1. Instructor Guide Version 2.0 Instructor Notes:
Consider distributing these forms for ease of review:
Guide to Immunizations Required for Child Care or Preschool
Table 2 Conditional Admission Immunization Schedule
Blank Blue Card
Blank Notice of Immunizations Needed letter
Windows for Immunizations for Child Care and California Immunization Handbook (recommended)
As participants introduce themselves, ask them to describe roles or duties they currently perform around immunization requirements. Tie their experiences to the next slide.
07/2016
California Department of Public Health, Immunization Branch

2. Under California law, children are required to receive certain immunizations in order to attend public and private elementary and secondary schools, child-care centers, family day care, nursery schools, nurseries, and developmental centers.
The California School Immunization Record is the key instrument for documenting childhood immunizations at a child care or school.
You play an important role by:
Minimizing exclusions from child care;
Protecting your facility from preventable disease outbreaks;
Helping busy parents keep their kids on track with shots;
Ensuring your child care complies with state law.
07/2016

3. Tools & Resources
Available at Local Health Departments
CAIR
There are many resources available to help you understand the state requirements and help protect your child care from vaccine-preventable diseases.
ShotsforSchool.org
This website is a great resource for brochures, flyers, posters, frequently asked questions, forms, letters, and more targeting child care, schools, and parents.
California Immunization Handbook (Blue Book)
This electronic resource provides links to many of the resources posted on ShotsforSchool.org, and it will be updated as laws change. Download and print your free copy at ShotsforSchool.org – Laws – Handbook, Records, & Materials.
California School Immunization Record (Blue Card)
This official state document records immunization history for every child admitted into child care or schools. You may obtain copies from your local health department.
Window for Immunizations
This tool helps you determine whether child care immunization requirements have been met. You may obtain copies from your local health department.
California Immunization Registry (CAIR)
CAIR is a secure, online, statewide network of computerized immunization information systems that provides rapid access to available immunization records. CAIR can also print a copy of the California School Immunization record.
Blue Card Online and at
Local Health Departments
07/2016

4. Up-to-Date Online Resource
We’ll focus on the tabs across the top as well as the “Immunization Reporting” and “New Laws” sections that are accessible from the ShotsforSchool.org Home page.
These resources will help your child care comply with state law and prepare you to help parents make informed decisions regarding immunization.
07/2016

5. What Will I Learn? By the end of this lesson, you’ll be able to:
Locate immunization requirements by age
Describe the ways children may be admitted
Implement immunization requirements
07/2016

6. Locate Immunization Requirements
Details on the specific number of vaccine doses required by age for child care are defined by the California Code of Regulations. Download the Guide to Immunizations Required for Child Care or Preschool from the Home page to print immunization requirements by age.
You may also use Table 1: Immunizations Requirements for child care (California Code of Regulations) as an alternative to the guide. This document can be found on “Shots Required for Child Care/Preschool” menu on ShotsforSchool.org.
07/2016

7. Locate Immunization Requirements Entry for Child Care*
For infants and children ages 2 months to 5 years.
Note: The ages depicted refer to both the age a child enters child care and the ages when subsequent doses are due.
Instructor Notes:
Explain that child care requirements apply to child-care centers, day nurseries, nursery schools, family day care homes, and development centers. Help them understand the guide.
Required vaccines are listed down the first column. Ages are listed across the top to be used for both entry and as checkpoints as the child ages into new requirements. They may also use Table 1 from the California Code of Regulations. The bottom portion of the guide focuses on how to determine if requirements have been met. Consider deferring those questions until the next section.
Child Care:
All requirements for child care are not usually met until around age months. Because these children will be aging quickly into new immunization requirements at each of the listed age groups, an efficient follow-up system will be especially critical in child care. We’ll discuss follow-up systems later.
Refer to California Code of Regulations, Title 17, Section 6020 (Table 1) or this guide for more details.
* Includes child-care centers, day nurseries, nursery schools, family day care homes, and development centers
07/2016

8. Locate Immunization Requirements Entry for Child Care
Self Check
Cecilia is 20 months old and about to enter child care.
Which immunizations are required for entry based on her age?
Instructor Notes:
The goal of this self-check is to help them get familiar with the guide and understand how it can be used to identify requirements by age both for entry and as the child ages into new requirements. Later we will discuss implementing immunization requirements using the child’s immunization record and follow-up systems.
Refer participants to a printed version of the guide to make it easier for them to read.
Direct the self-check question to those participants working in child care.
Read the self-check question.
Click to advance the slide to review the answer and point to the highlighted column that lists all immunization requirements for entry.
Your answer and notes:
07/2016

