If I were her, I would call the orphanage. I know when I got my job here in Canada (at a dayare centre), I had to make sure I got a TB test, a blood test(testing for chicken pox and a couple other things), I had to get a tetanus shot because it was around that time to renew it, but they required it.
It's best to call the city and see what they require then call the orphanage directly and see what they require to be on the safe side and so she can get started right away!
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