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(continued)
(2) The test environment shall be considered adequate if the noise levels do not cause a threshold shift greater than 10 decibels at those frequencies which must be included in a pure tone conduction threshold test. This procedure may be performed on the audiometris.
(c) Testing procedures.
(1) Each pupil shall be given a hearing screening test in kindergarten or first grade and in second, fifth, eighth, tenth or eleventh grade and first entry into the California public school system.
(A) A school district may request a waiver of the hearing screening test for tenth and/or eleventh grade pupils once each school year. The request for a waiver must be in writing and addressed to the State Department of Health Services, Hearing Conservation Specialist. The waiver request must include the dates of the school year for which the waiver is requested and an alternative testing plan that will insure that each pupil at risk of hearing loss will receive testing services. Pupils at risk of hearing loss are: those exposed to loud noises, including loud music; pupils that have been referred for testing by a parent or teacher; repeat tests for those pupils for whom there was a previously documented problem, pupils who have not had a hearing test for three years; and any pupil who has enrolled for the first time in the school district. An approved waiver of the hearing screening test does not exempt a school district from reporting requirements contained in Section 2951, (e).
(B) Each pupil enrolled in a special education program (as described in Section 56001 of the Education Code), other than those pupils enrolled for a hearing problem, shall be given a hearing test when enrolled in the program and every third year thereafter. Hearing tests may be given more frequently as needed, based on the individual education program team's evaluation of each individual pupil.
(2) Pure tone audiometric screening tests shall be conducted at a level not to exceed 25 decibels and shall include the frequencies 1000, 2000 and 4000 Hertz. A pupil's failure to respond to any of the required frequencies constitutes a failure of the screening test. Individual tests may be used for pupils of all ages. Group tests may only be used for pupils who demonstrate reliable results.
(3) Pure tone air conduction threshold tests shall include the frequencies 500, 1000, 2000 and 4000 Hertz and shall be given to:
(A) All pupils who fail the screening tests;
(B) All pupils who are to be considered for further audiological or otological evaluation.
(d) Referral. The schools shall provide the parents or guardians of children who fail the hearing tests with a written notification of the test results and recommend that a medical and audiological evaluation be obtained whenever the test demonstrates:
(1) A hearing level of 30 decibels or greater for two or more frequencies in an ear at 500, 1000, 2000 or 4000 Hertz, or a hearing level of 40 decibels or greater for one of the frequencies tested, 500 through 4000 Hertz, on two threshold tests completed at an interval of at least two weeks; or
(2) There is evidence of pathology, such as an infection of the outer ear, chronic drainage, or a chronic earache.
(e) Reporting results.
(1) Dates and results of all screening hearing testing shall be recorded on each pupil's health record. Copies of all threshold tests shall be filed with the pupil's health records.
(2) Each school shall prepare an annual report of the school hearing testing program using Annual Report of Hearing Testing forms, PM 100, provided by the State Department of Health Services with copies to the district superintendent and the county superintendent of schools.
Note: Authority cited: Section 208, Health and Safety Code. Reference: Sections 1685 and 1686, Health and Safety Code; and Sections 44879 and 56001, Education Code.
s 3000.2. Botulism Immune Globulin.
"Botulism Immune Globulin" or "BIG" means the pharmaceutical product which consists of human-derived or human-gene-derived immunoglobulin (antibody) molecules or active fragments thereof and appropriate stabilizing agents that possesses the ability to neutralize botulinum or botulinum-like toxins.
Note: Authority cited: Section 123707(c), Health and Safety Code. Reference: Sections 123700-123709, Health and Safety Code.
s 3000.4. Infant Botulism Treatment and Prevention Program.
"Infant Botulism Treatment and Prevention Program" or "IBTPP" means the unit of the California Department of Health Services mandated by Health & Safety Code Section 123702.
Note: Authority cited: Section 123707(c), Health and Safety Code. Reference: Sections 123700-123709, Health and Safety Code.
s 3010. Distribution of Botulism Immune Globulin.
Only patients admitted to and treated in hospitals located in the United States, its territories and possessions, and the federal Centers for Disease Control and Prevention (CDC) shall be eligible recipients for the distribution of BIG.
Note: Authority cited: Section 123707(c), Health and Safety Code. Reference: Sections 123702, 123704(b), (c), (g) and 123705, Health and Safety Code.
s 3020. Reporting Requirements for Hospitals.