9. What Will I Learn? By the end of this lesson, you’ll be able to:
Locate immunization requirements by age
Describe the ways children may be admitted
Implement immunization requirements
Now that you know where to locate the immunization requirements for age, let’s review the ways children may be admitted including medical exemptions and conditional entry.
This section reviews entry requirements according to California law. Later we’ll address the actual steps that you’ll go through to determine whether or not these requirements have been met.
07/2016

10. Describe How Children May Be Admitted Immunizations Are Current
Children may be admitted if they:
Are 18 months or older and have received all required immunizations for age.
What does this mean?
Children who are current on all required immunizations and have no remaining doses for their age may be unconditionally admitted.
Children 18 months or older may be unconditionally admitted if they have received all required immunizations for age.
07/2016

11. Describe How Children May Be Admitted Permanent Medical Exemption
Children may be admitted if they:
Have filed a valid statement of Permanent Medical Exemption and immunization records for required shots not received or otherwise exempted.
What does this mean?
A licensed physician determines that one or more vaccine(s) is not indicated due to a permanent physical condition or medical circumstance. A valid Permanent Medical Exemption requires submission of a licensed physician’s written statement which states:
the physical condition or medical circumstance of the child is such that the required immunization(s) is not indicated,
the vaccine(s) to be exempted, and
the medical exemption is permanent.
Children may be admitted if they have submitted a valid, written statement of Permanent Medical Exemption from a licensed physician and immunization records for required shots not received or otherwise exempted. For example, if a child has a suppressed immune system, live viruses may not be indicated.  
If the child has received all vaccines doses required at age 18 months to 5 years, the child can be unconditionally admitted.
A valid statement of Permanent Medical Exemption requires submission of a licensed physician’s written statement which states:
the physical condition or medical circumstance of the child is such that the required immunization(s) is not indicated,
the vaccine(s) to be exempted, and
the medical exemption is permanent.
07/2016

12. California Code of Regulations
Describe How Children May Be Admitted Conditional Admission for Child Care
Children may be admitted if they:
Meet one of these conditions for conditional admission:
California Code of Regulations
A valid Temporary Medical Exemption requires submission of a licensed physician’s written statement which states:
the physical condition or medical circumstance of the child is such that the required immunization(s) is not indicated;
the vaccine(s) to be exempted; and
the date the temporary medical exemption will end.
Instructor Notes:
Help them understand the interval windows. Make sure they understand the last day of the interval is the deadline.
Children are admitted conditionally and considered conditional entrants in child care up until they meet all the requirements for age 18 months to 5 years for child care, which is usually by age months. After age 18 months, there are no new immunization requirements until TK/kindergarten.
If children have received at least 1 dose in a series, they will have an interval of time to receive the next dose. For example, the child may receive the next dose as early as 4 weeks after the previous dose, but the child has up to 8 weeks to get vaccinated. The last day of the interval is the deadline. The child may be admitted conditionally if the deadline for the next dose (8 weeks in this example) has not passed.
A valid Temporary Medical Exemption requires submission of a licensed physician’s written statement which states:
the physical condition or medical circumstance of the child is such that the required immunization(s) is not indicated;
the vaccine(s) to be exempted; and
the date the temporary medical exemption will end.
Refer to California Code of Regulations, Title 17, Sections 6035 & 6040 for more details.
07/2016

13. Refer to “Laws” Tab for Details
For more information on conditional admission, refer to the FAQs and the text of the law, all posted online under the “Laws” tab.
07/2016

14. Describe How Children May Be Admitted Transferring PBEs Filed before 2016 (per SB 277)
Children may be admitted if they:
Have a PBE previously filed before 2016 at a child-care facility and immunization records or medical exemptions for all required shots not included in the PBE.
Senate Bill 277 (Pan, 2015)
Parents of students in any school or child-care facility are no longer allowed to submit a new personal beliefs exemption (PBE) to a currently required vaccine.
Personal beliefs exemptions may be transferred between child-care facilities in California. A personal beliefs exemption filed with a child-care facility before January 1, 2016 is valid until entry into the next grade span (transitional kindergarten through 6th grade). However, if the personal belief exemption documentation is no longer available, children must meet immunization requirements to attend the new child-care facility.
Instructor Note:
The last slide in the deck summarizes SB 277.
07/2016

