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Student Health


New immunization requirements for 2016

Under a new law known as SB 277, beginning January 1, 2016 exemptions based on personal beliefs, including religious beliefs, will no longer be an option for the vaccines that are currently required for entry into child care or school in California.  Most families will not be affected by the new law because their children have received all required vaccinations. Personal beliefs exemptions on file for a child already attending child care or school will remain valid until the child reaches the next immunization checkpoint at kindergarten (including transitional kindergarten) or 7th grade.

For more information about SB 277, please see the Frequently Asked Questions available at: http://www.shotsforschool.org/laws/sb277faq/.

For more information about school immunization requirements and resources, please visit the California Department of Public Health’s website at www.shotsforschool.org, or contact your local health department or county office of education.

Required Immunizations & Health
Required Immunizations State law requires that all students under age 18 years, pre-kindergarten through grade 12, be immunized against certain diseases unless they are exempt for medical reasons. At the time of registration, the school is required to have proof that your child has received all currently due immunizations. Your child may be excluded from attending school if these requirements are not met. California law requires all children enrolled in state schools, both public and private, to have certain doctor-recommended immunizations, or receive them when they enroll. Immunizations required for entering Kindergarten:

  • Polio
  • Diphtheria, Tetanus, and Pertussis (DTaP)
  • Measles, Mumps, and Rubella (MMR)
  • Hepatitis B
  • Varicella (Chickenpox)

Immunization required for 7th grade:

  • Tetanus, diphtheria, and pertussis booster (Tdap)
  • Measles, Mumps, and Rubella (MMR)

Kindergarten Physical Exam

  • California’s Child Health and Disability Prevention (CHDP) program requires every child to have  a physical examination before entering school in kindergarten. Parents /guardians are required to present a report of examination or a waiver statement to the school within 91 days of entry to first grade.
  • Students who have not met this requirement by the appropriate date may be excluded from school attendance for up to five days. Parents/guardians needing assistance meeting the requirements can call 619-692-8808. You are encouraged to complete this exam at kindergarten entry to make sure your child is healthy and ready to learn.

K-1 Dental Exam (OHA)

  • An Oral Health Assessment (dental examination) by a licensed California dental health professional is required for children entering public school for the first time (at kindergarten or first grade). The Oral Health Assessment must be completed and returned to the school by May 31 of that first school year. Assessments done 12 months prior to school entry also meet this requirement. Obtain the form from the school or your dental health provider to complete.
Health Screenings

Hearing and vision screenings will be provided by state law at the following levels:

  • Hearing for all Kindergarten, second, fifth and eighth grade students
  • Vision screenings for Kindergarten, third and sixth grades
  • New students and students referred by parents or school personnel may also be screened.

Contact your child’s teacher if you wish to exclude your child from any of the screenings.

Administration of Medications

Any student who must take a prescribed medication during the school day may be assisted by a school nurse or other designated person if the school. If your child must have medication of any type given during school hours, you have the following choices:

  • You may come to school and give the medication to your child at the appropriate time(s).
  • You may obtain a copy of a medication form from the office. Take the form to your child’s health care provided and have him/her complete the form by listing the medication(s) needed, dosage, and number of times per day the medication is to be administered. Some health care providers will fax/email a directive to our office. Fax # 619-795-1180.

Prescription medicines must be brought to school in a pharmacy-labeled bottle which contains instructions on how and win the medication is to be given. Over-the-counter drugs must be received in the original container and will be administered according to the health care provider’s written instructions,

  • You may discuss with your health care provider an alternative schedule for administering medication (e.g., outside of school hours). To protect the safety of your child, we will not administer any medication to students unless they have received a medication form properly completed and signed by the prescriber, and parent and the medication has been received in an appropriately labeled container.

(Link to Form) School Medication Authorization Form

Asthma Action Plan

If your child has Asthma please bring all supplies and completed paperwork to the health office.

(Link to Form) Asthma-Action-Plan

In order for your child to have the best possible school year, it is important that we have the necessary supplies and information to provide appropriate care. If we do not have these forms and supplies on hand and your child has a serious reaction, we may need to call 911 to assure your child’s safety. Unfortunately, the cost is billed to the parent.

Your child’s supplies should include:

  • Asthma Action Plan signed by health care provider and parent. This must be updated annually.
  • Inhaler with prescription label. Please be alert to the expiration date on the medication.
  • Spacing device, if prescribed.
  • Peak flow meter, if your child’s Action Plan includes peak flow values that will help us assess your child’s breathing.

Please remember that we do not allow your child to carry his/her inhaler while at school, unless you and your child’s physician check the appropriate boxes on the Asthma Action Plan attached to this letter.

Be sure to update your child’s Health Information Exchange Consent form at the beginning of every school year and anytime there is a change to your child’s emergency contact information.

Anaphylaxis Plan (Allergies)

If your child has allergies that may require treatment at school, please submit the forms that will give us the necessary information and authorization to treat your child.
Please bring all supplies and the completed paperwork to the health office.

(Link to Form) Anaphylaxis-Emergency-Action-plan

Your child’s supplies should include:

  • Treatment Plan for Anaphylaxis/Allergy Emergency signed by health care provider and parent. It must be updated and signed by the health care provider annually.
  • Epinephrine Auto-injector (such as EpiPen®, Twinject, Auvi-Q) with prescription label on it and antihistamine (such as Benadryl), if your child’s plan calls for it. Please be alert to the expiration dates on these medications.