Within one week of discharge, the patient's hospital shall provide to the IBTPP the following information on the patient treated with BIG:
(a) Admission and discharge summaries, and
(b) A listing of hospital charges, costs, and reimbursements for the patient's hospital stay.
Note: Authority cited: Section 123707(c), Health and Safety Code. Reference: Sections 123704(b), (c), (e), (f) and 123705, Health and Safety Code.
s 3030. Fee.
The per patient fee for Botulism Immune Globulin shall be $45,300.
Note: Authority cited: Section 123707(d), Health and Safety Code. Reference: Sections 123702 and 123705, Health and Safety Code.
s 4500. Public Health Nurse Certificate.
Note: Authority cited: Sections 208, 600, 602, 1111 and 1130, Health and Safety Code. Reference: Sections 600, 602, 604, 605, 1111 and 1130, Health and Safety Code.
s 4501. Qualifications and Requirements.
Note: Authority cited: Sections 208, 600, 602, 1111 and 1130, Health and Safety Code. Reference: Sections 600, 602, 604, 605, 1111 and 1130, Health and Safety Code.
s 4502. Application for Public Health Nurse Certificate.
Note: Authority cited: Section 208, Health and Safety Code. Reference: Section 604, Health and Safety Code; and Section 2015.5, Code of Civil Procedure.
s 4503. Issuance of Application.
Note: Authority cited: Section 15376, Government Code. Reference: Section 15376, Government Code; and Section 1013(a), Code of Civil Procedure.
s 4504. Appeal Process.
Note: Authority cited: Section 15378, Government Code. Reference: Section 15376 and 15378, Government Code.
<<(Subchapter Originally Printed 8-15-45)>>
Note: Authority cited for Subchapter 6: Sections 102 and 208, Health and Safety Code. Reference: Sections 3279, 3294, 3298 and 3299, Health and Safety Code.
Cross Reference: Sections 2636 (a) to (m), Title 17, Subchapter 1.7, Reportable
diseases and Conditions.
s 5151. Sexually Transmitted Diseases in Minors.
(a) A minor 12 years of age or older may give consent to the furnishing of hospital, medical and surgical care related to the diagnosis and/or treatment of any of the following non-reportable sexually transmissible diseases:
(1) Candida genitalis.
(2) Chlamydia trachomatous.
(3) Condyloma acuminata.
(4) Hemophilus vaginalis (Gardnerella vaginale).
(5) Cytomegalovirus infection.
(6) Herpes genitalis.
(7) Molluscum contagiosum.
(8) Non-gonococcal urethritis, vaginitis and cervicitis.
(9) Pediculosis (Phthirus pubis).
(10) Scabies (Sarcoptes scabiei).
(11) Trichomoniasis.
Note: Authority cited: Section 208 (a), Health and Safety Code; and Section 34.7, Civil Code. Reference: Section 34.7, Civil Code.
s 6000. Admission.
"Admission" means a pupil's first entry in a given public or private elementary or secondary school, child care center, day nursery, nursery school, family day care home, or development center. "Admission" also denotes a pupil's re-entry to one of these institutions after withdrawing from a previous enrollment.
(a) "Unconditional admission" is admission based upon documentation of receipt of all required immunizations or upon documentation of a permanent medical exemption or of a personal beliefs exemption to immunization in accordance with Section 6051.
(b) "Conditional admission" is admission based upon either documentation of having received some but not all required immunizations and of not being due for any vaccine dose at the time of entry or upon documentation of a temporary medical exemption to immunization in accordance with Section 6050. Continued attendance after conditional admission is contingent upon receipt of the remaining required immunizations in accordance with Sections 6020 and 6035.
Note: Authority cited: Sections 3381(c) (120335(c)), 100275 and 120330, Health and Safety Code. Reference: Sections 3381 (120335), 120340, 120365, 120370 and 120375, Health and Safety Code.
s 6010. Immunizing Agent.
Note: Authority cited: Sections 208 and 3390, Health and Safety Code. Reference: Section 3381, Health and Safety Code.
s 6015. Pupil.
"Pupil" means a person under age 18 years admitted to or seeking admission to any private or public elementary or secondary school, child care center, day nursery, nursery school, family day care home, or development center.
Note: Authority cited: Sections 3381(c) (120335(c)), 100275 and 120330, Health and Safety Code. Reference: Sections 3381 (120335) and 120360, Health and Safety Code.
s 6020. Required Immunizations.