15. FAQs are available to assist
Personal Beliefs Exemptions No Longer an Option for New Admissions (Effective 1/1/2016)
FAQs are available to assist
For more information, refer to SB 277 FAQs (in English, Spanish, and Russian) on the ShotsforSchool.org website.
07/2016

16. Describe How Children May Be Admitted Summary
Children may be admitted if they:
Are 18 months or older and have received all required immunizations for age.
Have filed a valid statement of Permanent Medical Exemption and immunization records for required shots not received or otherwise exempted.
Have a PBE previously filed before 2016 at a child-care facility and immunization records or medical exemptions for all required shots not included in the PBE.
Qualify to be admitted as conditional entrants.
One, two, and three are considered unconditional admission and do not require follow-up for subsequent immunizations until the next check point (that is, TK/kindergarten or 7th grade).    
07/2016

17. Conditional Entrants For Child Care
Self Check Under which three conditions may children be admitted into child care as conditional entrants?
Instructor Notes:
Participants may have to explain to parents why their children may not be admitted. The goal of this activity is to see if participants can describe in their own words the conditions that satisfy the law for entry as a conditional entrant. Refer them to California Code of Regulations, Title 17, Sections 6020 ,Table 1 and 6035, Table 2.
Read the question and direct it to the child-care participants. Click to reveal the table and review the expected responses.
Your answer and notes:
07/2016

18. What Will I Learn? By the end of this lesson, you’ll be able to:
Locate immunization requirements by age and grade
Describe the ways children may be admitted
Implement immunization requirements
Now that you understand the ways children may be admitted according to California regulations, let’s discuss the actual steps that you’ll go through to determine whether or not these requirements have been met.
07/2016

19. Implement Immunization Requirements Step by Step: Preparing for a Child’s 1st Day
Before starting, you’ll need these items:
Student’s personal immunization record (yellow card, CAIR, or other record);
California School Immunization Record (Blue Card); (Obtain a blank one to fill out or print from CAIR.)
Guide to Immunizations Required for Child Care or Preschool;
Your facility’s follow-up system (to add entries as needed).
Tip: The Window for Immunizations is a free resource that helps you identify missing immunizations required for child care.
Instructor Notes: Preparing for 1st Day
Point out that as parents or guardians begin turning in their child’s immunization records, staff or nurses may need these resources to begin processing each child for entry.
Consider distributing these forms for ease of review:
Yellow cards
Blank Blue Cards
Guide to Immunizations Required for Child Care or Preschool
Table 2 Conditional Admission Immunization Schedule
Blank Notice of Immunizations Needed letter
Window for Immunizations for child care
07/2016

20. Implement Immunization Requirements Step by Step: Preparing for a Child’s 1st Day
Child-care staff should:
Obtain the child’s personal immunization record—even if the child has an exemption.  
Complete the top portion of the Blue Card and transfer vaccine dates from child’s personal immunization record. (Or printout from CAIR.) (Follow instructions on the back of the Blue Card.)
Determine if requirements are met by comparing number of doses on the Blue Card to the Guide to Immunizations Required for Child Care or Preschool.
If child has a Permanent/ Temporary Medical Exemption or a PBE filed prior to 2016 at a previous facility, make sure that immunization records are submitted for any vaccines not exempted.
Complete the Documentation and Status of Requirements box. (Follow instructions on the back of the Blue Card.)
File the completed Blue Card in the child’s folder. 
Instructor Notes: Preparing for 1st Day
Refer participants to sample CA Immunization Record and Blue Card as you review the steps. Point out that instructions for completing the Blue Card are on the back of the card. This slide assumes records have been provided for all required shots or valid exemptions have been submitted. The process for admitting conditional entrants is covered shortly.
Notes:
1. CA immunization record (or equivalent) could be any immunization record, a Blue Card transferred from prior facility, computer printout, CAIR record, immigration record, etc. that includes: child’s name, date of birth, vaccine name or abbreviation, date vaccine administered, clinic name (written or stamp), office, or health-care provider administering the vaccine.
2. Complete the child’s identifying information on the top of the Blue Card or ask the parents to fill out this section only. Transfer dates (month/day/year) for each vaccine the child has received onto the Blue Card. Staff fill in the vaccine date (month/day/year) of each vaccine documented on the immunization record.
3. Determine if requirements have been met. Check the timing of doses only for the immunization doses specified for the 1st birthday. For these doses, a dose given up to (and including) four days before the birthday meets the requirements. Certain immunizations require the full date (e.g., MMR given during month of 1st birthday).
4. Ensure that the Permanent/ Temporary Medical Exemption statement or a PBE filed prior to 2016 at a previous facility is complete.  Make sure that immunization records are submitted for any vaccines not exempted.
5. We’ll review how to fill out the Documentation and Status of Requirements box in the next slides.
07/2016

