(a) The governing authority of each school or pre-kindergarten facility shall file annual immunization status reports with the Department, as specified in this section. Procedures and instructions for completing and filing the reports are posted on the Department website at www.cdph.ca.gov, or are available from the California Department of Public Health, Immunization Branch, 850 Marina Bay Parkway, Building P, 2nd floor, Richmond, CA, 94804.(b) All immunization reports shall contain the following information: (1) Facility number (nine-digit number assigned by Department of Social Services) or County-District School (CDS) Code.(3) Facility or school name.(4) Physical address (street address, city, zip).(5) Mailing address (street address, city, zip).(7) Facility type (public, private, Head Start) or school type (public, private).(8) Staff member completing form (name, email, phone number).(9) Designated contact (name, email, phone number).(10) Date of submission (month, day, year).(c) Pre-kindergarten Facility Annual Immunization Reports must include the elements listed in subdivision (b) and the following information: (1) Number of pupils admitted for each age group:(2) If applicable, reason no pupils age 2-5 years old are admitted: (A) No pupils age 2-5 years old this year.(B) No pupils age 2-5 years old ever.(3) Status of immunization requirements for admission for each category: (A) Number of pupils with all required immunizations.(B) Number of pupils conditionally admitted including temporary medical exemptions who do not meet the requirement for: (C) Number of pupils with a personal beliefs exemption (filed before January 1, 2016).(D) Number of pupils with a personal beliefs exemption (filed before January 1, 2016) for each required vaccine.(E) Number of pupils conditionally admitted with a temporary medical exemption.(F) Number of pupils with a permanent medical exemption.(G) Number of pupils with a permanent medical exemption from each required vaccine.(H) Number of pupils with no required immunizations.(I) Number of pupils admitted that do not meet criteria (A)-(H).(d) Kindergarten Annual Immunization Reports must include the elements listed in subdivision (b) and the following information: (1) Public school district.(2) School subtype (traditional, home, online/e-learning).(3) Number of pupils admitted to kindergarten.(4) If applicable, reason no pupils are admitted to kindergarten: (A) No pupils in kindergarten this year.(B) No pupils in kindergarten ever.(5) Status of immunization requirements for admission to kindergarten for each category: (A) Number of pupils with all required immunizations.(B) Number of pupils conditionally admitted including temporary medical exemptions who do not meet the requirement for: (C) Number of pupils conditionally admitted with a temporary medical exemption.(D) Number of pupils with a permanent medical exemption.(E) Number of pupils with a permanent medical exemption from each required vaccine.(F) Number of pupils with no required immunizations.(G) Number of pupils admitted that do not meet criteria (A)-(F).(e) Seventh Grade Annual Immunization Reports must include the elements listed in subdivision (b) and the following information: (1) Public school district.(2) School subtype (traditional, home, online/e-learning).(3) Number of pupils attending seventh grade this year.(4) If applicable, reason no pupils are attending seventh grade: (A) No pupils in seventh grade this year.(B) No pupils in seventh grade ever.(5) Status of immunization requirements for attendance in seventh grade for each category: (A) Number of pupils with all required immunizations.(B) Number of pupils conditionally admitted who do not meet the requirement for: (C) Number of pupils conditionally admitted with a temporary medical exemption.(D) Number of pupils with a permanent medical exemption.(E) Number of pupils with a permanent medical exemption from each required vaccine.(F) Number of pupils with no required immunizations.(G) Number of pupils admitted that do not meet criteria (A)-(F).(f) Additional immunization status reports may be requested by the Department to prevent or control vaccine-preventable disease and may include, but not be limited to, information in subsections (b) through (e).Cal. Code Regs. Tit. 17, § 6075
Note: Authority cited: Sections 120330, 120335 and 131200, Health and Safety Code. Reference: Sections 120325, 120335, 120370, 120375, 131050, 131051 and 131052, Health and Safety Code.
1. Amendment of subsection (b)(3) filed 4-15-80 as an emergency; effective upon filing (Register 80, No. 16). A Certificate of Compliance must be transmitted to OAH within 120 days or emergency language will be repealed on 8-14-80.
2. Certificate of Compliance transmitted to OAL 7-29-80 and filed 8-20-80 (Register 80, No. 34).
3. Amendment of subsection (a), new subsections (a)(1)-(3), and amendment of subsection (b)(3) and Note filed 3-29-96; operative 4-28-96 (Register 96, No. 13).
4. Editorial correction of subsection (b)(3) (Register 97, No. 12).
5. Amendment of subsection (b)(3) and Note filed 5-22-97 as an emergency; operative 5-22-97 (Register 97, No. 21). A Certificate of Compliance must be transmitted to OAL by 9-19-97 or emergency language will be repealed by operation of law on the following day.
6. Editorial correction of Note (Register 97, No. 37).
7. Certificate of Compliance as to 5-22-97 order transmitted to OAL 9-5-97 and filed 9-26-97 (Register 97, No. 39).
8. Amendment of subsection (a)(1), new subsection (a)(2) and subsection renumbering filed 2-18-99 as an emergency; operative 2-18-99 (Register 99, No. 8). A Certificate of Compliance must be transmitted to OAL by 6-18-99 or emergency language will be repealed by operation of law on the following day.
9. Certificate of Compliance as to 2-18-99 order transmitted to OAL 5-26-99 and filed 6-30-99 (Register 99, No. 27).
10. Amendment of subsections (a)(1), (a)(3)-(4) and (b)(3) and amendment of Note filed 9-24-2002 as an emergency; operative 9-24-2002 (Register 2002, No. 39). A Certificate of Compliance must be transmitted to OAL by 1-22-2003 or emergency language will be repealed by operation of law on the following day.
11. Certificate of Compliance as to 9-24-2002 order transmitted to OAL 1-17-2003 and filed 2-27-2003 (Register 2003, No. 9).
12. New subsection (a)(5) filed 6-30-2011 as an emergency; operative 7-1-2011 (Register 2011, No. 26). A Certificate of Compliance must be transmitted to OAL by 12-28-2011 or emergency language will be repealed by operation of law on the following day.
13. New subsection (a)(5) refiled with additional amendment of subsection (a)(2) and Note 12-15-2011 as an emergency; operative 12-28-2011 (Register 2011, No. 50). A Certificate of Compliance must be transmitted to OAL by 3-27-2012 or emergency language will be repealed by operation of law on the following day.
14. Certificate of Compliance as to 12-15-2011 order transmitted to OAL 2-3-2012 and filed 3-15-2012 (Register 2012, No. 11).
15. Repealer and new section and amendment of Note filed 4-20-2018; operative 7/1/2019 pursuant to Government Code section 11343.4(b)(2) (Register 2018, No. 16).