(a) The required immunizations for admission to and attendance at a public or private elementary or secondary school, child care center, day nursery, nursery school, family day care home, or developmental center shall be those set forth, according to age, in Table 1.
(b) In Table 1 of Section 6020 and in Table 2 of Section 6035, DTP (or DPT) means diphtheria and tetanus toxoids and pertussis vaccine, including DTaP vaccine. DT (or TD) and Td (or dT) means diphtheria and tetanus toxoids.
(c) For pupils who have reached their seventh birthday, a history of any preparations containing both diphtheria and tetanus toxoids (DTP, DT, Td, etc.) shall be acceptable as meeting the requirement for tetanus and diphtheria toxoids that is set forth in Table 1.
(d) Pupils who have reached their seventh birthday shall be exempt from the pertussis and mumps immunization requirements.
(e) Combination vaccines that include measles, mumps, and rubella components shall be acceptable as meeting the requirements for these vaccines that are set forth in Table 1.
(f) For pupils entering or advancing to the seventh grade, immunization requirements are set forth in Table 1.
(g) Pupils already admitted to California public and private schools at the Kindergarten level or above before July 1, 2001 are exempt from the Varicella (chickenpox) requirement as set forth in Table 1.
Table 1: Immunization Requirements
[Note: The following TABLE/FORM is too wide to be displayed on one screen.
You must print it for a meaningful review of its contents. The table has been
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assemble a printout of the table. The information for each piece includes: (1)
a three line message preceding the tabular data showing by line # and
character # the position of the upper left-hand corner of the piece and the
position of the piece within the entire table; and (2) a numeric scale
following the tabular data displaying the character positions.]
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Institution Age Vaccine
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Total Doses
Received
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_______________________________________________________________________________
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Child care Less than 2 months None
center, day
nursery,
nursery
school,
family day
care home,
development
center
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_______________________________________________________________________________
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Same as above 2-3 months 1.
2.
3.
4.
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Polio [FN1]......................%W4B 1 dose
DTP..............................%W4B 1 dose
Hib..............................%W4B 1 dose
Hepatitis B......................%W4B 1 dose
46.......+...60....+...70....+...80....+...90....+....0....+...10....+.
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Same as above 4-5 months
2. DTP, or combination of
DTP and
diphtheria-tetanus
Same as above 6-14 months
2. DTP, or combination of
DTP and
diphtheria-tetanus
toxoids..................
3. Hib...................
4. Hepatitis B...........
Same as above 15-17 months
2. DTP, or combination of
DTP and
diphtheria-tetanus
toxoids..................
3. Measles, rubella, and
mumps..................
4. Hib...................
5. Hepatitis B...........
Same as above 18 months-5 years
2. DTP, or combination of
DTP and
diphtheria-tetanus
toxoids..................
3. Measles, rubella, and
mumps..................
4. Hib [FN3].............
5. Hepatitis B [FN2].....
6. Varicella.............
Elementary 4-6 years
school at
kindergarten
level and
above
2. DTP, or combination of
DTP and
diphtheria-tetanus
toxoids..................
3. Measles, rubella, and
mumps..................
4. Hepatitis B [FN2].....
5. Varicella.............
Elementary 7-17 years
school,
secondary
school
2. Diphtheria and tetanus
toxoids, given as DTP,
DT, or Td (pertussis not
required)..............
3. Measles and rubella
(mumps not
required)..............
4. Varicella [FN5].......
1...+...10....+...20....+...30....+...40..
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1. Polio [FN1]......................%W4B 2 doses
toxoids.............................%W4B 2 doses
3. Hib.................................. 2 doses
......................................
4. Hepatitis B......................%W4B 2 doses
1. Polio [FN1]......................%W4B 2 doses
........................................ 3 doses
........................................ 2 doses
........................................ 2 doses
1. Polio [FN1].......
........................................ 3 doses
........................................ 3 doses
........................................ 1 dose of each separately
or combined on or
after the
1st birthday
........................................ 1 dose on or after the
1st birthday
........................................ 2 doses
1. Polio [FN1].......
........................................ 3 doses
........................................ 4 doses
........................................ 1 dose of each separately
or combined on or
after the
1st birthday
........................................ 1 dose on or after the
1st birthday
........................................ 3 doses
........................................ 1 dose
1. Polio [FN1].......
........................................ 4 doses, except that a total of
3 doses is
acceptable if
at
least one dose
was given on
or after the 4th
birthday
........................................ 5 doses, except that a total of
4 doses is
acceptable if
at
least one dose
was given on
or after the 4th
birthday.
