Immunization Requirements for School Entry TK -12th Grade

• Required Immunizations for School Entry
• VACUNAS REQUERIDAS PARA EL INGRESO A LA ESCUELA

Medical Exemptions

All new medical exemptions for immunization requirements must be issued through CAIR-ME.  Parents can create an account in CAIR-ME and apply for an exemption. They will receive an exemption application number to give to their child’s physician. The physician can register for an account in CAIR-ME and log in to issue the medical exemption​.  Once the medical exemption is issued, the physician prints the form and provides a copy to the parents to give to their child’s school or child care facility.

• Instructions to Request a Medical Exemption - California Immunization Registry
• Instrucciones para Solicitar una Exención Médica - Registro de Inmunizaciones de California

Personal Belief Exemptions (PBE)

Starting in 2016, a law enacted by Senate Bill 2771 eliminates the option of PBEs. Parents or guardians of students in any school or pre-kindergarten facility, whether public or private, are no longer allowed to submit a PBE for a currently-required vaccine.

Missing Vaccines?

If you need help finding a clinic or provider to give immunizations, please visit MyTurn for Vaccine Locator services.

My Turn can help you find clinics and providers that accept walk-in patients, offer the vaccines you need, and provide vaccination services based on your insurance status and ability to pay.
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• California law, Education Code Section 49452.8, requires that your child have an oral health assessment (dental check-up)
• Deadline May 31st of kindergarten
• Dental assessments completed up to 12 months before your child enters school also meet this requirement
• If you are unable to obtain a dental assessment, you can fill out a waiver form

Oral Health Form OR Oral Health Waiver

Oral Health Form - Spanish OR Oral Health Waiver - Spanish

If your child should contract a communicable disease, please notify the school’s health office immediately. The following communicable diseases should be reported:

• Chicken Pox
• Measles
• German Measles
• Mumps
• Streptococcal Infections
• Lice
• Impetigo
• Scabies
• Conjunctivitis (pink eye)
• Whooping Cough
• Fifth’s Disease
• Hepatitis
• Meningitis
• Mononucleosis
• Ringworm
• H1N1 Influenza

Children with a suspected communicable disease will be excluded from school, until seen by a physician, treated and return with a doctor’s note for inclusion.

We know how much your child will enjoy coming to school and never want to miss a day, however, in the event that your child becomes sick, please let the school know by calling the attendance hotline at 760-331-5970. Please leave the date, your child's name, teacher, and reason for the absence.

Keep Me Home If ...

• I'm vomiting
• I have a rash, lice or nits (body rash, especially with a fever or itching)
• I have diarrhea
• I have an eye infection (thick mucus or pus draining from the eye)
• I have a sore throat (with a fever or swollen glands)
• I'm just not feeling very good (unusually tired, pale, lack of appetite, confused or cranky)
• I have a fever (temperature of 100° (F) or more)

Health concerns which should keep a child home from school:

• Children too ill to participate in normal school activities should not be at school. Not only are they unable to benefit from education when ill, they also may infect other children and staff.
• A child with a temperature greater than 99.9 should stay home until the temperature has been normal for 24 hours without the use of fever reducing medications such as Tylenol or Motrin.
• If a child does not appear ill, but has a temperature above 99.9, the temperature should be checked again after the child has rested quietly for 20 minutes in a room with a comfortable temperature.
• A child who has vomited or is unable to tolerate normal food and drink should stay home until the vomiting has stopped for at least 24 hours.
• A child with diarrhea should stay home until the diarrhea has stopped for at least 24 hours. A child with persistent diarrhea should be seen by a doctor.
• A child with a known or suspected communicable disease should stay home until a doctor approves his return to school, (in writing) or the symptoms are no longer present. When a child is diagnosed with such a disease, the school health office should be alerted.
• A child with a rash of unknown cause should stay home until seen and released by a doctor as being not contagious, or until the rash is gone.
• A child who has undergone a medical procedure requiring general anesthesia should stay home for at least 24 hours following anesthesia.
• A child with upper respiratory infection (symptoms: persistent nasal discharge that is discolored, elevated temperature, productive excessive cough) should stay home until symptoms are improved at least 24 hours, or school attendance is approved in writing by a physician.
• A child without fever, but with a mild cough, runny nose, and nasal congestion may be at school with the approval of the health technician or school nurse.
• A child who has been receiving antibiotic medication for at least 24 hours, and is without fever and other otherwise well, may be at school.

Students who have special health care needs, substantiated by a doctor’s diagnosis and orders, which affect their daily functioning may receive an Individual School Health Plan (ISHP). The role of the credentialed school nurse is to assess the health needs of children and to collaborate with staff, families and health care providers to develop a plan to accommodate health conditions in the school setting.

If your child has a condition that impacts him or her at school for which they require unique precautions, regular or occasional assistance, specific emergency response, or other accommodations in order for him/her to be safe and learn at school, please contact your credentialed school nurse or your child’s school health technician.