Prior to the date of admission" means:

(a) For children younger than three years old at the time of admission, the examination shall occur within six months prior to the date of admission;

(b) For children three years old or older at the time of admission, the examination shall occur within twelve months prior to the date of admission.

(B) For each child attending the center there shall be on file at the center by no later than thirty days after the date of admission, and annually thereafter as required by this rule, written verification of a licensed physician's examination of the child. The verification:

(1) Shall bear the child's name and birthdate, the date of the examination and the signature, business address, and telephone number of the licensed physician who completed the examination; and

(2) Shall be provided on a form provided by the director or on a form which verifies compliance with the requirements of paragraph (A)(1) of this rule.

(C) Immunization requirements may be waived by the administrator for religious reasons upon submission of the parent's or guardian's written request for exemption, or for medical reasons upon submission of a request for exemption in the form of a statement signed by a licensed physician. The parent's or guardian's request and administrator's waiver shall be on file at the center for review by the director or his representative, upon request. This waiver request shall be updated annually by the parent or guardian and the administrator.