........................................ 1 dose of each, separately
or combined, on
or after the
1st birthday.
Pupils entering
a kindergarten
(or first grade
if kindergarten
skipped) are
required to have
2 doses of
measles-containi-
ng
vaccine, both
given on or
after the first
birthday
........................................ 3 doses
........................................ 1 dose
1. Polio [FN1].......
........................................ 4 doses, except that a total of
3 doses is
acceptable if
at
least one dose
was given on
or after the 2nd
birthday
At least 3 doses. One Td dose is
more required if the
last dose was
given before
the 2nd birthday.
(See below
for additional
recommendations
for 7th
grade enrollment,
effective
7/1/99.)
1 dose of each, or combined, on
separately or after the
1st birthday.
(See below for
additional
requirements
for
7th grade
enrollment,
effective
7/1/99.)
........................................ 1 dose aged 7 through 12
years for
students not
admitted to
California
schools before
July 1, 2001.
2 doses for
students aged
13
through 17 years
not
admitted to
California
schools before
July 1, 2001.
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Seventh Grade Any
[FN4]
2. Measles...............
------------------------
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1. Hepatitis B.......
........................................ 3 doses
........................................ 2 doses of measles
-containing
vaccine, both
given on or after
the first
birthday.
---------------------
--
Recommended but not One Td dose is
required:
Tetanus-diphtheria,
more have elapsed
since the
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[FN1]Oral polio vaccine (OPV) or inactivated polio vaccine (IPV) or any
combination of these vaccines is acceptable.
[FN2] Applies only to children entering at kindergarten level (or at first
grade level if kindergarten skipped) or below on or after August 1, 1997.
[FN3] Required only for children who have not reached the age of 4 years 6
months.
[FN4] Applies only to children (of any age) entering or advancing to the
seventh grade on or after July 1, 1999.
[FN5] Children admitted to California schools at the Kindergarten level or
above before July 1, 2001 are exempt from this requirement.
1...+...10....+...20....+...30....+...40....+...50....+...60....+...70....+....
Note: Authority cited: Sections 100275, 120330 and 120335, Health and Safety Code. Reference: Sections 120325, 120335, 120370 and 120375, Health and Safety Code.
s 6025. Unconditional Admission.
Any pupil age 18 months or older who has received all the immunizations against poliomyelitis, diphtheria, tetanus, pertussis, measles (rubeola), rubella, Haemophilus influenzae type B, mumps, hepatitis B and varicella (chickenpox) required for his or her age, as defined in Table 1, Section 6020, or who has documented a permanent medical exemption or a personal beliefs exemption to immunization in accordance with Section 6051, shall be admitted unconditionally as a pupil to a given public or private elementary or secondary school, child care center, day nursery, nursery school, family day care home, or development center. However, for some pupils admitted unconditionally to a child care center, day nursery, nursery school, family day care home, or development center, an additional dose of DTP and/or polio vaccine will be required for admission to school at kindergarten level and above, as indicated in Table 1, Section 6020.
Note: Authority cited: Sections 100275, 120330 and 120335, Health and Safety Code. Reference: Sections 120325, 120335, 120370 and 120375, Health and Safety Code.
s 6030. Conditional Admission to Prekindergarten Level.
Note: Authority cited: Sections 208 and 3390, Health and Safety Code. Reference: Section 3381, Health and Safety Code.
s 6035. Conditional Admission.
(a) Any pupil seeking admission to a given public or private elementary or secondary school, child care center, day nursery, nursery school, family day care home, or development center who lacks documentation of having received all the required vaccine doses against poliomyelitis, diphtheria, tetanus, pertussis, measles, rubella, Haemophilus influenzae type B, mumps, hepatitis B and varicella (chickenpox) as specified in Table 1, Section 6020, and has not obtained a permanent medical exemption or a personal beliefs exemption to immunization in accordance with Section 6051, may be admitted conditionally if:
(1) he or she has not received all the immunizations required for his or her age group but has commenced receiving doses of all the vaccines in accordance with Table 2, is not currently due for any doses at the time of admission (if he or she is due for any doses at this time they must be obtained before admission), and the pupil's parent or guardian is notified of the date by which the pupil must complete all the required immunizations in accordance with Table 2; or
(2) he or she is under age 18 months and has received all the immunizations required for his or her age group but will require additional vaccine doses at an older age, and the pupil's parent or guardian is notified of the date by which the pupil must complete all the remaining doses when they become due in accordance with Table 1, Section 6020; or
(3) he or she has obtained a temporary medical exemption from immunization in accordance with Section 6050, and the pupil's parent or guardian is notified of the date by which the pupil must complete all the required immunizations when the temporary exemption terminates; or
(4) he or she is a pupil entering a child care center governed by Education Code Section 8263(c), where a different deadline for obtaining all required immunizations may apply.
