Immunization Information for Schools and Child Care
When groups of children come together the opportunity for disease to spread is increased. School and childcare staff play an important role in assuring safe and healthy futures for California youth by ensuring that all children in attendance are fully immunized.
Under the California School Immunization Law (California Health and Safety Code, Sections 120325-120375), children are required to receive certain immunizations in order to attend public and private elementary and secondary schools, child care centers, family day care homes, nursery schools, day nurseries and developmental centers.
The California School Immunization Law also requires schools, child care centers, and family child care homes to enforce immunization requirements, maintain immunization records of all children enrolled, and submit reports to the local health department.
Regulations for California school immunization requirements are in Title 17 Division 1, Chapter 4, Subchapter 8.
Immunization Requirements for School (K-12)
Information for School Staff
The Shots for School website has information about the immunizations required for school entry in California and includes several tools to assist schools with the education, implementation, and administration of immunization requirements. On this website, school staff can find answers to questions that they may have regarding immunizations and reporting requirements.
Training Video for California K-12 School Staff
The Communicable Disease Prevention Unit and Immunization Program of the San Francisco Department of Public Health recently developed a training video designed to teach CA K-12 school staff how to correctly complete the California School Immunization Record (CSIR) form, also known as the Blue Card. More details about the training are listed below.
The Guide to San Francisco School Immunizations- Documentation and Reporting for Grades K-12 is a 30 minute training video designed to teach CA K-12 school staff how to correctly complete the California School Immunization Record (CSIR) blue card (PM286B) (1/14). The training covers the following topics:
- How to correctly complete the California School Immunization Record
- Tips on how to create a management system for conditional entrants
- What to do with records for students who have personal belief or medical exemptions to some or all vaccines
- Provides access to many resources, including the Shots for School website
The training can be viewed by clicking here. If the training moves too quickly, please use the pause button located on the left side of the screen to take breaks as you need them. It may also be downloaded as a PDF document.
Information for Parents with Children in Grades K-12
To enter into public and private elementary and secondary schools, children under age 18 years must have immunizations. For information about the required number of doses and ages that vaccines must be given, review the Guide to Immunizations Required for School Entry. Parents can visit the Shots for School website for information in English and Spanish.
To find out the immunization levels at your child's school, click here.
Immunization Requirements for Child Care
Information for Child Care Staff
To attend child care in California, children must have immunizations outlined below by age:
Immunizations (shots) Needed Before Starting Child Care/Preschool
|Age When Entering||Immunizations (shots) Required|
||1 each of Polio, DTaP, Hib, Hep B
||2 each of Polio, DTaP, Hib, Hep B
3 each of DTaP
2 each of Polio, Hib, Hep B
3 each of Polio, DTaP
2 Hep B
|18 Months-5 Years
3 Hep B
It is the responsibility of child care staff to do the following for each student before they begin attending the child care:
- Parents must present their child’s Immunization Record as proof of immunization.
- Child care staff should copy the full date of each shot onto the Blue California School immunization Record Card and then determine if the child is up-to-date.
- As the child care provider, it is your responsibility to follow up regularly until all shots have been completed and the child is up-to-date
Please visit the Child Care Providers section of the Shotsfor School website for additional information and answers to frequently asked questions.
Information for Parents with Children Entering or Currently Attending a Child Care Facility
To enroll in a child care facility, children need certain vaccines. The document California Immunization Requirements for Child Care lists the shots required to attend child care, by age. Parents can visit the Shots for School website for additional information.
To find out the immunization levels at your son or daughter's child care facility, click here.
Order free blue cards and other immunization materials here.
San Francisco Immunization Programs for Children
Tuberculosis Screening Requirements for San Francisco Schools
Guidelines for tuberculosis screening requirements in California are determined by each County. The San Francisco Department of Public Health strongly recommends a medical provider's risk assessment for TB infection, as the universal screening requirement for school entry. For more information, review the San Francisco Policy for Tuberculosis Screening Requirement at Preschool and K-12 School Entry.