21. Here is a sample completed Blue Card with sections for the child’s identifying information at the top, the vaccines dates transferred from the child’s immunization record, and the Documentation and Status of Requirements box. Detailed instructions are on the back of the Blue Card.
07/2016

22. Implement Immunization Requirements Preparing for a Child’s 1st Day: Permanent Medical Exemption
California School Immunization Record
Instructor Notes: Permanent Medical Exemption
Refer participants to their Blue Cards to make it easier to read.
Remind participants of highlighted elements required for a valid statement of PME.
Point out that vaccine dates must be filled out for required immunizations not exempted.
Status of Requirements section must be filled out by checking boxes A (and dating) and C.
This is a sample of a completed Blue Card for a child with a permanent medical exemption and with immunization dates filled in for all other vaccines not specifically exempted by the exemption.
If immunization requirements are met, update the Status of Requirements section by checking boxes A (and dating) and C.
Remember: A valid statement of Permanent Medical Exemption requires:
A licensed physician’s written statement,
Statement that there is a permanent physical condition or medical circumstance that rules out one or more vaccines (the specific medical condition does not need to be identified), and
The specific vaccine(s) the child cannot receive.
07/2016

23. Implement Immunization Requirements Preparing for a Child’s 1st Day: Temporary Medical Exemption
California School Immunization Record
Instructor Notes: Temporary Medical Exemption
Refer participants to their Blue Cards to make it easier to read.
Remind participants of the highlighted elements required for a valid TME.
Point out vaccine dates must be filled out for all required shots not exempted.
Status of Requirements must be filled out by checking boxes B and D.
This is a sample of a completed Blue Card with immunization dates filled in for all vaccines not specifically exempted by the temporary medical exemption. In this example, the child would meet the requirements for conditional entry if he or she presented a valid statement of Temporary Medical Exemption and immunization records for required shots not exempted. If the child meets the requirements for conditional admission, update the Status of Requirements by checking boxes B and D.
Important: You will need to follow up to remind parents before shots are due.
Remember: A valid statement of Temporary Medical Exemption requires:
A licensed physician’s written statement,
Statement that there is a temporary physical condition or medical circumstance that rules out one or more vaccines (the specific medical condition does not need to be identified),
The date when the temporary medical exemption will end, and
The specific vaccine(s) the child cannot receive.
07/2016

24. Implement Immunization Requirements Preparing for a Child’s 1st Day: Conditional Admission
Under 18 months old? Look to Guide for Immunizations Required for Child Care or Preschool to determine if the child may be admitted.
Eileen, I added this slide to distinguish between conditional admissions under 18 mos and over 18 mos old.
For children under 18 months old who have received all immunization required for their age, continue to follow up as the children age into new requirements. Refer to the Guide for Immunizations Required for Child Care or Preschool or California Code of Regulations, Title 17, Section 6020, Table 1.
For children under 18 months old who are behind schedule, refer to California Code of Regulations, Title 17, Section 6035,Table 2 on the next slide.
07/2016

25. Implement Immunization Requirements Preparing for a Child’s 1st Day: Conditional Admission
18 months or older and missing doses for age? Look to Table 2 to determine if the child may be admitted.
As you determine whether entry requirements are met, if the child is 18 months or older and missing doses for age, use California Code of Regulations, Title 17, Section 6035,Table 2 to determine whether the child may be admitted conditionally. They will need at least the first dose in each series before admission and have an interval of time to receive the next dose in a series. The last day of the interval is the deadline. The child may be admitted conditionally if the deadline for the next dose has not passed.
NOTE: Table 2 includes the conditional admission requirements for both child care and TK/K-12. You may alternatively use the separate Guide for Immunizations Required for Child Care or Preschool to determine conditional admission.
07/2016

26. Implement Immunization Requirements Preparing for a Child’s 1st Day: Conditional Admission
Use Notice of Immunizations Needed letter to notify parents of vaccines due before admission.
TIP: We encourage you to use this template letter to notify families of vaccinations that are due before admission. The letter may be downloaded from ShotsforSchool.org by accessing the “Laws” tab and clicking on “Handbook, Records, & Materials.”
If requirements are not met by the first day or the child doesn’t meet conditional admission requirements, state law requires that child care facilities do not admit the child:
“According to state law, we cannot allow your child to attend school unless we receive evidence that the above requirements are met by this date: [specify deadline].”
You may use multiple letters depending on the due date(s) for different doses and/or send new letters as parents submit updated records and new deadline dates are established for the next dose in a series.
07/2016