(b) The public or private elementary or secondary school, child care center, day nursery, nursery school, family day care home, or development center shall not allow the admission of any pupil seeking entry who does not meet the requirements for admission under Section 6025 or 6035. The principal or administrator shall advise the pupil, or the parent or guardian, to contact a physician or agency that provides immunizations.
Table 2: Conditional Admission Immunization Schedule
_______________________________________________________________________________
Vaccine Dose Time Intervals
_______________________________________________________________________________
Polio [FN1] 1st dose...... Before admission
2nd dose...... As early as 6 weeks but no
later than 10 weeks after the
1st
dose. Before admission if 10 or
more weeks have elapsed
since the 1st dose at the time
of admission.
3rd dose...... As early as 6 weeks but no
later than 12 months after
the
2nd dose. Before admission if
12 or more months have
elapsed since the 2nd dose at
the time of admission.
4th dose
(Required
only for
entry to
kindergarten
level
or above)..... Age 4-6 years: If the 3rd dose
was given before the 4th
birthday one more dose is
required before admission.
Age 7-17 years: If the 3rd dose
was given before the
2nd birthday, one more dose is
required before admission.
_______________________________________________________________________________
Diphtheria, Tetanus, and 1st dose...... Before admission.
Pertussis
2nd dose...... As early as 4 weeks but no
later than 8 weeks after the
FOR PUPILS UNDER AGE 7 YEARS: 1st dose. Before admission if 8
or more weeks have
elapsed since the 1st dose at
the time of admission.
3rd dose...... As early as 4 weeks but no
later than 8 weeks after the
Diphtheria-tetanus-pertussis 2nd dose. Before admission if 8
(DTP) or combination or more weeks have
of DTP and diphtheria-tetanus elapsed since the 2nd dose at
toxoids the time of admission.
4th dose...... As early as 6 months but no
later than 12 monthsafter
the 3rd dose. Before admission
if 12 or more months
have elapsed since the 3rd dose
at the time of admission.
5th dose
(Required
only for
pupils ages
4-6 years
for entry to
kindergarten
level and If the 4th dose was given
above)...... before the 4th birthday, one
OR more dose is required before
admission.
FOR PUPILS AGE 7 YEARS AND 1st dose...... Before admission.
OLDER:
2nd dose...................... As early as 4
weeks but no
later than 8
weeks after
the
1st dose.
Before
admission if
8 or more
weeks have
Diphtheria-tetanus elapsed since the 1st dose at
the time of admission.
(Pertussis not required) 3rd dose...... As early as 6 months but no
later than 12 months after
the
2nd dose. Before admission if
12 or more months have
elapsed since the 2nd dose at
the time of admission.
4th dose...... If the 3rd dose was given
before the 2nd birthday, one
more dose is required before
admission.
B@@ -------------- -------------------------------
-- ---------------
Recommended Before entry, 1 Td dose is
but not recommended if 5 years or
required more
for 7th grade have elapsed since the last
entry [FN2]: dose of DTP, DT, Td or
Booster Tetanus.
dose of Td.
_______________________________________________________________________________
Measles One dose Before admission. If the pupil
only........ is under age 15 months, this
dose is required when age 15
months is reached.
Note: For children entering 1st dose...... Before admission.
kindergarten (or first grade
if kindergarten is skipped) on 2nd dose...... As early as 1 month but no
or after August 1, 1997, later than 3 months after
two doses are required. For the 1st dose.
children entering 7th grade
on or after July 1, 1999, the
series shall be in process
or completed.
_______________________________________________________________________________
Rubella One dose Before admission. If the pupil
only........ is under age 15 months, this
dose is required when age 15
months is reached.
