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State of CaliforniaHealth and Human Services AgencyCalifornia Department of Public HealthANNUAL IMMUNIZATION REPORT ON CHILDREN ENROLLED IN CHILD CARE CENTERS Please Type or PrintType of FacilityCountyPhone
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How to fill out immunizations in child care

How to fill out immunizations in child care
01
Gather necessary immunization records for the child.
02
Check the required vaccinations based on the child's age and local regulations.
03
Fill out the immunization form with the child’s details: name, date of birth, and parent/guardian information.
04
List each immunization received, including the date of administration and the type of vaccine.
05
Sign and date the form to verify its accuracy.
06
Submit the completed immunization form to the child care facility.
Who needs immunizations in child care?
01
All children enrolled in child care programs typically need immunizations.
02
Children who are starting school (preschool, kindergarten) often require proof of immunizations.
03
Children attending daycare or group care settings are usually required to be immunized.
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What is immunizations in child care?
Immunizations in child care refer to the vaccinations required to protect children from various infectious diseases before they can enroll in and attend child care facilities.
Who is required to file immunizations in child care?
Parents or guardians of children enrolled in child care facilities are typically required to file immunization records to ensure compliance with health and safety regulations.
How to fill out immunizations in child care?
To fill out immunizations in child care, parents or guardians must provide detailed vaccination history for their child, usually via an official form or documentation from a healthcare provider, including dates of each vaccine received.
What is the purpose of immunizations in child care?
The purpose of immunizations in child care is to ensure the health and safety of children by preventing the spread of communicable diseases within the child care environment.
What information must be reported on immunizations in child care?
The information that must be reported includes the child's name, date of birth, dates of vaccinations received, and any exemptions or medical contraindications.
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