Who is covered: All employees with reasonably anticipated occupational exposure to blood/OPIM. Mirrors federal with explicit HCV in post-exposure source testing.
Evaluation performed by: Licensed physician or other licensed healthcare professional (California licensure scope)
🩺 Baseline / Pre-Placement
Hepatitis B vaccination made available within 10 working days of initial assignment to all employees with occupational exposure — 8 CCR 5193(f)(2)
- Hepatitis B vaccine and full vaccination series MADE AVAILABLE at no cost (unless previously vaccinated, immune by antibody testing, or contraindicated) — 8 CCR 5193(f)(1)
- Performed by or under the supervision of a licensed physician or other licensed healthcare professional, per current USPHS recommendations — 8 CCR 5193(f)(1)/(f)(2)
- No antibody prescreening may be required as a condition of receiving vaccination — 8 CCR 5193(f)(2)
- If the employee declines, a signed Hepatitis B Vaccine Declination statement (Appendix A) — 8 CCR 5193(f)(2)
- If USPHS later recommends routine booster doses, they must be made available — 8 CCR 5193(f)(1)/(f)(2)
Abnormal results & exposure-event protocols
Abnormal Results & Exposure-Event Protocols
- An EXPOSURE INCIDENT (eye, mouth, mucous-membrane, non-intact skin, or parenteral contact with blood/OPIM) 8 CCR 5193(f)(3): Make immediately available a confidential post-exposure medical evaluation and follow-up: document route(s) and circumstances; identify and test the SOURCE individual's blood AS SOON AS FEASIBLE for HBV, HCV, AND HIV (California explicitly names HCV in the source-testing panel); collect and test the EXPOSED employee's blood after consent (sample preserved if HIV testing declined); provide post-exposure prophylaxis when medically indicated; provide counseling and evaluation of reported illnesses. Tests: Documentation of route(s) of exposure and circumstances, Source-individual blood testing for HBV, HCV, and HIV (as soon as feasible) — HCV explicit in California text — 8 CCR 5193(f)(3), Exposed-employee baseline blood collection and testing after consent; sample preserved if HIV testing declined, Post-exposure prophylaxis when medically indicated, Counseling and evaluation of reported illnesses, Information provided to the evaluating healthcare professional (copy of standard, duties, route/circumstances, source results, relevant records)
Reporting Requirements
| Who performs the evaluation | Licensed physician or other licensed healthcare professional — 8 CCR 5193(f). |
|---|---|
| Reported to employer | Employer receives the healthcare professional's WRITTEN OPINION, limited to: (HBV) whether vaccination is indicated and whether the employee has received it; (post-exposure) that the employee was informed of evaluation results and of any medical condition resulting from the exposure that requires further evaluation or treatment. ALL OTHER findings/diagnoses remain confidential and are NOT in the written report — 8 CCR 5193(f)(5). |
| Reported to / for the employee | Employer provides the employee a copy of the healthcare professional's written opinion; post-exposure evaluation results communicated to the employee — 8 CCR 5193(f)(5). |
| Time limits | Employer provides the written opinion to the employee within 15 days of completion of the evaluation — 8 CCR 5193(f)(5). |
| Recordkeeping | Confidential medical records retained for the duration of employment plus 30 years; not disclosed without written consent — 8 CCR 5193(h). |
Medical Removal Protection
No MRP. Vaccination + post-exposure evaluation/follow-up (see abnormal_protocols). No routine periodic schedule.
Required Forms & Reference Definitions
Appendix A — Hepatitis B Vaccine Declination (Mandatory) 29 CFR 1910.1030 App. A; 8 CCR 5193(f)
The mandatory declination statement an employee signs when refusing the offered, no-cost hepatitis B vaccination. By signing, the employee acknowledges the risk of HBV infection, that vaccination was offered free of charge, and that they may still receive it later at no cost if they change their mind.