_______________________________________________________________________________
Mumps (Not required for pupils One dose Before admission. If the pupil
age 7 years and older) only........ is under age 15 months, this
dose is required when age 15
months is reached.
_______________________________________________________________________________
Hib
Children 2-14 months old Two doses..... 1st dose before admission. 2nd
dose as early as 2 months
but no later than 3 months
after the 1st dose.
Children 15 months-4 1/2 years One dose...... Before admission.
old
_______________________________________________________________________________
Hepatitis B -For children 1st dose...... Before admission.
entering at
kindergarten level (or first 2nd dose...... As early as 1 month but no
grade if kindergarten later than 2 months after the
skipped) first
or below on or after August 1, dose.
1997. For children entering
7th
grade on or after July 1, 3rd dose...... Infants and children under age
1999, the series shall be in 18 months: As early as 2
process
or completed. months but no later than 12
months after the 2nd dose.
Also, no earlier than 4 months
after the 1st dose.
Children age 18 months and
older: As early as 2 months
but
no later than 6 months after
the 2nd dose. Also, no
earlier
than 4 months after the 1st
dose.
_______________________________________________________________________________
Varicella [FN3] - For children 1st dose...... Before admission
aged 13 through 17 years
not admitted to California 2nd dose...... As early as 4 weeks but no
schools before July 1, 2001. longer than 3 months after
first
dose
_______________________________________________________________________________
[FN1] Oral polio vaccine (OPV) or inactivated polio vaccine (IPV) or any
combination of these vaccines is acceptable.
[FN2] Applies only to children (of any age) entering or advancing to the 7th
grade on or after July 1, 1999.
[FN3] Children admitted to California schools at the Kindergarten level or
above before July 1, 2001 are exempt from this requirement.
Note: Authority cited: Sections 100275, 120330 and 120335, Health and Safety Code. Reference: Sections 120325, 120335, 120370 and 120375, Health and Safety Code.
s 6040. Requirements for Continued Attendance.
An already admitted pupil who is subsequently discovered not to have received all the immunizations which were required before admission or who is subsequently discovered not to have complied with the requirements for conditional admission specified in Section 6035 shall continue in attendance only if he or she receives all vaccine doses for which he or she is currently due and provides documentation of having received such doses no later than 10 school days after he or she or the parent or guardian is notified. The school, child care center, day nursery, nursery school, family day care home, or development center shall notify the pupil or the parent or guardian of the time period (no longer than 10 school days) within which the doses must be received.
Note: Authority cited: Sections 3381(c) (120335(c)), 100275 and 120330, Health and Safety Code. Reference: Sections 3381 (120335), 120340 and 120375 (a) and (b), Health and Safety Code.
s 6045. Special Immunization Schedules.
(a) Immunization schedules not conforming to those specified in Sections 6020 and 6035 may be approved by the State Department of Health Services when substantial medical or other conditions warrant, such as during an outbreak or epidemic of a particular disease.
Note: Authority cited: Sections 208 and 3390, Health and Safety Code. Reference: Section 3381, Health and Safety Code.
s 6050. Conditional Admission with Temporary Medical Exemption.
A pupil who is temporarily exempt from immunization for medical reasons shall be admitted on condition that required immunizations are obtained at the termination of the exemption; the fact of the temporary medical exemption shall be recorded on the California School Immunization Record, PM 286 (1/02) as provided in Section 6070. A pupil with a temporary medical exemption may be subject to exclusion pursuant to Section 6060.
Note: Authority cited: Sections 100275, 120330 and 120335, Health and Safety Code. Reference: Sections 120325, 120335, 120365, 120370 and 102375, Health and Safety Code.
s 6051. Unconditional Admission with Permanent Medical Exemption or Personal Beliefs Exemption.
A pupil with a permanent medical exemption or a personal beliefs exemption to immunization shall be admitted unconditionally. A permanent medical exemption shall be granted upon the filing with the governing authority of a written statement from a licensed physician to the effect that the physical condition of the pupil or medical circumstances relating to the pupil are such that immunization is permanently not indicated. The fact of the permanent medical exemption shall be recorded on the California School Immunization Record, PM 286 (1/02) as provided in Section 6070. A permanent medical exemption may be provided for one or more vaccines. A physician may provide a written statement that the pupil is medically exempt from the measles (rubeola) and/or varicella (chickenpox) requirements as a result of having had measles (rubeola) and/or varicella (chickenpox) disease, respectively. A physician may provide a written statement that the pupil is medically exempt from the rubella and/or mumps requirement as a result of having had laboratory confirmed illness with the corresponding disease. A personal beliefs exemption shall be granted upon the filing with the governing authority of a letter or affidavit from the pupil's parent or guardian or adult who has assumed responsibility for his or her care and custody in the case of a minor, or the person seeking admission if an emancipated minor, that such immunization is contrary to his or her beliefs. The fact of the personal beliefs exemption shall be recorded on the California School Immunization Record, PM 286 (1/02). A pupil with an exemption which is not based on pre-existing immunity to disease may be subject to exclusion pursuant to Section 6060.