In order for your child to have the best possible school year, it is important that we have the necessary supplies and information to provide appropriate care. If we do not have these forms and supplies on hand and your child has a serious reaction, we may need to call 911 to assure your child’s safety. Unfortunately, the cost is billed to the parent.

Continuing Medication

The parent/guardian of a student on a continuing medication regimen for a non-episodic condition shall inform the school nurse or other designated certificated school employee of the medication being taken, the current dosage, and the name of the supervising physician.

Control of Communicable Diseases

AEA is required to cooperate with the San Diego County Department of Health and Human Services to prevent and control communicable diseases in school-age children. When there is a good reason to believe a student has a contagious or infectious disease, the parent will be contacted and the student sent home. The student may return to school when well and/or released by a physician. If there is a reason to believe a student is suffering from a recognized contagious or infectious disease, the student will be excluded from school until school officials are satisfied that the student no longer has the contagious disease.

Health Instruction

Health instruction in areas such as nutrition, dental health, disease process, safe living vision and hearing, drugs, alcohol, tobacco, community health, physical fitness, mental-emotional health, human reproductions, and sexually transmitted diseases including HIV/AIDS, is part of the school curriculum, Prior to instruction, parents have opportunities to preview materials. A student may be excused from health instruction related to human reproduction and sexually transmitted diseases on written request from parent/guardian.

When to keep sick students at home
When to keep sick students at home Students with:

  • Fever greater than 100.5
  • Cough and difficult breathing
  • Rash that is undiagnosed
  • Diarrhea
  • Vomiting
  • Ringworm
  • Impetigo
  • Cold sores
  • Communicable Diseases (chicken pox)

Students with above symptoms must be absent for at least 24 hours prior to returning to school. Guidelines for parents of sick children – from the American Academy of Pediatrics: When deciding whether to keep your sick child out of child care or school, the two most important things to think about are:

  • 1. Does the child’s illness keep him/her from comfortably taking part in activities?
  • 2. Does the sick child need more care than the staff can give without affecting the health and safety of other children?If the answer to either of these questions is yes, then the child should not go to child care or school. If he/she is sent to child care or school, then the caregiver or teacher may not let the child stay.

A third question to ask is:

  • 3. Could other children get sick from being near your child?

Most common illnesses, like a cold, are not really harmful. Other children can catch illnesses before, during, or after your child is sick. Making a sick child stay home may not really prevent other children from getting sick.

Lice Policy
LICE POLICY The problem of head lice (pediculosis) is ongoing and can be time consuming. Even though head lice are not a threat to health, they are a frustrating nuisance. Prompt treatment of student(s) with a positive diagnosis of head lice ensures minimal disruption of their educational program. The US Centers for Disease Control and Prevention does not require health providers, schools or public health departments to report lice infestations because the insects do not spread diseases. Exclusion When a student is initially identified as having live head lice, the student is to be excluded from school at the end of the school day for treatment. Treatment The American Academy of Pediatrics recommends starting with an over-the-counter product and moving to prescription-strength shampoos if the initial treatment does not work. Apply head lice treatment (over the counter or prescription) specifically made for killing head lice. Follow the directions on the label as recommended by the manufacturer. After the hair has been treated, all eggs should be combed, using a special delousing comb or hand-picked from the hair. To prevent re-infestation, it is essential to inspect the hair daily for one week. Continually strip any nits you may have missed by running your fingernails down the hair shaft. Although complete removal of nits is time consuming, it is necessary. Alternative Treatment Options Occlusive agents, essential oils, and electronic combs are among the alternative treatment for head lice, but NOT conclusively evaluated for safety and effectiveness. Occlusive agents are applied to the hair and scalp with the intent of suffocating the lice. These products have not been proven to be effective but are commonly used. Occlusive agents include mayonnaise, tub margarine, herbal oils, olive oil, melted butter, vinegar and petroleum jelly. Treatment with petroleum jelly overnight may be effective but can leave a residue in the hair that requires many washings to remove.1 Readmission After treatment at home, it’s mandatory to return to school the next day via the health office, for inspection. Parents must be notified that students who return to school with live lice will be sent home. As such, parents are advised to accompany their child to school. Upon checking the head, if live lice are found, the child returns home with parent for treatment. If child has been treated and there are no live lice, the child may return to class. We encourage the removal of nits but child can return to class if they have been treated, even though nits are still present. Recurrent Re-infestations If a child has untreated or recurrent infestations, then the nurse and parent must work together to find the likely source of re-infestation and solve that problem by:

  1. Education of parent using written materials and verbal instructions.
  2. Referral to child’s primary care doctor regarding pediculocide resistance.
  3. Mechanical (manual) removal of all nits, although time consuming, is essential. Regularly using a delousing comb can keep infestations from reoccurring.
  4. Assistance of community agencies or social service agencies, if appropriate, for assistance with infestation management.
  5. Mass screening (school-wide or whole classrooms) is not an evidence-basedpractice in controlling head lice infestation/re-infestations. It is the responsibilityof the parent to treat head lice infestation. Key to success in controlling head lice, with small chance of recurrence, is in the removal of all nits after the use of the pediculocide. Although students are allowed back to class with any reportedly treated hair when there are no live lice, encourage parents to continue removing nits until the problem is resolved. Again, regularly using a delousing comb can keep infestations from reoccurring.

For questions or more information, contact the school-site nurse.

  1. Frankowski BL, Bocchini JA, Jr. Head lice. Pediatrics. Aug 2010;126(2):392-403.