California Code § 102369(b)(9): Adult TB Clearance

📋Type B Violation🏢Affects: Family Child Care Homes

ℹ️ Educational reference based on public CCLD inspection records. Not legal or compliance advice. Verify requirements with official sources. Full disclaimer →

What Is California Code § 102369(b)(9): Adult TB Clearance?

California Code § 102369(b)(9)

Evidence of a current tuberculosis clearance, not more than one year prior to or seven days after initial presence in the home, for any adult in the home during the time that children are under care.

💬What Providers Tell Us

Based on community experience — not official guidance

TB clearances are one of the easiest citations to prevent and one of the most common to receive. Every adult in the home during childcare hours needs a current TB test, completed no more than one year before or seven days after their first day in the home. Inspectors pull your file and check dates with a calculator. The seven-day grace period is not flexible. If your mother-in-law starts helping with afternoon care or a new roommate moves in, their TB clock starts ticking immediately. Keep a tracking spreadsheet with test dates and expiration dates for every adult in the household, not just paid staff.

facilities cited (last 90 days)

That's 1 in 10000 facilities

counties affected

most common citation

📉

Decreasing

Last 90 days vs. previous 90 days

5 facilities (was 13)8 facilities

Source: California CCLD inspection records | Data as of Mar 19, 2026. Updated weekly.

5 facilities were cited for this in the last 90 days.

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What Other Providers Do for Adult TB Clearance

Common practices shared by providers. Confirm requirements with your licensing analyst.

✓ Common Practices

Provide firm, flat sleep surfaces for all infants
Keep cribs free of loose bedding, toys, and other soft objects
Place infants on their backs to sleep unless doctor specifies otherwise
Maintain appropriate room temperature for infant sleep areas
Ensure adequate supervision of sleeping infants

❌ Common Mistakes

Not getting TB clearances for non-staff adults who are present during operating hours. Providers assume only employees need testing. CCLD requires clearance for ANY adult in the home while children are in care, including family members and roommates.
Letting the one-year window lapse without re-testing. Providers get their initial clearance and forget it expires. Inspectors check the test date on file and cite immediately if it's older than 12 months from the current visit.
Confusing the TB skin test with the TB clearance. A positive skin test requires a follow-up chest X-ray and physician sign-off. Providers sometimes file only the skin test result without the complete clearance documentation.
Missing the seven-day window for new household members. A relative visits 'for a few weeks' and providers plan to get the test 'soon.' Inspectors count calendar days from when the person first appeared in the home and cite on day eight without clearance documentation.

What's Being Cited in Each Region Over the Past 90 Days

Based on facility inspection reports filed with California's Community Care Licensing Division, here's how this citation appears across different regions in the past 90 days.

Riverside County

2 citations

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Orange County

1 citations

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Sonoma County

1 citations

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San Bernardino County

1 citations

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Data updated weekly from CCLD public records. Last update: 3/19/2026

A single Type A citation can cost $150–$500+ in civil penalties — not counting the follow-up inspection it triggers.

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Frequently Asked Questions

Answers based on public CCLD data and regulation text. May not reflect recent changes.

What is the TB Clearance Requirement for Household Adults?

California Title 22 Section 102369(b)(9) requires every adult present in a Family Child Care Home during operating hours to have a current tuberculosis clearance on file. This applies not just to employees but to any adult in the home while children are in care, including family members, roommates, and regular visitors. For your facility, this means tracking TB test dates for every adult who could be in the home during childcare hours and ensuring no clearance lapses past the one-year mark.

How common are TB clearance citations in California?

According to California CCLD inspection records as of March 15, 2026, 5 facilities have been cited for this violation in the past 90 days across 4 California counties. That's roughly 1 in 8,000 inspected facilities. Riverside County leads with 2 citations, followed by Orange, San Bernardino, and Sonoma counties with 1 each. While the citation rate is low, this remains one of the easiest violations to prevent and one of the most common documentation gaps inspectors find during file reviews.

What triggers a TB clearance citation during an inspection?

Inspectors pull your personnel and household files and check TB test dates with a calculator. Based on CCLD inspection patterns, the most common trigger is a clearance older than 12 months from the current visit date. Inspectors also ask who lives in the home and compare answers against clearance records on file. A new roommate or family member present without documentation gets cited immediately. If someone had a positive skin test, inspectors look for the follow-up chest X-ray and physician sign-off, not just the initial test result.

How can I prevent a TB clearance citation?

Keep a tracking spreadsheet with test dates and expiration dates for every adult in the household, not just paid staff. Set calendar reminders 30 days before each clearance expires. When any new adult starts spending time in the home during childcare hours (a returning adult child, a new partner, a temporary guest), schedule their TB test within the first seven days. That seven-day grace period is not flexible. Inspectors count calendar days from day one.

What should I do if I receive a TB clearance citation?

Schedule the missing TB test immediately. For a lapsed clearance, get the adult tested the same week and submit the results with your Plan of Correction. For a new household member who was never tested, get them fingerprinted and tested before they return to the home during childcare hours. Document the corrective steps with dates. Include a copy of your updated tracking spreadsheet showing all current adults and their clearance status. For complex situations, consider consulting a licensed childcare compliance specialist.

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This information is educational and does not constitute legal advice. Consult a licensed childcare compliance consultant for guidance specific to your facility. Citation data is sourced from California Community Care Licensing Division public records and is refreshed regularly.

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