Note: Authority cited: Sections 100275, 120330 and 120335, Health and Safety Code. Reference: Sections 120325, 120335, 120365, 120370 and 120375, Health and Safety Code.
s 6055. Conditions for Admission Not Fulfilled.
The governing authority of the school, child care center, day nursery, nursery school, family day care home, or development center shall exclude from further attendance any pupil who fails to obtain the required immunizations within no more than 10 school days following receipt of the notice provided pursuant to Section 6040, unless the pupil is exempt for medical reasons or personal beliefs, until the pupil provides written evidence that he or she has received another dose of each required vaccine due at that time. Any pupil so excluded shall be reported to the attendance supervisor or to the building administrator.
Note: Authority cited: Sections 3381(c) (120335(c)), 100275 and 120330, Health and Safety Code. Reference: Sections 3381 (120335), 120340, 120365, 120370 and 120375, Health and Safety Code.
s 6060. Pupil Not Completely Immunized and Exposed to Communicable Disease.
Whenever the governing authority has good cause to believe that a pupil who is not completely immunized against a particular communicable disease may have been exposed to that disease, that information shall be reported by the governing authority immediately by telephone to the local health officer. The local health officer shall determine whether the pupil is at risk of developing the disease and, if so, may require the exclusion of the pupil from that school, child care center, day nursery, nursery school, family day care home, or development center until the completion of the incubation period and the period of communicability of the disease.
Note: Authority cited: Sections 3381(c) (120335(c)), 100275 and 120330, Health and Safety Code. Reference: Sections 3381 (120335) and 120375(c), Health and Safety Code.
s 6065. Documentary Proof.
(a) There shall be a written record given to the person immunized or to his or her parent or guardian, by the physician or agency performing the immunization which shall contain the following information:
(1) Name of the person.
(2) Birthdate.
(3) Type of vaccine administered.
(4) Month, day, and year of each immunization.
(5) Name of the physician or agency administering the vaccine.
(b) The written record shall be shown by the parent, guardian or person immunized to the governing authority of the school, child care center, day nursery, nursery school, family day care home, or development center at the time of the pupil's admission and at subsequent times when required by the governing authority to determine the pupil's immunization status. For the pupil to be admitted, the written record shall show at least the month and year of each required vaccine dose. For doses of measles, rubella and mumps vaccine given during the month of the first birthday the record shall also show the specific date (i.e., month, day and year) of immunization.
(c) When such written records are not available, the pupil shall not be admitted and the parent or guardian shall be referred to a physician or nurse for review of his or her immunization history and provision of immunizations as needed.
(d) Pupils who were admitted to a California school at kindergarten level or above before March 5, 1986 on the basis of a parent or guardian's having completed and signed a California School Immunization Record PM 286 (1/02) as provided by Section 6070 that shows at least the month and year each required vaccine dose was received (and also shows the day of immunization if a measles, rubella, and/or mumps vaccine dose was received during the month of the first birthday), rather than on the basis of a parent or guardian's having provided a written record, as described in Parts (a) and (b) of this Section, shall be allowed to continue in attendance in California schools.
Note: Authority cited: Sections 100275, 120330 and 120335, Health and Safety Code. Reference: Sections 120325, 120335, 120370 and 120375, Health and Safety Code.
s 6070. School/Child Care Facility Immunization Record.
(a) The governing authority of each school, child care center, day nursery, nursery school, family day care home, or development center shall record each pupil's immunizations on the California School Immunization Record, PM 286 (1/02) and is in its entirety, incorporated by reference which, at kindergarten level and above, shall be part of the mandatory permanent pupil record as defined in Section 430 of Title 5, California Code of Regulations.
(b) Each pupil's immunization record shall contain:(1) Name of pupil. (continued)