27. Implement Immunization Requirements A Child’s 1st Day: Requirements Are Not Met
If children are either due for doses or missing documentation on their 1st day:
Do NOT admit or allow entry.
Refer parents or guardians to primary care provider to receive immunizations (or their local health department for additional resources).
You may use the Notice of Immunizations Needed letter and Parents’ Guide to Immunizations Required for Child Care or Preschool to inform parents of the next doses needed.
Instructor Notes: Requirements not met the 1st day
Up to now we’ve been discussing preparation for the 1st day. Now discuss what child care facilities should do if requirements are not met on the first day.
The California Health and Safety Code requires parents or guardians to provide proof of immunization for admission. If children are missing either doses or exemption documentation or do not meet requirements for conditional admission, do not admit or allow entry.
07/2016

28. Conditional Entrants: Under 18 Months Old Throughout the Year
Determine timing for the next dose in a series:
Children are due for the next dose in a series at the beginning of the age category.
Instructor Notes: Follow-up for Conditional Entrants Throughout the Year
Transition from processing children for entry to following up throughout the year. Refer to their printed copy of the Guide to Immunizations Required for Child Care or Preschool to make it easier to read.
Now that you’ve processed all children for child care admission, you must follow up throughout the year to ensure those conditional entrants with doses due at a later age provide required immunization documentation. The Guide to Immunizations Required for Child Care or Preschool shows the age when the next doses are due in a series.
07/2016

29. Conditional Entrants: 18 Months or Older Throughout the Year
Determine timing for the next dose in a series:
Instructor Notes: Follow-up for Conditional Entrants Throughout the Year
Transition from processing children for entry to following up throughout the year. Refer to their printed copy of Table 2 to make it easier to read.
Now that you’ve processed all children for child care admission, you must follow up throughout the year to ensure those conditional entrants with doses due later provide required immunization documentation. California Code of Regulations, Title 17, Section 6035, Table 2: Conditional Admission Immunization Schedule shows when next doses are due.
The child may receive the next dose as early as the beginning of the time interval. The last day of the interval is the deadline. Up until that deadline, the child may be admitted “on condition” that the next and remaining doses are received by their deadlines. If documentation of the next and remaining doses is not received by their deadlines, the child should be excluded.
TIP: Recommend that children receive the next dose toward the beginning of the vaccine’s time interval from Table 2. 
07/2016

30. Conditional Entrants Throughout the Year
Step by Step:
Create a reminder entry in your follow-up system to notify parents or guardians when next shots are due.
Use the Notice of Immunizations Needed letter and Parents’ Guide to Immunizations Required for Child Care or Preschool to inform parents of the next doses needed. Please make sure you include the deadline.
Review records at least every (30) days.
If you discover a child has missed the next dose and was not excluded, child-care facilities must notice parents or guardians and may give them up to (10) school days to comply before the child is excluded.
Instructor Notes:
This is the first time we are discussing the process of following up with conditional entrants to ensure continued attendance.
For conditional entrants, please make sure you include a deadline so parents or guardians are aware of the exclusion date. If a child has not received all immunization doses by this due date, state law requires that he/she be excluded:
“According to state law, we cannot allow your child to attend school unless we receive evidence that the above requirements are met by this date: [specify deadline].”
California Code of Regulations, Title 17, Section 6070 (f) requires that records for conditional entrants be reviewed every (30) days until all required immunizations are received and their records updated. Child-care facilities may always check more frequently than the law requires.
If you discover a child has missed the next dose and was not excluded, child-care facilities must notice parents or guardians and may give them up to (10) school days to comply before the child is excluded. Refer to California Code of Regulations, Title 17, Sections 6040 and 6055.
07/2016

31. Sample Follow-Up Systems Follow-up for Conditional Entrants
Set a schedule and check your follow-up system every 30 days for children with pending vaccinations.
Jane Doe 3rd DTP
James Doe 2nd MMR
Screaming Eagles Child Care
TIP: Student information systems (for example, AERIES) may help automate follow-up on pending immunizations. Check the California Immunization Handbook for other ideas for follow-up systems.
CAIR provides a “Missing Immunization” report that you may run weekly to manage follow-ups with parents for immunizations due. Go to and click “Schools and Child Care” to find out how CAIR can help track immunizations.
07/2016

32. Conditional Entrants: Under 18 Months Old For Child Care
Self Check
Today is November 2, You are running your monthly follow-up report and are reminded that Jose will turn 15 months and age into new requirements in one month. What will you do?
Steps
Compare number of doses on his Blue Card to Guide to Immunizations Required for Child Care or Preschool. Jose will need an additional polio shot, additional dose of Hib (on or after 1st birthday), and (1) MMR (on or after 1st birthday).
Contact and send parents the Notice of Immunizations Needed letter.
Create another entry in your follow-up system to ensure that those doses are received when due.
Instructor Notes:
Scenario: Jose is 14 months and already in child care. He will be aging into new requirements in one month. He will need to provide documentation of an additional polio shot, additional dose of Hib received on or after his 1st birthday, and (1) MMR on or after his 1st birthday to remain in child care.
Click to advance the slides through the answer. The Guide to Immunizations Required for Child Care or Preschool identifies the new requirements as Jose ages.
Your answer and notes:
07/2016

33. What Will I Learn? By the end of this lesson, you’ll be able to:
Locate immunization requirements by age and grade
Describe the ways children may be admitted
Implement immunization requirements
07/2016

34. Complete Annual Immunization Reporting
Complete and submit the annual immunization reporting for Child Care each fall.
To help control the spread of disease, child care (2 years through 4 years 11 months), kindergarten, and 7th grades are required to assess and report each fall the immunization status of their enrollees.
To complete and submit your report, visit the Home page of ShotsforSchool.org. “Instructions” and “Frequently Asked Questions” are available online to help you complete the online immunization assessment.
Refer to California Health and Safety Code Section and California Code of Regulation Section 6075 for more details.
07/2016

35. How is Your Facility Doing? Based on Fall Immunization Reporting
Exempted and conditional children are at greatest risk for disease if there is disease exposure or outbreak. Facilities usually keep a list of these children to reference in the event of disease outbreak or suspected disease exposure.
ShotsforSchool.org offers an online resource to help you better understand how protected your facility is based on annual immunization reporting data for child care (2 years through 4 years 11 months).  
This map displays your facility’s up-to-date (UTD) rate calculated from your fall immunization reporting data. The UTD rate is the percentage of children in a child-care facility who received all required vaccines (that is, who are fully vaccinated). Additional information at
The UTD Rate =  [ (Number of Students Enrolled  -  Number of Conditional Entrants  -  Number of Students with PME Status -  Number of Students with PBE Status) / Number of Students Enrolled] *100
If your facility has many children who are not fully vaccinated, your UTD rate may be lower than expected.
These rates are updated once a year based on fall immunization reporting data.
07/2016

36. California Code of Regulations
Reportable Diseases
Child care facilities must report incidents of certain infectious diseases to the local health department as soon as identified.
If the child-care facility has good cause to believe that a child who is not completely immunized against a particular communicable disease may have been exposed to that disease, that information shall be reported to the local health department immediately. The local health department can work with the child-care facility to determine if children need to be excluded and for what time period.  See California Code of Regulations, Title 17, Section 6060. 
The section of the law that lists reportable communicable diseases can be found in California Code of Regulations, Title 17, Sections 2500, 2593, , and Sections Reportable Diseases and Conditions.
California Code of Regulations
07/2016

37. Questions? You should now be able to:
Locate immunization requirements by age
Describe the ways children may be admitted
Implement immunization requirements
Questions on immunization requirements?
Call your local health department or
07/2016

38. Personal Beliefs Exemptions No Longer an Option for New Admissions (Effective 1/1/2016)
Summary of Senate Bill 277 (Pan, 2015)
Effective January 1, 2016, parents of students in any school or child-care facility are no longer allowed to submit a new personal beliefs exemption (PBE) to a currently required vaccine.
A PBE filed before 2016 at:
A child-care facility will remain valid until the child first enters the span between TK/K through 6th grade.
Entry to any grade from TK/K through 6th grade will remain valid until the child completes 6th grade.
Entry to any grade from 7th through 12th will remain valid through 12th grade.
Students are no longer required to have immunizations for entry if they attend a home-based private school or an independent study program and do not receive classroom-based instruction. For these students, parents must continue to provide immunization records to their schools and schools must continue to maintain and report records of immunizations. Students who have an individualized education program (IEP) should continue to receive all necessary services identified in their IEP regardless of their vaccination status.
Refer to Health and Safety Code sections and and SB 277 FAQs at
07/2016